Showing posts with label night shift. Show all posts
Showing posts with label night shift. Show all posts

Monday, November 25, 2013

Even Here

If you've known me at all in real life or via social media in the past 6 years, it's pretty clear that I don't like night shift. Loathe might be a better word. I don't handle it well physically, mentally, or emotionally. When I left the NICU this time last year, I took a huge, HUGE risk leaving my day shift and my seniority behind. 
Honestly, I regret that a lot. I knew the risk I was taking, and man have I grown a ton in the last year in ways that might not have presented themselves if I was in the same old job, but I do find myself longing for that old job more often than I should, given that they're not hiring right now. In two short weeks, I will officially lose all seniority at that hospital since I've been gone for a year. I hate that. But it's out of my hands at this point. 
Once I decided to resign from my clinic job, I was really anxious about finding a new job since most of the positions I applied and interviewed for were not day-shift positions. I'm so blessed to have found an arrangement that avoids full-time nights! However, I do currently work a few nights a month in a PRN capacity. It's so much better than full-time, but it's still a bit painful. Since I'm accustomed to being awake during the day and my night shifts are all spread out, it often means going to work without being able to take a nap and therefore staying awake for 24+ hours. It means not seeing Ross some weekends because I'm asleep while he's awake, and then I'm at work in the evenings. It means bringing some old wounds and fears to the surface. The last time I worked nights regularly, our marriage was so dysfunctional that we didn't even know dysfunctional it was! So it's scary to go back to the unknowns of what's going on while I'm sleeping or working.

 
It's frustrating to be so tired and not be able to sleep normally. It's a little suffocating to think about how little money we're bringing in right now and to feel the pressure to sign up for more night shifts while simultaneously dreading it. My thoughts are all jumbled up.
I had been dreading this weekend for a month due to back-to-back nights. It felt like Ross and I hadn't spent time together in ages. I'd been sick with an awful sinus infection since Monday and I dragged my butt to my other job Monday, Tuesday, and Wednesday, which wore me out. To say I was seriously bummed (and tired) heading to work Friday night would be an understatement. 
But when I got home Saturday morning, Ross was awake making me eggs. And when I woke up ravenous at 1pm, he brought me a snack. He went grocery shopping while I slept and made dinner while I got ready for work. When I realized we didn't have any food prepared or ready for me to make and take for lunch Saturday night, he ran to Chipotle and got me a delicious burrito bowl. As I walked out the door with my Chipotle bag in hand, I was overwhelmingly grateful. I still wanted to throw my bags down and stay home, but for a different reason. Instead of dreading work, I was dreading spending yet another evening away from this man I love.
My heart was so warm all night and I just kept thinking, God is so good at his job. To give us a chance of redemption here, in this painful place that's part of our past and present. To bring things such full-circle via night shift. To give Ross a chance to serve me in a place where I can do nothing but say thank you over and over again. And thank you to God for second chances.

Sunday, May 16, 2010

Crazy Days

I suddenly have less time to blog now that I'm on day shift. Working 6:45am-7:30pm leaves you worn out in a whole different way. Don't get me wrong, I'm SO glad to be on day shift! (Even though I will always have a soft spot for my night shift co-workers and they will always have my undying respect.) But day shift is so much busier. "More bang for less buck," as my friend Kate says.
My feet hurt and my legs are so stiff. I worked Friday and Saturday and Saturday was especially JPS-worthy crazy. When I got up this morning, my feet started to hurt while I was standing in the kitchen making breakfast! And I get to do it all again tomorrow. However, I am very glad that I started my nursing career in such a busy unit. I still miss it with all my heart.
I'm so UNSURE of everything here. It REALLY doesn't help that my current NICU has been divided since I got here. There's one unit on the first floor and the main unit is on the 5th floor. We get shuffled between them just enough that I've been here 7 months and I still can't find supplies when I really need them!
I miss going to deliveries. I miss having designated "admit" nurses and I hate the chaos when we might be getting a baby and no one seems to know who is even going to take the admission at first. I remember feeling so lucky that in my entire first year and a half of nursing, there was never a day I DREADED going to work. I LOVED my job. I am still undecided here. Don't get me wrong, I love my patients (most of them, anyway) but there are definitely days that the thought of going in to work really weighs me down.
Ross hates it when I complain about missing Ft. Worth, but I need to get this out. I miss JPS. Yes, the county hospital with mostly Spanish-speaking clientele and homeless people watching TV in the ER waiting room when the weather was bad. I miss my little Hispanic babies who were always born with a full head of hair. I miss having a Neonatologist at the hospital 24/7.


I definitely miss doctors who took the time to teach the nurses in the unit! (Here they're too busy teaching the residents, most of whom will never step foot in a NICU again after their rotation.) I miss being at the bedside when the doctors spoke to the infant's parents in rapid-fire native tongue. It's been 7 months and my Spanish is all but gone. I hate that.

