Published
Happy New Year, friends, colleagues, and nurse enthusiasts!
It's been a busy, challenging, and thought provoking year à chez Ixchel. Certainly a lot of lessons learned. Here's a summary of what I can recall at this moment:
1. "What doesn't kill you will make you stronger," said no nurse, ever.
2. Night shift takes 2 full days of recovery time.
3. Never, ever, ever utter the word "bored" on the full moon on a holiday inside the walls of a hospital. Don't even do it in the parking lot. In fact..... If you have ever in your life received a paycheck from any place that offers medical care, never say the word "bored" on a holiday during a full moon regardless of where you are.
4. I cannot believe how much blood can pour out of a healthy young person while pouring nonstop fluids and blood back into them before you lose their pulse.
5. It is not "helpful" to have the in laws pick up the kids at noon for lunch after a very sleep deprived 3-night stretch. (No matter how absurd he may think that sounds.)
6. It actually is normal to take a couple of days to recover from these long and brutal shifts.
7. When I compartmentalized my patients, thinking of them as science in my nurse brain, I can give compassionate/empathetic, yet unemotionally involved care. The second my mom brain turns on, it brings me to my knees.
8. The charge nurses I was warned about turned out to be worth the warning. This was so disappointing to discover.
9. I survived my first year after licensure and I've realized I'm a good nurse.
10. You should still never remove an African American woman's wig. I'm pretty sure that story will never die.
11. The human body WANTS to live. This helps me stay calm when the patient is crashing.
12. I love code team.
13. I suck at IVs and I'm not sure this will change.
14. After having three patients with life-long, life threatening complications after a surgery I will hopefully be getting soon, I'm afraid.
15. It takes at least 4 days off work to feel fully recharged to go back.
16. Day shift is hell.
17. Some shifts, success depends on having a great tech.
18. I'm still thankful for an intact and fully functioning rectum.
19. I have a terrible, overwhelming fear and hatred for progressive neurological disorders, which doesn't help me be an impartial nurse or granddaughter.
20. Being a nurse has changed me. I am sad more frequently, and I have less patience for what people perceive as problems (when in all actuality, these "problems" are more minor inconveniences).
21. Sometimes I forget that the people I am close to aren't desensitized to the same things I am. This has required a few heartfelt apologies.
22. I used to go all out on cooking as a SAHM. Now that I am working? No. I have no effs to give.
23. My children are genuinely interested in the lives I touch as a nurse and will actually ask me what I saw and did at work each week. Sometimes I wonder if my daughter pictures me with a cape and superhero mask when she pictures me at work. Honest to god I love this and wish I could keep them at this curious, interested age forever.
24. This is the most lucrative year my husband and I have ever had as a couple and we have nothing to show for it because baby sitters are expensive.
25. I am ready for grad school.
26. The friendships I've made here have gotten me through quite a bit. Thank you all, and best wishes for a beautiful and awesome 2016!
In 2015 I've learned...
-that I can work 2 jobs, but my house is not going to be clean. Can't have everything, folks.
-that some people are really resistant to 3 ellipses and like clowns and don't give the Q word or a full moon proper respect.
-that PleurX are cool.
-that my HH job is making my assessment skills stronger.
-how hard it is to tell a 13 year old girl she smells.
-visual drug screens and how to look for nystagmus.
-how to administer a Breathalyzer.
-that kids will ingest, drink, or smoke anything to get high.
-that they trust me to tell me this.
-that they know I will rat them out. In fact, they count on it.
-that my kids are secretly proud of me, despite me being me.
-that I may not be interested in my BSN, after all. (Was I ever?)
-In fact, I may be interested in being a volly EMT.
-that I really do prefer my hair long, despite the cute bob.
-that this is my favorite smiley
-that I can stuff down my crap with the best of 'em. Problem is, when ya stuff it, it stays stuffed.
I've learned I still haven't a clue. Not a clue. Nope.
I've learned that the strange limbo between graduation and taking boards is mind numbing. I've also learned that losing a parent is harder than I could've ever imagined it'd be. :/ I've learned that I really need to focus on myself in 2016. Lastly, I've learned that ortho (where I'm currently a tech) is NOT where I want to begin as a new grad...even though I do love my coworkers!
Ashrose. Very sorry for your loss.
I face loosing of a parent this year, mum has stage four invasive small cell carcinoma. Responded well to the chemo however given she went from living to living but terminal in 3 months. If I have to listen to one more person tell me "you just have to be positive" I think I'll give up and stick their head in the sand.
Retarded is the word. One of my patients who had been on long term restraint was taken off restraint because head office determined that we had too many people on restraint.
So instead of having bed rails the patient now has a high low bed set on low which my clinical manager hasnt realised also counts as a restraint.
Apparently gone are the days when people are on restraint because they need to be on restraint.
Loves my co workers but wonders how the %$#@! anyone could consider a patient who has a compression fracture of several vertebrae following doesnt need stronger pain relief than paracetamol (acetimophen) is at best short sighted. Specially when the patient is incredibly stoic and only voices pain when the pain is severe.
I love geriatric nursing, however at times it seems patients are expected to accept what ever care they are dished out as opposed to the best possible nursing care that can be provided.
Tenebrae, BSN, RN
2,021 Posts
Working in a for profit organisation has taught me that the business model is not remotely compatible with providing the best possible healthcare.
Refusing to pay for a vac dressing (which BTW when we secured funding healed the wound within 1/3 time) and telling me that I had to do a daily dressing is short sighted at least.
Had we had to do daily dressings with the crappy wound products they provide, chances are we would still be dressing the wound.
Vac dressing for 30 days
Conventional dressing for 180 days plus
Bean counters are very short sighted