Sinking

/ Marjorie / Leave a comment

It was the beginning of the COVID-19 pandemic when last I posted. To summarize where I have been over the last year feels impossible. I have not quite come out of the Pandemic Funk. Actually, I’m not sure I know anyone who has. People may say it has been quite the roller coaster ride; to me, it has been more like traveling through the Swamp of Sadness in the Never-ending Story. In order to get through it, “you must not let the sadness overtake you.”

I’m not winning…

At work, we went from stopping elective surgeries in April 2020, to having a committee decide which surgeries we could do, to finally opening it up to business as usual by June 2020. We started vaccinating staff in late December 2020, which I was part of the lucky first group of staff to get a shot. The vaccine clinic was happier than the happiest place in the world, Disney World, everyone said. Masks have been required in the hospital since the start of the pandemic. Only recently has my institution changed its policy, now requiring surgical masks onsite instead of cloth ones. Thank you, Delta variant…

Last year I thought that the OR staff would be redeployed to other areas of the hospital. It never happened. As it turns out, we have a very particular set of skills (think Liam Neeson, but opposite): saving people via Trauma Surgery. I never thought about this before, but it is true. As challenging as it is for med-surg nurses or other unit nurses to go to the ICU, they would be able to handle that. Going from floor to surgery? BAD IDEA. Covering trauma surgery? WORSE IDEA! Our OR staff can set up in 4 minutes or less to take care of a trauma patient. The upper leadership concluded that it would be wise to keep those of us with these crazy but necessary skills out of COVID units, so that someone can take care of victims of gun violence and other traumas.

Gun violence in Chicago… Sigh. That is one thing that did NOT stop during this pandemic. And it seems like it is getting worse. Honestly, I thought it was just me who thought this. Today I asked my OR crew of friends and everyone agreed: things are getting scarier in Chicago. We don’t need to look at the stats… You can actually see how many patients with gunshot wounds are rushed up to surgery. Who knows what the city’s Powers That Be will do, IF they do anything, about this violence. All I know is, my desire to leave the city that I love is growing each day. The shootings, the taxes, the traffic, the cost of living, The Cubs; this city hasn’t been the same for me for a long time.

This is all too much…

I feel like I have been in a constant state of mourning since the beginning of the pandemic. So much has been taken away from me….from all of us.

Sadly, days after my last post (March 24, 2020), I lost my Auntie C. (my mom’s sis-in-law) to COVID. She was an ICU nurse for over 33 years in Florida. Auntie C was taking care of patients infected with the virus until she couldn’t anymore. By the time her COVID test results came in, she was already at death’s door, unable to breath. COVID-19 was so new, so many unknowns, that doctors were unsure of interventions. She died on March 27, 2020. Auntie C’s funeral was live streamed via Facebook. I watched on my laptop while Facetiming one of my cousins who could not see it via her computer at work. No one in my family could go down there and stand beside my uncle as he laid her to rest. It was so surreal and made an already tragic moment worse for my family.

I watched as other family friends went through the same thing. They lost loved ones to COVID and were not able to properly lay them to rest.

My personal list of losses, other than my Aunt, have accumulated. I realize they may not be terrible in the grand scheme of life; however, if added up, weighs heavy on me mentally and emotionally.

I am mourning what I once knew…

My family has changed. Over the last four years, the family dynamic became uncomfortable, even hostile, because of political views, Democrat/Independent versus Republican. In comes the COVID-19 pandemic and then it became Science versus Nonsense/Politics. My family has never been so divided… I mourn the loss of joyful family gatherings focused on food, music, dancing, laughter. I am sad that I have to step on eggshells and think carefully of how I phrase things when speaking to certain family members for fear of triggering an argument about truths and non-truths, leading to anger, frustration, and hurt feelings. When a conversation starts going down that path, I try to pump the breaks before it ends up in a family feud.

Will my family ever recover and go back to the way it used to be?

Recently, I moved from one home to another. It is a big change, exciting in many ways, but very stressful. My partner of four years, aka The Bear, believes that the move triggered ALL the feelings I have swept under the carpet. I have been more irritable, moody, negative, and impatient. That isn’t my baseline emotional state and it is scary.

