Showing posts with label nurse narratives. Show all posts
Showing posts with label nurse narratives. Show all posts

reason #6

10.05.2011

reason #6 why being a pediatric nurse is awesome... pink mohawks!


Okay, so maybe you don't consider pink mohawks to be all that great...
I can pretty much guarantee that if you'd seen my 2 year old patient rockin her pink mohawk, it would change your mind completely. It may have been the cutest thing I've ever seen to watch that sweet little girl waddle up and down the halls saying, "I a punk rocker." 10 points to her mom and dad for celebrating what little hair she has started to grow back after transplant!

reason #5

9.28.2011

reason #5 why being a pediatric nurse is awesome


sometimes you go into the play room and find your patient making you into a character on the wii. and then they proceed to pummel your little wii behind on every stinkin' game. and they laugh hysterically while they're doing it. and so do you.


reason #4

9.23.2011

reason #4 why being a pediatric nurse is awesome

Play-Doh colors

sometimes all it takes to bring sunshine into the life of a child is a little play-doh.
lesson learned.

reason #2

9.15.2011

reason #2 why being a pediatric nurse is awesome


me: "So, what do you like to do for fun?"
patient: "well, besides thinking about bacon, i really like playing unicorns."

perfect answer.

reason #1

9.11.2011

reason #1 why being a pediatric nurse is awesome


sometimes while you're drawing labs, your patient will add bling to your ears with some awesome stick on earrings


Nursing School 401.

5.17.2011

Alright, I know you're probably tired of hearing about nursing school, but for the sake of tradition, I've got to debrief my last semester (you can read about my 1st, 2nd, and 3rd semesters if you are interested). This last semester was definitely the most relaxed of any that I walked through during my 5 years in college... By the 9th and final semester of my undergraduate career, I think I finally had a thing or two figured out about time management and maintaining a healthier perspective. I mean, I was still pretty busy, but in comparison to my previous semesters, it was a breeze and I did a better job of having a life outside of my studies! I had four classes this semester:
Senior Nursing Capstone
Psychiatric Nursing Didactic
Psychiatric Nursing Clinical
Nursing Leadership & Management
-Psychiatric Nursing-
{via}
Nurse Ratched. That's what everyone's mind jumps to when they think of psychiatric nursing. My experience (both last summer and this semester) with psychiatric nursing has been far from the horrific scenes depicted in One Flew Over The Cuckoo's Nest. I do recognize that psychiatric patients have a long history of being very poorly treated in the medical world, but things have improved by leaps and bounds since that time. I won't go into great detail about my experience as I have already written a lot about psych through my summer at the Mayo Clinic. One thing is for sure, I continue to grow to be more and more fond of working with this patient population. I love the counseling role that psych nursing affords and hope that it is part of my nursing career someday!

-Senior Capstone-
{via}
You may remember my not-so-little quandary a few months back when I was trying to decide where I wanted to invest my time during my final semester of nursing school. After wrestling with the decision, I went with a little (and I do mean little) hunch and requested a placement on Bone Marrow Transplant. I have not been very consistent in writing about it, mostly because I'm still processing a lot of the things I walked through over the course of the past 5 months. Let me tell you, dear readers,
it absolutely rocked my little world!

I spent the majority of my time this semester on my capstone, putting in about 30 hours a week on the unit. My experience on BMT was nothing short of wonderful! Not only did I have an amazing preceptor, but I absolutely fell in love with oncology nursing. Oncology patients are truly some of the most beautiful people I have had the privilege of knowing. Whenever I tell people about this new found passion, I always seem to get the same response... "Why in the world would you want to work with cancer? It has to be SO sad!!!" Well, the reality is, there are some really sad things in the oncology world. I cannot even count the number of days I went home from the hospital with a heavy heart and tears in my eyes. But what I've discovered through it is that, though it can be incredibly heart wrenching and difficult, it is also an overwhelmingly profound and beautiful thing to be a part of. I didn't go into nursing to remove myself from hurt and pain in the world... I went into nursing to look some of the deepest pain and grief straight in the eye and seek to deliver grace, peace, hope and love in the messiness and suffering.

