I had a really good day at work yesterday, and I wanted to share my experience with you.
At first, I was a bit bummed because I had baked cupcakes to share with my coworkers. (Yummy chocolate ones at that!) Well, I’m always early to work, and was waiting in the conference room for everyone else to show up. Slowly, my coworkers started to arrive, and each were happy that I had made cupcakes. This in itself had made me happy because I enjoy knowing that something I did brought some sort of happiness or enjoyment to another person. Right as the clock struck 7am, my charge nurse came in and said, “Sonia, I’m floating you up to tele.”
Ugh. Tele. Have I ever mentioned how much I hate tele? But, because I’m the new RN on the block, I knew there was no use in trying to debate why someone else should be the one to go. I told everyone to enjoy the cupcakes I made and to try to save one for me so I could have one later, and I proceeded to go upstairs to find the tele unit to begin my 8 hour shift.
I get to tele and am told I will have three, yes THREE patients. Is this a joke? I’m afraid I won’t know what to do with my time with only have three patients. You see, pretty much ever since I can remember for the past 2 years or so, I’ve had 5 or more patients. And my most recent assignment, I had on average 6-8 patients on a daily basis…. so you can see how three patients was going to be a (much welcomed) relief.
OK, no biggie… I get report. Not bad patients from the sound of my report. Well, two out of three didn’t sound bad. One patient I just thought was going to give me a majorly difficult time, but since she was stable, I was going to save her for last to do my assessment.
So, after checking in and doing my assessments on my other two patients, I had no choice but to head in to my other patient’s room. To make a long story short, she didn’t want to do anything for herself. She is diabetic and morbidly obese, and from what I was told, she was bed ridden. (And her many other health issues were because of her noncompliance to medical instructions.) Anyway… back to my day.
I talked with her and I got her to sit up and dangle her legs at the side of the bed. Her friend that was there told me he was surprised that she did that. Well, after about 10 minutes of sitting on the bed, I managed to convince her to stand using her walker, turn, then sit in a regular chair. Granted, it did take much convincing, and saying, “Don’t say you can’t do it. I want to hear you say you CAN do it,” and, “Look at what you’re doing all by yourself! You’re doing it,” and things along those lines.
Well, she actually sat in the chair for about 2 hours. From 7:30 until about 9:30. She told me she was feeling weak and wanted to lay down, so I got her to stand and turn and sit on the bed while another nurse assisted me on helping to lay her down. Then, by just placing my hands at her feet, providing her stability, she was able to grab the siderails of the bed and pull herself up in bed by herself. Even she was telling me that she couldn’t believe she did it all on her own. It must have been quite a feat for her to do all this.
Well, the charge nurse told me that the patient was being transferred to the medical floor, and it’s good that I got her back in bed. Well, I called to the medical floor to give report. The nurse I was speaking with told me, “I know her, just give me any updates I need to know.” (Which just means, “Don’t give me her medical history and such, I know all about her.”) So, I told her that I had her out of bed for 2 hours sitting up in a chair, and off oxygen with her oxygen sats remaining in the upper 90′s, the nurse replied to me, “Oh my god! You’re kidding?! She actually sat up in a chair?” When I told her that she had, even though it took a lot of encouragement, the nurse said, “You deserve a gold star or something for that! That is quite an accomplishment knowing how this patient is. She wouldn’t even turn in bed by herself when we had her!”
So, that made me feel good that I did do something for this patient… something that I do hope will stick with her for the remainder of her life. I hope that she continues to improve and realizes that she is capable of doing things for herself and by herself. Knowing that even if for only 2 hours in one day, I empowered her to do something that she thought she couldn’t do, I have done my job as a nurse.
I loved only having 3 patients. After she was transferred, I did wind up getting another patient immediately. I was excited as the patient was diabetic, and I thought I could do a lot of teaching, but when I got report, I was told the patient was not English speaking and I got a bit bummed. But, then the patient wound up having dialysis for the remainder of my shift, so I wouldn’t have been able to do much teaching anyway.
What a good day at work! Thanks for listening to me.