I really can not believe that at the age of 22 the state of NC gave me a license to practice nursing. My mom wanted me to be a school teacher. I have never quite been sure what I wanted to be when I grow up. I know what I don't want to do, but choosing what to do has always been hard for me. If the Myers-Briggs is to be believed, I should have chosen another profession. Either the ministry or psychotherapy. You have no idea how hard that makes me laugh. No idea. The irony, oh the irony. Tomorrow I will receive my second nursing school pin some 25 years later. I lost the first one in a bag of laundry at Forsyth Hospital my second year out of nursing school. I have never replaced it. But I think I went to nursing school for the cap. I loved the caps. I also always wanted a blue cape. Always. I never got a nurse's bag till about 7 years ago and I loved it. It was one of the happiest days of my life. My very own nurse's bag. And I hope and pray my youthful nursing didn't kill anyone. I pray I always remembered this..."
First do no harm."
Nursing school is tough. I will go on record here as saying it was one of the tougher majors. It is pretty hard core. The vocabulary alone is daunting. Most first year student nurses learn 15,000 new words their first year alone. I say most, because some never make it out of that first semester. Not to mention it is just plain gross. Most will tell tales of hypochondria. For instance, just knowing you had a brain tumor when you were studying neuro and convinced you had leukemia when studying hematology. The stress is pretty intense. And you cry just about everyday in nursing school.
When I began nursing school 27 years ago, nurses still wore caps. And you earned your cap. You earned your stripes on your cap too. Your cap was peculiar to your nursing school. My first year at Forsyth Hospital, all RNs still wore caps except in the critical care areas. We wore white dresses too. I loved my white uniforms, especially the dresses. I don't even know if you can buy a white dress uniform anymore. Scrubs are the uniform of the day and the newest trend is for hospitals to have their RNs all wear the same color. To be honest, we looked more professional back then. We really did. Now I look like I just got out of bed and am running around in blue PJ's. And since I start work at 530 am, I really did just roll out of bed and drive to the hospital. I have worked every shift. Nights, evenings, days.
One particular job I had, my beeper served as an umbilical cord to the physicians I worked for. When I was pregnant, I was very sick with some upper respiratory virus. According to the physician I worked for (who was a cardiologist, I might add), my OB must have graduated at the bottom of his class. George did not like the way he was treating me. So, George being George, called my PCP, told him I needed to be on antibiotics, needed 2 liters of IVFs, and an inhaler or I was not going to make it through delivery. His real concern was not my L&D at all, he was concerned I would not be able to work up to being wheeled in the delivery room and he would be without a nurse for longer than the anticipated 12 weeks. Not kidding. David the other MD I worked for just knew my dates were wrong. I was still working at 42 weeks. My dates were not wrong. I can assure you. He thought I had at least 4 more weeks to go, ergo 4 more weeks to work. I had to be induce and long story short, it was not pretty. David was convinced the whole reason I was hypotensive and febrile during delivery was my epidural. He was completely against them. His real concern was I might become paralyzed and not come back to work after the baby was born. He called me during delivery to see if I had said no. Trust me I didn't say no. Now, I will never, ever take a stadol trip again, but fentanyl is not bad at all. My son's name is Davis- the birth announcement in the department read DAVID VANCE O'BRIEN. No kidding. Everyone thought Davis was named after David. I guess I should mention here that my maiden name is DAVIS and I was unmarried the first five years I worked for him. I still tease David that he purposely made the typo. Oh, when my OB threatened to put me on bed rest if my BP didn't come down, David called him and assured him I would get all the rest I needed in clinic, and he would personally check my BP and my ketones everyday. Not kidding. I tell you all of this, just to say, doctors need nurses. Couldn't function without us.
I have done a variety of things in nursing. CCU, CVSU, Surgical ICU (it was also the transplant unit), EP lab, cardiology outpatient clinic, neurosurgery, research, oncology and hospice. I was an infertility nurse for about 6 months, but won't admit this on my resume or in public. I got about 10 people pregnant and destroyed a $50,000 centrifuge. The best and most holy work I have ever done is hospice. Would do it again in a heartbeat if the hours were more sane. I can honestly say I have seen it all. I have helped crack chests, massaged a dying heart, put needles in peoples' chests, thighs, buts, arms, legs, heads and feet, pulled chest tubes, held retractors, shocked more people than I can remember, done more CPR than I can remember, started 1000 IVs, pushed pills,given experimental drugs never used in humans before, sutured, cut sutures, inserted 100s of foleys, NGs, dobhoffs, changed a million dressings, cleaned up shit, had vomit in my shoes, blood on my hands and in my shoes, been slapped, bit, hit, screamed at, cussed at, hugged, loved, and needed. I have eaten food I never dreamed I would have eaten, (chitlins are coming to mind and some fried something from Egypt-it tasted like chicken), stood in roach invested homes, did a dressing change with a Ocelot watching me and stepped over an aquarium with a python just so I could pronounce the patient dead. Been accused of murder too. I have seen birth and seen death up close and personal hundreds of times. Oh the stories I could tell. And I have my favorites. The best thing about nursing is you are never, ever bored and every day you show up to work - you impact a life.
