Guys, I have started my grad school application. I am nervous beyond belief. The priority deadline was Feb 1, and I missed that by a couple days by the time I was looking seriously at the program. However, I have been emailing the program director and she has been very encouraging. I'm just not certain how straight forward they are being with me.
I want to know how many people are applying, how many get in, what my chances are for getting into the program with only a year of NICU experience, and all of the other questions swirling around in my head. Oh gosh, this is nerve wracking!
For the application only being $50, it's not that bad. However, do I have what it takes? I'm just a baby nurse with a passion for NICU, but I have this burning desire to go further in school and start getting changes started nation wide, or at least in whatever vicinity I'm in. If I could have been here practicing as a midwife, I could have saved lives! I could have saved babies and their mamas from having the terrible home births that ended up killing one or both of them. I'm not saying that home births are bad. I'm just saying home births with a midwife who has never been formally trained is dangerous and asking for trouble.
I want to change the way midwifery is seen in the US. I want to save the lives of moms and babies by preventing too many medical interventions while simultaneously having the training and supplies to provide necessary interventions to keep everyone safe.
Ugh, I feel so helpless.
I am presently terrified.
I am currently in need of another change. I feel like I could actually make a difference.
Oh L-rd, direct me in the ways you want me to go! Make my path straight and show me what it is I'm supposed to be doing!
Probably doesn't help that I've rewatched Call the Midwife on Netflix...
Monday, February 27, 2017
Thursday, February 16, 2017
Because I'm An Idiot
Let's preface this with the fact that we had a recent baby boom and are busting at the seems.
I keep making stupid newbie mistakes. Now, is this because I'm not paying attention? Not really. Mostly, I'm making mistakes without even knowing I'm making them because these are things that I was not taught in orientation. Now that I am on my own, I get in trouble for making said mistakes because I am now responsible for the actions I do, whether I know it is against the rules or not.
This was brought about by getting "in trouble" (my words, not theirs) for overfeeding my kid. In our unit, children can go to ad lib and/or on demand. This, to me, means they can eat however much they want (ad lib) whenever they wake up and start fussing (on demand). Nobody taught me otherwise, until today.
I had my charge nurse feed one of my kids because I was crazy busy and also way late on charting. Well, she ended up looking at my charting and told me I was way overfeeding my kid. Apparently it is an unspoken rule that ad lib actually means 160-200 mL/kg/day. Now, average this out by how long the kid goes between feedings (2-4 hours) and you get your ad lib ranges of what to feed depending on how long they slept. Who knew? Well, I guess everyone did... except me. So, this kid's max was 100 (actually this is only for going 3 hours in between, for 4 hours it's 133 mL) and I was letting him take as much as he wanted, in the ball parks of 120-150. So, not too much over, and I admitted my mistake to day shift during report, to my friends, and to our unit manager. However, I still feel like a complete dumb ass because I just know this is going to end up being a thing that gets talked about for weeks. The doctor is going to be upset, I'm going to get a lecture, maybe a group email, and it'll be because of me and because I have no clue what the hell I'm doing. Some kids do get ordered to be ad lib with no max. Apparently this is something that is uncommon and ad lib means 160-200.
Ya live and learn, I guess. Poor day shift must think I'm a complete moron because I know the other girls on night shift think I am.
In other news we got our yearly reviews done... everyone is pissed. We have a peer review system, but not everyone fills out reviews for other employees. Plus, the reviews from the employees are used as the sole summation of your work on the unit. So, there is a lot of bias. If you get your review "randomly" (I don't think they were all random) put into a folder to be reviewed by someone on our unit who doesn't like you, your raise will depend on how mean they felt that day. On the flip side, we have some employees who don't do well at work and cut corners who get reviewed by their friends and end up getting raises that they maybe shouldn't have gotten as well as better reviews than they worked for. So, no matter what, you get screwed. So, I got an okay eval, but my friends did not. Their evals went to a girl who is not nice to us and clearly does not like any of us new girls. Therefore, my friends had terrible reviews and did not get the same type of raise I did. It might be by just a few cents, but the reviews are on file for the rest of their career at this hospital. They are not getting good marks because their "grader" is spiteful, rude, mad at us for going to HR about her, and biased.
Add in that I'm tired, probably PMS'ing, and cannot seem to have a good night, and even though I'm sleep deprived, I will probably end up not sleeping well. That sucks because I have been at work every night for a week and still have another 4 days to go. I kid you not, I will have 13 days clocked, in a row because I'm stupid and kept coming in "for just one more night" because we were slammed with kids.
Sometimes I do dumb things.