There is so much more that I could say about my experience, but the phrase "Le laid peut ĂȘtre beau" really sums it up better that I ever could... it's a French phrase meaning...
the ugly can be beautiful
the dark can give birth to life
suffering can deliver grace


And that is precisely why I want to work with cancer patients.

-What's next?-

{via}
It is crazy to think that I am done with the long journey of nursing school. It has been quite the adventure... at times I swore it would kill me, but I made it in one piece. Now all I have to do is pass that big beast-of-a-test known as the NCLEX! As I am in this job searching season as a new graduate, I have my sights set on the oncology world. I am praying that God will bring me to the perfect job - whether that's in Utah or North Carolina or some place I haven't even dreamed of yet - I trust his heart and his plan. Whatever adventure awaits, I am beyond excited!!!

A.A.

2.06.2011


2 Things:
I am NOT an alcoholic.
But I did go to an Alcoholics Anonymous meeting.

One of my recent nursing school adventures included attending an Alcoholics Anonymous meeting. It was a really eye opening experience for me. I wish I could express how incredibly grateful I am that this organization exists... so many people are finding healing and hope through their well known 12-step program and support groups. I feel so privileged that I had the chance to sit in and hear their stories. I left feeling so encouraged that people really can change... the journey may be messy, but there is always [always] hope.

One thing is for sure, that may have been the tightest community of people that I have ever been around. And the most welcoming too. Seriously, before I even sat down I had 5 people come up to me to introduce themselves and start conversations. They were more vulnerable and honest and welcoming than any church group I have ever been around. I apologize if that offends you, but it's true (at least in my experience). You know, I think Jesus was on to something with His habit of hanging around people that struggled with things like alcoholism and addiction. I saw something really beautiful in this group of people. Maybe it was their desperation for change and healing. Maybe it was the humble common ground they shared - knowing that no one there had things figured out. I guess I cannot exactly put my finger on it, but I left feeling like I'd learned a big lesson from the people in that group. A lesson in humility and openness and acceptance and love and hope and transparency.

By the end of the meeting I felt like I had a confessional statement of my own to share... "Hi, my name is Jarah and I struggle with pride and piety and fear and insecurity. So, in a lot of ways, you all have more figured out than I do." In hindsight, I suppose it was my pride that kept me from saying it. I wish I would've.

I would like to challenge you to attend an open A.A. meeting. Yes you. I will warn you though, you will leave much more uncomfortable than you came. But not for the reasons you might think. If you allow it to penetrate your heart, it will challenge you in some really significant areas of your life.

Okay, getting off my soap box now... As always, thanks for reading the ramblings of this motely character.

BMT: Day 1

1.28.2011



I started my capstone on Bone Marrow Transplant yesterday.
Here's a little glimpse into what was running through my mind...

5:30 - "Coffee... must. have. coffee."
6:30 - "Ah! First day! I wonder if my preceptor is nice..."
7:00 - "What in the world is 'Waldenstrom Macroglobinemia'?"
8:00 - "18 morning medications for one patient. Wow."
9:00 - "You want me to irrigate what?"
10:00 - "Holy Guacamole, this is really sad."
11:00 - "Note to self: room 3 will get out of bed for an orange slushie"
12:00 - "First time hanging chemo. Sweet."... "No time for lunch!"
13:00 - "The patient in room 8 has the cutest little kids. He's gotta make it for them... I sure hope he makes it. Lord, please help him make it!"
14:00 - "Okay, I am officially overwhelmed!"
15:00 - "We haven't charted yet. crap."
16:00 - "Finally got lunch. Thank God."
17:00 - "My preceptor is awesome. Holla."
18:00 - "So, the nurses do the transplants? Rad."
19:00 - "Sheesh, I have a long way to go!"
20:00 - "I was supposed to be off at 7, why in the world am i still here?"
21:00 - "Finally made it home. Goodnight."

What a crazy busy day!
I left feeling utterly exhausted and overwhelmed, but SUPER excited!
As my friend Anna would say:
IAPOTA
(it's all part of the adventure), folks!

hello, mental illness...