I really hope that studying for my RNC brings back some confidence, because right now I'm no longer one of the lucky few who can say that I do what makes me happy and I get paid for it!
*A good leader inspires people to have confidence in the leader, a great leader inspires people to have confidence in themselves* -Groucho Marx







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


















Wednesday, April 14, 2010

The Big 2-5

It's my birthday!

When you are very young, you have all the time in the world... And you keep wondering: Dear God, when is life ever going to start? Then you hit the age of 25 and you realize that your days are numbered, so to speak. You begin to understand that time is no longer infinitely elastic. And why did nobody warn you that you would be spending 30 percent of your time on things that are really tedious or difficult, like trying to find a rental apartment you can afford. This is a terrible time of life, the mid-20s, because you still don't know what real adulthood looks like. And since you probably don't have children yet, you can devote entire afternoons to questions like "Who am I?" which rarely lead down a pretty path.
-from an article in the the May 2010 edition of Real Simple
I was all set to write a melancholy post today. I remember panicking before ballet class when I was little because I was turning 6 the next week and I wanted to stay 5! I have anxiety issues. Ever since then, I've looked forward to my birthday with a combination of trepidation (turning one year older) and anticipation (a day to celebrate). Needless to say, my 10th (leaving the single-digits) and 20th (leaving the teens) birthdays also provoked anxiety.

I was expecting the same with the big 2-5. After all, now I'm in my mid-20s. I know I'll look back at this someday and laugh, but man I feel old! High school was just yesterday, right? Time flies way too quickly. (Except during a 12-hour night shift).

But really when you think about it, we get a day older each day. It's not like you suddenly age an entire year on your birthday. I say I'm 25, but it means I've actually just completed my 25th trip around the sun. Luckily, I've been too busy lately to contemplate this thought.

I woke up to a gorgeous sunny day today, which always improves my mood! In 8th grade, there was 100% chance of rain on my birthday and it poured from the moment I woke up to the moment I went to bed. I obviously still haven't recovered.







April 14, 2010 ended up being a good day! Ross and I went to blanc burgers + bottles on the Plaza for lunch. His mom sent us some money to go to a birthday dinner, so it was actually a dual celebration of our April birthdays.

Lunch was awesome and I already want to go back!













After our great lunch, I had to go home and take a nap because I had to work that night.
And speaking of late nights, Ross brought a Baskin Robbins turtle pie to work when he got back from his night class! When I was little, there used to be a Baskin Robbins in Dundee and we'd walk there after dinner every now and then to get a cool treat on a warm summer night. I remember Tommy always getting bubble gum ice cream (gross) and I think it was my dad who started getting turtle pie. One bite and I was hooked! I haven't had it in years and it was just as good as I remembered.


Thanks to everyone who sent birthday wishes! I know I'm bad at keeping touch, but it's nice to know that out of sight isn't out of mind.





















Wednesday, April 7, 2010

Isn't it ironic... don't you think?

I'm a good whiner. Probably because I get so much practice ;-) One of my specialties is whining about things I have no control over, because then no one can blame me for whining about something instead of changing it! Case in point: night shift.
I have the UTMOST respect for night-shifters. They are always *cool* and I REALLY WISH I could be one of them. However, it's hard to be cool when you'd rather be asleep. I've always been more of an early riser than a night owl. I am trying to be more optimistic, and I had actually been thinking about writing a post listing all the POSITIVE things about night shift to cheer myself up.
Instead, today I found out a day shift position has opened for May 2. That's soon! Suddenly, I'm thrown into turmoil. ALL I WANTED was to move to day shift. I blame most of my problems on night shift and I tell myself the when I can just be on day shift, things will change. I had basically resigned myself to a year's worth of night shift and all that it entails. Yet now I can't decide if I want to put my name in for consideration?!
So. The "positives" list is now a "pro and con" list.
PROS of staying on night shift:
1) Obviously, MONEY! The night shift differential makes a big difference on my paycheck and between taking a paycut to move up here and watching income taxes drain away a good percent of my paycheck, that differential seems to be the only thing keeping us afloat.
2) Slower pace (this is also a con... see below). When it's
3) People TEND to be more easygoing. Don't misinterpret this. I have some great dayshift friends from JPS (my old hospital) and I hope to make some here, too. However, people one night shift tend to be more laid-back.
4) The slower pace allows me some free time to play with babies! The best part about my job! My primary patient is going home soon and taking care of her has kept me coming to work these last few months. When I don't want to work, I just think, "I get to see sweet pea!" and I can drag myself out the door. I miss her when I'm gone. Now that she's so close to leaving, I've definitely started to dread coming to work and not taking care of her.
The best part about my job!
5) Now that it's warming up, I was semi-looking forward to the workout schedule I got used to last time I was on night shift. I'd wake up around 4pm, go on a good bike ride or run on the Trinity Trail, shower, eat, and get to work. The last bit of sunshine really energized me and helped me stay awake at work. However, we don't have a great trail in our backyard anymore so it would've been a little more complicated. (We didn't realize how lucky we were- I wish I'd used the trail more. I MISS IT SO MUCH! Now any way you go from our apartment, it's busy roads, interrupted sidewalks, and hills.)
CONS of night shift:
1) Sometimes the night passes SO SLOWLY that I'm tempted to find an empty patient room, curl up in a pediatric crib, and crash! You'd think that all that free time would be a great time to study, read a good book, etc. Except it's IMPOSSIBLE for me to focus at 2am. Trust me, I've tried. I end up reading the same page over and over again and not absorbing anything. I was never able to pull studying all-nighters in school, why would I suddenly be able to do so now!?
2) I never see Ross. He works in the morning, so he's not there when I get home and eat breakfast after work, and he is either headed to class when I wake up, or else we see each other for about an hour before I have to leave.
3) My body is all out of whack. Some people can sleep anytime, anywhere. I used to think I was one of those people. While I definitely do sleep when I get off in the mornings, it's not quality sleep and I don't feel rested when I wake up. On my nights off I can't sleep, period. I'm usually up wasting time in front of the computer or TV until 4am or later. I also feel hungry all the time because I'm so tired and suddenly I'm eating 24 hours a day!
PROS of switching to day shift:
1) A healthy sleep schedule = normal circadian rhythm = a happy Therese
2) I'd actually get to see my husband!
3) When we visit family, I will get to spend more time with them instead of sleeping the day away and then prowling around the kitchen at 2am when my body now gets hungry for "lunch" and everyone else is asleep.
4) I can work 4 days a week without messing up my sleep schedule on days off even further. And I can split them up (on 2, off 1, on 2) without losing an entire week of my life.
5) I'll always know what day it is! On night shift, I'll go into work on, say, a Monday and work 2 nights in a row. One night off means sleeping most of that day and night, being awake the following day and then taking a nap before going to work again. I'll get off work the next morning, take a nap, and then before I know it, it's 5 days later!
6) SUNLIGHT!

