Thursday, December 31, 2009
Done
Sunday, December 27, 2009
Whoa
Since the bodies are so super tiny, this is the easiest and most private way for us to transport them. Ugh. On the way back down, a food services employee asked if I was going to have a picnic. Um, no. I also just feel awkward being a nurse to a mother who just lost her child. There are just no words and nothing I can do to comfort her. It's hard. Meanwhile, woman in pain is on her call light every two minutes because she is so agitated from the pain. Teenager finally got up (once her mom came and yelled at her). We waited and waited for the doctor to come see the mom who wanted to leave by two, but she hadn't come be 1:30. So I page her: no response. I leave her a voicemail: no response. So I have to call the clinic and have them try to track her down. Finally at 3:45, she calls back and asks me to just put in the orders and discharge the patient. (Putting in the orders is an additional 20 minutes of work) and then the pharmacy sent the wrong meds. By 4:45 they were gone. At 2:30, finally my momma in pain could have her shot. So when I go to give it, the plunger comes detached from the needle and spays Tordol ALL OVER me and the patient. We were both stunned. This has NEVER happened! And then she almost had a huge meltdown when I told her I had to go order more! And then my arm got all itchy because Tordol is apparently not meant to be sprayed on the skin. Go figure. AGH! I almost cried about 4 times yesterday! It was very frustrating, and I left feeling like I had no idea what I was doing!Today though, I felt much better about the situation. I think that "hell days" are really a good thing (even if you feel like screaming in the midst of them). They teach you so much more than any easy day ever could. And I feel like a better nurse for having handled all of it!
Today I was back in the nursery, which was horribly boring all day (we went form 3 babies first thing to none by 2 pm). Then during the last 2 hours we had 3 deliveries and we were super busy! Maybe tomorrow could be more of a balance. Please.
Friday, December 18, 2009
A new life
One of my best friends had a baby. And I helped.
Liz and I have been friends since junior high, and I was maid of honor in her wedding. Since before she got pregnant she said she wanted me at the birth of her babies. I kind of laughed it off, and was a little surprised when she did get pregnant that she actually wanted me to be there, in the room, helping to coach her. I got a call on Tuesday that she was going to be induced that night, and that I should get in the car and drive up (Liz and her husband live in Madison, WI). I frantically packed up and drove ahead of a blizzard to get there by evening. When I got to the hospital, I was shaking with nervousness and excitement. It didn't last long. We were sent home. There was a communication error between Liz's doctor and the hospital nurses, and they didn't want to induce her, so they sent us home. Good thing too because the snow was starting to pick up. We went out to a nice dinner, and there was about 7 inches on the ground by the time we got to the house. Shortly after, Liz's mom and in-laws arrived. Then it snowed some more. In total, we got 18 inches of snow. It was A LOT.
Thursday we went to a doctor's appointment where we were told that everything looked fantastic. They wanted to run one more test, and if everything looked good, they were willing to let nature take it's course. We packed up, I called and told Dad I was heading home, and went for the test. Which we did not pass. So it was off to the hospital to be induced!
Without going into the gory details, it was 18 hours of very hard labor, and not any sleep for this nurse or her friends. Liz's mom, husband, and I took turns being there for her as she went through labor. Finally, at 11:47 in the morning on Friday, December 11th, Belle Kristin McCartney made her entrance. She weighed 6 lbs, 13 ounces, and was 20 inches long.
Now, one week later, mom and baby are both doing well, although I miss them terribly! Coming back to working in Urbana was made a little easier by the return of my favorite person, my little sis, to the USA. There is a lot to be thankful for this Holiday Season.
Wednesday, December 2, 2009
Getting Personal
On most days, my job is not only discouraging; it is the perfect birth control (as if I need it). I see women in labor, women with difficult, scary pregnancies, and women dealing with the dramas of a new baby. None of these things make me anxious to have any of my own. I am just fine not having kids any time soon. Normally.
