Sunday, August 12, 2012
Numbers......
I feel like I've had a new revelation, or maybe I'm just a little out of it today-but have you ever noticed that everything is in numbers? I guess it's the only way we can quantify and work cohesively in the world with others.
In the morning the first thing I hear is my alarm...5:00am...snooze for 10 minutes...35 minutes to get ready for work. Somehow it's now 5:45. 10 minutes to blow-dry my hair. Forget it, it can airdry. The radio show starts blaring "It's 6am and already the boy ain't right".
6:15, on the freeway. If I'm lucky. 35 minutes to get to work. 15-30 minutes to get report. Fluids running at 12.4 ml/hr. Urine output at 3.6ml/hr. Meds due at 0900, 1400, 1800. Morphine is 1:1, Fentanyl is 10 to 1. Ativan is 2:1. Multiply, divide, add, subtract.
1330: Pt. irritable, difficult to console, prn ativan given. 1400: pt calm and sleeping.
240 calories eaten for breakfast. 360 at lunch. 900 calories left for the day.
5,657 steps taken so far. 1300 calories left to burn. 1.7 pounds lost this week.
1845 where's my replacement? 19:25, on the road home. If I get there fast enough I can get to the gym by 8:00 (I switch from military to 12hr time in the car). Need to run 3.5 miles for my half marathon training. Home by 9, in bed by 10. Hopefully. Alarm tells me I have 6 hrs and 18 minutes before it will go off in the morning.
Move $200 to savings. Take $100 out for new windshield. $26.77 spent so far this month on groceries. $173.23 left in the grocery budget.
Mortgage is due on Sept. 1st. HOA due on Aug 30th. Bill pay takes 7 days. Balancing my budget takes 1 hour. Watching Teen Mom takes 42 minutes. Combine to save time.
Enough with the numbers! I'd like to start intuitive living. Not using a clock. Not worrying about time. Sleeping in until I'm rested, going to appointments when I'm ready, not counting money, calories, minutes, days. Living by the arc of the sun and whenever the mood strikes. And of course, if we all did it anarchy would ensue and our entire civilization would cease to function.
But it's a nice thought.
Saturday, February 18, 2012
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
President and Founder
National Association of Neonatal Therapists (NANT)
http://www.neonataltherapists.com
Article Source: http://EzineArticles.com/4286880
Sunday, February 12, 2012
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.
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