Some of you may wonder what I've been up to for the past couple months...
Well, not much besides working. Work is getting better, mostly because I decided to stop bitching about problems that I can't fix, and working on either 1) fixing or 2) avoiding the problems I can. I know avoidance doesn't sound good, but sometimes it's okay. For instance, if there is a particular charge nurse that you do not work well with, it is okay to not sign up for her nights. Whether to simply give yourself a break or to not have to worry about being around her, or both. However, things with her are better, still awkward, but slightly better. I think she's trying to be nicer to everyone.
We have four new girls coming onto night shift in the next few months. One was a med/surg nurse for awhile and the others are new grads, I believe. Ummm, is it just me or does this seem like a bad idea? They are already upset about so many "inexperienced" girls being on the staffing sheet, let's add in a bunch of other complete newbies! I'm not saying we shouldn't give these new girls a chance, I'm just nervous that we don't have near enough experience on the night shift. If they are considering me "experienced", then we have a major issue.
I lost my first baby. Not lose as in misplace, I'm talking lose as in the baby went back to be with Jesus. It was a bitter sweet experience because those babies had a very small chance of survival, for how early they were and the start they had. And, if they had survived, their quality of life would have been terrible. I cried. I was holding it together until my ICU nurse turned NICU nurse friend started crying as she asked if I was okay. I kept baby alive for 10 hours, without sitting down/drinking/eating once in that amount of time.
There were constant drip changes, tests, blood gases, vent changes, glucose tests, IV insertions, bagging, and various other cared during that time. These babies, they were twins, fought so hard. The doctor was called constantly throughout the night and finally came in as all cares were maxed out. Doctor came in, for the third time that night, and he asked the parents if they wanted to pull support. We discontinued and capped off IV's and umbilical lines. We removed all wires we could, without putting the baby through more pain, and we gently swaddled them in the most beautiful blankets we could find. Finally, we removed their ET tubes and handed the babies to shocked parents.
Our worlds can change in an instant. In one moment, we can be excited for new babies, and picking out baby clothes, beds, and the like. In the very next breath, mere infants can float straight up to the Good L-rd's open arms.
That was my first night of 4. Following the 4 nights, I hopped on a bus headed to Home Town and visited a hot springs location with my mom. That week was so wonderful. We have 3 nights and 4 days at the hot springs, threw in a massage (my first massage ever), and had tons of time to talk over life while relaxing in the warm water. Yep, I'm gonna start getting more massages regularly. I'm working on self-care lately. I'm attempting to get an exercise plan and a workout buddy, but we'll see how far I get with that.
Well, that's all I've got for now. It's been 2 years since I met exboyfriend, and it's been over a year since I ever saw exfiance (except when he found me at that bar and the Angry Canadian from nursing school told him off for me.
Flashbacks come more in waves like memories would as opposed to the overwhelming drownings I used to live through on a minute by minute basis. These memories haunt me every day, but I am learning to survive and breathe through the waves and ground myself more efficiently.
Life rolls on and I am getting farther and farther from those guys. Man alive, I can't believe we're already about a month into the new year. Time is just flying by now that school is done.
Showing posts with label babies. Show all posts
Showing posts with label babies. Show all posts
Thursday, January 19, 2017
Sunday, November 6, 2016
LC to Call-In
I got to go to work last night! On top of that, I got a bunch of baby snuggles, got to see how nursing work is done for time-change, AND I got to watch a vaginal twin birth and the second kid was a footling breech!
Guys, let's talk about that again...
An OB/GYN delivered a footling breech baby!!! AND I got to see it!!!
I went into work, with the charge offering me two babies that had been with us for awhile. I asked one of the girls who was on admissions if she wanted to go to the birth, because I had heard the mama was going to a vaginal delivery. The girl said I could go because she doesn't like deliveries!!!
Oh what a wonderful day. The poor girls that were there all night had to work 13 hours. We had two 0100 columns in our charting system due to time change. I would be perfectly okay if we did away with the irritating daylight savings' time changes. Goodness, babies don't understand why we're holding off food from them for an extra 30 minutes for two "random" feedings. They can't be talked to and reasoned with as to why we are making them wait and why they are hungry. So many of the babies were hungry and crying because we had them wait. Poor kids.
Ah well, I think I may have passed out from exhaustion if I had to work the full 13 hours. Praise the L-rd for helping me in unexpected ways!
Oh, and on top of that, I learned that I wasn't supposed to get floated the other day. I'm not supposed to get floated until I've been working for at least 6 months. So maybe the practices of this particular charge nurse will get questioned so that an investigation into the hazing of newbies can be started... If not, I'll survive. Whatever, now I know I'm not supposed to go by myself. Cross-training is one thing, but to be sent by myself is another.
Guys, let's talk about that again...
An OB/GYN delivered a footling breech baby!!! AND I got to see it!!!
I went into work, with the charge offering me two babies that had been with us for awhile. I asked one of the girls who was on admissions if she wanted to go to the birth, because I had heard the mama was going to a vaginal delivery. The girl said I could go because she doesn't like deliveries!!!
Oh what a wonderful day. The poor girls that were there all night had to work 13 hours. We had two 0100 columns in our charting system due to time change. I would be perfectly okay if we did away with the irritating daylight savings' time changes. Goodness, babies don't understand why we're holding off food from them for an extra 30 minutes for two "random" feedings. They can't be talked to and reasoned with as to why we are making them wait and why they are hungry. So many of the babies were hungry and crying because we had them wait. Poor kids.
Ah well, I think I may have passed out from exhaustion if I had to work the full 13 hours. Praise the L-rd for helping me in unexpected ways!
Oh, and on top of that, I learned that I wasn't supposed to get floated the other day. I'm not supposed to get floated until I've been working for at least 6 months. So maybe the practices of this particular charge nurse will get questioned so that an investigation into the hazing of newbies can be started... If not, I'll survive. Whatever, now I know I'm not supposed to go by myself. Cross-training is one thing, but to be sent by myself is another.
Wednesday, October 5, 2016
First Solo Night
Y'all, I had my first solo night as a NICU RN the other night! I survived it!!! But folks, it was frickin' rough.
Even with them knowing I am a brand-new nurse and had been on orientation the night before... they gave me 3 of the "easier" babies, all with things I have not had to deal with yet with a preceptor and HAD NO FUCKING CLUE HOW TO HANDLE ON MY OWN.
I was talking with a girl who was helping me out, and she asked how my night was going, 2 hours into the shift. I told her good, then explained to her I was given an 8:30 feeder and two 9 o'clock feeders. She legit looked at me and said, "get used to getting terrible assignments for awhile, it happens to everyone."
In a joking matter I laughed and asked, "is it like hazing the new kid?" with a smile and a slight look of fear... to which she responded, "yeah, a little."
Now, I get trying to get me new experiences, and giving me easy babies. Okay, I get it. But if you look at the feeding schedule and avoid giving all of the other, experienced nurses babies that all need to feed at the same time, why the fuck would you give a brand-new nurse all babies that need attention at the same time her first night by herself? Seriously.
For those of you who don't know, feeding times in the NICU are important. Those are the times when you do assessments, get labs, bath, and care for the kid, then feed them. The feeding is supposed to start at their designated feeding time and all cares should be completed before then.
My 8:30 was a kid that was needing to room-in with the parents so that if the parents had any issues during that process, they would have help literally across the hall.
One of my 9:00 feeders was brand new that day, and a train-wreck because not all of her admission labs had been done upon admission, then the NP decided later in the day (like 5 hours later) that hey, maybe getting blood cultures and the other normal admission labs should be collected, just in case. So, day-shift nurse left those for me to do... Now, I'm getting better at regular labs where you just do a heal stick an milk their little foot. The blood culture labs require an IV stick, leaving the catheter in the vein, then aspirating blood drop by drop into a 10 mL syringe to ensure that it is not contaminated with the bacteria from the skin. This is a super scary way to draw labs, and mighty tedious. However, baby veins are so little that you can't just use a butterfly needle or draw blood the way one can on adults or even children. Yes, drawing labs this way is as irritating and tedious as it sounds. Add in the fact that I haven't gotten an IV stick since the very first one I placed on day 2 of orientation, and it stresses me out to no end.
My other 9:00 feeder is truly a feeder-grower. His parents know how to do all cares and he eats really fast. He knows what he's doing and, honestly, I'm not entirely certain why he isn't able to go home yet. But hey, I'm new, so they must be keeping him around for something.
On top of normal cares, me freaking out, and work needing to be completed, we have to get baby weights on night shift. In order to do so, all 20-30 babies are weighed using 1 of 2 scales, unless they happen to be so small that they have a bed with a bed scale.
I had just finished my first assessment when ALL of the parents showed up for ALL of my kids. I needed to do a bunch of paperwork and teaching for the parents who needed to room-in, then get them over to their hospital room for the night. One dad came in with his mom to hold his daughter for the first time since her early birth from emergency c-sections (the kid I still needed to draw labs on...), and the other parents for my second 9:00 feeding showed up and started in on cares and feeding for that baby.
Meanwhile, the charge nurse is asking where I'm at, I had time to only poke my head into each baby's room before I got caught up in the new kids room with a very nervous but sweet dad. The parents waiting to be able to room-in were working on feeding their kid, but ended up having to wait 30 minutes after he was done eating in order for me to get back to help them. And, my sweet parents for my last baby's feeding took care of everything except for weighing their baby, which I put off until the last feeding.