Today, I was in MFM (Maternal Fetal Medicine Clinic). The regular MFM schedule allowed for many first trimester screens (and congratulations), hospital visits, and prenatal clinic visits. That is a lot of happy pregnant (or recently delivered) women. On top of that, Melissa Zahnd (the APN) is 16 weeks pregnant and just started telling people at work. Everyone was screaming and jumping around and talking baby names, and hugging, and I was not a huge fan of any of it. As the day progressed, I got to feeling more and more…depressed, lonely, sad, whatever. I felt like everyone in the world is pregnant except for me, and it is not even on the distant radar for me. I had to sit and listen to Dr. Shepard telling Melissa that it’s about time she has kids because she’s getting old (at 30). I had to listen to Rachelle (a nurse on L&D) say that while teen pregnancy sucks, “eighteen-year-olds can push because they were made to have babies”. I had to get asked (3 TIMES) “do you have kids?” “Did you have a baby here?” “How old are your kids?” etc.
I don’t want to be a single mother. I want the perfect little nuclear mom-dad-baby family. At this point, it would be selfish of me to have a baby in any other circumstance. I don’t want to do that to my child. I don’t want to raise a child on my own emotionally or financially. Partially I think I want a baby right now because I am lonely and it would fill a void. Which is one (of many reasons) why it would be wrong to do so. Not to mention the lack of a baby-daddy. And partially it’s because my good firend Liz’s due date is so close and I am reminded daily that my friends are having kids and moving on with their lives, and I’m standing still. Alone.
I have said for many many years that I believe I was put on this earth to be a nurse. More so, I believe I was put here to be a mother. I think I could be really good at it. It is a huge responsibility, and not one that I take lightly, but one that I am excited to do. Being a parent is scary. I get that that. I also get that I’m not getting any younger. I know that 25 isn’t old, but each impending birthday feels like another year closer to that time-bomb in the biological clock. UGH. It's hard being single when you are surrounded by babies.
Lucky for me, the MFM clinic day only happens once, and I never have to do it again. Tomorrow it's back to Antepartum patients on the floor, and my 3 month evaluation with my boss!
Monday, November 23, 2009
Antes
There is a patient on our unit who has been here since her 19th week of pregnancy. This week she is at 29 weeks. That is ten weeks of hospital time, laying in a bed, praying that her twins don't come too early. Needless to say she is frustrated and tired, and not always the most pleasant to deal with, but we have all come to care very much about her and the outcome of her pregnancy. Last night she started having contractions that we couldn't stop, and today after a small bleed, her cerclage (stiches that were placed in her cervix to prevent it from dialating) came out, and she dialated to 6-7. So they rushed her back to the OR and delivered her twins this afternoon. Mom is doing well, and both babies went to NICU. It was a tense afternoon for those of us who cared so much, but I think this is a best case scenario. We also have a mom with triplets inside, but hopefully she will stay pregnant for quite a while longer.Today I got my "cycle" for the upcoming months. This isn't my schedule per-say, but it is the pattern that I work. Every month is the same: I always start on the first Wednesday. So while I can't always know dates, I know that the first Saturday, the second Saturday AND Sunday I will work, but the last two weekends I have off, and the last weekend I have 5 days off in a row- which is AWESOME! That means I can go visit my people! Yay! I'm just happy to be able to plan things in advance now that I know what to expect.
Oh, and also, we had a baby last weekend named: (get ready) KNOWLEDGE SINCERE. Seriously.
Sunday, November 15, 2009
Boppi Blanket
This week I also learned about a new and wonderful device we have in the nursery. One day a "code" was paged overhead. I realized that there are no speakers in the nursery, so if there was an emergency code, like a fire or a tornado that I need to know about, I might not find out. I inquired about this and my coworker agreed that it was poor engineering. "But," she said, "if there is a fire you get to use the Baby Boppi Blanket!" I raised an eyebrow, so she pulled it off the top shelf of our linen cabinet and put it on. Later I had to model it myself. Ladies and gentlemen, I present, the fire safe, Baby Boppi Blanket:
Oh yeah, you are supposed to just slide a baby into each of those pockets (there are two more on the back) and then run down all eleven flights of stairs to rescue babies from the fire. To me, this raises an important question: Which is worse: Burning in a fire or brain damage from suffocation and being jostled around in the baby boppi blanket?
