Tag Archives: nurse

Organization …

is not my strong suit

My desk at work is organized because I would simply fold in upon myself otherwise.  I find it difficult to focus enough to know where I am and what I am doing there, so being disorganized is not an option.

Not if I want to keep getting a steady paycheck (which is imperative to fund my real ambitions of photography, writing and travel).

My photographs are organized.

Brutally so.

With tens of thousands of photographs, literally, there must be organization or I would never be able to lay my hands on a particular photograph when I needed to.

As crazy as it may sound, when I look at an image, I remember the moment it was taken.  It is like a bionic power of some sort that allows me to pull from the brain pan recesses in perfect clarity something that happened on some obscure day in the past though I often have difficulty remembering what I ate for breakfast.

When I remember to eat breakfast, that is.

My house is not organized.

It is jumbled and chaotic, but I know where everything is.

I’m not big into “stuff”.  I have one photograph on my wall and the calendar is still on may of 2011.  To those that know me personally, this will not come as a surprise.  To the rest of you … close your mouths.  It’s not that big of a deal.

I have clothes on the floor, shoes on the floor and junk on the couch.  But my kitchen and bathroom are clean.

I rarely cook anymore, which is a shame because not only do I love to cook, I am very good at it.  That isn’t bragging, just stating the facts.  I am an excellent cook.  I just don’t do it.

But if one day the mood strikes, my kitchen is clean and my butcher knife sharp.

I think I started this whole post with organization. I’m not sure why that was even on my mind since there are only the three areas, work, photographs and kitchen that are organized.

My house, at any given time, looks as though a band of rogue monkeys swept through and had a free-for-all.

I don’t care.  If I’m ok with it, anybody who finds fault is simply a fault-finder.

If you are coming to see me, come ahead, if you are coming to see my house, make an appointment … about one year in advance.

I never understood and still don’t understand people who pretend to be what they aren’t simply to impress someone who likely wouldn’t be impressed even if you levitated while juggling flaming torches.

If being impressed by me is what someone is looking for, they will be sorely disappointed.  I live in my house and clean it when I feel like it, I wear clothes so I don’t get cold or arrested and I work so I can afford to do the things I really want to do.

Organization?  Not if I can possibly avoid it.

I’m much too busy living to worry about the small stuff.

flowersfornini

This day started out …

on the wrong foot entirely.

I suppose it is partly because I am a bit of a dreamer and mostly because I am especially susceptible and vulnerable to harsh words.

I found, before I’d really had a chance to begin my day, my feelings hurt, my spirit bruised and my pride wounded.

It wasn’t the first time.

It won’t be the last.

But it always hurts.

Always chips away a bit at the self confidence I work so hard to achieve and hold on to.

Always makes me feel less than I thought I was before.

And so it went.

I cried my tears and kept the ones threatening at bay more to prevent curious questions than anything else.

What am I  supposed to say after all?  I had my feelings hurt?

That answer is met with shaking heads and comments like ‘girl, you need to toughen up”.

Yes.  I know.

I wasn’t going to let it rule my day, though, that I had already decided.  Maybe I was on the verge of tears.  Maybe I did slip away and cry a couple of times during the morning.  Maybe I did berate myself for being the way I am and wishing fervently that I could change it.  But …

I decided right off that this would be a day of encouraging others and lifting them up as I wished to be lifted.

The day progressed fairly normally, with fluffed pillows, niceties exchanged between patients and family members, little touches to encourage those who were ailing; the usual day to day stuff I always do.

None of that, however, prepared me for what I would encounter in the late morning hours.

He was my last patient,  and I knew from research that his wife had been gone for many years and his youngest daughter, the last of three children to die,  had passed away two years before.

For all counts and purposes, he was completely and totally alone in the world.

I went into his room and introduced myself to him.  He looked at me for a long time and I wondered if he understood what I was saying.

Then he spoke, his voice barely above a whisper and said “I thought for a moment that I had died and gone to Heaven.  You remind me so much of my sweet Lacy.”

As it turned out, Lacy was his daughter, his favored child and one who worshiped her father.  He asked me to sit, which I did, in the chair beside his bed, and he proceeded to tell me about her.

She cooked him dinner every night and made sure he had snacks in his kitchen. She took him to the park and on long drives into the mountain when the leaves changed in Autumn.  She had, he related, a way with stories and often sat with him, while he ate his dinner, and told him one story or another.

He focused those tired and aged blue eyes on mine and asked me if I would tell him a story.

I didn’t have the heart to say no.  I told him a story about a rogue squirrel which found it’s way into my sister’s swimming pool and the adventure and hilarity that followed.

He laughed out loud until he nearly wheezed and said it was the funniest thing he had heard in a long time.  He smiled a wide smile, crinkling his wrinkled face until his eyes nearly disappeared altogether.

It was a wonderful moment for me … this laughter on an old man’s face.

