Wednesday, August 21, 2013

Reactivating

I am not good about maintaining this blog, which is unfortunate because after my generation dies only the internet will remember us. However, I am currently embarking on a degree in American Sign Language (don't worry, still a nurse, still love it, just want to communicate better with patients) and have been assigned to keep a blog for my latest class. Strange things may appear here over the next few months related to that, so nobody panic.

Meanwhile, what have I been up to? Back in January I took a job at a local hospital. The jail paid the bills for a while and the work was interesting, but for reasons unrelated to inmates it was a hostile work environment and I am not sorry to have shaken its dust from my feet. My current job is on an orthopedic and post-surgical unit, which is much, much better than I could possibly have guessed. 

We get mostly patients who received joint replacements (hips, knees, and shoulders) and therefore work with a lot of physical and occupational therapists and a battery of equipment designed to increase mobility in a new joint patient.Other patients are those who had appendixes (appendices?) and gallbladders whisked out and the occasional hysterectomy. 

This differs from classic med-surg (regular sick and hurt people) in two key respects. Firstly, my patients typically stay 1-3 days, whereas it is not uncommon for a med-surg patient to stay for a week or even several. Think a little old lady with pneumonia or a person with a chronic bowel complaint. Secondly, and perhaps more importantly, my patients are not usually sick. They are healthy people who have elected to have a joint replaced, or otherwise-healthy people whose appendix suddenly jumped ship. They are, however, people with a fresh surgical wound. This means that we are meticulous about hygiene and cleanliness, because not only do we want to keep these patients from contracting any of the illnesses that may be present in the rest of the hospital, but we also do not want their surgical sites to become infected.

My only beef with this job is the patient:nurse ratio is too high, normally 5:1 or even 6:1. For your purposes, since I am required to see each patient hourly, you receive approximately 6 minutes of my time an hour, during which I chart furiously on the computer in your room, before I must run to the next patient and do the same. If you are comfortable, do not have to use the bathroom, have everything you need within reach, and just want to watch TV or nap, this is fine. But if you are getting medication, need help to restroom (and if you have a new hip this will take a long time), or have a concern or a question you want to discuss, I need much more time to dedicate to you. 

I want each patient to feel like my only patient, and if I have six at a time, that's simply not happening. It's a shame, but it's also fodder for another post, so we'll leave it there for now.

Tuesday, October 9, 2012

Weird Things

Today I looked up the patron saints of nursing, in case my father should ever ask me who they were (and he will).

Bad rap or rolled eyes though it gets today, the thing about the Catholic church is that before it ruled most of the Middle Ages, controlled the crowns of several nations, and starred in a Tom Hanks movie, it was a grim, hunted faith. It is still a grim faith, but back in the day it was not considered unusual to be dragged from your home and dismembered in increasingly creative ways for the crime of being a Papist. This coupled with the early Catholic artist's habit of including suggestions of the saint's death in their iconography gave us some really excellent depictions. By which I mean ones anyone can appreciate, ones you stare at and go, is that...? Why...?

First, the facts: The patron saints of nursing are, alphabetically, Agatha, Camillus de Lellis, Catherine of Genoa, Catherine of Siena, Dymphna, John of God, and Margaret of Antioch. Also a fact is that some or all of these people are entirely legendary, but the stories are still awesome. Agatha and Margaret are particularly good. 

St. Margaret of Antioch is mostly apocryphal for soon-to-be obvious reasons and whatever portion of her legend is true occurred in the late 400's. Like most early female Christians, she was martyred in horrible ways for not having sex with someone, during which they tried and failed to burn her at stake and boil her alive. Naturally they then FED HER TO A DRAGON. She gave it indigestion and it spit her back out, so they had to behead her instead. She is therefore always depicted coming out of said dragon, which is the clue here that some of this story may be not entirely accurate, although I like to think this may also be a clue that dragons were once a thing.

St. Agatha is an even better story, since she too was tortured extensively for not having sex with some guy, who among other things cut off her breasts. She is therefore usually drawn holding one or both breasts on a plate, which is weird enough, except that the Middle Ages' customary aversion to body parts misinterpreted this image as - wait for it - a pair of loaves of bread, and for centuries bread festivals were held in her honor.

This is topped only by St. Bartholomew, who was flayed alive and in traditional artwork usually holds his skin over his arm. For extra awkwardness he is the patron of leatherworkers. 

For further reading even non-Catholics can enjoy, an incredibly exhaustive list of patron saints can be found at: http://www.catholic-forum.com/saints/patron00.htm

It is worth perusing for the sheer weird specificity of some of the saints, like the patron saint against caterpillars (Magnus of Fussen), girls living in rural areas (Germaine), pencil makers (Thomas Aquinas), and people who own yachts (Adjutor).

Sunday, October 7, 2012

Official.

So I am now officially an RN. An RN-BSN, if we're being precise, and employed at a local jail (yes, they need nurses there too). Onwards!