A Bird's Eye View of Neonatal Nursing

So I pretty much hate when people post articles from other sources on their blogs. Drives me crazy. But this article entitled "A Birds Eye View of Neonatal Nursing" I had to post. I'm constantly trying to explain to my family what working in a NICU is like, but in all actuality-you can never know until you are in the thick of it. There are good days and bad days and days you would never wish on your worst enemy. Until you have a job that literally deals in life or death you can never understand the pressure, or the joys, of nursing, especially in an ICU setting. And so, for my family, here's a glimpse:

A Birds Eye View of Neonatal Nursing:

Neonatal nurses are a difficult group to describe. I have a bird's eye view of them, working with them yet not being one of them.

I entered their world cautiously knowing they would eat me for lunch if I so much as looked the wrong way. Forget that I had any knowledge or even a personality. I knew that first I must just exist in their world and do no harm for a very long time, and if that plan worked out, maybe I could start treating some patients. I respected their protectiveness. I couldn't think of any group of patients in greater need of protection.

And slowly, they allowed me to be.

If you've never seen a NICU nurse work it's quite amazing. They can bundle a baby as tight as any burrito in 3 seconds flat, especially if showing a new resident how to properly perform this task. Seemingly regardless of their age and/or eyesight they can start an I.V. in a vein that's no wider than a thread or fishing line while blocking out all surrounding distractions.

And don't kid yourself if you're a friend of one of these nurses and you visit her with your new baby. You may think she's just admiring his adorable face when really she's trying to control her excitement about how good his scalp veins look in case he ever needs an I.V. in his noggin.

I'm telling you, they're just not right.

They are meticulous about the state of the baby's bedside and the baby himself, and are so anal that they typically revamp the entire area when they come on shift because the nurse before them wasn't quite anal enough. This is all in the best interest of the baby of course, and for that nurse's state of mind for the rest of the shift.

They have the ability to discern when a little 1-pound person just doesn't seem like herself from a mile away. They will do everything in their power to convince the docs of this and will likely not let them leave for the day unless they get what they want for that baby.

NICU nurses have known forever that these babies feel pain, even though it was difficult to 'prove'. They think about the babies on their days off, come in from home if they are dying. They provide a baby with lots of love one minute, and run to code another one the next.

They are expert at what they do.

Now that I've been working with them for well over a decade and they trust me not to do anything too stupid, I must say I understand them. This little world in the NICU is unique. It is at once a place of celebrating new life and the grasping for it. It has been noted to be a place of intense parental love or at times abandonment; parents sometimes lost in their own set of horrible circumstances. It is mostly happy. It is mostly positive. It can be devastating.

We tuck years of that pain into a place we pretend doesn't exist in healthcare. We go home and kiss our children.

I can't say enough about the dedication of this group of people. They make me laugh hysterically with the sarcasm and humor that comes with the territory. They stun me with the level of skill they take for granted and the patience with which they teach the unending line of new doctors, new nurses, and people like me.

It is an immense responsibility to dedicate your work to a place that never closes, which needs you for its smooth and competent running, where fragile babies living and dying can just be part of your day's work. All of that for a six figure salary............

Thank you to the NICU nurses, for your expertise, your example, and your friendship. May there be a place in heaven for you with a coffee pot, good Chinese food, and the perfect schedule!

Sue Ludwig OTR/L
President and Founder
National Association of Neonatal Therapists (NANT)
http://www.neonataltherapists.com

Article Source: http://EzineArticles.com/4286880

Comment on Public Transportation.......

I have to admit something.

I have a fear of public transportation. I know, it sounds stupid, but it is real. It started when I took the bus to BYU from my grandma's house. I made it to BYU just fine, but I got confused on where to get on the bus for the way home, and I ended up out at UVSC for 2hours. I called my mom (who was staying in UT for a week to make sure I got settled) but she wouldn't rescue me. She was too busy at the pool with my cousins. Eventually I made it home, but the damage was done.