Mostly, I do dumb things regularly. It's a wonder my review didn't turn out worse than the most negative things being written is that "she gets frustrated". Well no shit. I'm a new grad, I've been on my own for 3 months (out of orientation), and I get frustrating assignments because they are trying to get me experiences with tougher assignments. They say that in the review. Half of our staff is frustrated and frazzled most of their nights at work because they are 1) high strung on their good days and completely out of control on a mediocre day or 2) assignments are not given to be balanced so that stress is evenly distributed across the entirety of the staff for the shift. Assignments are given with no regards to patient needs and nurse responsibilities.
On a more positive note. I emailed the nurse midwifery program I want to attend. They emailed back quickly and asked if I wanted to start in August 2017... I can't move yet, but I kind of want to start school so I'll graduate in 2020. It's a happy year especially with high school graduation being 2012, college graduation being 2016; 2020 fits my little trend!
The only thing I can think is: I can't even be a nurse and do things correctly on a regular basis, what makes me think I can be a practitioner and write orders as opposed to simply following practitioner orders? Everything takes practice and experience, but it's scary!
Ah well. I'm off to sleep so that I can show up to struggle through another crazy shift.
Let's not even talk about my new desire for a kid. I keep getting attached to my little patients that I tear up when they get to go home. It's bitter sweet, but I love these kids more than I should be loving patients. Then I want a kid, but then I'm over-come with dread and fear of the things they could/might go through in life. Then I start crying because I get scared thinking about what it would be like to have to go through meeting a guy and hoping he won't be evil to me like the other guys have been. And, if he's not evil, then I am scared to tell him the evils I've survived and I'll have to delve into why I don't think I'm pure... and... and... and...
I think I just need some sleep. I'll catch up with y'all later.
I keep making stupid newbie mistakes. Now, is this because I'm not paying attention? Not really. Mostly, I'm making mistakes without even knowing I'm making them because these are things that I was not taught in orientation. Now that I am on my own, I get in trouble for making said mistakes because I am now responsible for the actions I do, whether I know it is against the rules or not.
This was brought about by getting "in trouble" (my words, not theirs) for overfeeding my kid. In our unit, children can go to ad lib and/or on demand. This, to me, means they can eat however much they want (ad lib) whenever they wake up and start fussing (on demand). Nobody taught me otherwise, until today.
I had my charge nurse feed one of my kids because I was crazy busy and also way late on charting. Well, she ended up looking at my charting and told me I was way overfeeding my kid. Apparently it is an unspoken rule that ad lib actually means 160-200 mL/kg/day. Now, average this out by how long the kid goes between feedings (2-4 hours) and you get your ad lib ranges of what to feed depending on how long they slept. Who knew? Well, I guess everyone did... except me. So, this kid's max was 100 (actually this is only for going 3 hours in between, for 4 hours it's 133 mL) and I was letting him take as much as he wanted, in the ball parks of 120-150. So, not too much over, and I admitted my mistake to day shift during report, to my friends, and to our unit manager. However, I still feel like a complete dumb ass because I just know this is going to end up being a thing that gets talked about for weeks. The doctor is going to be upset, I'm going to get a lecture, maybe a group email, and it'll be because of me and because I have no clue what the hell I'm doing. Some kids do get ordered to be ad lib with no max. Apparently this is something that is uncommon and ad lib means 160-200.
Ya live and learn, I guess. Poor day shift must think I'm a complete moron because I know the other girls on night shift think I am.
In other news we got our yearly reviews done... everyone is pissed. We have a peer review system, but not everyone fills out reviews for other employees. Plus, the reviews from the employees are used as the sole summation of your work on the unit. So, there is a lot of bias. If you get your review "randomly" (I don't think they were all random) put into a folder to be reviewed by someone on our unit who doesn't like you, your raise will depend on how mean they felt that day. On the flip side, we have some employees who don't do well at work and cut corners who get reviewed by their friends and end up getting raises that they maybe shouldn't have gotten as well as better reviews than they worked for. So, no matter what, you get screwed. So, I got an okay eval, but my friends did not. Their evals went to a girl who is not nice to us and clearly does not like any of us new girls. Therefore, my friends had terrible reviews and did not get the same type of raise I did. It might be by just a few cents, but the reviews are on file for the rest of their career at this hospital. They are not getting good marks because their "grader" is spiteful, rude, mad at us for going to HR about her, and biased.
Add in that I'm tired, probably PMS'ing, and cannot seem to have a good night, and even though I'm sleep deprived, I will probably end up not sleeping well. That sucks because I have been at work every night for a week and still have another 4 days to go. I kid you not, I will have 13 days clocked, in a row because I'm stupid and kept coming in "for just one more night" because we were slammed with kids.
Sometimes I do dumb things.
