Showing posts with label Sunday Scribbling. Show all posts
Showing posts with label Sunday Scribbling. Show all posts

Seven O'clock Shift

Sunday Scribbling, nurse, nurse's life,For years I have worked at 7, either 7 in the morning or seven at night when I started working in a nursing home as a nurse's aide, and through February 2016 as a registered nurse. I would say, since I was 19. I am 45 now, so do the math.
It is the beginning of my self-sufficiency when I could support myself, pay for my rent, car payments, food, and tuition in the community college. It is when I started my shift as an aide in the nursing home. I wore all-white then—bright white, ironed, uniform in the beginning of the shift, and wrinkled at the end. I had a special cleanser for my white working shoes, and a polisher with a matching brush. I was so neat. Now I hardly clean the top of my Dansko shoes I wear all day in the hospital. I also do not own a shoe brush for a long time now. I even do not iron my scrubs. Thank goodness for a good clothes dryer. My royal blue uniform comes out wrinkle-free, well almost.

We had some interesting residents in my first job in the nursing home. One, I remember because he was so handsome. He looked like Bruce Willis, and even with amputated legs (he lost his legs from the war) he sat up so tall in his bed in good posture—stomach in, chest out. He was always sitting up when I get to work, waiting to get help to sit on the wheelchair for his breakfast. Always with his smile on his face, I help him first. He always won the first-smile-first serve of the day when it comes to me. He brightened my day. 

Another resident I cannot forget was the skinny little lady who I could not figure out how to please. She was always grumpy and unsatisfied. I bet she had a busy, controlled life when she was younger and just frustrated living in the nursing home too weak to fend for herself. Looking back, I think she was so cute. 

Both residents did not get visitors. I worked in that nursing home for four years and both of them did not get visits from anyone but the staff and volunteers. I tried to spend as much time as I could with this two however different they were with each other. I miss those years. I miss them.

Now, in the ICU, as a registered nurse, it is not common to bond with patients as before. My patients generally do not stay long enough in the intensive care which is a good thing. A few comeback walking to our units  weeks or months later to give gratitude. I love these times. And I love to see them vertical and not lying down in our bed with all kinds of monitors, and tubes inserted in many orifices. They have big smiles on their faces. They make my week.

I do not work at 7 anymore. I start at 10 a.m. and leave at 7:30 p.m. working 9 hours a day, four times a week. It still adds as 36 hours a week, and so my little blog's title  remains the same – 36 Hour Work Week.

What's the significance of the number 7 in your life? View more number Seven posts through the Sunday Scribblings or better, yet, join us.


1 Fiction: A Frothy Day

Sunday scribbling, lady massaging neck, challenges quote
Giving self massage at home because 
I neither have the money nor the time 
for a professional massage.


Nurse Weekly Stories
1 Fiction: A Frothy Day

Join us  in Sunday Scribblings 2. The prompt word this week is froth or frothy.

“Is it cream?”
“No,” I screamed.
“It's a froth, oh Darn.”


The cardiac monitor was alarming. I rushed into little Ken's room. He was my 20-year old patient in the intensive care unit trapped in a small-10-year-old-size body. He had a lifetime problem of seizures that was pretty much controlled until lately.

His sitter, one of our staff, was pertaining to his secretion that looked like he had some foam coming out of his mouth.

“He is seizing,” I continued. While suctioning his mouth, I signaled nurse Carrie to come in the room. She hurried in asking what she could do.

“Get me ativan.”

Little Ken stopped seizing after I gave the Ativan. He had his eyes closed when his father walked in.

“I brought his liquid medical marijuana,” dad said.

I heard about it before that it was one of his home medication approved by his neurologist, a neurologist who did not have privileges in our hospital.

I looked at him without saying a word.

“It really works,” he continued.

If so,  why is your son here? I was just thinking.

“Dr. Sullivan said it is okay for me to continue giving it to him . . . It has to be refrigerated.”

“I can give you some ice for it but I cannot put the medicine out it in the common refrigerator where visitors of other patients can have access. And you know, you have to wait until he is awake before you put drops in his mouth, right?”

The unit was busy. Thankfully, my other patient did not keep me so busy that I had the time to help other nurses. One patient was delirious and had to be tightly restrained on his wrists. His sedation medications were discontinued because the doctors wanted him to wake up more to be ready for extubation. He was trashing in bed. Nurse Mary and I repositioned him a hundred times so he did not fall out of bed. Okay, not a hundred times, but close.

Her other patient, Paige, was in extreme pain screaming. We gave all the pain meds ordered with no relief. I called the neurosurgical resident, Dr. Samantha Plum, to help the patient (and Mary). I asked her to come and see the patient right away as she had severe headache after craniotomy and screaming her lungs out. Her agony was so loud I had to close the sliding doors of rooms nearby.

“She has to wait. I am busy and she's not in a life-or death situation.”

*sigh* It would probably take a while before we see Dr. Plum.

Surprised, I saw her walking the hallway within five minutes. She went straight to me asking if I was the one who called.

“It is not okay that you called me like that. It is not an emergency . . . You did not even tell me who you are, the patient's diagnosis, the room number . . . and screaming her lungs out is not a medical term “

“I told you who I was. I said hi, this is Carin calling about the patient in 6701, Paige Ball, status post crani . . . I never said it is an emergency“

She seemed to have an answer to whatever I said, then I realized we were acting like kids and and we were going nowhere. 

Pride set aside, I gave in and said, “Sorry, doctor, I called in desperation. I just want to help the patient, and Mary, the nurse assigned to her. Will you go and see the patient?”

She headed to the room as Paige just started screaming again. 

Dr. Plum ordered medications I suggested, plus more, as needed. 

It was now around three pm. Jolly Shelly was going around asking if anyone wanted anything from Starbucks. She was my saviour.

“Oh yes,” I said, “I want a Grande chocolaty, frothy, drink with a triple dose of sugar.”

This was my cup of “happy” this shift, a cup of happiness I could buy and afford.

***

To my surprise for the second time, Dr. Plum apologized to me for not hearing me clearly earlier when I sat next to her while she was charting. It was the only chair available.

I think it was more like, she was not listening, but she was now. Besides, patient Paige's pain was finally relieved, and I was joyfully sipping my cup of "happiness." Those things are what matters. 

Little Ken did not have anymore seizures, before and after dad gave him doses of marijuana. I did not agree with the Marijuana. It was not officially ordered that Ken could have it, but maybe it helped?

***

I accepted the challenges today and had some victories.

At the end of the shift, I went home thinking about my frothy day. I put my pink robe on and started rolling my back with a massage stick. 

Oh, that feels painfully good.

Planting Seeds

yellow flower in winter
This daffodil-looking yellow flowers comes back year after year before spring time.
The lily is reliable, low-maintenance, and worry free very much unlike teens. :)

Children are like seeds you plant in the beginning
You care for them, shower them, feed them
They grow in heights have branches and stems
But some weeds appear, you can condemn

Children grow like trees and develop roots
The roots can get deep enough, you'll have disputes
Your teens rather be with these weed friends
They spend their hours with undesirable moods

You look back and think what have you done
Your teens break rules, what happened, how come?
Far from perfection, but you've tried so hard
To keep them safe, responsible, not bad

Other adults tell you this things shall pass
It is just a phase, soon it'll be the past
But three years' too long, it seems lifelong
You just bow your head and try to be strong