CONS of day shift:
1) MONEY
2) The transition. I worked nights for 9 months at JPS, and after I switched it took another 9 months to learn to sleep throught the night again and be rested for day shift! That left me with 3 months of "normalcy" before moving to Kansas and going back to night shift. Three months in which I saw the light of day, went to the farmer's market on my days off, and actually hung out with friends (I miss afternoon walks with Brittnye and Avery!) I know I said I'm an early riser, but when I've been sleeping from 8am-4pm on days I work and about 4am-1pm on days I'm off, it takes time to adjust to going to bed early and sleeping through the night again. I've only been on night shift 5 months here, but that's plently long enough to be out-of-whack once again.
3) SORE FEET. Right now, I can wake up and work out before work without making myself more tired. But on day shift, it's hard (read: impossible) to wake up at 5am, work out, and then work a 12 hour shift and remain on your feet the whole time. My feet were always so tired after leaving work on day shift that the LAST thing I wanted to do was go home and pound the pavement for a good workout.

I remember when I was nearing the end of my night shift stint in Texas, I had been sitting and rocking a baby for 30 minutes and that Trace Adkins song popped into my head, "You're gonna miss this, you're gonna want this back, you're gonna wish these days hadn't gone by so fast..." But I wasn't too worried because I knew we'd be moving eventually and I'd inevitably be put on night shift at least once more in my life. But now that it's possibly over for good, I'm panicking! I hate when things end.
"And isn't it ironic... don't you think
It's like rain on your wedding day
It's a free ride when you've already paid
It's the good advice that you just didn't take
Who would've thought... it figures"

(Comments/advice/prayers greatly appreciated!)



























Friday, March 26, 2010

Imaginary Distresses

I go through phases of feeling really sorry for myself on night shift. In fact, you're probably sick of hearing about it! However, I recently picked Screwtape Letters off my bookshelf again. It's been a long time since I read it and it's the type of book that will speak differently to you depending on where you are in life.

Among some night shifters (the ones who can't return to a "normal" schedule on their days off, no matter how hard they try), there's a phenomenon called "shift work disorder." This applies to the people who suffer insomnia and excessive sleepiness from working nights.
The CDC did a study a few years ago and found that, obviously, most of the risks associated with night work are related to a simple lack of sleep and not being able to keep up steady, healthy behaviors- such as eating right and getting exercise. This, of course, leads to higher rates of cardiac disease and metabolic syndromes in night-shift workers. Digestive problems are also common, either because of poor eating habits or because the digestive system isn't used to working hard in the middle of the night.
I frequently complain of one or more of the above issues, including not being awake do to normal things with normal people at normal times of the day (or run errands during normal business hours). Poor me, right? Well, C.S. Lewis managed to kick me in the butt this week!
In Screwtape Letters, two demons are writing letters back and forth about the soul of an unfortunate man they always refer to as "the patient". The demons are trying to win the man's soul despite his conversion to Christianity and God's love for him (they refer to God as the Enemy). Quotes can be confusing out of context, but bear with me. Or even better, read the book! It's amazingly thought-provoking, but not in a way that makes it a chore to read. It's very much a story we can all learn from and not just some Christian living manual.
But I digress. Here I am, feeling sorry for myself, and I read about "the patient" taking a walk and renewing his faith in God. The senior demon writes to the younger one, saying:

...you allowed (the patient) two real positive pleasures. Were you so ignorant as not to see the danger of this? The characteristic of Pains or Pleasures is that they are unmistakably real and therefore give the man who feels them a touchstone of reality. Thus if you had been trying to damn your man by the Romantic method- by making him a kind of Childe Harold submerged in self-pity for imaginary distresses- you would try to protect him at all costs from any real pain; because, of course, five minutes' genuine toothache would reveal the romantic sorrows for the nonsense they were and unmask your whole stratagem.
I realized at that moment that I am certainly a victim of my own imaginary distresses. I had to stop and take stock of reality. Life's not perfect, but I certainly don't have it too bad! Sure, I hate my schedule, but I have a steady job! Yes, I took a paycut to move up here and I'm not used to income taxes, but I get regular paychecks every 2 weeks! I may not see my husband a lot right now, but he works so hard and I know I married a man with a wonderful heart. Yes, my back hurts and I'm struggling to live a healthy lifestyle without a healthy sleep pattern, but overall, I am still young and healthy! Most importantly, no, I cannot control my life or those around me, but God knit my inner being and He knows when I sit and when I stand. I was raised by amazing parents who taught me to turn to God in all circumstances.




I saw a homeless man on the corner today with crutches, a bad leg, and rags for clothes. Call me a sucker, but it always hurts my heart to see that depth of pain and vulnerability! (Homeless discussion aside, please. Yes, there are 1,000 reasons people are begging for change on the corner and not all of them are honorable or necessary. But it still hurts my heart.) I'm sitting here in my heated, (partially) furnished apartment with the knowledge that next Friday is payday and I have to admit that my life is pretty cushy.


The demons want to detach their "patient" from REAL pleasures and pains and I very much recognize that sin in my life. Time goes by faster if I walk around in a general haze, always blaming others for my problems, and feeling sorry for myself. God watch to detach us from ourselves, but in a different ways. The demon tells his apprentice,

(God) sets an absurd value on the distinctness of every human. When He talks of their losing their selves, He only means abandoning the clamour of self-will; once they have done that, He really gives them back all their personality, and boasts that when they are wholly His they will be more themselves than ever. Hence, while He is delighted to see them sacrificing even their innocent will to His, He hates to see them drifting away from their own nature for any other reason.
Boy am I guilty of drifting away from my own nature in a bad way! I don't feel like myself when I'm tired, cranky, self-centered, and selfish, but it's become such a habit I suppose that's what others see when they look at me. I'm not myself, and I'm not His either! What a scary place to be, and I know I no longer want to be here. I'm sure it hurts God's heart to see one of his children trying to make time pass quickly when time is such a gift, a luxury, and not something to fritter away. I need to live in the present, not yesterday or tomorrow.
In fact, C.S. Lewis says, "the Present is the point at which time touches eternity. Of the present moment, and of it only, humans have an experience analogous to the experience which (God) has of reality as a whole; in it alone freedom and actuality are offered them." God would rather have us continually concerned with eternity or with the Present. Not the past or earthly future. Living in the present, Lewis notes, means "obeying the present voice of conscience, bearing the present cross, receiving the present grace, and giving thanks for present pleasure." Quite a task!












Wednesday, March 24, 2010

Night Shift "Hangover"

I've never had so many drinks that I'm hungover the next day, but after working 4 shifts in a row, traveling to Amarillo, and launching another 4-in-a-row stretch with only some restless sleeping in the car beforehand, I feel that I can empathize: screaming headache, red eyes, general puffiness, and and overwhelming desire to crawl back into bed at any given time. I finished the latest string of shifts on Tuesday morning and then slept for 10 hours! I don't know how well I slept, though, because I woke up feeling even worse. Only after taking a bath, exfoliating every inch of skin, and moisturizing excessively (hospital air is so dry!) did I feel like I could partially rejoin the land of the living.

*
Then I went back to bed and slept from 11pm to 6am, only waking a few times to turn over and go back to sleep. Again, not sure how well I slept. I'm learning not all sleep is equal. However, I did feel well enough this morning to go to Bikram yoga.
I was definitely scared that class was going to kick my butt! I haven't worked out in two weeks, except for two SLOW jogs in Amarillo. I've also been eating a lot of junk and processed foods in the last 2 weeks and I'm starting to notice that something about it gives me a stomachache. My last semester of nursing school, I started getting nauseous and dyspeptic when I was really stressed-- to the point that I now throw up at the peak of stressful times. Lovely, I know. But I've also noticed that I eat more crap when I'm stressed. Maybe the stress isn't causing my stomachaches as directly as I thought... Coincidence? I think not.