Mostly, I do dumb things regularly. It's a wonder my review didn't turn out worse than the most negative things being written is that "she gets frustrated". Well no shit. I'm a new grad, I've been on my own for 3 months (out of orientation), and I get frustrating assignments because they are trying to get me experiences with tougher assignments. They say that in the review. Half of our staff is frustrated and frazzled most of their nights at work because they are 1) high strung on their good days and completely out of control on a mediocre day or 2) assignments are not given to be balanced so that stress is evenly distributed across the entirety of the staff for the shift. Assignments are given with no regards to patient needs and nurse responsibilities.
On a more positive note. I emailed the nurse midwifery program I want to attend. They emailed back quickly and asked if I wanted to start in August 2017... I can't move yet, but I kind of want to start school so I'll graduate in 2020. It's a happy year especially with high school graduation being 2012, college graduation being 2016; 2020 fits my little trend!
The only thing I can think is: I can't even be a nurse and do things correctly on a regular basis, what makes me think I can be a practitioner and write orders as opposed to simply following practitioner orders? Everything takes practice and experience, but it's scary!
Ah well. I'm off to sleep so that I can show up to struggle through another crazy shift.
Let's not even talk about my new desire for a kid. I keep getting attached to my little patients that I tear up when they get to go home. It's bitter sweet, but I love these kids more than I should be loving patients. Then I want a kid, but then I'm over-come with dread and fear of the things they could/might go through in life. Then I start crying because I get scared thinking about what it would be like to have to go through meeting a guy and hoping he won't be evil to me like the other guys have been. And, if he's not evil, then I am scared to tell him the evils I've survived and I'll have to delve into why I don't think I'm pure... and... and... and...
I think I just need some sleep. I'll catch up with y'all later.
Thursday, February 2, 2017
New Culture
The floor I work on consists of all Women's health and the related fields. We have Labor and Delivery, Newborn Nursery, NICU (my unit), and the women specific Med/Surg floor (specifically for C Sections, hysterectomies, and various other health troubles specific to women). In other words, this floor has way too much estrogen. Seriously, WAY TOO MUCH!!!
Our floor, regardless of the unit, is known throughout the hospital and town for being very cliquey, having troubles with new hires (experienced and non-experienced employees), and difficulties with doctors.
Having experienced many of the troubles myself, I am attempting to change the culture for our new people. I have met 3 of them. We have 1 lady who is training on night (already did orientation on days) and is from a med/surg floor in our hospital. She's really sweet and I think we will get along just fine. We have another new grad gal, who is still orienting on days. She seems very excited and eager to start working. I think she'll be fun. I hope so. There is one lady who is going to be PRN, so I'm thinking she's already been a NICU nurse somewhere else and likely has another job. I guess we'll see how that goes. There are 2 others that I have not met and one of them is a guy!
Oh. My. Gosh. You would not believe the ugly things some of the girls were saying. They went off for hours about how the ICU nurse that started and oriented when I did left and so they are quite convinced that's what's going to happen with this guy as well. I didn't have the heart to tell them that the 4 girls that were bitching about her are the reasons she left. That ICU nurse absolutely loved the work, but she knew she could not ultimately handle the people on the unit, so she decided to go PRN instead of being miserable.
These girls were saying that this guy nurse won't be able to help with breastfeeding, that the parents will be uncomfortable with him being their nurse, and also that he won't fit in. You know what? Guy nurses are often aware that moms may not be comfortable being taught to breastfeed from a guy. Guys are also able and willing to tell moms that and offer to have one of the lady nurses help. Guys are better on their feet with critical kids, especially an experienced ICU nurse (as he is). He's also been an ICU charge nurse FOR YEARS!!! He's great with dealing with difficult situations, uncooperative parents, and the ridiculous hormonal troubles that come along with so many women in one area. I think he could bring in some rational thought to a regularly touchy-feelly environment that has cat fights on a regular basis because apparently we are all in fucking middle school.
I'm working on treating these girls as people, talking with them as if they were/are the practicing nurse for the day, and I'm trying to talk to them about life. You know, small talk kinds of things. How are you liking it here? When do you come to nights? Are you married? What do you like to do? All the crap that you have to start off with to break the ice. When I was new, I had to ask all those questions, nobody welcomed me in that way (except the couple of people who I had shadowed, which is why they shadow, everybody loves them!)
Maybe if at least one person accepts them and brings them into the group, they won't feel outcast and they won't feel as though nobody wants them. I want them. I think they will do great. It's a great job, fun work, and we make a difference in the lives of these kids and parents every day. I didn't feel like I was making a difference when I was on med/surg floors because some people didn't want help and other times I was too busy to be any good to anyone.
Hopefully everything will turn out great.
