I just sat down to do my assessment after a busy start to the shift. It's been like that lately, hit the ground running. Staff are dropping like flies, resources thin. We've gone back to 'team nursing' where we travel in packs room to room to do patient care
Anyway, just sat down
The phone rings and it's my coworker in another bay asking me to come help with matted hair if I have time. I don't really but I also love the challenge & satisfaction of getting matted hair fresh and braided.
I grab some supplies and head over.
There's two nurses at the head of the bed working away. They almost seem angry with how they have a fistful of hair and are attacking it with the comb. But I know better, this project is an act of love. I get to work and start braiding.
After 1/2 hour there is still a sizable ball in this hair. We have tried concoctions of different creams & lubricant to no avail. We almost admit defeat and discuss cutting it out but we decide to reconvene and finish later.
Once back with my patient things get busy. I have to change the dialysis filter, do an x-ray following an acute desat and then a bronch. I forgot all about the hair project until I got home and saw the hair oil in my medicine cabinet while grabbing the breakfast ibuprofen...
At work the following shift things are busy. There's new traumas and scans and troubleshooting why my filter keeps clotting on my prisma machine. I almost forget about the hair project until 2 am. I grab the oil and head over only to discover the pt is no longer there.
"They let her go" one of the nurses says to me, "What a waste of time eh?"
I head back to my own assignment but can't stop thinking about the hair. Was it a waste of time? Will the family even see the fruits of our labor? Will they know how much we invested in her?
I realized I didn't need the family to know. It wasn't a waste. The patient spent some of her last moments alive having a team of us doting on her, whispering in her ear telling her she's beautiful, we're sorry if she's hurting, talking about her family poster on her wall.
It wasn't everything but it was something. It wasn't family at the bedside but it was fresh braids for the FaceTime goodbye.
I shook off the familiar agony of defeat and got out a basin and filled it with warm soapy water. My pt was coming off sedation later this morning
I knew his wife was going to be calling & checking in on video to see how things are going. It might be ugly, the fresh moments out of sedation usually are, but at least he'll be clean shaven. A sign that he is cared for.
And that's something.
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The alarm goes off at 0535. And again at 0545. Can't trust myself to hit snooze when the first one goes off. Since the beginning of COVID I started taking a sleeping pill before dayshift. Otherwise it's just tossing and turning, wondering what the day will bring...
My dayshift routine is always the same: lunch made for upcoming days the night before. Shower in the evening, clothes laid out. Coffee maker ready for go time when my feet hit the floor. These days I leave 15 minutes earlier due to the staff screening line up...
Are you experiencing any fever, cough, diarrhea? Almost always I must sing the Pepto song: nausea heartburn indigestion upset stomach diarrhea. We all have a nervous laugh while they wait for me to answer. No.
In the past two weeks have you travelled outside of the country? No.
When my kids were little, aged 4 & 5, it was our first Christmas with me as single mom. I had just completed a hard semester of nursing school (they're all hard - I know!) and we were making the 7 hour car ride to visit family for the holidays...
It was one of my first times driving on the 401 (busiest hwy in North America), and my kids in the backseat fighting over the imaginary friend was not helping my stress levels. 🤯
I yelled at them to settle down.
To my surprise, they both fell asleep
My daughter, 5 years old at the time, woke up a while later, "Mommy I'm sorry we were being bad"
My heart shattered. I'd been trying so hard to hold it together since my summer divorce, to keep my grades up but mostly to be a good mom. This was all for them.
I went in to help boost my coworkers patient. "Careful", he said, "there's no bone flap on your side"
I assumed this was a trauma patient with an increased ICP, removing part of the skull to allow room for the brain to swell is common practice in our centre.
"Was this guy in the accident from last night?" I asked. Turns out he wasn't a trauma pt at all. He had TTP, (thrombocytopenia purpura) and had suffered a massive stroke.
As I was leaving, the plasmapheresis nurse was getting ready to head in for his PLEX treatment.
I helped check blood products for the plex then went back to caring for my own patient. It was a pt with ARDS, sedated and paralyzed... One of many this flu season. I wrote my assessment and wandered to see if I could help my coworkers.
"I don't know why she's here, she just had a sore throat," my patients son said to me.
We had just admitted his mother into our ICU, now so infectious it was putting her in septic shock and multi system organ failure.
This boy looked like my own son, a big stocky football player. Just old enough to be considered an adult but still so young to be making life or death decisions for his mother.
He was lost.
My heart was in pieces.
She was with us for weeks as we battled to sustain her life. It was a rollercoaster of emotion: one day able to talk and the next day would spiral and end up intubated, sedated and on multiple forms of life support.
I pulled into the hospital parking lot for night shift with an uneasy feeling in my stomach. I'd heard on the radio about a bad trauma when I was on my way in to work. Somehow I knew it was going to be a rough one...
After dropping my lunch bag off in the lounge I called to check in at home. My dad is visiting and having a movie night with my kids. Tomorrow is football & he travels 2 hours every week to spend it with us.
I was disappointed to have to work, unsuccessful at trading the shift away. At the main desk where we get our assignments the station was abuzz with chatter about the new trauma. I check, I'm nearby, but not directly assigned. A small mercy. My heart's just not in it tonight
You guys. I'm caring for a widowed old fella today and he says his lady friend from up the street has been visiting. He thinks she likes him but he says "I'm not sure I can collect the muster if you know what I mean".
Said he hasn't had a first date in 58 years...
SHE'S HERE!
She's holding his hand and he just keeps staring at it. Sometimes he reaches over and pats it.
😍
I wish I could record a video of them... I'm playing a Spotify playlist (Old Love Songs) on an old iPhone (because I meddle) and now they are singing On a Bicycle Built for Two.