The charge nurse found me, and seemed to get mildly upset with the fact that I wasn't able to be in all three rooms at the same time, but started to help me with delegation and getting other nurses to help with the rooming-in training and whatnot.
Looking back on it now, I can see that feeding the newbie kid should have waited a little bit and I should have gotten labs drawn on the kid when I had a little bit of time before parents showed up. However, I have seen the super-experienced nurses have tons of days like that and I think I handled it pretty fuckin' well. I taught the new dad a lot, and answered all of his questions. I let the parents that knew what they were doing get time with their baby and kept checking in on them instead of just disappearing, and I was able to find a time to sneak away from patient's in order to ask for help. Plus, I was given a difficult assignment that even the day nurse, who has been a NICU nurse for like 15 years, changed as soon as she got in and got report. Now I know I can ask to change it.
I survived my first solo night as a NICU RN. I got done everything I needed to get done, though some was a little bit late. I got a kid a bath, who was in desperate need to be bathed, and he gave me good-smelling baby snuggles with each feeding. I offered help when I had the time, and worked my ass off all night. I organized the beds, talked with all of the parents, and did all that I could, while fending for myself. I was a difficult night and some newbie mistakes were made, but people helped me and went to bat for me once they determined I am willing of their time and effort. I thanked people up one side and down the other to make sure they know I am appreciative of their help. I left in the morning feeling tired, and a little bit defeated, but now that I think back on it, I did an amazing job for a brand-new nurse with only 2 weeks of night time orientation and 12 weeks over-all orientation.
There will be many nights where I will feel way worse because of everything getting crazy busy and hectic all at the same time. There will be days I mess up really bad and need someone to bail me out. There will be difficult parents, babies who are not wanting to fight to live anymore, and times where I feel like a complete failure. For me, I have only had one job where I left and didn't care what happened at work: IT. Working IT left me dreading going to work and counting down the minutes until I left. When I was a cashier in high school, I was so invested in my work that I was constantly trying to improve and do better than I was the day before. In being a CNA, both in the Alzheimer's facility and as a patient sitter in the hospital, I left each day either elated and accomplished or feeling sad/defeated/frustrated/upset. Leaving clinicals was a similar experience for me.
My upset/defeated days come from thinking I could have done something vastly different to lead to a much better outcome than what happened. This can be from interactions with patients, their family, nurses, or any number of the medical staff. It might come from a day when I have no help and the full fuckin' moon is up along with every person with some sore of behavioral issue (both temporary and chronic), or it may come from a day where I am perpetually behind because of something happening at the beginning of the shift.
My happy days come from knowing I did as much as I could. Or from a patient/family member telling me how much I helped them that day. Occasionally, it'll come from a nurse or doctor letting me know how much I helped and how much my presence was required and useful that day (did not happen but once in my 3 years of CNA experience and I didn't believe it when the nurses would tell me that during clinicals because I know I slowed them down). It also came when I had just an amazing learning or teaching experience, like getting to scrub in and assist with a surgery on my first OB clinical night!
For me, I could not handle going to a job where I didn't have emotional connection and attachment to my work. Yes, my heart and emotions are constantly on a roller coaster but, let's be real, I'm on a roller coaster all the time anyway with my bipolar episodes *ba-dum-ts* (that was supposed to be the drum and cymbal sound for when people make a joke). Ha, I made a joke.
You know what, it's true though. My whole heart has been in everything I do, even working IT, and I wouldn't have it any other way. People can tell when you're just there for money or if you actually care about what is happening. I pray my heart stays tender, that I never lose my sense of wonder, and that I am able to continually learn how to be better and care more efficiently so that everyone can feel how much I truly care for them. I never want to get a hard and jaded heart. This means I will have to endure many heartaches and a lot of pain, but I cannot imagine working for 30 years and not feeling anything for my patients or caring about people by the time I retire.
Moral of story for this post: I survived. My babies survived (thought one tried to die on me). And, to top it all off, I was one of the first ones to leave even thought I was able to keep up with all of my work and even help others with their work (as much as possible). I figured I would have been one of the last to leave and super behind all night. Woohoo!
Even with them knowing I am a brand-new nurse and had been on orientation the night before... they gave me 3 of the "easier" babies, all with things I have not had to deal with yet with a preceptor and HAD NO FUCKING CLUE HOW TO HANDLE ON MY OWN.
I was talking with a girl who was helping me out, and she asked how my night was going, 2 hours into the shift. I told her good, then explained to her I was given an 8:30 feeder and two 9 o'clock feeders. She legit looked at me and said, "get used to getting terrible assignments for awhile, it happens to everyone."
In a joking matter I laughed and asked, "is it like hazing the new kid?" with a smile and a slight look of fear... to which she responded, "yeah, a little."
Now, I get trying to get me new experiences, and giving me easy babies. Okay, I get it. But if you look at the feeding schedule and avoid giving all of the other, experienced nurses babies that all need to feed at the same time, why the fuck would you give a brand-new nurse all babies that need attention at the same time her first night by herself? Seriously.
For those of you who don't know, feeding times in the NICU are important. Those are the times when you do assessments, get labs, bath, and care for the kid, then feed them. The feeding is supposed to start at their designated feeding time and all cares should be completed before then.
My 8:30 was a kid that was needing to room-in with the parents so that if the parents had any issues during that process, they would have help literally across the hall.
One of my 9:00 feeders was brand new that day, and a train-wreck because not all of her admission labs had been done upon admission, then the NP decided later in the day (like 5 hours later) that hey, maybe getting blood cultures and the other normal admission labs should be collected, just in case. So, day-shift nurse left those for me to do... Now, I'm getting better at regular labs where you just do a heal stick an milk their little foot. The blood culture labs require an IV stick, leaving the catheter in the vein, then aspirating blood drop by drop into a 10 mL syringe to ensure that it is not contaminated with the bacteria from the skin. This is a super scary way to draw labs, and mighty tedious. However, baby veins are so little that you can't just use a butterfly needle or draw blood the way one can on adults or even children. Yes, drawing labs this way is as irritating and tedious as it sounds. Add in the fact that I haven't gotten an IV stick since the very first one I placed on day 2 of orientation, and it stresses me out to no end.
My other 9:00 feeder is truly a feeder-grower. His parents know how to do all cares and he eats really fast. He knows what he's doing and, honestly, I'm not entirely certain why he isn't able to go home yet. But hey, I'm new, so they must be keeping him around for something.
On top of normal cares, me freaking out, and work needing to be completed, we have to get baby weights on night shift. In order to do so, all 20-30 babies are weighed using 1 of 2 scales, unless they happen to be so small that they have a bed with a bed scale.
I had just finished my first assessment when ALL of the parents showed up for ALL of my kids. I needed to do a bunch of paperwork and teaching for the parents who needed to room-in, then get them over to their hospital room for the night. One dad came in with his mom to hold his daughter for the first time since her early birth from emergency c-sections (the kid I still needed to draw labs on...), and the other parents for my second 9:00 feeding showed up and started in on cares and feeding for that baby.
Meanwhile, the charge nurse is asking where I'm at, I had time to only poke my head into each baby's room before I got caught up in the new kids room with a very nervous but sweet dad. The parents waiting to be able to room-in were working on feeding their kid, but ended up having to wait 30 minutes after he was done eating in order for me to get back to help them. And, my sweet parents for my last baby's feeding took care of everything except for weighing their baby, which I put off until the last feeding.
The charge nurse found me, and seemed to get mildly upset with the fact that I wasn't able to be in all three rooms at the same time, but started to help me with delegation and getting other nurses to help with the rooming-in training and whatnot.
Looking back on it now, I can see that feeding the newbie kid should have waited a little bit and I should have gotten labs drawn on the kid when I had a little bit of time before parents showed up. However, I have seen the super-experienced nurses have tons of days like that and I think I handled it pretty fuckin' well. I taught the new dad a lot, and answered all of his questions. I let the parents that knew what they were doing get time with their baby and kept checking in on them instead of just disappearing, and I was able to find a time to sneak away from patient's in order to ask for help. Plus, I was given a difficult assignment that even the day nurse, who has been a NICU nurse for like 15 years, changed as soon as she got in and got report. Now I know I can ask to change it.
I survived my first solo night as a NICU RN. I got done everything I needed to get done, though some was a little bit late. I got a kid a bath, who was in desperate need to be bathed, and he gave me good-smelling baby snuggles with each feeding. I offered help when I had the time, and worked my ass off all night. I organized the beds, talked with all of the parents, and did all that I could, while fending for myself. I was a difficult night and some newbie mistakes were made, but people helped me and went to bat for me once they determined I am willing of their time and effort. I thanked people up one side and down the other to make sure they know I am appreciative of their help. I left in the morning feeling tired, and a little bit defeated, but now that I think back on it, I did an amazing job for a brand-new nurse with only 2 weeks of night time orientation and 12 weeks over-all orientation.
There will be many nights where I will feel way worse because of everything getting crazy busy and hectic all at the same time. There will be days I mess up really bad and need someone to bail me out. There will be difficult parents, babies who are not wanting to fight to live anymore, and times where I feel like a complete failure. For me, I have only had one job where I left and didn't care what happened at work: IT. Working IT left me dreading going to work and counting down the minutes until I left. When I was a cashier in high school, I was so invested in my work that I was constantly trying to improve and do better than I was the day before. In being a CNA, both in the Alzheimer's facility and as a patient sitter in the hospital, I left each day either elated and accomplished or feeling sad/defeated/frustrated/upset. Leaving clinicals was a similar experience for me.