When I feel like my world is out control, I tighten up the reigns on whatever is mine: my things, my time, my compassion. I can’t share. I close up shop. Knock, knock. No one is home. This doesn’t bode well for all my relationships, especially the one with the love of my life.

Things finally came to a head the other day. The Bear had a “Come to Jesus” talk with me. He was brutally honest. But he was right. I knew he was right. I have been sinking in The Swamp of Sadness and have not been myself lately.

Tears, tears, tears. Then more tears.

I decided and he agreed: tomorrow is a new day with a new mission — Saving Myself.

Nurses, like many healthcare workers, are not good at taking care of themselves. We advise our patients on better health but completely ignore our well-being. Now, more than ever, we need to stay healthy – mentally, physically, emotionally. This pandemic is far from over.

“The woods are lovely, dark and deep,
But I have promises to keep,
And miles to go before I sleep,
And miles to go before I sleep.”

No more sinking… I promise.

Living On The Edge

/ Marjorie / Leave a comment

It looks so calm outside. The sun is shining. There are cars on the road and people walking around. It looks like any other spring day in Chicago.

It’s not any other day because here I am, at home, feeling like all the worry and anxiety I suppressed about this virus bubble up. I should limit my social media time. Really. The private Facebook group for my fellow nurses at my hospital is informative, but sometimes it takes me down the dark, winding path of despair. Issues are brought to light that are familiar in other institutions across the country, even the globe. The same pressing issues are at my hospital.

Not enough Personal Protective Equipment… Inadequate Personal Protective Equipment… Not enough COVID-19 tests… Not being notified if you take care of a COVID-19 patient… Not being tested after exposure to a possible COVID-19 patient… Changing guidelines from the CDC based on availability of supplies in this country and not because of science… Finding out that someone you worked with was just diagnosed… Worrying you might bring the virus home to your loved ones…

I try not start my day on social media, but then the fear of missing important information sucks me in. Then the stress… Why do I do this to myself? And on my day off no less…

Do nurses ever really get a day off in a crisis even when they are not at work?

I am also in a Facebook group called COVID-19 FOR HEALTHCARE WORKERS. Based on posts from frontline healthcare providers in Italy and other parts of the world, I am anticipating that our situation is about to get worse. I’m gearing up by seeking out Best Practices. It is so sad that I may benefit from the horrific experiences of my fellow nurses. May God have mercy…

I wonder, is everyone awake and ready? I hope so…

Calm Before the Storm

/ Marjorie / Leave a comment

Unprecedented has to be my least favorite word these days. It feels like every news report (over)uses that word. Basically, what I’m hearing is that no one – not our government, the CDC, our hospital administrators – really knows what to do and is figuring it out on a day-by-day, hour-by-hour, minute-by-minute basis. I was hoping was that, at the very least, our elected officials had an emergency plan in place. Makes sense, right? There has been sufficient warning by epidemiologists in the past about possible global pandemics. When I am in a procedure, I have a plan for emergencies like a cardiac arrest, excessive loss of blood, etc. The likelihood in most cases is low, but I am always ready. Why aren’t our elected officials held to the same standard when their decisions affect the lives of many?

I am frustrated and frightened by the whole situation….but I press on.

Over the last week, I have tried to stay as updated as possible by trying to find reliable sources about the prevention, diagnosis, and treatment of COVID-19, the challenges shared by frontline healthcare workers all over the world, and the developing situation in my home city. Needless to say, it is difficult and completely overwhelming. And !@#$-ing scary.

The first time I heard about COVID-19 in a work e-mail was in late February. At that time, no alarms were going off. It felt more like a head’s up than a warning. Then information went from a slow trickle to a continuous flow. Currently, e-mails are packed with paragraph after paragraph of what the hospital is doing, what the city is doing, what we should do in various scenarios, what numbers to call, etc. All this makes my head spin. Ugh. How am I managing all this information? I created a COVID-19 folder in my work account just so that I could track the updates and make sure I know what’s what.