1.18.2011


i know our paths have crossed before...
in fact, we spent all summer together,
but i'm just writing to let you know that
my heart is really heavy because of you today.
it's bad enough that you exist in the lives of adults,
but kids and teenagers? i just don't get it.
why do you have to show your ugly face in their lives?
please let up on their little hearts, even if it's just for a while.

sincerely,
me

{via}

just when i thought i had become comfortable with psych nursing
my instructor schedules me on the child/adolescent unit...
and my experience there has absolutely broken. my. heart.

lately i've just been wrestling with the realities of mental illness in our world. it is so hard for me to reconcile and get my head around it all. i read an article this week that has really opened my eyes to how we can make a positive impact for those around us suffering from some form of mental illness. it is written to health care professionals, but is applicable to all of us. it may take a few minutes, but i strongly encourage you to check it out (www.bu.edu/cpr/repository/articles/pdf/deegan1996.pdf). let me know what you think if you get around to it!

sorry for the little rant... just lots on my mind tonight.
peace to you, blogging world.

one last toast to 2010

12.31.2010


i wrote one of these little toasts last year,
and i'm thinking that 2010 deserves at least a toast or two as well...

{via}

to finishing months of physical therapy
to 2 healthy knees
to prayers for Haiti
to nurse geekiness
to finding a new church to call home
to choosing faith that's based on more than feeling
to finding a healthier balance
to being pushed to live a better story
to embracing a little whimsy
to the closing of a chapter
to little summer blitz trips
to divine plans
to big unknowns
to facing fears
to a slow-paced, Midwestern culture
to family away from home
to heart break over mental illness
to fun adventures in new places
to an amazing preceptor
to new friends
to thunderstorms brewing over dark night skies
to learning to get over myself
to asking hard questions
to lessons in listening
to understanding myself better
to a box of letters
to lessons from mr. lewis
to a greater understanding of God's will
to adventures in public transportation
to struggling through doubt, fear, & discontentment
to gaining victory and freedom
to a shift in heart
to tangible change
to experiencing God's joy
to cultivating thankfulness
to resuscitating the blog
to blessed jobs
to the best study buddy a girl could ask for
to my fabulous cohort
to both the good and bad days in nursing school
to sweet little children struggling with cancer
to surviving my maternity rotation
to confronting materialism
to having the "hardest" semester of nursing school under my belt
to living with a bunch of goonies
to my sweet little bucyeneza irene
to growing pains
to a God who refuses to give up on me
to battling insecurity
to restoration and building back
to african refugees
to my wonderful family
to not making plans

to 2010: what blessed year!
i am truly in awe for the journey this year has been
and i'm looking forward to new adventures in 2011.

Mazel Tov!

what are your 2010 highlights?

Nursing School 301.

12.18.2010


do you remember when I wrote about my first year of
nursing school as part of the whirlwind update in may?
{Nursing School 101. + Nursing School 201.}
well, hold on because i'm unpacking my 3rd semester for you today...
(I know I've been writing about it all along, but just humor me here)


a per tradition, here is the stack of textbooks that i've been pouring through over the past 5 months. i had a whopping 7 classes this semester:
Nursing History & Health Policy
Community Health & Home Care Nursing Didactic
Community Health & Home Care Nursing Clinical
Maternity Nursing Didactic
Maternity Nursing Clinical
Pediatric Nursing Didactic
Pediatric Nursing Clinical
It was a busy one, folks... yet amazing in so many ways...

- Pediatric Nursing -
oh, pediatric nursing. i loved it. as you may remember, i was placed on the children's cancer unit at primary childrens hospital here in Salt Lake. i was so nervous about working with kids with cancer, but ended up falling in love with it. Even though parts were incredibly heart breaking, it was also incredibly beautiful to see kids gain victory over terrible diseases. i learned so much about the different dynamics of working with kiddos, it's definitely not as romantic as you might think. i can really see myself working here someday... praying for lots of job openings in may!

highlight: watching an 8-year old cancer survivor ring the bell of hope in celebration of his last chemotherapy treatment. there are no words for what this did to my heart.

- Maternity Nursing -
let's just say that i was happy to survive this one. maternity nursing is just not my thing. out of all of the grotesque things i've seen in school, i've never felt like i was going to pass out until this rotation... that being said, i still cried every time I saw a birth take place. it is one of the most beautiful mysteries in life, and i am so thankful for the amazing maternity nurses out there. i'm just not one of them.

highlight: watching my first in-person delivery, such a crazy mix of emotions, but it was so incredibly beautiful to watch a new little life enter the world.