My upset/defeated days come from thinking I could have done something vastly different to lead to a much better outcome than what happened. This can be from interactions with patients, their family, nurses, or any number of the medical staff. It might come from a day when I have no help and the full fuckin' moon is up along with every person with some sore of behavioral issue (both temporary and chronic), or it may come from a day where I am perpetually behind because of something happening at the beginning of the shift.
My happy days come from knowing I did as much as I could. Or from a patient/family member telling me how much I helped them that day. Occasionally, it'll come from a nurse or doctor letting me know how much I helped and how much my presence was required and useful that day (did not happen but once in my 3 years of CNA experience and I didn't believe it when the nurses would tell me that during clinicals because I know I slowed them down). It also came when I had just an amazing learning or teaching experience, like getting to scrub in and assist with a surgery on my first OB clinical night!
For me, I could not handle going to a job where I didn't have emotional connection and attachment to my work. Yes, my heart and emotions are constantly on a roller coaster but, let's be real, I'm on a roller coaster all the time anyway with my bipolar episodes *ba-dum-ts* (that was supposed to be the drum and cymbal sound for when people make a joke). Ha, I made a joke.
You know what, it's true though. My whole heart has been in everything I do, even working IT, and I wouldn't have it any other way. People can tell when you're just there for money or if you actually care about what is happening. I pray my heart stays tender, that I never lose my sense of wonder, and that I am able to continually learn how to be better and care more efficiently so that everyone can feel how much I truly care for them. I never want to get a hard and jaded heart. This means I will have to endure many heartaches and a lot of pain, but I cannot imagine working for 30 years and not feeling anything for my patients or caring about people by the time I retire.
Moral of story for this post: I survived. My babies survived (thought one tried to die on me). And, to top it all off, I was one of the first ones to leave even thought I was able to keep up with all of my work and even help others with their work (as much as possible). I figured I would have been one of the last to leave and super behind all night. Woohoo!
Thursday, September 22, 2016
NIghtshift Begins
I worked night shift as a CNA for a year and a half through nursing school. I was a patient sitter, who sat with 1-4 patients on the nights I worked. 12 hours, in a dark, chilly hospital room, trying to get a patient to sleep is difficult work. You may think it's easy or lazy work, which leads me to say: "You do it!" I have had multiple patients grab, kick, punch, and hit me. Yelling doesn't even count as attacks anymore, but some people come up with some nasty things to say when they are on CIWA (edited from AWA, I don't know what AWA is but I wrote this while tired... my bad) (alcohol withdrawal) precautions and need themselves a little buddy for their hospital stay. I have had to stand in the way of elevator doors and hand on for dear life as a dementia patient was pulling me in then pushing me out in hopes that he could get the elevator to work so he could go home.
It may not sound like much, but I have sat with suicidal 15 year-olds, patients suffering from paranoid schizophrenia, CIWA people, dementia sufferers simply wanting to go home, and with so many confused patients that even the nurse refuses to come into the room because of the tension and stress the patient causes for the patient. And yes, they charted that they had done their assessment... I saw it in the charting system but never once saw the damn nurse come into the room (I would know, I was in that stupid room all night, without a break).
Anywho, I predicted that working nights in the NICU would be slightly smoother and a little less difficult to stay awake during. I was correct... for the time-being. I haven't needed mid-shift caffeine boluses (for myself, we started a couple on the kiddos) just yet, nor have I been nodding off while charting. Granted, I just worked my second night shift last night and I'm still working on staying on-time with meds, labs, and feedings, so I stay pretty busy most of my shift.
First Night in NICU: I show up, bright-eyed and bushy tailed for the first day of night orientation. We get report on our two sweet babies and get started. Everything is chugging along with on kid that was admitted a couple hours before we got them (so they required a lot of extra help), and another little punkin that fought feedings with everything the kid had. My gosh, the baby would cry when not being fed, but refuse to eat when we finally gave the bottle. Hahaha, it happens, in my short amount of working, I have seen a few kids do that. So, we got through to about midnight and got notice that we would be getting another child to our assignment. Praise the L-rd I had a preceptor because I didn't even help with our third baby. Then, around 0430, we got a call that our already short-staffed unit would be receiving another little bundle of joy via surprise c-section! Seeing as I'm still learning, and two... one and a quarter nurses are better than none at said delivery... off we ran not even ten minutes later to a delivery that proceeded much more quickly than we were warned about.
When all the day nurses that had been teaching me for the past several months asked how my first night-shift was, all I could do was allow my eyes to get really wide and say, "Well, I learned a lot." That's it! My gosh, I did learn a lot and the nurses learned that I could be counted on to do their assessments if I happened to not be crazy busy while one of their little patients decided to go meet Jesus as an inopportune time for us. I know it's all about working with the babies and their schedule, but them leaving us to "go towards the light" is not something we take kindly to.
Plus, I realized at about 0200 that it was the Harvest Moon, which is a full moon that packs in EXTRA "excitement" (edited from crazy, because that's a mean word to use), obviously. The labor board was chalked full, our NICU is full to bursting, and all of the babies (both earth-side and those still earth-bound) were in cahoots. The ones we had were mostly trying to die or crying their little lungs out. While the kiddos still cooking in mamas decided that it's about time they join in with our fun. Well, normally I'm all for lots of babies, but when said babies are just a couple weeks over halfway baked, it causes a bit of stress for the medical professionals committed to trying to make sure living humans remains living.
NICU Night #2: We started with two infants and gave report on only those two infants. Oh my gosh, it was glorious. We had time to help other nurses that were crazy busy, and all of us went home and clocked out on time! Charting completed, meds given, learning opportunities utilized, IV placed on child, and teachings done!
When day-shift nurses came on and asked how my shift went, I couldn't help but beam with excitement. I stayed on-timeish (minus getting behind for pulling an umbilical arterial line (scary) and doing labs at 0500. Besides that, the shift went fairly well. My gosh, I have been so incredibly blessed with good preceptors and my night-shift preceptor is no exception. She is a wonderful nurse, a great teacher, and a really sweet lady. I am very glad to be able to get to learn from her and know that I can count on her when I am on my own drowning in the future.
My orientation is technically over in 4 shifts. That completes my 12 weeks of training and preceptorship and the more I work the more under-qualified I feel. I'm not a parent. I've never breastfed. I am a brand-new nurse that has a college degree essentially giving me permission to begin on-the-job training. In a field that is life and death, that is freakin' terrifying. Throw into the mix that the life-or-death circumstances belongs to people's literal babies, and I'm plumb scared off my rocker.
Between being scared of breaking or killing somebody else's child and being terrified that they think I'm gonna be okay to be on my own soon, there is also the worry of the night shift staff. So many of them are girls that are a year or two out of college, but already thinking they should be charge nurse. However, these girls don't even keep up with the responsibilities they have to keep their babies clean, fed, and organized. I'm so sick of my generation thinking that they are better than other, they are entitled, or that they can climb the ladder just by sucking up to those in management positions while degrading and bullying those of us perceived to be "less than" them. Why am I "less than" you might ask? I don't know. These girls won't acknowledge me, look at me, speak to me, help me, or otherwise respect me as a living being. The only thing that shows that they can actually see me, is that us "less than's" tend to be tucked into various jokes. At least I provide comedic relief to somebody! I'm constantly laughing at myself, but it's nice to know somebody else can laugh with me too.
It may not sound like much, but I have sat with suicidal 15 year-olds, patients suffering from paranoid schizophrenia, CIWA people, dementia sufferers simply wanting to go home, and with so many confused patients that even the nurse refuses to come into the room because of the tension and stress the patient causes for the patient. And yes, they charted that they had done their assessment... I saw it in the charting system but never once saw the damn nurse come into the room (I would know, I was in that stupid room all night, without a break).
Anywho, I predicted that working nights in the NICU would be slightly smoother and a little less difficult to stay awake during. I was correct... for the time-being. I haven't needed mid-shift caffeine boluses (for myself, we started a couple on the kiddos) just yet, nor have I been nodding off while charting. Granted, I just worked my second night shift last night and I'm still working on staying on-time with meds, labs, and feedings, so I stay pretty busy most of my shift.
First Night in NICU: I show up, bright-eyed and bushy tailed for the first day of night orientation. We get report on our two sweet babies and get started. Everything is chugging along with on kid that was admitted a couple hours before we got them (so they required a lot of extra help), and another little punkin that fought feedings with everything the kid had. My gosh, the baby would cry when not being fed, but refuse to eat when we finally gave the bottle. Hahaha, it happens, in my short amount of working, I have seen a few kids do that. So, we got through to about midnight and got notice that we would be getting another child to our assignment. Praise the L-rd I had a preceptor because I didn't even help with our third baby. Then, around 0430, we got a call that our already short-staffed unit would be receiving another little bundle of joy via surprise c-section! Seeing as I'm still learning, and two... one and a quarter nurses are better than none at said delivery... off we ran not even ten minutes later to a delivery that proceeded much more quickly than we were warned about.
When all the day nurses that had been teaching me for the past several months asked how my first night-shift was, all I could do was allow my eyes to get really wide and say, "Well, I learned a lot." That's it! My gosh, I did learn a lot and the nurses learned that I could be counted on to do their assessments if I happened to not be crazy busy while one of their little patients decided to go meet Jesus as an inopportune time for us. I know it's all about working with the babies and their schedule, but them leaving us to "go towards the light" is not something we take kindly to.