Needless to say, there has been confusion, anger, and anxiety among my fellow staff members in the OR. Totally understandable. We are accustomed to knowing what to do, even when a trauma comes in. We are used to seeing the worst of the worst. We are at a Level I Trauma and Research Center on the south side of Chicago, for Pete’s sake! Our preparation for COVID-19 was nothing like our Trauma Readiness Training two years ago. The hospital was all over it. But now? Why is this different?

Go ahead… Say it… UNPRECEDENTED.

So there have been a lot of What If discussions floating around the unit. Personally, I try not to participate. It is not helpful unless the What If’s are followed by a plan. I want to hear a plan.

Can someone PLEASE give us a plan???

Last Tuesday, St. Patrick’s Day, was the first day of the cancellation of elective surgeries. Our whole Ambulatory Surgery OR was shut down and the staff sent home on Low Census with a possible re-open date of April 15th. It was a shock that rippled through every OR (and we have 3 different OR units – Adult, Pediatrics, and Ambulatory). So many question followed… I still have questions.

The cancellation of elective surgeries also impacted the Adult OR (the Main OR) where I work. It has slowed down so much, that adjustments have been made to our schedules to low census some of us on different days. Still, we are “on reserve.” All of us in the OR know that it is just a matter of time before there is a need to float us to other areas of the hospital. Already some of our surgical techs have been asked to go to the units to monitor providers while they don and doff (put on and take off) Personal Protective Equipment (PPE).

Instead of sending us home, why don’t they set up training for other possible roles? Why aren’t they taking inventory of skills? They should be asking the OR Nurses who have experience in the ER, ICU, or MedSurg Floor. Unfortunately, I have no such skills, but I am willing to learn. How about organizational and management skills? Isn’t that good for crisis management? I’m just wondering…

Practicality Not Panic

/ Marjorie / Leave a comment

These are strange times…

As I was getting ready for work this morning, it dawned on me that I was one of the few residents that would actually leave this 40 unit low-rise condo building to go to WORK. This gave me a sense of purpose that I hadn’t felt in a long time. Or was it just a heavier weight on my shoulders?  Yeah, that’s probably it.  Since COVID-19 started making its way through my city, my neighbors, family, and friends have been working from home, even having to self-quarantine after an exposure to the virus.

Not me.  Not yet.  I’m a nurse.  This crazy pandemic is calling.

Hello, Nurse…  I’m waiting for you.

When I arrived at the hospital, it felt like I was in a new world.  The vibe was intense.  The normal glut of visitors at the security desk were missing.  No medical students rushing past me running late for rounds.  It was almost like a lockdown.  Almost.

As of today, our ambulatory surgery center was officially CLOSED.  All those nurses and surgical techs sent home until April 15th.  What the…..???  Our main operating room OR (where I work) cancelled all elective surgeries per the recommendation of the American College of Surgeons and our government (I’m assuming).  The monitor with our status board was depleted of its normally extensive list of cases.  Instead, a teeny tiny list.  It was so surreal.  We are talking a BIG surgery department that typically performs a lot of procedures now down to a select few.

Makes you want to rub your eyes to make sure you’re not seeing things…  But no…  Hands away from your face!

Because of the small number of cases, some nurses and techs had already been asked to stay home.  We called this “being low censused”.  Basically, this means that there isn’t enough work for them so they are being mandated to stay home, and use their vacation time if they want to get paid.  One day here and there isn’t bad…  But what if the hospital does the same thing to us as our ambulatory surgery colleagues who are off for a whole month?  I hate to even think about this…

I was assigned to circulate three orthopedic cases which kept me busy most of the day.  During slower moments, my mind kept spinning different scenarios on what would happen to me and my co-workers should the number of COVID-19 patients rise in our institution.  It is too soon to say.  Many nurses want answers as if this virus was planned or as if our administrators had been through this kind of crisis before.

NO ONE HAS EXPERIENCED THIS BEFORE.

What a scary thought.  We are looking for guidance, but sometimes those above us cannot figure out the best course of action fast enough.  I would like to believe that everyone is doing the best that they can.  The only thing any of us can do it take it one day at a time, be practical and not panic. 

I know in my heart, we will get through this…  We just need to hang on to hope and find a way to be kind to each other through this frightening time.