- Community Health Nursing -
my public health rotation was definitely unique. i was placed with the burn center at the university of utah hospital. i did something different every week, from the outpatient clinic to the ICU and community education to wound care. i pretty much saw the full spectrum of burn care, and let me tell you, it is crazy intense! i think that suffering a serious burn injury is one of the most painful things that i've watched patients go through. i sat in on a burn support group and it was so apparent that the scars were much deeper that what was seen on the outside, there was a huge psychosocial piece to this type of nursing and i really enjoyed that. but hearing people scream out in pain for hours at a time is just too hard on my little heart. i really enjoyed my time here and learned a TON, but i definitely don't see myself going into burn nursing.

highlight: witnessing a man take his first steps after months of rehabilitation post burn injury. He took about 5 steps, then sat down and wept. I sat down with him and cried a few tears too.
------------------------------------------------------------------------------------------------------
my experiences this semester were broad and full, and i think they grew me a lot, both as a nurse and a person. it's great to know that i'm exactly where i'm supposed to be... for so long i've been frustrated just wanting to be done with school, but this semester i came to a place where i realized that i am here, right now, for a reason that's bigger than simply being finished someday. how 'bout that ladies and gents, by the 5th year of college i finally have some perspective :) haha. really though, what is notoriously known as the hardest semester of nursing school was one of my best. i was still busy, but was rarely stressed and had a lot better balance in my life. i don't quite know how, but i really believe that God gave me his strength and changed my heart towards school. i also think that my little project in cultivating thankfulness has guarded my heart from being consumed by pessimism and bad moods (which is so easy to do when you're in school). overall, this was a stellar semester and i'm so grateful for the things i was able to walk through in it.

thank you, lord, for walking with me through the past 5 months! i would have been consumed without you.

Bell

9.15.2010



one of my patients finished his last round of chemotherapy today.
tears were streaming down my face
as he proudly made his way to the center of the unit.
all the nurses gathered around and celebrated with a sweet little song.
then this bald little 8-year old cancer survivor ran to the
Bell of Hope hanging on the wall - the plaque next to it read,

“Ring this bell three times well, the toll to clearly say…my treatment's done, this course is run, and I am on my way.”

with a grin on his face, he rang that bell for a solid 3 minutes.
it was one of the most beautiful sounds i have ever heard.
after he was done having his little bell party,
we walked him out to his car
and sent him on his way
to being a normal 8-year old little boy,
to a new {cancer free} adventure


hands down one of the most incredible moments of nursing school thus far.
my heart is SO full today.

{p.s. the picture above is not mine, it's from here}

decisions, decisions...

9.11.2010




this is what my brain has been feeling like lately.
most of it has to do with my
capstone decision

for those of you who don't know,
capstone is my chosen focus/specialty in nursing school.
i have to declare my choice and put in my application
by next week and it is driving me crazy!
i know it's weird that i still
am not sure what i want to do by my 5th year,
but there are just too many things i'm interested in

{Here are my options}

Public Health
School Nursing
Clinic Nursing
Emergency Room
Operating Room
Post Anesthesia Care Unit
Same Day Surgery
Labor & Delivery
Maternity
New Born Intensive Care Unit
Rehab
Telemetry
Orthopedics
Neurology
Oncology
Psychiatry
Surg Trauma
Surg Transplant
Cardiovascular
Coronary ICU
Neuro Science ICU
Respiratory ICU
Trauma ICU
Thoracic ICU
Burn Trauma ICU
Cath Lab
Pediatrics
Resource
Rapid Treatment Unit
Internal Medicine
Progressive Care Unit
Intermediate Care Unit



that's a lot of options, people.
the problem is not so much finding one i like.
i pretty much like everything.
so... what to pick?

time to get on my face and do some serious praying.


you. matter.