Plus, I realized at about 0200 that it was the Harvest Moon, which is a full moon that packs in EXTRA "excitement" (edited from crazy, because that's a mean word to use), obviously. The labor board was chalked full, our NICU is full to bursting, and all of the babies (both earth-side and those still earth-bound) were in cahoots. The ones we had were mostly trying to die or crying their little lungs out. While the kiddos still cooking in mamas decided that it's about time they join in with our fun. Well, normally I'm all for lots of babies, but when said babies are just a couple weeks over halfway baked, it causes a bit of stress for the medical professionals committed to trying to make sure living humans remains living.
NICU Night #2: We started with two infants and gave report on only those two infants. Oh my gosh, it was glorious. We had time to help other nurses that were crazy busy, and all of us went home and clocked out on time! Charting completed, meds given, learning opportunities utilized, IV placed on child, and teachings done!
When day-shift nurses came on and asked how my shift went, I couldn't help but beam with excitement. I stayed on-timeish (minus getting behind for pulling an umbilical arterial line (scary) and doing labs at 0500. Besides that, the shift went fairly well. My gosh, I have been so incredibly blessed with good preceptors and my night-shift preceptor is no exception. She is a wonderful nurse, a great teacher, and a really sweet lady. I am very glad to be able to get to learn from her and know that I can count on her when I am on my own drowning in the future.
My orientation is technically over in 4 shifts. That completes my 12 weeks of training and preceptorship and the more I work the more under-qualified I feel. I'm not a parent. I've never breastfed. I am a brand-new nurse that has a college degree essentially giving me permission to begin on-the-job training. In a field that is life and death, that is freakin' terrifying. Throw into the mix that the life-or-death circumstances belongs to people's literal babies, and I'm plumb scared off my rocker.
Between being scared of breaking or killing somebody else's child and being terrified that they think I'm gonna be okay to be on my own soon, there is also the worry of the night shift staff. So many of them are girls that are a year or two out of college, but already thinking they should be charge nurse. However, these girls don't even keep up with the responsibilities they have to keep their babies clean, fed, and organized. I'm so sick of my generation thinking that they are better than other, they are entitled, or that they can climb the ladder just by sucking up to those in management positions while degrading and bullying those of us perceived to be "less than" them. Why am I "less than" you might ask? I don't know. These girls won't acknowledge me, look at me, speak to me, help me, or otherwise respect me as a living being. The only thing that shows that they can actually see me, is that us "less than's" tend to be tucked into various jokes. At least I provide comedic relief to somebody! I'm constantly laughing at myself, but it's nice to know somebody else can laugh with me too.
Saturday, August 27, 2016
New to the NICU
I have been with the same preceptor for several weeks now, but I requested a change so that I would be able to see how the other nurses go about organizing their day and also so I could get some chances to work with the vent babies and see all that I could while I'm still on orientation.
So, I got put with a different nurse on Tuesday, after rocking it with my original preceptor on Monday. Guys, on Tuesday the original lady said she missed me because I was starting to do so well! She also mentioned she missed me because she was having to do actual work that day... Not certain if that tells you anything about preceptor-ship or not but my teachers keep disappearing throughout the days they have me...
Any who, I ran a little bit late on Tuesday, the times that I waited for my lady to come help, but when I got to do what I knew I needed to do, I did just fine! She came and found me finishing up my second assessment (on time, mind you) and she helped me by making milk for the next shift while I charted! She told me she was going to be my assistant for the day and let me try to be the nurse and hey, I did it! We even got in a bath for one kid and put the other one on a nasal cannula instead of a CPAP device. Well, she changed over the CPAP to cannula with a respiratory therapist while I started on the first baby. The vent babies now scare me a little less, and I think I can hopefully start to care for two babies pretty consistently now. I know I kept their beeping down to a minimum because I actually stayed with the kids all day instead of remaining in the nurses station where the beeping gets insanely loud with all the babies going off at the same time.
What have I learned? I learned to do what I need to do without waiting for my preceptor. If they are nowhere to be found and I can start on some kind of task, then I just need to go ahead and do that. I learned this in nursing school too. I avoided my instructors all the day long! and had much easier days than the students who went to the instructor instead of their primary nurses. Hahaha, don't learn from me kids, I just need a lot more independence to learn than many of my friends seemed to choose. Keeping away from my preceptors and instructors ensure for me that they are not meddling in my work. If I know what I need to do, I can take their advice after I'm done (as long as it is safe for me to do so, I ask questions when I'm not sure and scared about hurting somebody, don't get me wrong). However, for routine things not involving needles, IVs, transporting, changing machines, or other safety issues, I do what I know I need to do without waiting for them because I'd still be waiting there for help, and it's been four days.
I've certainly had my days of feeling completely worthless. Even now, I miss a lot of things, but going from a very "on the ball" nurse to one who is great at teaching and letting me fix my own mistakes with no ridicule, I'm glad I asked for a change. Yes, I was just starting to get to the point where I knew my original preceptor and could anticipate all that she wanted me to do. But every once in a while, she would remember something I miss that I never learned and I would get in trouble for not knowing to do it. With my new nurse, I learned about vents, changing from CPAP for a nasal cannula for a baby, and also how to care for micro premies. She is more gracious when I get behind and has a "go-with-the-flow" attitude that reminds me a lot of my mom. She lets me figure out what I missed on my own and while I attempt to be more strict on myself and I try to imitate my original preceptors nursing ability much more closely, I connect and learn better from my preceptor now who lets me try to figure it out on my own and doesn't make me feel bad for missing things.
So, I got put with a different nurse on Tuesday, after rocking it with my original preceptor on Monday. Guys, on Tuesday the original lady said she missed me because I was starting to do so well! She also mentioned she missed me because she was having to do actual work that day... Not certain if that tells you anything about preceptor-ship or not but my teachers keep disappearing throughout the days they have me...
Any who, I ran a little bit late on Tuesday, the times that I waited for my lady to come help, but when I got to do what I knew I needed to do, I did just fine! She came and found me finishing up my second assessment (on time, mind you) and she helped me by making milk for the next shift while I charted! She told me she was going to be my assistant for the day and let me try to be the nurse and hey, I did it! We even got in a bath for one kid and put the other one on a nasal cannula instead of a CPAP device. Well, she changed over the CPAP to cannula with a respiratory therapist while I started on the first baby. The vent babies now scare me a little less, and I think I can hopefully start to care for two babies pretty consistently now. I know I kept their beeping down to a minimum because I actually stayed with the kids all day instead of remaining in the nurses station where the beeping gets insanely loud with all the babies going off at the same time.
What have I learned? I learned to do what I need to do without waiting for my preceptor. If they are nowhere to be found and I can start on some kind of task, then I just need to go ahead and do that. I learned this in nursing school too. I avoided my instructors all the day long! and had much easier days than the students who went to the instructor instead of their primary nurses. Hahaha, don't learn from me kids, I just need a lot more independence to learn than many of my friends seemed to choose. Keeping away from my preceptors and instructors ensure for me that they are not meddling in my work. If I know what I need to do, I can take their advice after I'm done (as long as it is safe for me to do so, I ask questions when I'm not sure and scared about hurting somebody, don't get me wrong). However, for routine things not involving needles, IVs, transporting, changing machines, or other safety issues, I do what I know I need to do without waiting for them because I'd still be waiting there for help, and it's been four days.
I've certainly had my days of feeling completely worthless. Even now, I miss a lot of things, but going from a very "on the ball" nurse to one who is great at teaching and letting me fix my own mistakes with no ridicule, I'm glad I asked for a change. Yes, I was just starting to get to the point where I knew my original preceptor and could anticipate all that she wanted me to do. But every once in a while, she would remember something I miss that I never learned and I would get in trouble for not knowing to do it. With my new nurse, I learned about vents, changing from CPAP for a nasal cannula for a baby, and also how to care for micro premies. She is more gracious when I get behind and has a "go-with-the-flow" attitude that reminds me a lot of my mom. She lets me figure out what I missed on my own and while I attempt to be more strict on myself and I try to imitate my original preceptors nursing ability much more closely, I connect and learn better from my preceptor now who lets me try to figure it out on my own and doesn't make me feel bad for missing things.
Monday, August 22, 2016
A Little Exciting News
So, in the midst of what feels like a continual life storm at this point... I have a few points of good news!
1) I fixed my dryer yesterday. All by myself! I woke up Friday, trying to throw my scrub pants into the dryer really quick because I had washed them for work. Well, the dryer was sounding like it was working, but it was not tumbling. Great. I proceeded to dry my pants, with a hair dryer, and went to work with wet pants. Have you ever done that? Oh my gosh, wet pants are AWFUL!!!
Oh well, I called my dad on Saturday, told him what was going on and that I thought the belt had broken. He agreed that's what it sounded like. So, I took my dryer apart Sunday in hopes that I would fix it and not make it worse. Turns out the belt had simply slipped off the tension spring instead of breaking completely. Praise the L-rd!
2) I took care of 2 babies successfully, mostly on my own, for two days now! I was really struggling because i had 2 days of feeling like I had just been put through the wringer and criticized for everything even though I had gotten no instruction on how to do things... That was frustrating. Well, whatever. I shook it off and went back for another day. Friday and today (Monday) ended up turning out really well! I know two babies don't sound like much, but I'm finally getting to the point where I forget less and less during my assessments and during the day. I'm beginning to remember the various nuances and strange rules that occur in the NICU. And I am starting to find my newbie groove while simultaneously keeping most poop and urine off of the baby's bedding. Yay! (Guys, I had an incident involving projectile shit in an isolette. Add in a flailing baby and you can just imagine the art work created. While walking away from that baby's room about 30 minutes after the incident, I found a lovely, long, brown streak going down the length of my forearm. *sigh* The struggle.