About my fifth year in hospice, I was visiting a patient for the first time. We didn't get started off on the right foot. As usual, I was not welcomed with open arms. Death is a pretty hard sell. (But I am guessing since I was relatively successful at selling death and dying-I could preach-that's a sales pitch too). Anywho, the patient called me a chicken shit and threw me out of the room. This became somewhat of a little risk management incident. Just a tiny one. It might have had something to do with me telling the patient that she could call me whatever name she liked, she could spit, scream all sorts of profanities. But one thing I was not was a chicken shit. That I can never be accused of. Never. I may be many things and most of them true, but a chicken shit- never.
Florence Nightingale called nursing the finest art and it is. So tomorrow I receive my second nursing school pin. I didn't order the 14kt gold one because of the $325 price tag and in case I lose it. I sprung for sterling silver. It was only $52. I am not sure what to expect at this pinning. Pinning used to be held in churches and were more religious type ceremonies. My son, husband, mom, dad and mother in law will be in attendance. I hope they won't be too bored. I will have much to think about-like how did I get here. I hope to finish my masters in the next 2 years (18 months if I push it) and believe or not I want my doctorate. Am seriously considering a dual track program on Vanderbilt that combines a MSN and MDiv. It is the only program in the country like it. I am a perpetual student. You can never be too over educated or too over dressed. My dissertation would probably be on the spirituality of nursing. But how did I get here? One of of the country's most talented singers and educator in her own right as well as a political activist, Bernice Reagon Johnson says,
"If moving through your life, you find yourself lost, go back to the last place where you knew who you were, what you were doing and start from there."
So...who was I and how did I get here...
Through the prayers and encouragement of a friend with great shoes, great taste in clothes and who sent me flowers today and I cried and cried and cried...(and yes I will send you flowers for your GPA)...(BTW, she can flat cook too)...I am the one who loves shoes too much and clearly does not push her plate away too often
Through the endless cheering of a friend (who is a nurse), who has stared death down and said not this time, buddy, not this time...and who lives life like a bucket list...and that is the only way...and I am the one who loves wind chimes, candles and really good lotion...I am the one who will go the extra mile for anyone who needs a nurse...for whatever reason and she will too...
Through a friend who knows I love, love, love the BCP and love, love, love to read and secretly want to be Anglican but won't take the membership class and she gave me a book of the most incredible prayers and quotes today and I cried and cried and cried again....I am the one who knows that
sometimes you need prayers wiser than your own and sometimes the only way to pray is to read the book of Psalms over and over and over again...it was good enough for Jesus, I should probably give it some credit...
Through carrot cake that will make Paula Dean slap her mama...I am the one who never met a desert I didn't like...
Through the patience of one very special boy who loves baseball and his mama and gives the best hugs and will do homework with me and tutored me through math...I am the one who knows that
motherhood can spin you in circles and grace gets you through...
Through the love of one man who probably on any given day really doesn't understand me but loves me in spite of...anyway...I am his first wife...
Through the teaching of incredible nurses like Karla (she taught me everything I know about good, solid bedside nursing and how to really assess a patient head to toe quickly)
like Diane who taught me integrity is the only thing that matters....
you will be remembered by your word...
like Elaine who reminded me day after day after day...
one thing at a time...only one thing at a time...
like Robyn...the best damn hospice nurse standing...of that I am convinced...of that I am convinced...and there is no greater gift than a good death and everyone should get at least that...
like Yvette
...there is no such thing as too much or too far when a patient really needs something...lunch can always wait...
like Freda...
never let "you" get in the way of taking care of "them" EVER.
like Donna...perfection is over rated...very, overrated and an impossible goal to achieve...I am the nurse who values integrity and compassion above everything else...the patient always comes first and sometimes good enough is good enough...
Was it worth it? Every single minute. I would not change a thing.
All is grace and never stop pursuing your dreams...never...just remember you will be the same age next year with or without the dream...life is short...just do it..life is a big run on sentence with tons of commas...make it worth reading...
Kathleen