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Friday, November 16, 2012

Fair warning: Not a happy post.

I am having one of those weeks. It started as a really awful Monday at work, and has sort of bubbled over into the following several days. I thought I was over it, but today I got a phone call from one of the assistant managers from work asking me about if I would be willing to attend a meeting with the Attendings and Managers on our floor next Monday, and in an unrelated twist she asked how I was doing after last Monday. I started to say I was fine, and noticed myself begin to cry again, and realized that I was indeed, not over it. I am not fine.

Nursing is not easy. And last Monday was one of the worst shifts of my career. It was hard, emotional, and busy. I was torn into 5 uneven pieces and could not figure out how to make myself whole again. At one point, as I was preparing for a simple procedure, I stepped out of my patient's room to grab something out of our supply drawer just outside the room. I stood there for a second with my mind blank. I literally had taken 5 steps, and in those 5 steps had forgotten why I had moved in the first place. I think I stood there for a full minute before I remembered what it was I needed. A simple piece of gauze. The patient noticed and laughed a little, saying I was too young to be as forgetful as he was. But I told him, "when you have 5 peoples' lives in your head, you begin to get a bit forgetful." He said that it would be worse if I had kids, so I changed my number to 6. I didn't mention to him that it was about my lunch hour and I hadn't a notion of being able to take a lunch in the near future. I was stressed out. His family members were getting demanding. I had mentioned to them that I would do the procedure at some point during the shift, and when I didn't get in there right away to do it, they went to a doctor to demand it happen. The doctor then relayed the message to me, and I told her I was going to do it, I just needed a second to breathe.

I hope that the stress of being sick or having a loved one in the hospital doesn't cloud my vision so I don't treat the staff poorly, even when I am hurting or scared.

This job is personal. Sometimes un-comfortably so. Last Monday I was so busy, so so busy. I wasn't able to be there for a patient who needed me. She was stewing in her room, creating anxiety and stress for herself, that was unnecessary. Her situation is unfair. She didn't deserve to be stressed out by me. Her friend came up to me at the front desk, to let me know that the patient was threatening to leave. I lost it right then. I felt that I had let her down. When I envisioned how my day would go, this was not a part of it. I was overwhelmed, drowning in my tasks, and unfortunately that meant she went a bit neglected. In some cases, the squeaky wheel gets the grease. I didn't have time to check in for no reason. The doctors had been in and told her some conflicting information. All of these things broke what little trust I had earned. The assistant nurse manager went in to the patient's room, and listened to her complaints. Afterwards she asked that I go back in to speak with the patient and clear up some information, and also to allow the patient to tell me why she was upset. I walked in the room and burst into tears. It was difficult. It was uncomfortable. It was hard.

And even through all of that she still wanted me to be the one to hang her chemotherapy later that day. I told her, that I was just too emotional to do it. I didn't feel comfortable, I was too shaky and overwhelmed to concentrate on hanging a life altering drug.

And after all of that I sat down to eat at 4:30pm. The latest lunch I've ever had at work. And at the end of the day, I had an hours worth of charting and catch up to do before I could come home. To an empty house.

The next day I had a headache and decided to call in sick to get some extra sleep. I wish I could let go of my emotions. But, like I said before, this job is personal.

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