3) Last, but not least, I PASSED THE NCLEX!!! Do y'all know what that means? That means I am a Real/Registered/Redneck Nurse. In case you missed it, that is three was to define the term of R.N. and they ALL describe me! I'm now a Real Nurse (maybe a baby or adolescent nurse, but I'm a real nurse), I am a Registered Nurse (of course, that's what the hospital and Board of Nursing call me), and I'm also a Redneck Nurse (as described my my nursing class and those who know me best). Guys, I am so very glad and excited to be done!
As you may know, I've been working as a graduate nurse and have been signing my name at work (as necessary) as BedpanAlley, GN. Well, today I got to sign it BedpanAlley, RN! AND I got a new badge changing the GN to RN!!! So, so, so excited and relieved.
Well, seeing as I have to go to work again tomorrow, which means I get up at 0430 (unless I want to smell good which means I need to wake up at 0400...). Anyway, I better hit the hay. As it is, I'll be getting maybe 5 hours of sleep.
Goodnight y'all!
BedpanAlley, RN, BSN
1) I fixed my dryer yesterday. All by myself! I woke up Friday, trying to throw my scrub pants into the dryer really quick because I had washed them for work. Well, the dryer was sounding like it was working, but it was not tumbling. Great. I proceeded to dry my pants, with a hair dryer, and went to work with wet pants. Have you ever done that? Oh my gosh, wet pants are AWFUL!!!
Oh well, I called my dad on Saturday, told him what was going on and that I thought the belt had broken. He agreed that's what it sounded like. So, I took my dryer apart Sunday in hopes that I would fix it and not make it worse. Turns out the belt had simply slipped off the tension spring instead of breaking completely. Praise the L-rd!
2) I took care of 2 babies successfully, mostly on my own, for two days now! I was really struggling because i had 2 days of feeling like I had just been put through the wringer and criticized for everything even though I had gotten no instruction on how to do things... That was frustrating. Well, whatever. I shook it off and went back for another day. Friday and today (Monday) ended up turning out really well! I know two babies don't sound like much, but I'm finally getting to the point where I forget less and less during my assessments and during the day. I'm beginning to remember the various nuances and strange rules that occur in the NICU. And I am starting to find my newbie groove while simultaneously keeping most poop and urine off of the baby's bedding. Yay! (Guys, I had an incident involving projectile shit in an isolette. Add in a flailing baby and you can just imagine the art work created. While walking away from that baby's room about 30 minutes after the incident, I found a lovely, long, brown streak going down the length of my forearm. *sigh* The struggle.
3) Last, but not least, I PASSED THE NCLEX!!! Do y'all know what that means? That means I am a Real/Registered/Redneck Nurse. In case you missed it, that is three was to define the term of R.N. and they ALL describe me! I'm now a Real Nurse (maybe a baby or adolescent nurse, but I'm a real nurse), I am a Registered Nurse (of course, that's what the hospital and Board of Nursing call me), and I'm also a Redneck Nurse (as described my my nursing class and those who know me best). Guys, I am so very glad and excited to be done!
As you may know, I've been working as a graduate nurse and have been signing my name at work (as necessary) as BedpanAlley, GN. Well, today I got to sign it BedpanAlley, RN! AND I got a new badge changing the GN to RN!!! So, so, so excited and relieved.
Well, seeing as I have to go to work again tomorrow, which means I get up at 0430 (unless I want to smell good which means I need to wake up at 0400...). Anyway, I better hit the hay. As it is, I'll be getting maybe 5 hours of sleep.
Goodnight y'all!
BedpanAlley, RN, BSN
Thursday, July 21, 2016
New Job
Folks, I finally started my new job. I love it!
I have spent the majority of my life, waiting to get to this job, to this point. I am graduated from nursing school, I'm employed at a wonderful hospital, and I have my dream job. Yes, this may change, but for right now I am excited!
I understand I wrote my other post sounding quite angry about my past and the abuse that occurred along with the lack of legal help that is available. It's utter bullshit. However, I'm angry at the injustices and excited for my new phase of life, all at the same time.
I am cleansed of friends that didn't work at our friendship, while I was expected to bend over backward to help them and make them happy. Sorry, but that's not how friendships are going to work with me.
So, after graduation, I cleared out my snapchat and Facebook friend lists. I have cleansed as much as I can, so that I am not followed by the negativity that surrounded those particular relationships. It was freeing while simultaneously making me very lonely. After some time, I have learned to grow accustomed to the quiet and lack of people surrounding me all the time. I'm growing up, and learning how to fit into the adult world while many of my nursing school friends are still in their college mindset, which just so happened to be their high school mindset carried over into the higher education system.
I'm seriously worried for the well-being of the world because our future is looking bleak with the abysmal characteristics of the next generation coming into adulthood. Oh boy, it's going to be a bumpy ride, at best.
While shitty things are brewing for society, to be released in the near future, I'm gonna go find me a house, on my own private island. Preferably somewhere warm, and I'll have my own private beach. Y'all can come get me if everyone calms the fuck down and figures out to behave like decent human beings... but I don't suppose that's gonna happen before I die.
Going back to the happy post, I love my job. I had 2 days in the nursery, to be able to see assessments for healthy, mostly "normal" babies who don't require NICU care directly after delivery. It was a great experience and I actually really like working the nursery, I may end up requesting that I float over to that unit or try to pick up extra shifts there. I love giving babies baths, having all those babies snuggled up, teaching moms to breastfeed, and diapers aren't even a chore because they are so tiny! However, I got to be in the NICU yesterday for a full day and that's still where my heart is. I love teaching babies to eat, getting them all settled and parents knowing that their baby is well-cared for. It's hard seeing parents freaked out, but there are little things to be able to do to comfort them.
I have spent the majority of my life, waiting to get to this job, to this point. I am graduated from nursing school, I'm employed at a wonderful hospital, and I have my dream job. Yes, this may change, but for right now I am excited!
I understand I wrote my other post sounding quite angry about my past and the abuse that occurred along with the lack of legal help that is available. It's utter bullshit. However, I'm angry at the injustices and excited for my new phase of life, all at the same time.
I am cleansed of friends that didn't work at our friendship, while I was expected to bend over backward to help them and make them happy. Sorry, but that's not how friendships are going to work with me.
So, after graduation, I cleared out my snapchat and Facebook friend lists. I have cleansed as much as I can, so that I am not followed by the negativity that surrounded those particular relationships. It was freeing while simultaneously making me very lonely. After some time, I have learned to grow accustomed to the quiet and lack of people surrounding me all the time. I'm growing up, and learning how to fit into the adult world while many of my nursing school friends are still in their college mindset, which just so happened to be their high school mindset carried over into the higher education system.
I'm seriously worried for the well-being of the world because our future is looking bleak with the abysmal characteristics of the next generation coming into adulthood. Oh boy, it's going to be a bumpy ride, at best.
While shitty things are brewing for society, to be released in the near future, I'm gonna go find me a house, on my own private island. Preferably somewhere warm, and I'll have my own private beach. Y'all can come get me if everyone calms the fuck down and figures out to behave like decent human beings... but I don't suppose that's gonna happen before I die.
Going back to the happy post, I love my job. I had 2 days in the nursery, to be able to see assessments for healthy, mostly "normal" babies who don't require NICU care directly after delivery. It was a great experience and I actually really like working the nursery, I may end up requesting that I float over to that unit or try to pick up extra shifts there. I love giving babies baths, having all those babies snuggled up, teaching moms to breastfeed, and diapers aren't even a chore because they are so tiny! However, I got to be in the NICU yesterday for a full day and that's still where my heart is. I love teaching babies to eat, getting them all settled and parents knowing that their baby is well-cared for. It's hard seeing parents freaked out, but there are little things to be able to do to comfort them.
Thursday, February 11, 2016
Transitional Nursery Day
Today's post is happy. It's about my day in the "transitional nursery" for OB clinicals.
Well, I spent about an hour in the nursery where I watched one baby, did a couple assessments for the nurse because she couldn't leave said baby, and then I sent a UA down to the lab for a tox screen. That was it.
I then got called down to go to a C-section!!! The "baby nurse" that I was following around does not actually go to c-sections, they leave that for the NICU team, but she does attend vaginal deliveries. Since there wasn't really anything going on, my nurse called my instructor and asked if it would be okay if I went to the OR to watch. Yay! It doesn't matter how many births I see, I still love them all and I can't wait to be in a position where I may even be able to be a nurse in that setting.
Watched that, then followed the baby to the PACU where my nurse was chillin' and helped with the assessment, got to teach the dad of the baby how to put sweeties (sugar water) on his finger and let his baby suck it off to relieve the baby's pain as I gave shots! I loved that! He was so excited that she was sucking so strongly and he enjoyed getting to see what it feels like when baby is sucking on mom. Plus, he was able to soothe baby through painful procedures which made him feel like he was contributing to care instead of just a by-stander.
I'm excited about it because I talked to him like a Real Nurse would talk to a dad! I had all the confidence in the world, asked him to go wash his hands and taught him how to stimulate the baby's suck reflex. He asked what the little cup of liquid was and I told him they were sweeties. He asked what that was and I told him it's basically sugar water and it provides pain relief for the baby during painful procedures since babies are so sensitive to sugar. It was a short, clean response that he seemed satisfied with and I answered it nicely and I think that encouraged him to continue to ask questions! There was a new nurse training with my nurse and when she answered questions for him, he seemed like he felt a little bit offended like he was being talked down to.