*You're never too old, never too bad, never too late and never too sick to start from the scratch once again.* -Bikram Choudhury

Yoga note to self: lotion + sweat = slime. Slathering up felt great last night after a bath, but it made hot yoga a lot more slippery! Besides that, it was a great class, though. I skipped the two poses that tend to make my back cramp up the most, but I also mixed a cup of coconut water and pinch of salt into my Nalgene bottle full of water. (I "bonked" toward the end of the last few classes, if it's possible to apply that term to yoga). I don't know if it was skipping the hardest poses, the electrolytes in my water, of the fact that the room was not as hot as it had been, but class went well!
I plan to spend the rest of the day with my garden books and planting seeds. I knew it wasn't going to be as easy as "poke seed into hole in dirt and water as needed," but I never realized plants were so complicated! My cucumber seeds are currently hopefully pre-sprouting, wrapped in damp paper towels in a Ziploc bag. I soaked the beet seeds in water for two hours and I'm going to plant them this afternoon. I ordered a heat pad for the peppers (apparently, they grow best with bottom-heat around 80 degrees) and it should arrive in two days. I'm really hoping my garden isn't one gigantic failure! I'll be nocturnal most of the summer, I'm sure, but at least my plants can benefit from the sunlight, and I can benefit by eating them!




Tuesday, March 2, 2010

Epiphany

Night shift makes makes me feel like I got run over by a truck. Day. After. Day. Furthermore, I treat myself terribly when I'm working nights: diet sodas, vending machine runs at 5am to stay awake, meals at all hours whether I'm at work or not... I'm beginning to realize (4 months into it) that I'm not moving to day shift any time soon. Therefore, if I keep treating myself like crap on night shift, things are going to go downhill pretty quickly. I can't put my life on hold because I'm on night shift! I'm giving it too much credit and too much control over my life.
So I thought I'd point out the positives in my life right now. I know I don't do that enough. I've started studying for my RNC exam to be certified in Neonatal Critical Care nursing. If I take it and pass in the next year or so, I'd be by far the youngest nurse in our unit to do so! I've also been talking to our manager about starting a Developmental Care committee and we have our first meeting this Thursday! Finally, I worked out 3-4 times a week during the months of January and February and (shocker, I know) it really does make you feel better! And eating nutrient-rich foods every week makes my workouts better. Funny how that works ;-)
*The important thing is this: To be able at any moment to sacrifice what we are for what we could become.* C. DuBois

Sunday, February 28, 2010

Choc-oat-banana cookies

I've been craving classic Toll House chocolate chip cookies all week, but we're out of eggs. Now that I have a day off, I could go to the store... but it's cold out and I'm feeling lazy. Yet I still want cookies. I saved a recipe for Banana-Oat cookies a while ago and remembered that they were vegan (a.k.a. no eggs required)! I adapted the recipe a bit to fit my craving, so here's what I used:
1 banana, mashed (I bet they'd also be good with the equivalent amount of applesauce with a little extra flour to thicken it)
1/2 cup chunky peanut butter
1/2 cup honey OR 1/3 cup agave nectar + 1 Tbs. brown sugar
1 tsp vanilla
1/4 cup almond milk
1 cup rolled oats
1/2 rounded cup whole wheat flour
1 tsp ground cinnamon
1/4 tsp baking soda
dash of salt
1/2 cup mini semi-sweet chocolate chips
Preheat oven to 350*F. Combine banana, peanut butter, honey, vanilla, and almond milk in medium bowl. In separate bowl mix together oats, flour, baking soda, salt, and cinnamon. Stir dry mixture into the banana mixture and mix until well combined. Fold in chocolate chips. Drop rounded tablespoons of dough on greased baking sheet and flatten slightly. Bake for 10-12 minutes until they are lightly browned. Place on wire rack to cool. Makes a 18 cookies.
(This recipe would also be great when you have that one lonely overripe banana-- you don't want to waste it, but it's not enough for banana bread either) :o)






A note about agave nectar: I love brown sugar, but I can take or leave white sugar. I'm skeptical of Stevia and I think artificial sweeteners are disgusting chemical concoctions that will never improve the taste of my food. I do love honey as well, but it crystallizes quickly if I don't use it right away. I finally bought some agave nectar to try and a straight spoonful tastes like really mild honey. This is my first time baking with it and I can't tell the difference (Ross still doesn't know). It's supposed to have a lower glycemic index than sugar and honey and since it's sweeter, you use about 2/3 the amount (2/3 cup agave nectar replaces 1 cup sugar). I'm hoping to get some fresh, local honey at the farmer's market this summer but until then I do like agave nectar as an alternative option.
Yes, my blog makes it look like all I do is work, eat, run, (try to) sleep, and bake. And yes, that's an accurate portrayal of my life right now.






Saturday, February 27, 2010

Seeds of Change

I was saving these pictures for a future post, but I think I'll share a little now. Ever since reading Animal, Vegetable, Miracle by Barbara Kingsolver last summer, I've become really interested in local "slow food" movements and gardening. Slow food is a post in itself, but now is the time to prepare for gardening!
I got a bunch of awesome books for Christmas about container gardening and organic gardening. I'm also a member of Seed Saver's Exchange and I hope to use some of their heirloom seeds in my garden this summer. (Don't worry, I've joined a local Community Supported Agriculture (CSA) group in case the garden doesn't work out.) Ross was feeling crafty last week, so he built a container garden on our balcony!