8.01.2010


if i'm here for any reason at all this summer,
it's for those two little words:
you
matter


to help people understand that
they are of immense value...
that life is worth living...
and that there is
hope

last night i encountered
the most difficult situation of the summer yet.
hands down.
i cried myself to sleep
as i replayed the scene in my mind.

it's almost as if i could
physically feel my heart
breaking
as I sat and listened to
some of the most tragic things
I've ever heard.

my chest still feels
heavy
this morning,
but I'm compelled
by the hope I've been given in Jesus

to press on
in helping others understand
that
they
matter


i understand now,
that
is why
i'm here

a short snapshot.

7.03.2010

she sat quietly in the chair next to me
her eyes were heavy.
and her face was tear-stained.
after a long moment of silence,
she raised her head and said,
"I am not asking for extravagance,
I just want a place to live, and some
friends and family to share this life with...
Is that too much to hope for?"

Suddenly, she wasn't the only one with tears
rolling down her cheeks.
A lump formed in the back of my throat
and I found it hard to breathe.
I didn't know what to say to her
except that there was hope
and that her life was worth fighting for.

I'm learning to be grateful for those "everyday" things
that I so often take for granted.
like friends
and family.
the love in my life is lavish...
i'm coming to see how rare that is in our world.

nursing school 201.

5.19.2010

I know what you're thinking... "Oh good, another post about nursing school." I don't blame you if you don't want to read another one, but I did promise you a full update. Don't worry, this one is not nearly as bleak as the first. In fact, there is a pretty stark difference between my first and second semester of nursing school. It's not necessarily that things got easier. Actually, my spring semester was a little more rigorous academically. I actually think it was me who had changed.

{me in OR garb after watching a brain surgery}

My schedule was still insanely busy... I had to take 17 credit hours: Global/Community Epidemiology, Nursing Care of Adults, Nursing Care of Adults Clincal, Nursing Research and Cultural Competency/Mutual Respect. Here's the stack of books for my classes this Spring... not quite as intense, although, it's always a bad sign when your text book contains volumes (Medical-Surgical Nursing)!


I still spent a good majority of my time on school work, but my life had better balance to it. Maybe it was because I was "in the groove" from the fall, but I think a lot of it has to do with the conscious decisions I made to stop myself from becoming consumed. I had to learn when enough was enough. I actually had time to spend with friends on Friday nights, and was able to make it to the gym more often. I went to a few movies and spent a lot more time with my family. There were occasions when things got out of balance, but I was faster to notice that tension in myself and take steps to keep things in check.

My clinical group was, yet again, amazing. I absolutely loved my clinical instructor (Melody), I learned so much from her and really appreciated her approach to teaching.


We were at The University of Utah Hospital and had the chance to work on various units: Neuro Critical Care, Surgical Specialty and Transplant Unit, Ortho Trauma and Surgical Services, and many different Operating Rooms. It was a big time of growth clinically - I still have a lot to learn, but am feeling more and more confident as a nurse. Sometimes it seems like that day will never come, but I'm starting to see a small light at the end of the tunnel. It's crazy to think that I've already made it through my first year! It was so full, but also went by so quickly. Only one year to go! And one year sounds so much better than two, right?!?

{xo. jarah}




nursing school 101.

5.08.2010

Oh, I may seem excited in this picture. And I was. But what you may not see is the intense fear that was sitting in my chest after that first day of nursing school. At our orientation the first thing they said to us was, "Congratulations on getting into the U's Nursing program, now get ready kiss your life goodbye." Gulp. I sat there hoping for someone in the faculty to start laughing, but no one even cracked a smile. "... say goodbye to your friends, your family..." I wish I could say they were exaggerating, but life as I knew it began to change.

I've always spent a lot of time on my schoolwork, but it was taken to a whole new level this year. My first semester consisted of 18 credits: Individual & Family Assessment, Essential Concepts of Nursing, Nursing Skills & Arts, Nursing Management: Drug Therapy, and Pathophysiology II. My textbooks for this semester reached an all time high at over $700. Ew.


That first semester definitely held some amazing experiences (more on that over the next few days). There were lots of nursing milestones during those few short months: first catheter, first shot, first IV, etc... I really enjoyed what I was learning and knew that I was where I was supposed to be. There were times where I really felt the weight of the decision I'd made to go into nursing - like when we learned how to do an emergency tracheotomy or during mock codes. Sometimes it would just hit me that peoples lives were dependent on the decisions I made... that's really heavy stuff and is something I'm still learning to deal with the stress of.