I rose to bid him goodbye and he once again caught and held my eyes in his gaze.  He, with sincerity and a love that nearly shattered me, said “I love you, Lacy, you know that don’t you?”

I took his frail hand in mine and after pressing a kiss to his papery cheek, said ‘Yes.  I Know.”

In the few moments I spent with him, the beauty of his spirit helped to heal my bruised one and the harsh words of the morning were forgotten, useless and harmless against the joy he brought to me.

I had intended to swing back by to check on him and to tell him how much my visit with him had meant to me, but before the end of my shift, he left this world.

I’m sorry I didn’t get to tell him how he touched my life.  It was my intention to encourage him and yet, he brought me a kind of joy that comes about only once in a while.

Harsh words will always hurt me.  It is my nature.  I cannot change who I am at the core, but the encounter with the man who knew me as Lacy gave me something wonderful to bring up when the tears threaten.

I cried for him, but not out of sadness.  No, that would have been wrong.  I cried because I, not as Lacy, but as myself, never got to say goodbye.

Life unfolds as it should and while some of it is painful, for the most part, it is an incredibly wonderful journey.

I was blessed to know Lacy’s dad.

My Dad ... the man I admire most on this earth.

My Dad … the man I admire most on this earth.

Coughing, sneezing and I’m going to be sick …

seem to be the catchwords these days.  There are, at any given time, several bugs going around that are contagious, HOWEVER, due to the unusually warm weather this winter season, the bugs (and not just the flu ones) are winning the war.  It’s funny how, when someone is sick, all the lessons they learned as a child (such as covering their mouth when they cough) just fly out the window.  I have been coughed on, spit on, puked on and, as of today, hit on (though that is, unfortunately, not contagious hahaha). 

I never really intended on being a nurse, but for some odd reason, I seem to have a knack for it.  I am not a people person.   Might as well admit it.  Through the harsh experiences in my life that God had decided I needed to face, however, I have been given an arsenal of ways to relate to people facing crisis.

I still wake up every morning wishing I could spend the day looking for photographs to take, but that is not the turn my life took.  I went to school and studied things that grossed me out on many, many levels and, got kicked out of the OR by a very irritated surgeon; at some point, though, was able to actually practice (mostly without gagging) what I had learned.  I hate germs, hair and skin cells.  They make me want to run for cover, so I ask myself over and over why I became a nurse.  The answer is one that doesn’t please me, but the truth is often a bitter pill to swallow; I became a nurse because I didn’t have the nerve or courage to be what, in the depths of my soul, I wanted to be.

Ironically,  there is a survey that everyone in the place I work has to fill out.  Thankfully, we don’t have to put our names on it because one of the questions is “do I get to do what I do best every day”.  The answer is no.  I don’t get to photograph nature and life and I do not, on any level, consider making a note in a patient’s chart using medical jargon and words that I am pleased to not only know the meaning to, but know how to spell (such as costochondritis, hyperemisis and macrocytosis), writing.  But even so, I don’t discount the sheer magnitude of the moment when someone who is in need says to me “you have put my mind at ease” or “I am thankful for you”.  Those times almost (not completely, but almost) make me feel guilty for not wanting to be a nurse for the rest of my life.

I have, more than once, as any of my friends can tell you, been in a position where I needed to have my own mind put at ease.  As recently as the last two days, if I am to be honest.  I find that I treat patients the way I want my parents to be treated and often spend more time than I should trying to fix an unfixable problem.  Doing so is like hitting my head against a wall again and again, but I simply don’t have the mindset to do something halfway.  All or nothing, whether I love it or not, is just the way I roll.  It is a blessing to know that, along the way, I can give back what has  been given to me; that I can relate, even in the really bad stuff, and give someone a bit of peace by letting them know that I understand.  And, too often for my own comfort, I do understand.  It is both a blessing and a curse.  A blessing because I can bring some peace to a single, solitary soul, and a curse because I often wish, without guile, that I were anywhere but where I am at the moment.

Knowing that I am relevant in peoples’ lives  doesn’t cure the wanderlust or the need to write or the need to see or the need to photograph.  Those things make me who I am and whether I am face to face with the flu bug or dodging vomit, or squinting my eyes shut as someone coughs directly in my face, it doesn’t change what I want to be.  Just because I am good at what I do to earn a paycheck doesn’t mean that I want to keep doing it.  I’ve been saying that for over twenty-five years and my reality, though sometimes skewed by moments of insanity, hasn’t changed.  In my heart, I am a photographer and writer and that will not, even if those particular desires are never fulfilled, change.  I still have my trail shoots.  I still have my blog.  I still have my dreams.  I still have my faith.  While I will continue to do what I do as long as I must do it, there is so much more I want to experience.  Being an optimist, I have no doubt that the chance will come.  Being a Sagittarius, I am just stubborn enough to wait for it.  Being a follower of Jesus, I have the faith and patience to wait.  Being a nurse, I at least know that, while I am waiting, I am accomplishing something that matters to someone.

