Saturday, January 25, 2014

Life As An ER Nurse - All The Good & Bad


I sometimes think about the career I have chosen as a nurse and think about all the differences that might be between and ER nurse and everyone else.  Some are silly and some are from the heart but this is what I have come up with.

An ER nurse has a sick sense of humor.  We google body images that make us fascinated; the way they can twist and turn, piece and poke are beyond our imagination.  We know that a tube can pretty much enter all areas of the body.

We have to "invest" in good shoes which means it could be up to $120 a pair but when you are on your feet for 13 hours, it is a mandatory item.

We always have to find a way to make our boring scrubs a little more exciting.  Funky socks, cool shoes, hair accessories or miniature crowns.

Restraints in the ED are a common item. It means you are either having some aggression issues with staff, you are altered and trying to climb out of bed, or you are intubated and we wish you to stay that way.

Yes, ER nurses get abused every day.  We get cursed at for more pain medication, we get screamed at for the wait although this is rarely our fault.  We have gotten physically assaulted, verbally threatened and we still continue to come back the next day.

You probably are not our first patient, but you may be our first patient that requires an uncommon procedure.  We diligently seek experience from those around us so we can learn more and more each time we do something unfamiliar.

Each of us has bad days with iv's.  We can get someone in the finger with a baby needle but we can't get a huge juicy vein.  It just happens.

We get frustrated when you come in with a fever for an hour but don't take anything at home to see if it will go away.  We don't understand why people come in with colds and want to get sicker.  It is the ER where germs are ever present.

We have a million and one medications to learn and do not know them by color or size.  We always would recommend you carry a list in your wallet or purse with names, dosages and directions so we can treat you more effectively.

When you see a patient who came after you go back before you it means they are a little more sick than you so keep in mind if that were your mom or dad you would want them treated first based on severity.

We take care on average 4 patients plus a psych patient.  You may have no idea what we are dealing with in the next room.  It may be an irate patient that is medication seeking and our patience may be thinned when we walk in your room.  It may be a dying patient with loved ones waiting for that moment to come and we have remnants of tears as we enter your room to see if you need anything.

Although as many of us may say at times "I am over it", we still come back the next night because we love our job, we love what we do and we love the care we are able to give.

We may not understand exactly what you are going thru but we have empathy and we try to give the same compassionate care to you and the next and the next after that.  We each have the desire to help, care and get you feeling better.

We love the support of other nurses around us when it seems like no one else can understand what we go thru.  We internalize alot of our feelings and don't talk about sad nights more often then not.  We feel alone when we are internalizing what we could have possibly done differently to save someone, when in reality we know that when it is your time there is nothing we can do.

We hate pediatric codes and do not desire to ever see them, but when we do, you can hear a pin drop and it seems like there is more focus and determination to do everything possible for the sweet and innocence that exists within them.

We are enraged when we deal with CPS for someone who has chosen to deal with their anger the wrong way.  When we call CPS it is ALWAYS in the best interest of the child and we have no way to know what happened when they can not speak for themselves.

We usually are much more laid back at home when our loved ones get sick.  We say "take a motrin" and don't think twice but when you have symptoms of others we think the worst and we suffer from anxiety until you get better and rule out a life threatening condition.

To me, nursing is the only thing I can ever imagine doing.  Whether it be in the ER or one day in leadership, I am making it the best it can be day to day.  I pride myself with giving the best care I can, giving a smile when I meet a patient for the first time, and using calm direction to ease frustration.  It is worth every minute of lack of sleep to save just one patient.  It is humbling more days than not. It takes great independence, great strength and great determination to get thru a normal day in the ER.  It is not an easy life but it is the life I have chosen and I wouldn't change a thing.



Friday, January 3, 2014

This Is Me- Take It Or Leave It


I figured I would take this opportunity to write about me.  Strengths and weaknesses and put it all out there. Here it goes....

I am a mom with a child of who I am totally obsessed with.  I love just the simple hug, cuddle on the couch or the silent kisses while he sleeps.  I am in no way a perfect mom but it remains the biggest joy of my life.

I am a wife in which I am not perfect.  I expect a lot and don't show as much thankfulness as I should.  I need to work on this more and more each day.  I have a husband who gives me everything and I sometimes give him nothing.  That is reality and that is me.

I am a nurse.  I enjoy the times when my hands make a difference, which I would like to think is every day I am there.  A simple smile to let them know you care.  Don't get me wrong, there are patients who absolutely get on your nerves and it takes much patience to get thru those nights.  

I am LDS.  While my personal testimony is very strong, I still have times of struggles.  I struggle with people who seem to be so quick to judge before they even know you.  My past is why I am me!  I struggle with those who are less faithful in home teaching and visiting teaching.  Sometimes you need a friend.  I struggle with those less often to help serve and lend a hand while others are simply putting everything into it.  There is no perfect LDS person but then it seems like many expect this cookie cutter LDS person that doesn't always exsist.

I have tattoos.  Yes, as much as I can not take them away they are part of me.  I honestly don't care what you think if you see it.  I can now set the tone for others being more accepting.  While I wish I would have thought about them a little more before I did them, none of them are a regret.  I will no longer hide them on purpose.

I am overweight but I am healthy.  For those who don't know, I have struggled my entire life with weight but more since I had Damian.  I have regular check ups, I do not have high blood pressure, I do not have diabetes, I do not have high cholesterol.  I do have thyroid issues which have caused me to be frustrated about not being able to loose weight like others.  I hate my weight but I also have accepted it.  I obviously have goals of loosing it but I am not going to make unrealistic ideals of what I am to be.  I am me!

I have a bit of OCD.  No I do not count or lock my door 100 times.  I simply like perfection.  I don't think there is anything wrong with wanting perfection, however I do realize that I can not expect it from others.  

I always try to do too much.  I have always been this way.  I have tried so many times to change this part of me but I can't.  I offer my services, time and self to all that is asked of me and sometimes I take on alot.  I suppose I can better this part of me but I also have become an amazingly strong and independent person because of this.

I dislike my curly hair but it is part of me.  Most of the time I straighten it because I was teased so much as a kid.  I embrace it at times but most of the time not.

I have very few TRUE friends.  Honestly I can count them on a few fingers.  Why?  I guess I am guarded with letting others in but I feel more because if you truly wanted to be my friend you would get to know me. These few have really gotten to know me, my struggles, my desires and my strengths.  I wish I had more friends but I am content with the few I have.

I am strong willed, focused, determined, motivated, perfection seeking, loving, kind, compassionate and empathetic.  I have flaws and I have many.  I have many days of sadness, anger and frustration.  I have days of joy, love and complete satisfaction.  All of this is me and I love me!