 

A Heartfelt Letter

/ Marjorie / 2 Comments

Recently, the nurses at the University of Chicago Medical Center (“UCMC”) have called for a one day strike for the second time this year.  This is the result of unsuccessful bargaining between the unionized nurses and hospital administration over safer staffing, safe working conditions, and benefits.  A hospital-wide e-mail was sent out by one of the administrators depicting the nurses as cold and heartless.

The message made its intended impact as UCMC nurses expressed hurt, upset, and outrage on social media.  One nurse posted a response on Facebook which activated overwhelming support from her fellow RNs.

Here is that eye-opening, heartfelt letter from the UCMC PICU Nurse….

********************************

WRITTEN BY A PICU (PEDIATRIC INTENSIVE CARE UNIT) NURSE AT THE UNIVERSITY OF CHICAGO MEDICAL CENTER IN RESPONSE TO AN INSTITUTION-WIDE E-MAIL FROM A HOSPITAL ADMINISTRATOR.
Dr. Polonsky,

We’ve never met, but I recently heard you speak at the service awards in October. I was there celebrating my five year anniversary at UCMC. It was quite a celebration for me; I’ve worked at UCMC for five years, I’ve been a nurse for five years, I’ve lived in Chicago for five years. That night, I thought the University of Chicago did an incredible job of making me feel valued, appreciated, and immensely proud of the work I do, and the place where I do it.

Tonight, receiving your email has undone all those feelings. I am a dedicated employee of this organization; I am a natural rule-follower, I hate being in trouble, and I hate conflict. However, I feel compelled to write to you, someone I’ve never directly met, and someone who sits well above me in status (and pay) at our organization, in order to convey some sentiments and facts that I feel you have grossly misrepresented in your earlier email.

“Once again, rather than stay at the table and engage in the hard work of reaching the compromises that will produce a new contract, the Union is ordering nurses to walk out on their patients and their co-workers during a holiday.”

This is simply false. The union has called a strike on Tuesday, November 26th. Thanksgiving is Thursday, November 28th. While the union has called for a one-day strike, it is hospital administration that is choosing to lock the nursing staff out for the Thanksgiving holiday. Additionally, “walking out on their patients” is hyperbole, and spins a narrative that paints the nurses, the backbone of your organization as heartless and unprofessional. I can assure you that no patients were walked out on during the last strike. I can promise you, it broke every single RN’s heart to leave that building, knowing that unqualified, inferior and, at times, incompetent replacements were going to be attempting to deliver the unmatched quality care we provide at UCMC. As a PICU nurse, I didn’t have any patients to walk out on! I worked the night before the strike, completely alone in an empty unit, because the hospital administration had shipped out every last PICU child to a different hospital. So, you’ll understand if I take offense to this comment.

“This is not a strike against a nameless, faceless institution.”

This comment is quite ironic: You are correct; this strike is not against a nameless, faceless institution. However, I’ve been a nurse at UCMC for five years, and your email has made me feel like a nameless, faceless pawn in this organization’s bottom line. I know your name, I know Sharon O’Keefe’s name, and I know Deb Albert’s name, but I’m sure none of you know mine. The nameless and faceless members of society are not typically the ones whose paychecks end with seven 0s.

“This is a strike against our patients and their families. This is a strike against our community — one of the most vulnerable in Chicago where residents face high rates of serious conditions and life-threatening diseases. This is a strike against neighborhoods that rely on us for life-saving emergency and trauma care.”

Trust me, the people at UCMC who truly understand how vulnerable and critical our patients are are your nurses. If we didn’t care about our patients, we wouldn’t want more nurses, more IV pumps, more resources, and a safer work environment. The people who care the most about our patients are the ones who are willing to lose money to defend them. On September 20th, I walked out to picket line to find many former patients and their family members earnestly supporting their nurses at the strike. We are the face of this organization. We are what makes the care at UCMC excellent. Our patients and their families know that better than anyone.