So all of that being said, I remind everyone to wash your hands several times a day, change your clothes the minute you get home and for Heaven’s sake, don’t eat or drink after people;  that is nasty even when you are well, even when it is people you love dearly.  Remember, germs don’t care who you are, they are just glad when you are gullible enough to bring them into yourself, so protect yourself and run when necessary. Be well, be safe and follow your dreams, no matter where they may lead.  I certainly intend to.

flolicking

Hebrews 11:1 ~ Now faith is the substance of things hoped for, the evidence of things not seen.

As a nurse …

and thinking as such, I think it is safe to say that every now and again, nurses wake up one morning and ask themselves why in the hell they ever decided to do this job.  It is thankless.  It is, at times, backbreaking.  It is confrontational.  It is humbling.  It is rewarding.  It is unbearable.  It is heartbreaking.  It is encouraging. It is maddening.

When I first became a nurse, we still wore hats, all whites (including hose) and really and truly believed that Doctors were a god of sorts.  Many young nurses I have come into contact with have been enamored by the “hat statement” … but then they never had one fall off into a bedpan.  There aren’t enough  bobbie pins in the world to keep a hat securely in place when you are bending over doing lord knows what to lord knows where.  I was never so glad of anything as I was when hats became a thing of the past.

I don’t want to portray the opinion that I don’t like being a nurse.  I do, for the  most part, but I feel that I have reached a place that many nurses reach after many years of seeing things, even as they change, stay the same; burnout.  I find that I have to work harder to really listen.  I roll my eyes more, wish I were somewhere else more, hope that I win the lottery more.  I think it is safe to say that I have all the signs.  I have a wanderlust that eats away at me.  I want to be so many other places than where I am.  I know that I have the freedom to just get in my car and drive; it is the courage I lack.

I don’t want to carry the responsibility.  I don’t want to bring people home with me in my mind and think about their well-being in the middle of the night.  I want to be selfish and self-centered and think of no one but myself.  I want to do what I want to do when I want to do it.  The problem lies in the fact that I’m not wired that way.  I don’t really know how to say “you have no importance to me”.  I can’t, in a million years, imagine telling someone that they don’t matter; even people I don’t especially like.

I give it everything I have.  I don’t believe in doing something halfway.  It’s just not what I wanted to be when I grew up.

Sand Cave

When you curse at your nurse …

be prepared for the consequences. This isn’t about photography or trail shoots, but about life and the small world of medicine that we live and work in.  It’s no secret who has the doc’s ear, who is able to plead the case of patients and try to maneuver things so that everybody wins.  It’s no secret who holds the keys to the daily schedule and can give the ok for an emergency overbooking or manipulation of said schedule to accommodate someone with a need.  It is also no secret that the doc will, most times, back up their nurse and take their side in the event of conflict.  That being said, there are few things that people should know:

The nurse sees you before the doctor so whatever you tell us, we will relay.  It doesn’t matter what the circumstances are, the nurse is the go-between.  When someone calls into the office to speak directly with doctor, it is the nurse who talks to them and relays the information and works to see that all needs are met.  The nurses are the ones who work diligently to see that medications are approved by insurance, that specialist visits are scheduled, that vaccines are given and medications are refilled to the pharmacy.  It is the nurse who will call after a couple of days to make sure the problem is resolving and that no further action is required.  The nurse, again, who will help put folks at ease during procedures or counsel them on things that may otherwise be confusing or daunting.  (sometimes physicians speak a language that sounds very little like English and quite a bit  like Klingon)

The nurse will ensure that you get what you need from your visit and smile and make you feel as though you are the only patient on their agenda that day (at least a good nurse will).  They will go above and beyond to meet the needs of their patients and are willing to go an extra mile to make the patient feel as though their particular needs are important.  They give out stickers, suckers, school excuses, work excuses and a wide variety of things that are needed but things the physician knows nothing about because their job is to treat.  A nurses’ job is to nurture and show compassion, empathy, sympathy and love, to be a listening ear and a caring heart when one is needed.

Now that all of this information has been processed, there is one additional thing that needs to be taken into consideration.  If a patient mistreats by cursing, attempting to strike or being otherwise verbally abusive to their nurse, there is only one thing they need to remember; without the nurse to run interference, they are on their own.  If the nurse isn’t on their side, they don’t have a prayer because as the first paragraph of this blog says, the nurse has the doctor’s ear.  Might be good to remember that.   When someone is mean, hateful and abusive to their nurse to the point that the nurse cries, that someone is screwed.  So whatever it is that an abusive patient wants or needs,  they need not bother asking the nurse but instead, take it up with the doc and see, at that point, just how far they get.

I dedicate this post to nurses everywhere. Stay strong, keep your cool and be encouraged.  Don’t let the bad apples ruin your day because bad apples are as much a part of medicine as flu shots.  Today, for me, was full of bad apples but tomorrow is a brand new day and I plan on taking my apple corer with me in the future.