Nursing school is really unique in the sense that you go through 2 years with the same group of people. I loved getting to know my cohort and became really good friends with many of them. It was great to have people to laugh with - a good sense of humor really goes a long way with some of the things you get to deal with as a nurse. And as much as those around me encourage me, there is just nothing like having someone by your side that is going through the same thing. My friend Allie and I became inseparable and held each other up during those rough weeks - so thankful for her!

To be honest, Fall of '09 was one of the most trying seasons I've been through in awhile. After 9 months off, I felt like I had whiplash after being thrown into such a demanding schedule. On top of school, I decided to get a job at Primary Children's, volunteer with the FSC and was somehow surviving on 5 hours or less of sleep a night. I have always been one to have a full schedule... but it was extreme. I rarely saw my roommates and always felt like I was behind on something. I became a walking tornado, I just wasn't satisfied if I wasn't doing something productive. As I look back, it was crazy how fast I went back into machine mode and forgot the things I'd learned just months earlier about taking time for people and slowing down.

{falling asleep at my desk during finals week}

School has always been my thing, but I struggled through that first semester. It was really humbling for me to NOT have it all together. My life was extremely out of balance - it was eating away at me and I knew it. I came to a place where I had to admit my weakness and desperate need for God... he gave me a passage in October that kept me going. It has become my creed for Nursing school...

As you learn more and more how God works, you will learn how to do your work. We pray that you'll have the strength to stick it out over the long haul—not
the grim strength of gritting your teeth but the glory-strength God gives.
It is strength that endures the unendurable and spills over into joy,
thanking the Father who makes us strong enough to take part in everything
bright and beautiful that he has for us. (Colossians 1: 10-12, Message)
With all of my heart I believe that nursing school is what God has for me right now, and even though it's insanely hard at times, it is bright and beautiful (or at least it will be when I'm finished... ha!). I prayed over and over for the "glory strength" that this verse speaks of, and God answered my prayer. He carried me through Fall '09. It was hard, but I made it! God began to reshape my view of success during that time too - he reminded me that he had called me into nursing so I could show His love to the broken and burdened. I managed to pull pretty good grades, but it mattered less to me than it ever has before. I still struggle to keep things in balance, but now I aim to gauge my success on how well I'm loving my patients and those around me rather than on my grades.

If you've made it all the way to this point, I'm truly impressed. I apologize that this post ended up being so long... lots of lessons in that first semester. There were times that I swore it was going to kill me, but on this side of things I can see I'm stronger for it. Sorry I was such a recluse, I love you all for standing by me through it.

{xo. jarah}

I got accepted...

4.21.2009

...to the University of Utah's nursing program! I am so excited! God is GOOD!

Psalm 115:1 - "Not to us, O Lord, not to us, but to your name goes all the glory for your unfailing love and faithfulness!"

working on christmas.

12.26.2008

Lately i have kind of been questioning my choice of career soley because nurses have to work on holidays. I am a total geek when it comes to holidays and I was so bummed when I found out I had to work this Christmas. But as I sat holding the babies in the nursery today, I could not help but think about my Jesus. Just as the babies I cared for, Jesus was an ordinary infant, fragile and new. But Jesus was not born in a clean hospital with the luxuries of medical care, he was born in poverty. I so often overlook how God chose to present his son... What a vulnerable and humble way for my savior to enter this world. That's not exactly the way I would have expected the Messiah to come. I mean, seriously, a baby born into poverty?

Even though the Messiah's entrance was not what we would have expected, I think it gives us an amazing picture into the character and heart of God. 2 Corinthians 8:9 says, "You know the generous grace of our Lord Jesus Christ. Though he was rich, yet for your sakes he became poor, so that by his poverty he could make you rich." The God of this universe chose to become poor - to come into this world in the humblest of states, live a selfless life, and die a sacrificial death - so that we may live richly in relationship with God. I feel like I will never be able to fully grasp that kind of love!

God's way of doing things often doesn't fit my expectations, I didn't expect anything good out of working on Christmas this year, but I truly feel blessed that God allowed me to be at the hospital today. Being around the babies helped me to see just how ordinarily and humbly my Jesus came... what a beautiful thing!