Saturday, November 7, 2009
Babies, Babies, and MORE BABIES!
As you may have guessed from the title of this post, this week I was in the nursery, NICU, and breastfeeding clinic. Which meant I was surrounded by babies, all week. I also worked 5 eight hours shifts, and while I know that's what most of the world works, getting up at 5:30 5 days in a row made me want to cry! And as this picture indicates- it was pretty intense at times! The way the nursery is intended to be staffed is with one nurse. One nurse and sometimes as many as 25 babies! The good part about this plan is that our unit nurses the dyad-meaning the postpartum nurses are trained to care for the moms and the babies as a pair, and we try to keep the babes in the mom's rooms as much as possible. First thing in the morning, when the pediatricians are doing rounds, all of the babies come hang out in the nursery. One starts crying, upsets his neighbor, and the next thing you know the whole room is screaming! Not very relaxing! As soon as the doctors are done we try to get the babies out to the rooms. Before a baby can be discharged, there are a whole list of things that need to get accomplished. They have to get a hearing screen, pictures taken, get blood drawn for the PKU test (genetic tests we send away to the state), and get their cord clamps removed (just to name a few). It is the nursery nurse's responsibility to make sure all of this gets done. The other part of the puzzle is that we admit all of the new babies that are born throughout the day. There are alot of things that have to happen within the first hour of life. The babies get a full assessment (takes about 10 minutes), vital signs get checked every half and hour for two hours, they get their "eyes and thighs" (erythromycin in the eyes and hep. B and vitamin K shots in the thighs), and they get their first bath. It gets comlicated when you have a twin birth, or a vaginal delivery and a c-section two minutes apart. HECTIC! Twice this week we had eight or nine babies born during the eight hour shift I worked. Yesterday, doing a new admission, I had an important first- I got peed on. My fault, I was standing at the end of the warmer, and I hadn't put a diaper on him yet...next thing I know-pee all down the front of my shirt. Ugh. Little boys are trouble. I also spent a day rotating in the breastfeeding clinic (interesting, but lots of boobs). And on Wednesday I spent a day in the NICU. They say we might float down to the step-down NICU sometimes (where the feeder-grower babies are, nothing too intense).
As most of you probably know, I went into nursing, in short, because of babies. I wanted a job where I could get paid good money to hold babies all day. Later in the journey I found the Neonatal ICU, and thought that that was my future-as a NICU nurse. I knew it was unlikely to get a job in a NICU right out of school, and the position I did get was almost too-good-to-be-true. However, going into it, I figured I would tolerate the moms, but nursery would really be my forte. After this week, I find myself anxious to get back out on the unit with the mommas! The one thing I really like about the postpartum nursing is the teaching...and you can't teach much to a baby. I was really suprised to find myself feeling this way- I'm a baby nurse! But I guess it just goes to show that God really does have a plan and things happen for a reason. Next week, more babies.
Saturday, October 31, 2009
Moments
This week was my last week training on postpartum. This means that for the remaining eight (or so) weeks until I am off orientation, I will be in the newborn nursery and training with antepartum patients. In the past few weeks I have become very comfortable doing assessments, teachings, and even taking care of fresh post-op c-sections. By the end of yesterday, I was an EXPERT at discharges, sending 4 people home throughout the day (technically 8, when you count the babies too). There are about 400million steps to a discharge, so I feel pretty accomplished being so skilled at them already.
There were also some fun moments throughout the week. On Monday, a person I was friends with throughout most of my childhood and adolescence had a baby. While she and I no longer talk, it was fun to be able to meet her son in his first few moments and get to congratulate her family. Thursday I got an "Applause Card" from my boss. This means that a patient singled me out as having given her great care, and I get a free drink on Carle to thank me for it. Yesterday I saw a new dad not only gag, but vomit while attempting his first diaper change. (We're talking full on, hurling into the toilet 3 times here people)! I stepped out to get him a glass of water while the mom had a go at the diaper. The look on her face when I came back in the room told me that she wasn't much more successful. "It's not coming off" she said, "should I use soap or something?" I tried to hide my chagrin, and said, "no, just put a little more muscle behind it, meconium is thick, but it will come off". To which she replied "But her skin is so delicate, I'm afraid it might tear".
