“There is very little that is more isolating than the feeling of being lost, and misunderstood. Sometimes it’s just easier to build the walls and stay quiet, not only to disallow others from getting in, but as a protective mechanism to prevent repeating mistakes, and maybe figure out how best to get through the melancholy.”—Unknown
“Be nice. People always remember when people are genuinely nice. They tend to remember mean people more, for it etches a figure of sadness. Scratch out the mean. Overwrite it with constant acts of goodwill.”—Unknown
Last night the orientee and I had an admission together. The woman who came in was hard of hearing, and her daughter had taken home her hearing aids to charge. She was Spanish speaking only, but we couldn’t use our Cyracom because she obviously can’t hear it.
Wishing all Nursing students taking their exams this week, (and next), heaps of luck. If you get stuck, eliminate the negative self-talk, visualize yourself standing in front of the patient and what you would actually do for them - Believe in yourself, and believe you know enough to get through this exam, as well as any other trial that is set before you.
“Develop an interest in life as you see it; the people, things, literature, music - the world is so rich, simply throbbing with rich treasures, beautiful souls and interesting people. Forget yourself.”—Henry Miller
“No man should go through life without once experiencing healthy, even bored solitude in the wilderness, finding himself depending solely on himself and thereby learning his true and hidden strength.”—Jack Kerouac, Lonesome Traveler
“The individual has always had to struggle to keep from being overwhelmed by the tribe. If you try it, you will be lonely often, and sometimes frightened. But no price is too high to pay for the privilege of owning yourself.”—Friedrich Nietzsche (via oanton)
Some of life’s best lessons were learned when we were children: We were taught to always believe in ourselves, and to reach for the stars, and never mind those who tried to hold us back. We learned that it was right to respect everyone, even if they did not extend us the same courtesy. We were told that it was important to stand up for ourselves, as well as the things, and people we believed in - and we were consistently reminded that speaking the truth was paramount. We were taught to treasure things that had no material value, like trust, humility, honesty, sharing, friendships, hugs, support, and caring - just as we learned that actions spoke louder than words. We grew to be grateful for education and opportunity, even if we didn’t understand where it would all fit in. We learned endurance during difficult times, even when we had no clue what the outcome would be, and empathy for those who continued to struggle. We understood that it was ok to be who we were - and not criticize ourselves or others for mistakes, or being different. We learned to appreciate difference of opinion, and to respect each person’s right to their own, just as we discovered those opinions did not imply factual evidence. We learned that seeking approval often yielded disappointment, and the best option was to be mindful of our own behavior and actions. We found that there was a lot of unnecessary meanness and spitefulness, and the best response was silence. We learned to value each day, for there were no guarantees of tomorrow. When did we unlearn some of these things? Maybe we need to revisit these childhood lessons: learned from former educators, friends or family - either through adversity, or sound circumstances. Or, perhaps it would be prudent to reframe our minds to visualize these lessons as ongoing.
how long does it take to get comfortable with calling doctors (esp. late at night)? i'm an NA now, going to be an RN by next may (hopefully!). and honestly my biggest fear is getting flustered on the phone with a doctor and misgiving/misinterpretting information. the RNs at my hospital do it so quickly, as they're multitasking on a million other things. will this be something i get to practice with my preceptor during orientation?
You should be able to practice that from day one in orientation and by the time you’re done you’ll have it down. Watch your preceptor do it a few times and then jump right in. The biggest tip is to be prepared! Check out my post on nurseeyeroll.com under the new grads tab called “Calling Docs on Nocs” and I have a few tips outlined! It is scary at first but it gets easier and easier. Good luck!
“The devastation of a loss never quite leaves you, despite any amount of time that’s passed. Distractive healing helps on a daily basis, however, sometimes all it takes is standing in the line at a grocery store, or walking down the street while overhearing a conversation that instantly transports you back to a time when they were alive and well. The memory of the person is so intensely real, it’s like you have the wind knocked out of you, with the realization that they are no longer there, nor will ever be again. A special prayer for those who are silently grieving, but smiling to the world, especially during the holidays.”—Anonymous
My patient was shaking uncontrollably. People say such shaking feels unbelievably bad, but rigoring, as the medical profession calls it, is treatable with the narcotic Demerol. I hurried to the computer to order some from the pharmacy, thinking “rigors = Demerol.”
But the computer listed drugs by their generic names only, and Demerol is a brand name. In the heat of the moment my mind went blank; I couldn’t get the medicine my patient needed. An embarrassed call to the pharmacy yielded the correct name — meperidine — and my patient got relief. Still, it was a reminder of how needlessly dangerous our drug-labeling system is.
In the context of what’s at stake in health care, the practice of giving drugs two names, a brand name and a generic name, makes no sense. Is there any other industry in which thousands of component parts are insistently given two dissimilar names, even though people can suffer, be hurt, possibly even die, if a mistake in names is made? Every drug with two names — and that means practically every drug in use — is a medication error waiting to happen. Read more…
“Perhaps it’s true that things can change in a day. That a few dozen hours can affect the outcome of whole lifetimes. And that when they do, those few dozen hours, like the salvaged remains of a burned house - the charred clock, the singed photograph, the scorched furniture - must be resurrected from the ruins and examined. Preserved. Accounted for. Little events, ordinary things, smashed and reconstituted. Imbued with new meaning. Suddenly they become the bleached bones of a story”—Arundhati Roy, The God of Small Things
“There’s a certain joy that caring for others brings to your life. For a few brief moments in time you’re able to forget about external difficulties, hospital politics, unit backbiting tendencies, and other assorted daily administrative challenges designed to test your patience. It’s those moments when it’s just you, and your patient, that you are reminded of why you wanted to be a nurse, even in the midst of a disastrous day”—Nurse X
There is a lot of confusion and misinformation about how the world of health care is changing around us. Today’s concern might be a website that does not work for enrollment, but tomorrow’s real issue is the lack of an adequate primary care workforce to meet the needs of the newly insured. Obama’s Affordable Care Act takes one major step to address it. The law makes a significant investment in nursing workforce development, specifically in nurse practitioners. Read more.
One of the most incredible moments in an Educator’s career is watching a student walk across the stage to accept their degree. It is not about the long hours lecturing in classrooms, nor the enjoyment of field experience; it’s really not about the Educator at all, who is but a gentle guide along the way. There’s just a simple joy of watching from the sidelines as a student reaches that finish line after years of hard work, realizing their dream, with a glimmer of hope in their eyes of what a wonderful future they have ahead of them - something that the Educator saw in them all along.
“There are some people who could hear you speak a thousand words, and still not understand you. And there are others who will understand — without you even speaking a word.”—Yasmin Mogahed (via chialyn)
“Be calm and strong and patient. Meet failure and disappointment with courage. Rise superior to the trials of life, and never give in to hopelessness or despair. In danger, in adversity, cling to your principles and ideals. Aequanimitas!”—Sir William Osler (1849 - 1919)