What personal sacrifices have you made recently in service to the patient population at UCMC? When our PICU patients were shipped away to hospitals throughout the Chicagoland area, I went and visited one of our patients who didn’t have family members in the area. Each time I went, I stopped to pick up his favorite toys and coloring books and movies. I was out of work, not receiving a paycheck, but I didn’t care. In fact, my coworkers often bring clothes, food, and toys to work for their patients, using their own money. Can you honestly say you have a similar connection and responsibility to the patients we serve? If not, maybe you shouldn’t have included these comments in your email.

Finally, the heart of your email was read as an expression of frustration that you, as well as other hospital leaders and middle-managers, may now be forced to work more than you were planning around the holidays. Dr. Polonsky, I have worked 4 holidays at UCMC every year for five years. I am not from Chicago. It is an eight hour drive for me to get home to see my family. I have missed Thanksgivings. I have missed Christmases. I have missed funerals and birthdays. I have family members who are ill. I have family members that are elderly. And until now, I have never really complained or resented this aspect of my job. Nursing is a 24/7, 365 profession. I’m sorry you are now having to experience ¼ of what 2200 of your nurses experience every year in the rescheduling or cancelling of holiday plans. Maybe this will be beneficial to you and your colleagues; you may walk away with a greater appreciation of the sacrifices your nurses make for our patients and our organization, and a greater understanding of how valuable our profession is (and why we deserve to be valued and appreciated in the manner in which the Union is asking). The reality is that every holiday where you are home spending time with your family, thousands of employees are at UCMC away from theirs. Attempting to belittle my profession and my character by making me feel responsible for “robbing” you of one Thanksgiving with your family has opened my eyes to how out of touch you must be in your current role with the reality of your employees.

I understand that you are also in a difficult position. You are a leader at an organization that has to deal with a strong union that is pushing their agenda against yours. That can’t be easy. I imagine the past eight months have been stressful for you as well, trying to negotiate a fair contract for 2200 nurses. Well, take a moment and put yourself in my shoes. I work in the PICU; I do CPR on infants. I help police officers take pictures of beaten and battered babies. I sing Frozen songs to frightened 5 year-olds while trying to put in an IV. I hug parents after the doctors give them the devastating test results. I guess we both have tough jobs.

Dr. Polonsky, you have the privilege of earning a lot of money to make decisions that impact thousands of people’s livelihoods. The next time you find yourself at the bargaining table with NNU, I hope you can remember your own words. We are not nameless, faceless nurses. We have names, and faces, and families and friends and lives outside of work.

We do this for our patients. We do this for our patients’ families.

That’s why I come to work. Why do you?

Happy Thanksgiving.

A Not-So-Routine Routine

/ Marjorie / Leave a comment

During the Monday through Friday work week, I work four ten-hour shifts.  On those work days, my alarm goes off at 5:00 AM.  And the routine starts…

5:00 AM – Jump out of bed and get ready for work.  Brush my teeth, blah, blah, blah.

5:30 AM – Feed the Doggie and take her out.

6:00 AM – Drive like a bat out of hell to the hospital.  [CUE:  Upbeat dance music.]

6:25 AM – Arrive at work, throw lunch box in one of the overstuffed refrigerators, get scrubs from the scrub machine, change into scrubs and OR-use-only Sanita clogs, put my hair up and put on one of my cute scrub caps.

6:40 AM – Grab a quick coffee in the lounge with my co-workers.

6:53 AM – Clock in and head down to the OR.

7:00 AM – Check for my assignment at the Command Center/Charge Desk.

And this is where the routine ends.

Operating Room Nurses are typically assigned to one room where there are several cases scheduled.  These are usually procedures that fall under their primary specialty (e.g., Orthopedics, General Surgery, Urology, etc.).  However, most operating room nurses are cross-trained in the other specialties, therefore, the assignment may not be in the primary specialty.  Or maybe it’s a room with a variety of procedures that fall under a variety of specialties.

Not only does the assignment vary in specialty, but it varies in role.  There are two staff members needed to set up for a procedure:  A Circulating Nurse and a Scrub Nurse/Surgical Technician (a.k.a. “Scrub Tech).  Operating Room Nurses can either be a Circulator or a Scrub.  A Surgical Technician can only perform in the scrub role due to their training and licensure.