Didn't my husband do an awesome job?! Since it's been sunny the last few days, I have actually started to believe that spring is coming even though it only reaches 40 degrees during the day, which is plenty cold for me! Sunday or Monday, I'm hoping to get the right soil for the containers and start some seedlings indoors. Ross has even offered to build a little incubator for my seedlings. It's nice to have a handyman around!
For now, I'm headed to bed after making a long to-do list for the next few days. My first day off after several consecutive night shifts is always hard. This is what I want to do all day:

When in fact, I try to only sleep from 8:30am until 1 or 2pm (Ross usually has to drag me out of bed at 2 after I've hit the snooze button every 9 minutes for an hour) and then workout and have a normal evening before going to sleep again. We went out for sushi and now I have a full, happy tummy, clean sheets, and no work tonight!






Thursday, February 25, 2010

Larabar


I'd always seen Larabars next to the Luna bars and Powerbars in the grocery store, but something made me buy some this weekend and they're SO GOOD! They only have between 2-6 ingredients (for example: dates, almonds, and cherries) so they don't taste anything like over-processed energy bars. And since they're made from fruits and nuts, they're much more filling than granola bars (I can plow through a box of granola bars in one sitting). I guess this is my plug for the week because you have to try these! They have mini-bars that make a great snack. I just opened one at work... and then dropped it on the floor and I'm extremely bummed. Once you try them, you'll understand!

Sunday, February 21, 2010

Ms. Cranky Pants

I am in a bad mood, so I'm going to vent. Feel free to skip over this post because I'll warn you right now, it's going to be pretty whiny.

Lately I've recognized a fun pattern on my nights off where I'm tired and go to bed at the same time as Ross, but then wake up around 2am and don't fall asleep again until 7:30am. Awesome. It's probably the root cause of my bad mood today. I woke up at 2am Saturday morning and stayed up until 10:30am. Then I napped until 1pm. I stayed up after that and Ross and I went to my cousin John's basketball game and out to dinner with my Aunt Theresa, Uncle Charlie, and cousins John and Jimmy. Came home and accidentally fell asleep on the couch at 9pm but by then, I'd had 2 1/2 hours of sleep in the last 19 hours, so it's safe to say I had been awake a normal amount of time and didn't sleep the day away. I crawled into bed at 10pm, woke up at 1:30am, and have been awake ever since. I'll say it now and you can assume it holds true until next month when I'll say it again (I try to limit it, since it's really a self-evident truth): I HATE NIGHT SHIFT!
Secondly, when I do start to get sleepy again around 6am after killing time for several hours, the neighbor we share a wall with wakes up and starts smoking. I swear they sit in bed right on the other side of that wall and smoke a pack of extra-nicotine cigarettes for an hour and the smoke seeps through. The smoke is not coming through the vent, mind you, but the drywall itself, insulation and all. This makes me incredibly angry, causes my bronchioles to spasm and I start to wheeze and I absolutely cannot sleep by that point. I lay there for an hour and a half inhaling this second-hand smoke, working up a sweat because I'm so angry. It takes every once of my self-control not to start throwing things at the wall or to march up to their door and scream at them for being such idiots. The apartment complex won't do anything because, "they have a right to smoke in their apartment." Well, don't I have a right to breathe clean air in MY apartment?! I'm soooo over apartment living.
Which brings me to the fact that I'd love to start looking for a house, but I'm suddenly making less money than I did in Texas. Not only did I take a $2.50/hour pay cut, but I'm not used to having income taxes taken out of my paycheck. Night shift differential almost makes up the difference, but moving to day shift (while much improving my personal life) will not improve financial matters. Not that it looks like it'll happen soon anyway.
Recently, I added that application on Facebook that counts the most frequently-used words in your status updates. Here are mine:
1. work
2. night
3. tomorrow
4. days
5. good
6. Ross
7. baby
8. today
9. off
10. NICU
No surprises there!





Tuesday, February 16, 2010

Cowtown Marathon

Marathon
Back in November, I mentioned that I was going to start training for the February 2011 Cowtown Marathon with my friend Emily Gilmore. We started running then but got sidetracked by holiday travels and winter weather. We started again in January (hence my New Year's resolutions) and I'm still running!
However, I have attempted to train for a marathon before and seen it fizzle out for 1,000 reasons. I was talking to my Dad about India when I realized I wasn't going to be able to go on that mission trip, and he brought up the marathon. My parents know me better than I know myself sometimes! I'm the type of person who will say "yes" to everything, but I rarely follow through. He said not to set my hopes too high on the marathon, either. But if I really wanted to do it, I needed to set a goal and a date on which to re-committ and know that I'm able to put the work and time in to train.
Therefore, since I've been going to the gym and running and feeling an improvement (for the most part... although this Monday was rough), I feel that it's safe to tell you my short-term goals and my re-committment date. Ross and I are running the Truffle Shuffle 5k on March 6 (I have no idea why they chose that name, sorry!) and we have the March for Babies (sponsored by March of Dimes) on May 1. I'm hoping to run the entire 5k next month without taking a walking break.
I think the key will be to keep signing up for little events along the way, several 5ks and 10ks and maybe even a half-marathon (although if the timing doesn't work out with my training, I don't have my heart set on that). That way, it puts more pressure on me to keep running. The Cowtown Marathon is a year away, giving me a false sense of security. I'll think, "I have plenty of time to train for this! I don't need to work out today!" An immediate deadline is much more motivating. Bottom line, if I can run 5 miles without stopping by May 1, I'm going to officially re-committ to the marathon and it will be much more realistic and tangible then!
Kansas
In other news, I can't BELIEVE we've been in Kansas for 4 months as of today! It's growing on us, but I still don't let myself dwell on Texas too much-- it makes me heartsick. We're hopefully going to Amarillo in March for Ross' spring break ("spring break-- wohoo!") and in May we're GOING TO DENTON/FT. WORTH for Emily's grad school graduation!!!!
Work
I'm still on night shift with no end in sight, but having a primary patient makes me want to go to work a little more because I get to see how she's doing! Her parents are so wonderful and they've been able to take all her ups and downs in stride and be here for her every day. I wish all babies had parents like that.