There are also those moments that in actuality, are very sad, but you just have to laugh to handle it. For example: A new mom's drug screen came back positive for marijuana. When questioned about it she said "Well, yeah, they told me I couldn't smoke cigarettes anymore because I'm pregnant, what am I suppossed to do?". OK. Or another new mom who's drug screen was positive for cocaine and alcohol (and as a side note, no, she did not get to take her baby home). When I was taking care of her after her c-section she complained of itchiness (this is a common side effect of morphine). When I brought her some benadryl she said "Ain't it funny, I'm itchin like a crack-head!" Yeah. It's not quite as funny when you actually are. Then when her friend mentioned that the baby looked awfully pale (both mom and "dad" are african american) she says "no, she'll darken up. She's gonna darken up", then after a quick glance at the now-frantic-looking dad, turning to me and grabbing my arm while looking me in the eye "She WILL darken up, right?!" Um...
My job also raises some interesting moral questions. I have found that some days, as you may have guessed already, it is like the Maury Povich Show. Part of our job is making sure that birth certificates and paternity papers get signed. The law states that if a woman is married, her husband's name goes on the birth certificate. Regardless of weather or not he actually fathered the child. He can waive this right by coming in and signing a document giving up paternity. So we have some interesting problems arise because of this law. Like a mom who is married, but has been separated from her husband for 9 years. She has been living with another gentleman for 3 years and he fathered this child, her husband now lives in another state. We aren't allowed to let them leave the hospital until both parents sign the birth certificate. Hmm. And the paternity papers...These papers are not required, but recommended in the case of unmarried couples having a child (if the mom were to die without this signed, the dad would have no legal rights to the child). However, by signing these the man is assuming responsibility (legally) for the child and also waiving his rights to genetic testing. So if it turns out that the child is not his, but he's signed the papers, he still has to pay child support. So, we have situations like: the man is about to put his John Hancock on the paper, and after listening to my speech about genetic testing, mom says "um, honey, you might not want to sign that", you can imagine the drama that unfolds.
Ok, wow, long post, my bad. Next week I'm in the nursery and I get to go to the NICU for a day, but I have to work 8 hour shifts, all five days of the week! Yuck!
Monday, October 19, 2009
"The Katies"
This weekend I drove to Chicago to have some time with my girls and have a mini baby shower for Liz. We got all dressed up and went to high tea at the Four Seasons. It was very fancy and fun!
Today I was back up on Post-Partum. Neither of my two preceptors were there today, so I got stuck with a random nurse named- guess what- KATIE! As it turns out, we have very similar personalities and worked well together. She is full of sass and sarcastic witty comments...much like another Katie I know...we ended up introducing ourselves to patients as "the Katies"! I got to do lots of fun nursy things: give flu shots, discharge teaching, check billirubin levels on babies, suction a baby that decided to choke in front of me...feel lots of funduses (the fancy nurse word for top of the uterus, see picture below)...it was a good day- at least until the end.

There is a patient on our unit who has been hospitalized for about 3 weeks. She is 22 and pregnant with her 6th child. (for those without quick math-she has been pregnant almost every year since age 16). She has been on bedrest for the past three weeks, and we have all taken turns caring for her a couple days at a time. Today, finally reaching 34 weeks (the gestation doctors decided would be safe to deliver at) she was induced. After hours of labor she started hemorrhaging and they had to take her to a crash c-section. The baby was rushed to NICU and as soon as her bleeding was under control they rushed her down on the stretcher to say goodbye to her baby. He is not expected to make it through the night. I am blessed to work on a unit that is normally very happy, but that might just make these rough times even rougher...It was especially hard becasue we all had spent time with her and seem to be greiving this loss as a unit.
In other news, I got my H1N1 vaccine today, so no piggy flu for this girl! Off to bed!
Saturday, October 10, 2009
Baby Catching

Saturday, October 3, 2009
What a DAY!