Scrub Nurses/Scrub Techs are responsible for preparing the sterile field.  She or He performs a surgical scrub on both hands and arms at a scrub sink (just like on TV), then puts on a gown and gloves with proper aseptic technique.  The sterile field consists of a sterile drape covering a large table with a setup of items that are needed to perform the procedure (supplies and instrument). The Scrub sets it up so that instruments and supplies can be passed to the surgeons when they need it.  Knowing how to set up for a variety of procedures is a skill learned on the job – starting with an intense orientation.

In the role of Circulator, the nurse performs a patient assessment in the pre-op holding area.  It involves a checklist of questions that have also been asked by other providers.  It is our version of Checks and Balances.  Patients get an overview of what they can expect when they are brought to the OR.  Family and friends of the patient can also ask questions.  I call this, for my readers of a certain age, my “Julie McCoy, your Cruise Director” moment. In the OR, the Circulating Nurse’s work continues with helping the Scrub, sometimes the Anesthesiologist/CRNA, and works around the sterile field (circulator = circulate = circle = around) supporting the surgical team throughout the case.   Eyes and ears are always alert.  Circulating means helping coordinate and facilitate case progress, documentation, and whatever else is needed to provide safe patient care.

Anyway, back to getting my assignment…

Wait, what am I doing?

Every day, my assignment is a surprise to me. The Charge Nurse/Manager/Team Leaders put together the initial draft of the assignment sheet the day before, but it always seems to change the morning of, based on call-offs and schedule changes.  I have learned my lesson to avoid checking the day before because I don’t want to get myself unnecessarily upset or excited about the next day.  Pointless, really.

On the days I am in my specialty, I am in my comfort zone:  Orthopedic Surgery.    In the Main OR of my hospital, the procedures we perform the most are total hip or knee replacements, repairing broken bones, fixing someone’s spine, and even taking out cancerous bone and tissue.  I work with the surgeons and residents that I know well and my partner is usually someone from my specialty team (nurse or scrub tech).  When you have the “regular team” together, there is a flow that is like….a symphony.  I love that feeling.

Outside of my specialty, I am fine, but I am on extra alert for any nuances that are unfamiliar.  While this sounds scary to some people, the beautiful thing about working in surgery is the amazing teamwork we have with our staff.  My co-workers are excellent resources when I am in a bind or when I just want just-in-case information.  It is reassuring to know that someone has my back!

Today is my day off which means I return to work tomorrow.  What will I be doing?

I have absolutely no idea.

All I know is that there definitely will be coffee in the morning.

 

Healing

/ Marjorie / Leave a comment

Since my last post, I have been on a search to find healing in this crazy messed up world. I knew I needed help when I found it difficult to talk about the trauma without my eyes welling up with tears. It was then that I decided to open myself up to different ways to recover from all the terrible things that I see on the job.

I started meditating and practicing yoga. I also started planning more gatherings with family and friends. Improvements in diet and sleep have helped, although this is more challenging to do. If I focus on why I am doing this, it becomes an easier task. Baby steps…

Months later I am not completely “fixed”, but it’s not like I will ever be. Life is messy. I have acknowledged this fact for a long time, but yet it is still a difficult pill to swallow. Our experiences make a lifelong impact. The only thing I can control is how I choose to handle it.

So here I am. Still trying to balance work life and personal life. The messiness continues. At work the traumas keep coming in and so do the really sick people. At home, I am supporting my significant other as he tries to find his way in a new industry at a startup company. In the last week, my dad just had open heart surgery. He is doing great, but it’s a long road to recovery. On top of this, my aunt is in kidney failure and is receiving hospice care. And now, one of my childhood friends is facing the fact that her mom might not survive after a bad fall.

It’s a lot. But I know things could be worse.

I could drown in negative thoughts, but what always brings me back to the surface is gratitude. The first thing that comes to mind is how lucky I am to have so much love in my life. I truly mean this. When shit is hitting the fan, the reinforcements appear – my family and friends! Even though I am so independent, they allow me….no, they remind me….to lean on them. I don’t have to hold back tears, force a cheerful hello, or hide my feelings. How lucky can one person be?

