Okay, so I have been MIA for most of the month of March, here are some highlights:
1. The job:
I have been gone through the training to become an admit nurse on my unit. There are two nurses each shift who come in and don't have (usually) patient assignments, the charge nurse and the admit nurse. The charge nurse is the one "in charge" of making patient assignments for the next shift, as well as managing staffing for the next shift, making any needed changes to any assignments on the current shift (like, if one of my patients got really sick during my shift and was requiring all of my time, then the charge nurse would arrange to have another nurse take care of the other patient in my assignment), going to deliveries that the pediatric team is called to, figuring out where we are going to put new admissions, etc. The admit nurse goes to all deliveries that the pediatric team is called to (which includes all c-sections at my hospital, so I've seen a lot of those recently, any situation where L&D is concerned about how the baby is doing-- mec stained amniotic fluid, baby comes out and is not transistioning well, etc.), prepares for any patients being transferred to us from another hospital and helps with (or does entirely, depending on staffing) all of the work to get the patient admitted and stabilized, helps other nurses on the floor with IVs and labwork and anything else they may need, and then there's the grunt work portion (checking all of the code carts and bags we take with us when we take the babies off-unit for procedures to make sure everything is fully stocked, checking the "set-up" room, the room that is located adjacent to the OR-- actually there's a take-out like window between the OR and the set-up room through which they will hand us the baby, we use the set-up room for any babies that we know ahead of time will require a lot of medical intervention-- preemies, babies with congenital anomalies, etc.). Anyway, one of my managers had asked me a couple of months ago what I thought about becoming an admit nurse and I said I didn't know if I was quite ready, then I walked in one morning to look and see where my assignment was and I didn't see my name next to any of the patients, only to find out I was being "oriented" to admit. By the way, the "orientation" consists of spending two days following around an experienced admit nurse, then you're set loose-- well, kind of, until you feel "comfortable," the charge nurse comes to all deliveries with you. So far, I kind of like it. It's interesting to go to the deliveries and see more of that end of things, though I only go to deliveries where something has gone awry-- though most of the time, at least with the c-sections, the baby comes out and is just fine so we just dry them off, let dad/ birthpartner cut the cord, weigh the baby, wrap them up, take them over so mom can see and kiss the baby, and take them to the well baby nursery (until mom is out of surgery and ready to see the baby, and the dad/ birthpartner is welcome to come with or stay with the mom, it's up to them). I was also kind of worried because I'm still learning to do IVs and arterial sticks (where we need to take blood from the an arterial source-- which is harder, because you can't see arteries, you just have to feel for a pulse and aim the needle in that general direction), but so far my "batting average" has been pretty high. I've gotten all of the IVs I've been called for in one attempt (except one that required 2 attempts) and I've gotten all but 2 of the art. sticks (and one of those I got on the 2nd attempt). You can't see me, but I assure you I am knocking on wood, because with both IVs and art sticks, sometimes you see exactly where a vein is, but just can't the frickin'-frackin' catheter in it and sometimes you can feel a great pulse, but just can't find exactly where the artery is. What I've learned about both of them, is you have to be patient, sometimes they go right in, but most times you have to insert the needle, then gently pull back and readjust where you've aimed. Anyway, this is all to say that, so far, it's going better than I thought it would.
2. The wedding:
A. The invites have been sent out, I'm doing my best not to take the "regretfully declines" personally.
B. I'm in Seattle right now to take care of some more details, like:
I. Music: I need to talk with some musicians, right now, we're thinking of having a pianist for the ceremony and during dinner, then maybe a DJ(?). We'll see.
II. Videographer: DP is insisting on this, primarily because his beloved grandma can't come and he wants her to be able to see the tape.
III. Flowers: Have hired one, am meeting with them to discuss arrangements and to see a "mock-up."
IV. Cupcakes: Need to meet with someone at Cupcake Royale and chat about "cupcake arrangements."
3. The mom:
As in my mom. Is driving me. Slightly crazy. As are all moms. To all kids. Everywhere. Don't fool yourselves. This includes you. And will include me. No one knows how to push your buttons like the one who installed them. Case in point: When I was a young teen and double-piercing was all the rage, I asked my mom, in front of some of my friends, if I could get my ears double pierced. Her response? "Well, your lobes are certainly big enough!" Yeah. So fast forward to yesterday, I put on a pair of earrings that may or may not be the most flattering, considering MY GIGANTIC LOBES, and I just had this feeling that she was going to say something. Which she did. To which, I did not respond well. TO WHICH SHE THEN DENIED EVER HAVING MADE THAT REMARK IN THE FIRST PLACE. And said that she didn't know that I was even self-conscious about it until I said something to her. To which I responded, "Well, of course you don't remember saying it, it wasn't a big deal to you!" Listen, I don't honestly care that much anymore, but for her to deny having said it and won't even admit to the possibility that maybe she said it (and that I'm not making it up) makes me mad. And, we all say things that, in hindsight either came off not the way we had intended, or we just shouldn't have said at all, so it's not like I don't love her because she said that or don't understand that she is human, too... But, dammit, woman! You did say it! Grrrrrrrrrrr.
Overall, she's a terrific mom, and someday I will write a long post about how awesome and strong she is.
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