Friday, December 11, 2009

Morning

I'm watching the first 5 Harry Potter movies (still need to buy Half Blood Prince), for what seems like the hundredth time, in the wee hours* of the morning because I worked last night and now I can't sleep. Also, words like "tonight", "last night", and "tomorrow" have started to confuse me. I go to work on a Wednesday evening, come home, take a nap, and suddenly "tomorrow" is Friday! How much more eloquently** a professional writer can say such things:
Morning
by Emily Dickinson
Will there really be a "Morning"?
Is there such a thing as "Day"?
Could I see it from the mountains
If I were as tall as they?
Has it feet like Water lilies?
Has it feathers like a Bird?
Is it brought from famous countries
Of which I have never heard?
Oh some Scholar! Oh some Sailor!
Oh some Wise Men from the skies!
Please to tell a little Pilgrim
Where the place called "Morning" lies!
*Technically, 2am isn't a "wee hour" to me any more. That's more like 4-5am. Plenty of "normal" people (including all college students) are still awake at 2am.
**Don't you love how the word "eloquent" sounds exactly like what it means?!

Saturday, December 5, 2009

hy⋅po⋅chon⋅dri⋅a (noun)

1. Also, hy⋅po⋅chon⋅dri⋅a⋅sis  /ËŒhaɪpoÊŠkÉ™nˈdraɪəsɪs/ Psychiatry. an excessive preoccupation with one's health, usually focusing on some particular symptom.
2. excessive worry or talk about one's health.
According to research from Carnegie Mellon University, sleeping less than 7 hours triples your risk of catching a cold compared with somebody who gets eight or more hours, likely due to decreased immune activity. I'm obsessed with washing my hands and taking vitamin C, so I haven't gotten a cold yet, but I'll keep you posted ;-) And I'd better not get the flu with all the shots I've had!
Furthermore,the Journal of Clinical Endocrinology & Metabolism states that two weeks of sleeping less than six hours a night can increase insulin resistance and reduce glucose tolerance. Coupled with "treats" that everyone brings to work, this is probably leading to my sugar hangovers and extreme laziness on my days off.
(Just FYI, in case you'd like some reasoning as to why I seem to have fallen off the face of the earth.)


Black Hole

Ah, night shift, my old nemesis. I've been working 7pm-7:30am three or four days a week for five weeks now and all the symptoms of night-shift-sickness have come flooding back to me. I had blocked this particular affliction from my memory, but now it's come back in all its vivid glory. Symptoms include:
-feeling great at work, when around other people on the same schedule, but feeling "off" anywhere else
-body aches, nausea, dizziness, exhaustion
-apathy
-extreme clumsiness with bruises to prove it
-the inability to complete a train of thought or express yourself
-feeling an overwhelming need to make lists because thoughts don't stay in your head for more than a second (two seconds, if you're lucky)
-mental confusion and losing your train of thought in the middle of a sentence
-forgetting basic things, such as your address
-forgetting everyday things such as the day of week, accomplishing a daily task, or forgetting what you were about to type...
-forgetting basic grammar, syntax, and vocabulary
-the inability to carry on a normal conversation
-apologizing to anyone and everyone for your problems and your inability to adjust to a normal schedule on your days off
-did I mention body aches, dizziness, nausea, and exhaustion?











Thursday, November 19, 2009

Yummy

Thanks to facebook postings, I had a craving for Piranha Sushi today. Problem is, it's 12 hours away in downtown Cowtown. However, thanks to some KC contacts I got wind of Nara Sushi in the Crossroads District of KC. It's not Piranha, of course, but it's a close second and I'm very excited we found it!
In other news, still nothing from KU. You'd think a graduate school program would be more on top of things.
Last week I blogged about how much I love sunshine, and it's been raining ever since. Until today. Yay!
I go back to work tomorrow and I feel like I have had way too many days off. Yet I didn't enjoy them because I can't fall asleep before 2am now and don't sleep well. I'm so over night shift.