Now, that might by my biased opinion because she talked down to me regularly, but maybe it wasn't. Learning point for when I'm a nurse though is answer kindly to all questions. I try my best to do that with colleagues, instructors, doctors (even when they're not nice), patients, and all people in all aspects of life (working, clinicals, and real life). I feel like people ask me a lot of questions and if I don't know the answer, I go research it. However, I generally have an idea when I am at the hospital, of what to say. Sometimes I ask my nurse to help answer so I can get better wording, but sometimes that's not even an option. I pray that people will feel comfortable to ask me questions when I am a nurse and I also pray that I have a general idea as to what the answer is.
Shortly after that baby was born and mom came back to the PACU too, my nurse got a call to go to a vaginal delivery! Yay! Another birth! There were actually two that were supposed to be happening back to back. While we were in with one baby and working on assessing that baby, the other baby was born a minute later. Goodness, it's like all three made sure to all come at once. Now that I think about it, that's how it usually happened when I was shadowing the past couple of summers too. Baby's must come in threes, or at least all at the same time just like old people die in threes... It's just a weird phenomenon that seems to happen on a regular basis.
Regardless, I got to see both of those births, help with 3 rounds of shots and eye ointment administration, and help with a baby's first bath. So exciting! Plus, I've seen about 4 full, head-to-toe newborn assessments and they've really helped me become more comfortable with them.
The other girls in my group are upset with the amount of things I've seen compared to them. Honestly, I've seen a lot but I feel like the L-rd is the One orchestrating all of these amazing opportunities to see things that I am really interested in. It seems like He's preparing me to work in this field. I also think He's giving me so many blessed days so that I can start to have happy days again.
I went to counseling yesterday and read to her my huge long laundry list of good things that happened since our last session two weeks ago (because of the snow day) and she told me I seemed so happy. She said she was proud of me for standing up for myself against Jersey, blocking exfiance, and she saw how excited and glad I was about such a fantastic first day at clinicals. G-d blessed me with all of the experiences I needed to be able to learn the life lessons my counselor is encouraging me through like standing up for myself with Jersey and other friends.
We had just talked about that and then G-d gave me the opportunity to fix it. We talked about coloring at counseling and I came home to my roomie giving me an "adult" coloring book as a belated Hanukkah present! We talked about me being more assertive this week and I ended up voicing my opinions, in a nice way, in order to make my needs known. I'm learning the lessons He wants me to learn. Yes, I'm way late on a lot of them, but I feel like He's working on me. Then, when He knows I'm at my wits end with life and I'm way too sad to go on, He gives me amazing days where I can't help but be in awe of how amazing He is for providing me with these experiences.
I hope these other girls in my group will get to see a bunch of great procedures and have a ton of experiences, I truly do because I know I get excited about it and maybe they would enjoy it too! However, I pray that the L-rd continues to bless me with getting to see so many incredible things and I pray He puts me in the right place, at the right time, with the right people in order to continue to have amazing days for the rest of my nursing school career. I pray these things for the rest of my life too!
Oh L-rd, put me in the right place, at the right time, with the right people to be able to live and experience and amazing rest of my life!
My official counseling homework assignments are:
Now, for the second one, I don't even know where to begin or what it means. I know what it kinda means, but it's not like I got step-by-step instructions on how to get from survival mode to begin thriving. My counselor asked me to think of a time I was thriving. Thing is, I don't know that I ever have. Maybe freshman year of college or sophomore year before Country Boy died? Even then, I don't remember "thriving" except when I was maybe 2. Maybe. I don't know, whatever. I'll think about it.
Anyway, y'all have a wonderful day, or week. I keep posting each day or every other day so you'll probably hear from me soon.
Well, I spent about an hour in the nursery where I watched one baby, did a couple assessments for the nurse because she couldn't leave said baby, and then I sent a UA down to the lab for a tox screen. That was it.
I then got called down to go to a C-section!!! The "baby nurse" that I was following around does not actually go to c-sections, they leave that for the NICU team, but she does attend vaginal deliveries. Since there wasn't really anything going on, my nurse called my instructor and asked if it would be okay if I went to the OR to watch. Yay! It doesn't matter how many births I see, I still love them all and I can't wait to be in a position where I may even be able to be a nurse in that setting.
Watched that, then followed the baby to the PACU where my nurse was chillin' and helped with the assessment, got to teach the dad of the baby how to put sweeties (sugar water) on his finger and let his baby suck it off to relieve the baby's pain as I gave shots! I loved that! He was so excited that she was sucking so strongly and he enjoyed getting to see what it feels like when baby is sucking on mom. Plus, he was able to soothe baby through painful procedures which made him feel like he was contributing to care instead of just a by-stander.
I'm excited about it because I talked to him like a Real Nurse would talk to a dad! I had all the confidence in the world, asked him to go wash his hands and taught him how to stimulate the baby's suck reflex. He asked what the little cup of liquid was and I told him they were sweeties. He asked what that was and I told him it's basically sugar water and it provides pain relief for the baby during painful procedures since babies are so sensitive to sugar. It was a short, clean response that he seemed satisfied with and I answered it nicely and I think that encouraged him to continue to ask questions! There was a new nurse training with my nurse and when she answered questions for him, he seemed like he felt a little bit offended like he was being talked down to.
Now, that might by my biased opinion because she talked down to me regularly, but maybe it wasn't. Learning point for when I'm a nurse though is answer kindly to all questions. I try my best to do that with colleagues, instructors, doctors (even when they're not nice), patients, and all people in all aspects of life (working, clinicals, and real life). I feel like people ask me a lot of questions and if I don't know the answer, I go research it. However, I generally have an idea when I am at the hospital, of what to say. Sometimes I ask my nurse to help answer so I can get better wording, but sometimes that's not even an option. I pray that people will feel comfortable to ask me questions when I am a nurse and I also pray that I have a general idea as to what the answer is.
Shortly after that baby was born and mom came back to the PACU too, my nurse got a call to go to a vaginal delivery! Yay! Another birth! There were actually two that were supposed to be happening back to back. While we were in with one baby and working on assessing that baby, the other baby was born a minute later. Goodness, it's like all three made sure to all come at once. Now that I think about it, that's how it usually happened when I was shadowing the past couple of summers too. Baby's must come in threes, or at least all at the same time just like old people die in threes... It's just a weird phenomenon that seems to happen on a regular basis.
Regardless, I got to see both of those births, help with 3 rounds of shots and eye ointment administration, and help with a baby's first bath. So exciting! Plus, I've seen about 4 full, head-to-toe newborn assessments and they've really helped me become more comfortable with them.
The other girls in my group are upset with the amount of things I've seen compared to them. Honestly, I've seen a lot but I feel like the L-rd is the One orchestrating all of these amazing opportunities to see things that I am really interested in. It seems like He's preparing me to work in this field. I also think He's giving me so many blessed days so that I can start to have happy days again.
I went to counseling yesterday and read to her my huge long laundry list of good things that happened since our last session two weeks ago (because of the snow day) and she told me I seemed so happy. She said she was proud of me for standing up for myself against Jersey, blocking exfiance, and she saw how excited and glad I was about such a fantastic first day at clinicals. G-d blessed me with all of the experiences I needed to be able to learn the life lessons my counselor is encouraging me through like standing up for myself with Jersey and other friends.
We had just talked about that and then G-d gave me the opportunity to fix it. We talked about coloring at counseling and I came home to my roomie giving me an "adult" coloring book as a belated Hanukkah present! We talked about me being more assertive this week and I ended up voicing my opinions, in a nice way, in order to make my needs known. I'm learning the lessons He wants me to learn. Yes, I'm way late on a lot of them, but I feel like He's working on me. Then, when He knows I'm at my wits end with life and I'm way too sad to go on, He gives me amazing days where I can't help but be in awe of how amazing He is for providing me with these experiences.
I hope these other girls in my group will get to see a bunch of great procedures and have a ton of experiences, I truly do because I know I get excited about it and maybe they would enjoy it too! However, I pray that the L-rd continues to bless me with getting to see so many incredible things and I pray He puts me in the right place, at the right time, with the right people in order to continue to have amazing days for the rest of my nursing school career. I pray these things for the rest of my life too!
Oh L-rd, put me in the right place, at the right time, with the right people to be able to live and experience and amazing rest of my life!
My official counseling homework assignments are:
- Make a list of needs and wants that I have for my life, not caring what anyone else wants or thinks I need.
- Figure out how to stop only surviving and begin thriving.
Now, for the second one, I don't even know where to begin or what it means. I know what it kinda means, but it's not like I got step-by-step instructions on how to get from survival mode to begin thriving. My counselor asked me to think of a time I was thriving. Thing is, I don't know that I ever have. Maybe freshman year of college or sophomore year before Country Boy died? Even then, I don't remember "thriving" except when I was maybe 2. Maybe. I don't know, whatever. I'll think about it.
Anyway, y'all have a wonderful day, or week. I keep posting each day or every other day so you'll probably hear from me soon.
Sunday, June 15, 2014
Crazy, Insane Weekend
Folks, there are awkward families... and then there is mine.
