Oh, right. Did I mention I got a job? I came out here with the intention of focusing on school and only school, but I kinda was offered the ideal job working right here at my residence. The job is receptionist/security. And for those of you who are thinking that it’s hard to imagine me with a baton chasing thugs away, no, it’s not THAT kind of security. (Or maybe you COULD picture me with a baton?) Basically I hang out and make sure no one is doing anything they shouldn’t, and then lock up at the end of the day. Mostly, it involves me being cheery to people, all the while studying. I don’t have to work too many shifts, and it’s an extra $10.25/hr in my pocket that I wasn’t getting before. Which I’m hoping will be enough to get me home for Christmas. Well, maybe I’m being unrealistic there. I’m hoping it’s enough spending money for the occasional treat once in a blue moon. (Though I do still plan to come home for Christmas, hopefully.)
And onto more exciting news (not that me being sick and getting a job is boring… What do you mean it’s boring? Sheesh, tough crowd) I started my first real day of clinical today! Until the end of the month, I’ll be in the maternity ward, including postpartum care, neonatal ICU, and labor and delivery (and we’re told the chances of seeing a vaginal birth or caesarean section are pretty good! I’m so excited!!). Today I spent my first day in postpartum care, helping my nurse preceptor take care of 5 different patients, mothers and babies. Well… I guess I didn’t really help THAT much… mostly I followed her around and asked questions, all the while trying to absorb every little bit of information that I could. And all the while realizing how much information I had yet to learn. Though I suppose I shouldn’t beat myself up too much if it turns out I don’t know everything. One thing I learned today is that doctors, nurses, and generally speaking, no one, has all the answers. Wait a minute, that sounds like one of those obvious little tidbits of life. What I mean is that, things you would think certain professions should know, they actually don’t know.
Anyway, enough about what I DIDN’T learn, here’s some really cool things I DID learn: I learned that, the best practices that we are taught in class actually aren’t always possible. For instance, you try counting a baby’s respirations for a full minute after you have unswaddled them and they are now mad at you and fidgeting. It turns out it’s easier to do it with your stethoscope while you are assessing their pulse. They seem not to mind their stethoscope. Watching their little covered bellies move up and down for breath isn’t so easy.
I also learned that, while we all should be performing hand hygiene before entering and leaving a room (among other times), it’s not really possible when you have a baby in your hands. “Sorry ma’am, I didn’t want to get your baby sick, so I went to get some hand sanitizer with your baby in my arms, and I accidentally dropped it while I was nicely rubbing the sanitizer into my palms. But don’t worry, your baby’s fontanels are still soft and moveable, so that little dent in their skull should resolve itself in time.” Mothers are feisty. I have every belief that they could all kick my ass. I’m told that child birth is the most difficult thing that most women will ever do in their lives. Hey mothers out there, is that true?
Possibly the coolest thing I did today was give a baby its first bath :-) Oh, come on! You know that’s cool!! Anyway, I guess it’s not quite as hard as I thought it would be. For some reason, the thought of holding slippery babies right after birth with wet gloves didn’t bode well with me. But there are ways to hold them that makes it pretty tough for them to slip out of your hands. I’m just not entirely sure I’ve got those ways entirely figured out yet. I did, however, manage to get my baby clean. (Wait a minute, not MY baby, but someone else’s baby who I now am calling my own. I think working with babies does that to me.) I guess I had it easy though. My baby was pretty clean to start with, and he took his first bath rather well.
There was one not so happy thing I experienced, but I think it was a tremendous learning experience. I saw how the system doesn’t always work. My nurse preceptor had a patient who was 3 days post c section. Last night, she was visiting her baby in the NICU when she felt pain and lightheaded. She was escorted back to her room, where the pain continued to grow, and her blood pressure continued to rise. By this morning, she couldn’t be touched, she was in tears, and her BP was through the roof. This woman clearly had something wrong with her beyond post-operative gas and she needed something done. Knowing that the doctor was to be in soon, my preceptor and I let the nurses on the ward know to watch for the doctor because we needed to speak with him about our patient. We left to continue our rounds, and maybe 20 mins later when we returned to the nurses’ station, we found out the doctor had come and gone, and yes, he was told that we wanted to talk with him, but evidently he never made the effort, because we had seen neither hide nor hair of him. We went to talk to the patient to find out what the doctor had told her. According to her, he said, “We wont discharge you until you’re comfortable.” Really. That’s it. How the heck does that actually help anyone? He had left us no instructions for how to help this lady. It took 2 phone calls to the doctor to get anything done. The first, he told us to increase her BP meds. Thankfully, during the second, he agreed that maybe we should do some tests to try and figure out what this is. I hope to inquire about her progress tomorrow. It’s unlikely that I will be with her again, as we will be changing nurse preceptors. But it just goes to show the lack of communication there often is between healthcare professionals. Ironic that I started my Interprofessional Education today (a program designed to make sure these things don’t happen and that healthcare professionals work together to better patient health).
With both the good and the bad in mind, I still had an amazing time today :-) But enough for now. I have to get around to studying for my first midterm and my third quiz which I have next week. And the week after that doesn’t look any better, with another quiz, a midterm, a paper, and a presentation… Damn. Remind me, why do we put ourselves through school again? Oh, right. So we can find a career we will be happy in for the rest of our lives. As tough as this is (no, really. I’ve been spoiled these last few years by allowing myself to sleep 8 hours most nights and earning money I could spend on whatever hobbies I like. Apparently I had forgotten how all-encompassing school is.) this is an investment which will benefit me for the rest of my life. The more I learn about nursing as a career, the more I think I really made the right choice for myself. Anyway, it’s back to the books for me.
Happy almost-turkey day everyone!