The next time I used public transportation was when I came down to SLC from Pocatello to do some clinical shifts at Primary's. They had just made some rule that students couldn't park in the parking garage, we had to take Trax. I was terrified. It was almost enough to keep me from doing clinicals, and when I say almost I mean the thought crossed my mind more than once, what am I doing? I called the UTA hotline to go over my route several times. I made it to and from the hospital but not without having a major panic attack on the way home (i was afraid I'd take the wrong train and end up in Ogden, It could happen!). I only took Trax a few times. Once I got hired for my job I immediately got my parking pass and drove to the hospital for the remainder of my clinical shifts.

Fast forward to now. I've worked at Primary's for 5 years. More and more of my co-workers are using Trax since the gas prices are higher, it's cheaper, you can read or relax on the way to and from work, etc. I've been against it, but now that I'm working more day shifts I think I might try it. I'm completely freaked out of course, but if I can save some money and read more books than why not?

Hopefully I won't get killed or lost.

Pray for me.

Seriously......I cook, therefore I struggle to blog

I can't believe I haven't blogged since JULY. That is embarrassing. Well, I am going to be blogging more often-blogging the recipes I've been trying so my mother can see how they're made and start cooking healthy recipes for her and my dad. Also, I'm sure I'll have some comments to add as well. 


My debut recipe is Crock Pot Italian Turkey Meatballs. I found the recipe on www.skinnytaste.com, which I found via Pinterest. But I tweaked it a little to make it more flavorful (in my opinion).

So here are the ingredients: 


Meatballs:

• A pound or so of lean ground turkey (93% fat free at least)
• 1/4 cup whole wheat seasoned breadcrumbs, or regular bread crumbs
• 1/4 cup parmesean  cheese, grated
• 1/4 cup parsley, finely chopped (use fresh parsley)
• 1 egg
• 1 large clove garlic, crushed
• 1 tsp kosher salt + fresh pepper

The Sauce:

• 1 tsp olive oil
• 4 cloves garlic, smashed
• 28 oz can crushed tomatoes or pureed tomatoes, I used 1 of each 
• 1 bay leaf
• salt and fresh pepper to taste
• 1/4 cup fresh chopped basil or parsley (I did 1/4 cup of each)
• Sauteed Mushrooms-as much as you'd like, I think I used 3 cups
• 1/2 white onion, chopped finely 

First of all, i put together the ingredients for the sauce. I put the tsp of olive oil (I actually used a little more) in a saute pan and browned the garlic, which I then added to the cans of tomatoes in the crockpot. I then sliced the mushrooms and sauteed them in a little olive oil and salt and pepper and added them as well. Finally I chopped up the onion and the basil and parsley. I only had about 3 hours before I ate so I put the crockpot on high, but you can put it on low and cook it longer. The longer you cook it the more flavorful it will be. 


Then, I preheated my oven to 350. I put all of the ingredients for the meatballs together in a large bowl, and mixed it together with my hands. Yes, I was grossed out but it was the best way to mix everything. You better believe I sanitized EVERYTHING when I was done. Yuck. 


I placed some tin foil on my cookie sheet (so I wouldn't have to wash it later), spraying the tin foil with pam so that the meatballs wouldn't stick, and, once again using my hands, made the meatballs. I used about 2 tablespoons of meat for each meatball. The website said not to make the meatballs too tight or else they'd be tough, so I just made sure they were stuck together enough to not fall apart and called it good. 


I baked the meatballs for about 20 minutes and then added them to the sauce. I then let the sauce simmer for about 2-3 hours before I was ready to eat it. 


You can use this as a spaghetti sauce, but I chose to do an open-faced meatball sub. I toasted 2 pieces of french bread, then placed 2 meatballs on each slice, placed 1/2 slice of provolone cheese on each piece of bread, melted the cheese in the oven, then added a little more sauce and it was ready to go. 


And now, pictures:
                                          The meatballs

                                       
                                          The sauce, without the meatballs

 
                                          The sauce with the meatballs in it

                                          The provolone cheese ready to be melted

                                          The finished product, with a little more sauce and
                                           more cheese (More CHEESE!)

I loved this recipe, it didn't take long at all to make and it tasted great. I can't wait to try this with spaghetti noodles.