Besides all that, my brother dropped a few bombs on me about his own life that have re-stimulated my persistent nausea r/t stress and complete disbelief that this is now what his life has become. Plus, I have been getting super dizzy spells, so that's a bonus. I think it may be orthostatic hypotension caused by possible dehydration and electrolyte imbalances, but it's a wonder I can keep anything down at all with my stomach always in knots anymore.
My cousin is having a baby with his girlfriend. He just graduated high school... His older sister is fixin' to get married come July and just announced that she has been expecting for about 3 months and is due in January. They have another older sister who is just chillin'.
My summer went from me being on top of the world for about a week and a half to being down deeper than the deepest pits in the World. G-d has it all in His hand, I believe that. Goodness, though, it seemed to have all hit me at the exact same time though.
Tomorrow I want to tell you about my good day though! So, stay tuned for that. I promise, G-d blesses me incredibly, sometimes it's just more pronounced once you understand the struggles and obstacles that cross my path. I want you guys to see all of my life, even these really ugly parts because they all make me who I am and they are all tools G-d uses to shape me. Also, I got a new roommate and I'm so beyond stoked about her. She needs a whole blog about her, that's how amazing and excited I am about this rooming situation! Plus, it is totally a work of G-d. You'll see once I tell y'all the story of how it came to be.
Daily Thanksgiving: My day was exponentially better than I anticipated and I got to work with my favorite CNA! G-d is not through with me even though I have been a wayward child.
- My great-grandpa does not know my name, but he yelled at me for not knowing his though he makes no effort to be in my life when I was about 12.
- My Grandma yelled at my brother and I when we were about 3-4 for asking for a penny to get a gumball from her decorative gumball dispenser while simultaneously giving pennies to our cousins.
- My uncle did not know my name yesterday and I'm 20. He has seen me multiple times over the course of my life. In fact, my parents used to rent an apartment from him for the first 9 years of my life and he would come for visits.
- My mom's sister is cool and her youngest is buddies with my brother and I. Her oldest and her husband hardly say 2 words to my mom, my brother, or myself.
- My Grandpa did not recognize my mom because he has not seen her in nearly 8 years. Though I do not blame him for this because my Grandma is abusive and so my mom chooses to not see her mom (Grandma) which means she cannot see her dad (Grandpa).
- Grandpa has been saving the birthday and Christmas money from the past decade of our lives because he sends money to all the other grandkids. As he was walking over to give it to my brother and I, my Grandma takes it from him and acts as though it was her idea. Lady, I saw him pull it out of his pocket and I saw you snatch it from his hands!!!
Besides all that, my brother dropped a few bombs on me about his own life that have re-stimulated my persistent nausea r/t stress and complete disbelief that this is now what his life has become. Plus, I have been getting super dizzy spells, so that's a bonus. I think it may be orthostatic hypotension caused by possible dehydration and electrolyte imbalances, but it's a wonder I can keep anything down at all with my stomach always in knots anymore.
My cousin is having a baby with his girlfriend. He just graduated high school... His older sister is fixin' to get married come July and just announced that she has been expecting for about 3 months and is due in January. They have another older sister who is just chillin'.
My summer went from me being on top of the world for about a week and a half to being down deeper than the deepest pits in the World. G-d has it all in His hand, I believe that. Goodness, though, it seemed to have all hit me at the exact same time though.
Tomorrow I want to tell you about my good day though! So, stay tuned for that. I promise, G-d blesses me incredibly, sometimes it's just more pronounced once you understand the struggles and obstacles that cross my path. I want you guys to see all of my life, even these really ugly parts because they all make me who I am and they are all tools G-d uses to shape me. Also, I got a new roommate and I'm so beyond stoked about her. She needs a whole blog about her, that's how amazing and excited I am about this rooming situation! Plus, it is totally a work of G-d. You'll see once I tell y'all the story of how it came to be.
Daily Thanksgiving: My day was exponentially better than I anticipated and I got to work with my favorite CNA! G-d is not through with me even though I have been a wayward child.
Sunday, April 20, 2014
NICU Job
A couple weeks ago I had an interview for a CNA position in the NICU at one of our local hospitals. I told y'all that I didn't get the job as evidence by an email I received just after I found out about Country Boy's passing... That was a struggle.
Monday morning, I was fixin' to call them back to see if they had any advice for how I could improve my interviewing skills. I was certain that I had bombed the interview because they went from all smiles and nice tones to more of a interrogation-like mode. Super freaky, let me tell you. It all happened once they started asking about my schedule and how long a semester is and stuff like that.
So, I left the interview feeling defeated. Monday, while I was at my IT job, I get a voicemail. My phone didn't ring all day, but then there was a voicemail message. It was the assistant manager of the NICU calling me back asking to speak to me about how the interview went...
Do I need to mention my light headedness, heart palpitations, sweaty palms, shakiness, and all around feeling of impending doom? When I called her back she was so sweet but straight to the point. She told me that it was a hard decision between me and another person but went with the other girl due to scheduling. HOWEVER, she mentioned that I did well in the interview and hopes that she has a position opening up in the summer and she asked if she could call me in case that happens! She then proceeded to tell me that she loved my enthusiasm and the hospital is fixin' to start a training program for new grads wanting to work in the NICU and she thought I would be a fantastic candidate if I still want to be in the NICU upon graduation.
I was speechless. I had been so upset all week and weekend after finding out about Country Boy, me not getting the job, breaking up with Best Friend, and the million other things in my life that just had me drowning in emotional crisis and self pity. I'm sure y'all know that I do not handle emotional troubles well. So, I had been angry at G-d for several days for not letting me save Country Boy, then for not letting me get my "dream job," and then for all the other silly things I recognized as being not good in my life. Even with all that, G-d was working in ways that I could not see. When I thought my world was falling apart, He was orchestrating everything perfectly. Whether I get the NICU job or not, He allows me to find favor with Him and with the people I come into contact with.
I was telling a guy at my IT job that I had an interview with the NICU the other day. He didn't know what that was so I explained that it was the ICU for itty bitty babies. He then proceeded to ask if I was baby crazy. Ummmmmm, not in the way that most girls my age are. I am definately not ready to have one of my own. I am perfectly fine taking care of them for awhile and then going home to a house full of quiet. Ya, I'd like offspring of my own someday, but that'll have to wait on G-d's timing.
The same guys also asked if I was engaged. Oh man, I can't even hold down a relationship based on friendship, how on earth can I handle an engagement? Well, it's not his fault, I wear my purity ring on my left hand ring finger. I also wear my old purity ring on my right middle finger because I lost a bunch of weight and so I had to shuffle my rings around so they would fit. Needless to say, we had a beautiful awkward silence totally brought on by him. That is rare because I didn't cause it!!!
Well, let's finish this school year strong. Only about a month left and I am ready for summer. I can't be the only one to be overdue for a summer vacation, right? Check out my Pinterest to see what I have planned for the summer and there is more to come. I need some sleep. Good night, folks.
Monday morning, I was fixin' to call them back to see if they had any advice for how I could improve my interviewing skills. I was certain that I had bombed the interview because they went from all smiles and nice tones to more of a interrogation-like mode. Super freaky, let me tell you. It all happened once they started asking about my schedule and how long a semester is and stuff like that.
So, I left the interview feeling defeated. Monday, while I was at my IT job, I get a voicemail. My phone didn't ring all day, but then there was a voicemail message. It was the assistant manager of the NICU calling me back asking to speak to me about how the interview went...
Do I need to mention my light headedness, heart palpitations, sweaty palms, shakiness, and all around feeling of impending doom? When I called her back she was so sweet but straight to the point. She told me that it was a hard decision between me and another person but went with the other girl due to scheduling. HOWEVER, she mentioned that I did well in the interview and hopes that she has a position opening up in the summer and she asked if she could call me in case that happens! She then proceeded to tell me that she loved my enthusiasm and the hospital is fixin' to start a training program for new grads wanting to work in the NICU and she thought I would be a fantastic candidate if I still want to be in the NICU upon graduation.
I was speechless. I had been so upset all week and weekend after finding out about Country Boy, me not getting the job, breaking up with Best Friend, and the million other things in my life that just had me drowning in emotional crisis and self pity. I'm sure y'all know that I do not handle emotional troubles well. So, I had been angry at G-d for several days for not letting me save Country Boy, then for not letting me get my "dream job," and then for all the other silly things I recognized as being not good in my life. Even with all that, G-d was working in ways that I could not see. When I thought my world was falling apart, He was orchestrating everything perfectly. Whether I get the NICU job or not, He allows me to find favor with Him and with the people I come into contact with.
I was telling a guy at my IT job that I had an interview with the NICU the other day. He didn't know what that was so I explained that it was the ICU for itty bitty babies. He then proceeded to ask if I was baby crazy. Ummmmmm, not in the way that most girls my age are. I am definately not ready to have one of my own. I am perfectly fine taking care of them for awhile and then going home to a house full of quiet. Ya, I'd like offspring of my own someday, but that'll have to wait on G-d's timing.
The same guys also asked if I was engaged. Oh man, I can't even hold down a relationship based on friendship, how on earth can I handle an engagement? Well, it's not his fault, I wear my purity ring on my left hand ring finger. I also wear my old purity ring on my right middle finger because I lost a bunch of weight and so I had to shuffle my rings around so they would fit. Needless to say, we had a beautiful awkward silence totally brought on by him. That is rare because I didn't cause it!!!
Well, let's finish this school year strong. Only about a month left and I am ready for summer. I can't be the only one to be overdue for a summer vacation, right? Check out my Pinterest to see what I have planned for the summer and there is more to come. I need some sleep. Good night, folks.
