Celebrating Life's Little Victories

At the end of the long term care rotation I asked my students to write down three goals they hoped to achieve during the acute care rotation. One student (who can sometimes be especially "giggly") stated that she wanted to work on maturity. This goal came from a conversation she had with another nurse about the skills they had learned in skills lab. Apparently she couldn't say she learned about enema administration without laughing.
One day at clinical a nurse asked her to administer a fleets enema to an extremely constipated patient recovering from a hip surgery. With hip precautions a extra person is needed to help turn the patient in such a manner as to protect the joint. I went into the room to help her. In attempt to put the patient at ease we made small talk with her and found out she was from the Olympic Peninsula. We discussed the elk crossing signs in Sequim and the enema was administered without even a smirk! Sometimes it's the little things...

Patient Hand Off to Eternity

Over the last few weeks of teaching I have encountered two repeating themes, patient hand off and end of life issues. The Joint Commission (the accrediting body for hospitals) has put a lot of emphasis on patient hand off recently in an attempt to improve continuity of care for patients during the transition between care providers. I have been thinking of ways to discuss this with my students and provide them opportunities to practice patient reports.
A few weeks ago I found myself standing with a student at the bedside of a patient as he passed. Only days later one of my students found herself caring for an extremely ill developmentally delayed young man who was on deaths door. She did a wonderful job providing competent and compassionate care for the boy but unfortunately he died just a few days later.
I fell asleep Monday night reflecting on the last weeks events and wondering how best to respond to the students difficult questions about death. I awoke at 2:30 am from a very vivid dream. One of my junior students was with me at work in the ICU. We where standing at the foot of that same young man's bed. We had come to the place where we could do no more for this boy. We remained at his bedside as he took his last breath. Then we did something very strange, we clapped. It was a long hard fight coming to a gracious end. As we where clapping the boy took flight right out of the bed. I know; odd, cheesy, disturbing, call it what you will...
After thinking about it for a bit I finally realized what it was all about. As nurses we naturally desire to cure our patients, to make them well. We often take on too much responsibility for them, forgetting that in perspective we really have little offer them. While we must carry out our duties as nurses, we must also remember to daily "hand off" our patients to The Great Physician. Our job is to help help set the stage for God's grace in the forms (likely and unlikely) in which it manifests.

"Called"

The other day one my students asked me if I felt like I was "called" to Rwanda or to Cambodia or to Mexico. Though I genuinely enjoy traveling, cultures and international medicine, I had to admit the answer was 'no'; or at least not specifically. I went to all of those places simply because of open doors.
While I will not deny that God sometimes calls us to specific geographical locations, I believe that more often God is calling us to deeper and deeper places in our faith and in our walk with Him. When our hearts are in the places He calls them, our geographic location matters very little; we cannot help but be a part of His plan.
"Thou wilt keep him in perfect peace, whose mind is stayed on thee: because he trusteth in thee." Isaiah 26:3