So Thursday was my first twelve hour shift, and apparently I had blocked out my memories of 12s from the internship last summer, because I didn't really realize what I was getting myself into! I suppose the other difference is that I'm not a student, or and intern --I'm the nurse! I can't say "Let me go check with your nurse" anymore! Luckily for a couple months I still have a preceptor that I'm supposed to check in with, so I'm not totally on my own! Thursday, I was scheduled to be on post-partum, and between my preceptor and I, we had five patients, and during the day we ended up admitting two others. Earlier in the week there were maybe 3 patients at a time down in Labor and Delivery, and 5 or six up on PP (Post Partum). Well Thursday, every room was full (that's like 26-30 rooms on each floor)! It was crazy! I guess it was a good way to start though- jumping right in! Because of all the crazyness, I got to do a lot of stuff on my own-assessments, teachings, giving meds, putting on monitors, talking to doctors...it felt pretty nurse-y! The biggest event of the day (no pun intended) was the birth of a ELEVEN POUND- EIGHT OUNCE baby! That's almost 12 pounds--the old fashion way--no ce-section! We were all very impressed! When I got home, I pretty much passed out. And then I slept for 11 hours straight. And now I have a three day weekend to enjoy- back to work on Monday!
Wednesday, September 30, 2009
I'm a genius. A tired genius.
And no, I didn't break six thousand laws by photographing a patient- don't worry, I just stole this off Google to give an example of the awesome sort of things I get to do at work! Yay!The house is fine, I still think it's adorable. Tonight though, when the folks were here for dinner, I kept smelling a strange odor...like...pee...large smelly quantities. We all sniffed around, but were unable to locate the origin. Luckily, I purchased a pretty fancy alternating scents hot oil diffuser (read: air freshener), so I think the mysterious pee smell is gone-or at least masked by the stench of "morning walk and cleansing rain". Anywho, assuming I survive my first 12 tomorrow, I will be sure to fill you in! I got my first (emailed) pay stub today, for last week only, and I laughed out loud at how much it was! Working is pretty SWEET!
Tuesday, September 22, 2009
A Working Girl
This is another shot of the office: basically the same, except now I have a large laminated world map to make it feel more office-y.
Anywho, after all this fun house stuff, last week I wrapped up my job at Parkland and my nannying gig, and yesterday, I became a full time member of the working world (with benefits)!!!
While I was right about the majority of yesterday being boring (because I have already attended "welcome to Carle class" twice), I am having a GREAT TIME! It turns out that 4 other girls from my class at Parkland were also hired to the OB unit, and I really like all of them. There are 3 other girls who also seem very nice joining the OB team. We all went shopping after work for our infant stethoscope and some "nature themed" scrubs (our new dress code). The most exciting thing I found out yeasterday though, is that I might not be stuck on the night shift- in fact my boss said it may be 6 months to a YEAR before (if) I'd have to switch over! YAY!!! I get to have a life!!! Tomorrow I start actual nursing orientation, and next week I go to fetal monitoring class. I will be on the unit (wither in Post-Partum or Newborn Nursery) by Friday. This is it folks: I'm legit:
Wednesday, September 2, 2009
Bad News Bears

Friday, August 28, 2009
Not much news

Monday, August 17, 2009
Not much

Not a lot happening here, just waiting for my job to start. The good news is, that after grand total of 4 mice, I haven't seen any (dead or alive) since last Wednesday. The last to commit suicide didn't go down without a fight! He bled all over my floor first, and I found him with his little feet sticking out from under my stove. Not cool. Bad news: after a particularly powerful rain today, there appears to be a puddle in the utility room. A bucket has been placed and the landlords have been notified. It is only a steady drip at the moment. Clayton (the man who fixes things) says they knew about the leak, but thought it had been fixed...so he's gonna come over tomorrow to fix it. He said something about how it probably was just a shingle that got knocked loose in the storm. I'm not so sure. There are some bulging ceiling tiles that would suggest there is more than one shingle loose. We'll see. Don't expect to see much more from me for a while, my life is pretty BORING for now.