My experiences over the last year have reminded me that healing is an ongoing job. I am reminded by something an old boss said to me when I was feeling overwhelmed:

“How do you eat an elephant?

One bite at a time.”

Bon appétit!!!

I Want To Forget

/ Marjorie / Leave a comment

I am a Trauma Nurse and I think something is wrong with me.

Lately, I wake up in the middle of the night, sometimes to go to the bathroom, but mostly just because I can’t sleep.  Tears flow very easily these days when I hear a touching story on a podcast, witness tender moments on television, or expose myself to the world tragedies broadcast on the evening news.  Eventually, it stops.  Eventually.

I don’t know when I got to be so sensitive.  Or perhaps I have been sensitive this whole time.

Other things in my life seem normal like eating, drinking, and socializing with friends and family.  I find ways to have fun and connect with the people I love.  It makes me feel almost normal.

But then the sadness strikes when I am alone, or even just feeling alone around other people.

Can it be that my return to working in surgical trauma has reminded me of how heartbreaking this world can be?

I have been in operating room nursing for 13 years with over half of those spent at a Level I Trauma Center.  I can’t remember feeling this way.  I can’t remember crying like this.  There is a distinct possibility that I have done what I usually do:  compartmentalize my feelings until I am ready to confront them.

And so here I am.  Dealing with This.  Now.

The emotions emerged after caring for a trauma patient.  He was a gunshot wound victim.  Just a kid barely in his teens.  The entire surgical team worked together to save his life.  We really tried.  We did everything humanly possible that we could do.  Everything.  We tried everything.  He didn’t make it.

His life ended in front of our eyes.

And he was just a kid.

I have been an operating room nurse for 13 years with over half spent in trauma and that was the first time I ever had a patient pass away on my watch.

It was the first time I had to clean the body of my patient, a victim of gun violence, and make him presentable so that his family could view him.  My friend, another trauma nurse, had to show me how to do it.  With tenderness and compassion, the two of us wiped away blood and betadine prep solution from his torso.  She gently cleaned his baby face, covered him in a fresh green gown and blankets, then positioned his hands so he looked like he was sleeping. The learning continued as she walked me through the finer points of hiding the body bag under his body with some bedsheets because how terrible would it be for his family to see that.

How terrible it felt to do all this…

We waited and hoped his family was somewhere in the hospital.  We hoped that they would get to see him before his body was sent to the morgue.

But they weren’t there.

And so, for the first time, I closed the body bag of a teenage boy who died of a gunshot wound.  And, with my friends, helped move him onto the unpadded, cold, steel-framed morgue cart.

This night…  I want to forget.

 

 

On Call

/ Marjorie / Leave a comment

Working at a Level I Trauma Center means that I have to take call.  My colleagues and I sign up for at least one slot per week over a six week period of time right after our new schedule comes out.  Sometimes we pick up our friends’ call slots or take on extra call which is a nice option if you’re trying to pay off student loans, credit card debt, or that new hardwood floor you installed.

One night I was on call from 11:00 PM to 7:00 AM in the morning.  Something told me to go to bed early that night so that I had at least a few hours of sleep after working a 10 hour shift from 7:00 AM – 5:30 PM.  As usual, my gut instinct was right.  It was summer in Big City after all.  My phone rang at 12:09 AM

“We need you to come in.”

I mumbled, “OK be right there.”

In a matter of 30 minutes, I was at the hospital, dressed, and ready to work.  I was part of the team that was “on deck” just hitters are in baseball.  One team already started working on a patient with a gunshot wound to the abdomen, so we were available for the next trauma.  While we waited, my coworkers and I prepared the empty ORs for the next day’s cases.

I guess it had been a busy evening because the overnight staff had not eaten or taken any breaks.  I was asked by the charge nurse to take over for the circulating nurse who was working the case in progress.  When I walked in, she let out a big sigh of relief.

“What’s going on?” I asked.

I recognized an Orthopedic resident with whom I worked with regularly.  Apparently, my friend was taking on the details from the young doctor for what was to be the second procedure performed on this patient.

