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Those Special Moments Nurses Sometimes Talk About

Before I became a nurse, I heard that nurses have special moments with their patients and families that they never forget, but I never truly understood what that meant.

My first neonatal code occurred about six months after I completed my orientation in the pediatric emergency department. I remember that shift being a particularly busy one. In the midst of the hustling and bustling of assessing and medicating patients and reevaluating and discharging them, I heard banging on the triage door and saw a mother and father wheeling in their baby carriage, frantically crying out that their baby Skye was blue in color.

By S.Hermann and F.Richter/Pixabay

I remember quickly removing her clothing and seeing how cyanotic she was, all while an electrocardiogram was being obtained and she was placed on the cardiac monitor. I recall hearing the doctors paging overhead for pediatric respiratory and anesthesiology to assist with resuscitation. Other team members included a CNA and a medical student who tried to relax the parents but were understandably not successful.

There were multiple unsuccessful attempts to obtain peripheral vascular access in Skye. I can still see the look of terror on Skye’s parents’ faces as the drill gun used to insert the intraosseous access whirled into baby Skye’s bone, […]

2020-10-23T10:48:41-04:00October 23rd, 2020|family experience, Nursing, Patients, pediatrics|0 Comments

What Would It Have Helped to Know as a New Nurse?

An incomplete record of starting out as a nurse. 

When I think back on my first year as a nurse, I always say two things to myself: “I wish I had written more,” and “I wish someone had given me a more realistic how-to manual.” I try to remember patients from back then. What would I have shared, had I written about each one?

I was never not writing about something (sometimes what I wrote was published on this blog), but over time, as I moved away from bedside care and into administration, I wrote differently: policies and program plans, research protocols and systematic reviews. Although I rarely worked directly with patients anymore, their positive outcomes continued to motivate my every word.

I like to think my writing has grown with me. I’ve learned the power of the active voice; the structure required for the APA Writing Manual. 7th edition; and the deepening of understanding that comes from reading and reflection. But I will always wish for more writing—of any kind—from that first year. Even a scribble to jog my memory. This nursing birth of mine, like any birth, began my nursing life in a very specific way. I was challenged and tested, understood and got lost, and, tragically, […]

2023-01-30T10:34:04-05:00October 22nd, 2020|new nurses, Nursing, nursing career|0 Comments

Staying Away, Reaching Out: Offering Parents Support During the Pandemic

The ‘circuit breaker.’

Image by Wokandapix from Pixabay

I brace myself as I look over the names printed on my patient list. Our developmental pediatric unit has started an initiative to call our more vulnerable families during the COVID-19 pandemic.

Chan J. DOB: 12/10/2001. As I scan the electronic notes, I learn that mum is the main caregiver of not one but two boys with autism spectrum disorder who require a high level of support. They both usually attend special school, but the school is currently closed because of social distancing measures. We are in lockdown, or ‘circuit breaker’ as we call it in Singapore, and both children have been at home for the past three weeks. My heart sinks in anticipation as I punch in the numbers.

“Hello,” a voice hesitates at the other end.

“Good morning, Mrs. Chan,” I say, putting on a cheery tone. “My name is Jia Yi and I am a nurse from the child development unit. We are checking in with our families and I wonder if you have some time to speak with me?”

“What about?” This mother sounds tired.

“Oh, just checking in on how you are getting on and whether there is anything we can do to help.”

‘”It’s hard,” she says. […]

2020-10-01T10:18:14-04:00October 1st, 2020|Nursing, nursing stories|0 Comments

A Message from the Tri-Council for Nursing: Nurses Need to Vote in 2020

The Tri-Council for Nursing, an alliance between the American Association of Colleges of Nursing, the American Nurses Association, the American Organization for Nursing Leadership, the National Council of State Boards of Nursing, and the National League for Nursing representing nurses in practice, nurse leaders, and nursing educators, urges you to exercise your right to vote in the 2020 election.

The Tri-Council for Nursing calls upon all nurses to carefully weigh the positions, proposals, and legislative voting records of candidates who aspire to elected office on November 3, 2020. In these unprecedented times, voting may look different, especially with early voting options and vote-by-mail opportunities becoming increasingly relevant.

As we get closer to Election Day, the Tri-Council strongly recommends that you consider the safest way for you to cast your vote. To ensure you have the best information available and are ready to cast your ballot, follow these three simple steps:

  1. Register. Double check if you are registered to vote by going to vote.gov. Some states allow same day registration, but it is important to check now to ensure that you are prepared for Election Day.
  2. Do Your Research. While 2020 is a presidential election year, there are many open seats at the state and local levels as well. It is important to research not only who will be on the ballot, but any proposals that may also be up for consideration this election season.
  3. Vote. With COVID-19, states are […]
2020-09-04T08:57:21-04:00September 4th, 2020|Nursing|0 Comments

Bringing Redemptive Voices from Greek Tragedy to COVID’s Frontline Clinicians

Bearing witness.

I enter my patient’s room and hear the sucking click as the door slides shut behind me. Vacuumed silence, negative pressure—but all the pressure in the world seems to settle onto my shoulders, my head, and down through my back, filling my feet like wet cement.

I need to move. His oxygen saturation is dropping again. He’s grimacing. Is he in pain? I wonder as I step closer to the bed. My pulse quickens as I take in the scene before me: glassy eyes inset upon a sunken, sallow complexion; bleeding mouth; the imperceptible rise and fall of chest to the biddings of the ventilator; swollen limbs. A lock of hair falls into my eyes, but my PAPR hood prevents me from pushing it aside. His heart rate and respiratory rate are higher now. Maybe he needs more sedation. If only he could speak. I take in a measured breath of filtered air as I suction his breathing tube. Breathe.

The doctor appears and is talking to me, but her voice is barely audible above the steady stream of air rushing past my ears. We’re practically shouting. The plan, a combination of trial and error, science, and visceral, pit-of-the-stomach intuition, is shaky at best.

As she moves away toward the door, I want to call out to her, to beg her to stay, to look upon the suffering and feel its weight, but I am silent and she disappears into a sea of blue scrubs. I am alone in this sealed room […]

2020-08-27T09:45:26-04:00August 27th, 2020|Nursing|1 Comment
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