Sunday, March 30, 2014
Baby Fever?
After recently breaking up with my best friend turned boyfriend, I went home for a few days. That was not because of the break-up, but because I was actually technically on spring break but had to work a ridiculous amount.
My 3 days of spring break end today and they were nice but not enough. I got to hang out with my dog and my family threw me an early, mini birthday celebration. I turn 20 this year and I am not particularly pleased about that. I don't quite understand why I don't want to turn 20. Is it that I may miss being a teen? Perhaps I think I haven't done enough with my "pre-adult" life? There are a plethora of other reasons as to why I dread every birthday, but this one in particular is already proving to be rough and it hasn't even occurred yet. Needless to say, I HATE birthdays and wish I could travel to some place with a beach, a younger drinking age, and somewhere where nobody knows me. Instead, I get to go to clinicals after taking a nap due to the time it takes to write those dreadful care plans. It's bound to be a fantastic freaking day.
Well, I've gotten slightly off track with this post... when does that not happen?
This post was supposed to be about the dream I had last night. Now, please keep judging to a minimum. Actually, you can do what you please because I can't control you and shouldn't try to tell you what to do. :)
Last night, I dreamed that I had a baby. My dream skipped the whole pregnancy and started with me being handed a baby. I was instructed to begin nursing it and I realized I had no idea what I was doing. My mom told me to feed it at 1 and 4. Why only twice? I have no clue. None of this dream made sense. Then I was asked if he looked like the dad or like me. I replied that I didn't know who the dad was because I am not in a relationship and I'm not married. Two guys came to mind though. Country Boy and Best Friend (that I just broke things off with in real life.) I also decided to name the sweet little guy. I couldn't decide a first name, but I wanted his middle name to be Peniel (pronounced PEN-yell) and it means "Face or vision of G-d, that G-d sees." Then I started trying to think of Biblical names or a place to find a good name in the Bible (this was all in my dream.) It went on for a bit longer. It was mainly me feeding him and trying to get my dad to hold him even though he kept refusing.
I don't understand this at all. Why am I having dreams about having babies? I have a lot of these dreams. Do I look more into this whole thing or just ignore them as simply being random pieces of my unconscious that leak into my sleeping state that I may/may not remember in the morning? Seriously, what is this!?!
On a similar note, I have been craving interaction with Country Boy. Folks, I need someone to come and slap me out of this nonsense. I break up with one guy because I can see that our values are not matching and because I am not ready to be tied to another human being. I then turn around and start praying for what I think I want in a husband. I tell G-d that I'm not ready but at the same time I desperately want to find who He wants for me, if there is such a person. Why am I so fickle and continue to flip-flop like this? I say that people drive me nuts, but I make myself more crazy than anyone else ever could. If only I could get away from myself and just reset all of this junk that gets started in my head!
My 3 days of spring break end today and they were nice but not enough. I got to hang out with my dog and my family threw me an early, mini birthday celebration. I turn 20 this year and I am not particularly pleased about that. I don't quite understand why I don't want to turn 20. Is it that I may miss being a teen? Perhaps I think I haven't done enough with my "pre-adult" life? There are a plethora of other reasons as to why I dread every birthday, but this one in particular is already proving to be rough and it hasn't even occurred yet. Needless to say, I HATE birthdays and wish I could travel to some place with a beach, a younger drinking age, and somewhere where nobody knows me. Instead, I get to go to clinicals after taking a nap due to the time it takes to write those dreadful care plans. It's bound to be a fantastic freaking day.
Well, I've gotten slightly off track with this post... when does that not happen?
This post was supposed to be about the dream I had last night. Now, please keep judging to a minimum. Actually, you can do what you please because I can't control you and shouldn't try to tell you what to do. :)
Last night, I dreamed that I had a baby. My dream skipped the whole pregnancy and started with me being handed a baby. I was instructed to begin nursing it and I realized I had no idea what I was doing. My mom told me to feed it at 1 and 4. Why only twice? I have no clue. None of this dream made sense. Then I was asked if he looked like the dad or like me. I replied that I didn't know who the dad was because I am not in a relationship and I'm not married. Two guys came to mind though. Country Boy and Best Friend (that I just broke things off with in real life.) I also decided to name the sweet little guy. I couldn't decide a first name, but I wanted his middle name to be Peniel (pronounced PEN-yell) and it means "Face or vision of G-d, that G-d sees." Then I started trying to think of Biblical names or a place to find a good name in the Bible (this was all in my dream.) It went on for a bit longer. It was mainly me feeding him and trying to get my dad to hold him even though he kept refusing.
I don't understand this at all. Why am I having dreams about having babies? I have a lot of these dreams. Do I look more into this whole thing or just ignore them as simply being random pieces of my unconscious that leak into my sleeping state that I may/may not remember in the morning? Seriously, what is this!?!
On a similar note, I have been craving interaction with Country Boy. Folks, I need someone to come and slap me out of this nonsense. I break up with one guy because I can see that our values are not matching and because I am not ready to be tied to another human being. I then turn around and start praying for what I think I want in a husband. I tell G-d that I'm not ready but at the same time I desperately want to find who He wants for me, if there is such a person. Why am I so fickle and continue to flip-flop like this? I say that people drive me nuts, but I make myself more crazy than anyone else ever could. If only I could get away from myself and just reset all of this junk that gets started in my head!
Thursday, August 1, 2013
Thoughtful Thursday! “…There’s A Beautiful Natural Birth Going On Here….”
Thoughtful Thursday! “…There’s A Beautiful Natural Birth Going On Here….”
1) Does this not happen often enough that it is somewhat of a special occasion when it does?
2) I am actually very happy that the OB was so cool about having a natural birth and even showed support for a natural birth by doing this.
3) I wonder how I would have responded... It seems like such a stressful, private moment to bring a kid into the world. Would I want a whole huge bunch of people standing in the room staring at the wrong end of me?
1) Does this not happen often enough that it is somewhat of a special occasion when it does?
2) I am actually very happy that the OB was so cool about having a natural birth and even showed support for a natural birth by doing this.
3) I wonder how I would have responded... It seems like such a stressful, private moment to bring a kid into the world. Would I want a whole huge bunch of people standing in the room staring at the wrong end of me?
Wednesday, July 31, 2013
The Days When I'm Not a Nurse: How to be the Perfect Patient (a link up)
The Days When I'm Not a Nurse: How to be the Perfect Patient (a link up): This month's theme is actually inspired by one of my favorite readers' comments in May's nurse link up. She said, "I thin...
Another cute post. Yes, I am procrastinating, that's why you are getting more posts today. I actually have 2 tests today and a comprehensive final on Friday, none of which I am ready for and all of them are for Micro. I'll keep you posted on grades, but I don't think I can pass Micro with anything better than a B because of my slacking and life circumstances (i.e. the fire evacuation and moving). But, no excuses! My grades are my fault and I am very bless that G-d got them up to where they are.
Enjoy!
Another cute post. Yes, I am procrastinating, that's why you are getting more posts today. I actually have 2 tests today and a comprehensive final on Friday, none of which I am ready for and all of them are for Micro. I'll keep you posted on grades, but I don't think I can pass Micro with anything better than a B because of my slacking and life circumstances (i.e. the fire evacuation and moving). But, no excuses! My grades are my fault and I am very bless that G-d got them up to where they are.
Enjoy!
Tuesday, July 30, 2013
My Life with a Nurse: A Man's Perspective - Nursing Humor / Share Jokes
My Life with a Nurse: A Man's Perspective - Nursing Humor / Share Jokes
Read this, seriously. I love it! I grew up thinking that guys are all tough, but nurses are tough! Even in college, I have friends with mixed majors and they cannot even stand me talking about my older population of residents.
I hope my future boyfriend/husband understands what he is getting into because I like a good, gross story. I love to tell those stories even more to someone who can appreciate it like I can.
So, read this whether you are a nurse, nursing student, medical professional/student, or anyone who knows a nurse (trust me, all of you know at least one nurse, even if you don't realize it yet).
Read this, seriously. I love it! I grew up thinking that guys are all tough, but nurses are tough! Even in college, I have friends with mixed majors and they cannot even stand me talking about my older population of residents.
I hope my future boyfriend/husband understands what he is getting into because I like a good, gross story. I love to tell those stories even more to someone who can appreciate it like I can.
So, read this whether you are a nurse, nursing student, medical professional/student, or anyone who knows a nurse (trust me, all of you know at least one nurse, even if you don't realize it yet).
Sunday, July 28, 2013
Thursday, July 18, 2013
Thoughtful Thursday! “…We Know Your Body Was Designed To Do This…”
Thoughtful Thursday! “…We Know Your Body Was Designed To Do This…”
So very true! I love this statement.
So very true! I love this statement.
Tuesday, July 16, 2013
Thoughtful Thursday! “Don’t Listen To Other People…”
Thoughtful Thursday! “Don’t Listen To Other People…”
I want to be one of these nurses! So encouraging in the midst of so much discouragement from doctors, midwives, nurses, and other healthcare "professionals." I don't have anything against doctors, midwives, nurses, etc. I just believe that patients should be able to choose the healthcare experience they receive, as long as it is safe for them. Whatever happened to patient centered care?
I want to be one of these nurses! So encouraging in the midst of so much discouragement from doctors, midwives, nurses, and other healthcare "professionals." I don't have anything against doctors, midwives, nurses, etc. I just believe that patients should be able to choose the healthcare experience they receive, as long as it is safe for them. Whatever happened to patient centered care?
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