OR Nurses are crossed trained over several surgical specialties, but we all have one or two which we are the most comfortable and confident.  Part II was not my co-worker’s expertise; it was mine.  Immediately, I started rattling off a list of what we were going to need for repositioning, instrumentation, and supplies.  As I took over care of this patient, my co-worker collected the items I needed and left them outside the door to my room while I worked out a plan for the transition.  The surgeon and the Ortho residents also provided input on other supplies.

One more staff member on call came in — a teammate of mine from Ortho.  Halleluiah! We could not believe our luck!  We had everyone we needed in place.  The transition from one complex surgery to another could not have been smoother.

In retrospect, the success of this surgery depended on three factors:

  1. Expertise – knowledge of the procedure and the items needed for it
  2. Teamwork – sharing the knowledge and then acting as a unit to prepare and execute
  3. Communication – a constant exchange of information that helps the team operate in sync

These three elements are crucial to the success of delivering the best patient care in surgery whether during a regular work day or while on call.  This is not a guarantee that the outcome will be positive; however, ultimately, we can truly say we did everything we could do for our patient.

 

Timeout

/ Marjorie / Leave a comment

In surgery we do something known as a “timeout.”  We verify identity of the patient, the procedure that will be performed (and later, has been performed), and all pertinent information. This occurs three times while a patient is under our care in the operating room.  It happens when the patient enters the room (a “sign in”), before incision (“pre-incision”), and at the end of the procedure (“debrief”).  It allows the surgical team to ensure a patient’s safety as well as review any issues that might have been encountered.

At the end of my work day and my work week, I do my own timeout.  It helps me answer these questions:

  • What challenged me today/this week?
  • How did I handle it?
  • What did I learn about myself?
  • What did I learn about others?
  • How can I improve?

Maybe this sounds too touchy feely or too deep, but I honestly love my job.  When I stop taking it seriously, it’s time for me to find something new.  Taking care of my patients is a big deal to me and I just want to be the best that I can be.

Asking myself these questions also allows me to take better care of me.  It prevents the onset of nurse burnout.  One of my fears is that I go back to the person I was in my last job as an assistant nurse manager in surgery at a busy Level I Trauma Center.  The stress from that role made me a different person.  The job wasn’t fun and neither was I.  My family and friends can attest to that!  When a friend bluntly told me that she “will pull [my] hair out if [I took] another management job,” I knew it was bad.  I didn’t realize the extent until I left to go back to being a staff nurse.  What a difference!  I show up, work hard, and then at the end of the day I go home and can leave the work at work.

But anyway…

In my Personal Timeout, items tend to fall in these categories:

  • Moments That Made Me Laugh
  • Times When I Wanted To Quit
  • Reminders of Why I Do This Crazy Job

Today is the end of my work week.  I worked four ten-hour shifts and it’s time to call it DONE.  So here is my Debrief…

Moments That Made Me Laugh

  • My ornery nurse friend who would not take crap from a resident when he tried to do things his way versus the way the attending surgeon usually does it.  Sometimes you have to remind them that they are not the attending!
  • The CRNA who sang along to a Spotify Throwback Thursday playlist and didn’t realize she was doing it until the surgeon mentioned it.  He was entertained and she was embarrassed!
  • A coworker who announced that she is trying to be more positive by forcing an unconvincing smile.  It looked painful…  We told her to “just do you.”  No point in looking constipated!
  • The 80 year-old woman who was trying to get up on the operating room table while waking up from anesthesia.  She told a resident to “shut up” several times as he was trying to calm her down.  Feisty little lady!

Times When I Wanted To Quit

  • The combination of having a new employee to teach, a surgeon who was in a hurry, and an annoying sales rep made my head pound.

Reminder of Why I do This Crazy Job

  • My patients and their families and their appreciation of my care
  • Being able to share knowledge AND learn from my colleagues
  • Working with people who know the meaning of TEAM

 

I really do love being an Operating Room Nurse.  It is hard to think about finding satisfaction in doing something else.  At this point, I am not actively searching for a new position.  Surgical nursing is a very physical job and I know that I need to figure out where I want to be in the future.  Hopefully, I can figure that out before my body starts protesting!