Sunday, August 9, 2009
Little Ward- the world traveler
Houston, we have a PROBLEM
A place to sit!
Tuesday, August 4, 2009
EMPLOYMENT!!!

Sunday, August 2, 2009
Moved In!
Mom, Dad, and Emily helped me move on Friday. It was a lot of work-who knew I had so much crap in such a tiny apartment?! I can't thank them enough for all of the back breaking work! Apparently there are pictures of that adventure, so I'll get those posted soon enough. I have spent the past two days getting all settled in, and despite the lack of living room furniture, it looks pretty good. I think this house thing is gonna be kinda fun! Speaking of fun, Mom and Dad thoroughly enjoyed watching me mow my first lawn...which was very painful and torturous for me! Mom snapped pictures on her camera phone, which will NOT be appearing anytime soon! Still waiting to hear from Carle about the job...hopefully this week. In the meantime, here are some lovely pictures of my new place for your enjoyment:
Lighter, Brighter, Living room, ignore the awkward lack of furniture...
Bathroom, notice the cabinet, which, much to mom's chagrin was purple, and HAD to be painted immediately, which ended up being a huge fiasco, but in the end, the tan looks just fine!
Anyway, that's all for now, but stay tuned for news about the job!
Wednesday, July 29, 2009
An Update
Speaking of house...I spent the end of last week and most of the weekend painting and getting ready to move in on Friday! The bedroom is a plum-sort of purple/mauve color (pics soon!) and the main living space is a light beige/sand sort of color. It really brightens up the space and makes it feel a bit more like mine. I've been taking carloads of stuff over for the past few days, yet my apartment still appears to be FULL! I have a few last minute tasks to complete and then moving day is here! Once I have things out of boxes I'll post more pictures, and I'll try and get some up of the color changes asap. In the mean time, keep your fingers crossed and your prayers sent about the OB job-I really really want this one!
Wednesday, July 15, 2009
A little taste--
Ok all, here are a few shots to keep you interested while I'm gone. The first is of the house itself. No, I am not loving the mint-green color, but it will be tolerable. I'm going to hang some plants from the porch and have dad plant hostas! Ben (my CUTE landlord) assures me that while I'm gone this weekend the branches will be cleared off the roof, lawn will be mowed, and trees will be trimmed. Hopefully it will look lovely when I return!
On to the inside:
When you walk in the house, you are in the cave-I mean-living room! The room has beautiful espresso colored hardwood floors, but no over-head lighting, and chocolate brown walls with a low ceiling. The overall effect is quite cave-like. Also, my pictures are limited to the rooms with overhead lights since I have only had time to visit the house in the evening and haven't brought over any lamps yet. So, after the living room is the kitchen. Here is a picture:
To the left is the boiler room, and the bathroom. The bathroom is small, but has a tub, and some extra cabinet space, so I think it will be good.
Next is my bedroom, which has carpet (yuck), but it appears new-ish and clean. The walls are this lovely blue, which I don't really mind, but is doesn't match my stuff, so I think I'm gonna paint. Behind the bedroom door, there was a surprise...
Ben tells me that the former residents were artists, and that they will be coming back to pick up this little gem. Hopefully it will be gone when I get back from Chicago...
I mean, WHAT IS THAT??? And when you open it up, there are 3 sweatshirts hanging inside...um, ok...it needs to go ASAP- before I can sleep there!
Ok, well, that's all I got. Have a great weekend, and I'll post more when I get back and start cleaning/painting!
Tuesday, July 14, 2009
New Beginnings
Yesterday, I signed the lease on a 2 bedroom house in Urbana. It is an older home, with some...quirks, and an interesting paint job, but I think with some TLC and a new coat of paint it will be pretty nice. I'll post pictures of the whole process on here, so you can all see. To dad's great amusement, I am supposed to provide my own lawn care...Um, can't I pay some 12-year-old to mow my lawn? We'll see how that goes.
This weekend (from Thursday to Sunday) is Wendy and Anil's Mexican-Pakistani Wedding Extravaganza, so the fun of home-rentership won't start until I get back...Stay tuned...
