Tuesday, May 4, 2010

Good morning, day shift!

Ah, day shift. It almost feels like my first day at KU all over again! When I started working back in October, they were so desperate for experienced nurses on night shift that I didn't work a single day shift with a preceptor- I went straight to nights. Now I'm going to be working with people who only know me from change of shift report.
*You have brains in your head.
You have feet in your shoes.
You can steer yourself in any direction you choose.
You're on your own.
And you know what you know.
You are the guy who'll decide where to go.*
~Dr. Seuss
New haircut? Check.
New work shoes that look more professional than tennis shoes and make me 3 inches taller? Check.

New scrubs? Check.

Caffeine? Check!
Truth is, I was scared out of my mind for my first day shift today. Day shift tends to be much faster-paced and you have to be on your toes to talk to the doctors when they make rounds and write orders for the day. I feel like I've lost a lot of skills since leaving JPS and I'm terrified someone will find out I'm just an expensive babysitter! Well, the babysitter part is an exaggeration. I still consider myself a good nurse. But I miss going to deliveries, admitting babies, and juggling terrible assignments. I can't believe I said that, but it's true! You feel so much more accomplished when you get through a crazy day. I'm sure I'll have my share of those, but I really miss my delivery and admitting skills.
I must keep reminding myself of the positives:
1. I went to the February staff meeting and asked our manager if we had a Developmental Care Committee. She said no, but she'd like one. And then she put me in charge of it!
2. I was in a family meeting with a mom whose baby is one of our micro-preemies, and the doctor (our head neonataologist) told her, "Therese is actually the head of developmental care here. You should be very glad she's taking care of your baby." (Prior to that statement, I wasn't sure he even knew who I was since that was my second-ever day shift).
3. Sometimes the Pediatric ICU (PICU) nurses call us when they've attempted an IV on a kid a few times without success. I was the only NICU nurse available to go downstairs and help them the other day... and I got the IV on my first stick! It's always a bigger deal when you have 3 other nurses hovering around you and the hard-stick patient.
4. My sweet lil' primary patient went home on my birthday and her mom still sends me updates!

Career goals to keep the "I'm losing all my skills" worries away:
1. Get the Developmental Care Committee up and running. We've already had 2 meetings and things are really going well.
2. Take the NICU Certification test by December 15 (my 3 year nursing anniversary). This actually scares me out of my mind, but it's something that will really help me feel like I'm not missing out on learning experiences.

*A great deal of talent is lost to the world for want of a little courage. Every day sends to their graves obscure men whose timidity prevented them from making a first effort.* -Sydney Smith
*Nothing splendid has ever been achieved except by those who dared believe that something inside of them was superior to circumstance.* -Bruce Barton

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