Hey, bonus! I'm making friends on my own unit finally! I am still not in with the mean girls. However, I'm scheduling myself with the other more experienced nurses on nights when I like the charge nurse and the whole night is more fun, relaxed, and more comfortable. Even if some of the not-nice girls are on, I have allies. It certainly helps life and work run a lot smoother. And, in the process, I made more friends. People are finally starting to open up to me and include me in their plans.
P.S. I emailed my master's program for Nurse-Midwifery. Turns out that if you go to school for an extra 2-3 semesters, you end up with a doctorate. I'm seriously considering starting school back up. Even if the commitment is only for 2 years and I think about the doctorate as I am in school and deciding if I can finish it. I guess we'll see.
P.P.S. I started reading Praying for You Future Husband and, in the process, I'm getting encouraged and praying a lot for myself. It's written by Robin Jones Gunn and Tricia Goyer. They have prayers for the guy and for yourself at the end of each chapter, they go over their own personal stories, as well as stories of various other women. I'm really enjoying the book and the process. I don't know, maybe years down the road G-d has somebody in store for me that can handle all of this mess.
Our floor, regardless of the unit, is known throughout the hospital and town for being very cliquey, having troubles with new hires (experienced and non-experienced employees), and difficulties with doctors.
Having experienced many of the troubles myself, I am attempting to change the culture for our new people. I have met 3 of them. We have 1 lady who is training on night (already did orientation on days) and is from a med/surg floor in our hospital. She's really sweet and I think we will get along just fine. We have another new grad gal, who is still orienting on days. She seems very excited and eager to start working. I think she'll be fun. I hope so. There is one lady who is going to be PRN, so I'm thinking she's already been a NICU nurse somewhere else and likely has another job. I guess we'll see how that goes. There are 2 others that I have not met and one of them is a guy!
Oh. My. Gosh. You would not believe the ugly things some of the girls were saying. They went off for hours about how the ICU nurse that started and oriented when I did left and so they are quite convinced that's what's going to happen with this guy as well. I didn't have the heart to tell them that the 4 girls that were bitching about her are the reasons she left. That ICU nurse absolutely loved the work, but she knew she could not ultimately handle the people on the unit, so she decided to go PRN instead of being miserable.
These girls were saying that this guy nurse won't be able to help with breastfeeding, that the parents will be uncomfortable with him being their nurse, and also that he won't fit in. You know what? Guy nurses are often aware that moms may not be comfortable being taught to breastfeed from a guy. Guys are also able and willing to tell moms that and offer to have one of the lady nurses help. Guys are better on their feet with critical kids, especially an experienced ICU nurse (as he is). He's also been an ICU charge nurse FOR YEARS!!! He's great with dealing with difficult situations, uncooperative parents, and the ridiculous hormonal troubles that come along with so many women in one area. I think he could bring in some rational thought to a regularly touchy-feelly environment that has cat fights on a regular basis because apparently we are all in fucking middle school.
I'm working on treating these girls as people, talking with them as if they were/are the practicing nurse for the day, and I'm trying to talk to them about life. You know, small talk kinds of things. How are you liking it here? When do you come to nights? Are you married? What do you like to do? All the crap that you have to start off with to break the ice. When I was new, I had to ask all those questions, nobody welcomed me in that way (except the couple of people who I had shadowed, which is why they shadow, everybody loves them!)
Maybe if at least one person accepts them and brings them into the group, they won't feel outcast and they won't feel as though nobody wants them. I want them. I think they will do great. It's a great job, fun work, and we make a difference in the lives of these kids and parents every day. I didn't feel like I was making a difference when I was on med/surg floors because some people didn't want help and other times I was too busy to be any good to anyone.
Hopefully everything will turn out great.
Hey, bonus! I'm making friends on my own unit finally! I am still not in with the mean girls. However, I'm scheduling myself with the other more experienced nurses on nights when I like the charge nurse and the whole night is more fun, relaxed, and more comfortable. Even if some of the not-nice girls are on, I have allies. It certainly helps life and work run a lot smoother. And, in the process, I made more friends. People are finally starting to open up to me and include me in their plans.
P.S. I emailed my master's program for Nurse-Midwifery. Turns out that if you go to school for an extra 2-3 semesters, you end up with a doctorate. I'm seriously considering starting school back up. Even if the commitment is only for 2 years and I think about the doctorate as I am in school and deciding if I can finish it. I guess we'll see.
P.P.S. I started reading Praying for You Future Husband and, in the process, I'm getting encouraged and praying a lot for myself. It's written by Robin Jones Gunn and Tricia Goyer. They have prayers for the guy and for yourself at the end of each chapter, they go over their own personal stories, as well as stories of various other women. I'm really enjoying the book and the process. I don't know, maybe years down the road G-d has somebody in store for me that can handle all of this mess.
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