Wednesday, November 4, 2009

Missions

Night shift makes me very contemplative, but it dampens my thought process at the same time. Tonight is the last night of five 12-hour shifts in a row. That means 60 hours of work in 5 days, during which most people were asleep! (I don't know how some people work 60 hours a week, every week). I'm exhausted, yet it's weird to think that when I'm off work, I have absolutely NO plans. How do you fill a day when you don't have school or kids or pets? How do you make a day useful/valuable/worthwile instead just watching re-runs to pass the time? Life is such a wonderful gift and I can't tell you how many days I have spent just "passing time"! It's kind of depressing.

Right before we moved out of Fort Worth, Christ Chapel was talking about a medical mission trip to India this spring. I really wanted to get involved, but with the move I didn't think I should try to be a part of a group residing in another state. However, the organizer contacted me this week saying they were desperate for more nurses! I'm going to apply for the "scholarship" and hopefully go to India February 11-21. I'm so excited! I'd been looking into Mercy Ships and Doctors Without Borders. I've been a nurse almost 2 years now. It's time to use my skills and my blessed education for a greater good.

Speaking of education, we're still waiting to hear from grad school. I can tell Ross is getting very restless and he's also frustrated that he has a college degree and can't find a job! If anyone has connections in KC, we'd be so grateful. He wants a job in the architecture/design/art realm, but at this point any job will do.

We have a lot going on right now and it's hard to put all of it into words. I often read something and it will strike a spark of recognition in my mind: 'yes, that IS the idea I was trying to form into words!' Therefore, I basically collect quotes. Here are a few that apply to my life right now.

*Tough times never last, but tough people do.*
-Robert H. Schuller

*Babies are such a nice way to start people.*
-Don Herrold

*Not all treasure is silver and gold, mate*
-Captain Jack Sparrow

*Of course, we all inevitably work too hard, then we get burned out and have to spend the whole weekend in our pajamas, eating cereal straight out of the box and staring at the TV in a mild coma (which is the opposite of working, yes, but not exactly the same thing as pleasure).*
-Elizabeth Gilbert

*Who knows whether we have come into the kingdom for such a time as this*
-Esther 4:14

*For a long time it seemed to me that life was about to begin-- real life. But there was always some obstacle in the way, something to be gotten through first, some unfinished business, time to still be served, a debt to be paid. Then life would begin. At last it dawned on me that these obstacles were my life. Happiness is a Journey, not a Destination.*
-Alfred D. Souza







Monday, November 2, 2009

Missing my first hospital

I miss my old hospital terribly. I miss the comeraderie with my co-workers there and I miss the Neonataologists and NNPs there.

I also miss paper charting, but my old NICU was doing away with that anyway. Online charting is neater, more professional, and allows for more variation and flexibility, but I liked being able to glance at my flowsheet and know immediately if I forgot to fill something in or if I'd gotten behind.

Let me tell you what I like about the my new hospital as a whole, though. Ten years ago, the hospital was on the verge of getting shut down. Patient satisfaction was in the bottom 5% in the nation, funds were non-existant, and no one wanted to refer patients here because patient outcomes were so poor.

Due to a major re-structuring, it's hard to identify the hospital now with its condition a decade ago:
1.) We are a Magnet hospital, which I have mentioned before. This means that both the nursing staff and hospital have exceeded more than 150 professional standards of excellence. Magnet hospitals exemplify the best patient care and outcomes.
2.) We currently rank in the top 10 percent of more than 200 teaching hospitals in the country using the Press-Ganey survey.
3.) The hospital is ranked 56th among the nation's top 100 Best Places to Work in Healthcare.
4.) We are number 2 amoung the nation's most prestigious academic medical centers in quality and safets, according to UHC's 2009 Quality and Accountability Study. This recognizes high-quality, safe, effective, efficient, and equitable care.

I finally finished my 7-day hospital orientation and this is my 3rd night on the actual unit. Night 3 of 5 in a row. That oughta' get me back into the night shift state of mind pretty quickly! In fact, it has already, in case you can't tell by this disorganized post :o)









Friday, October 30, 2009

Back to Work

I'm finally done with 7 days of hospital/nursing orientation and sitting in classrooms. Tomorrow night, I have my first shift in almost 2 weeks. I'm ready to meet "my" new babies!

When I started work as a new grad, I worked night shift for 9 months. I learned a lot, I LOVED my co-workers, but it wore me out and broke me down. I don't even remember that summer because I was either asleep or working through it. Time warps depress me but this time I'm married and don't live alone, so I'm PRAYING things go better.

I'm just trying to stay up right now so I can sleep in/take a nap tomorrow. Here are some musings on nursing for you since I don't have anything else interesting to say.

Nursing means...
You will never be bored.
You will always be frustrated.
So much to do and so little time.
You will carry immense responsibility
and very little authority.
You will step into people’s lives
and you will make a difference.
Some will bless you.
Some will curse you.
You will see people at their worst--
and at their best.
You will never cease to be amazed
at people’s capacity for
love, courage, and endurance.
You will see life begin-- and end.
You will experience resounding triumphs
and devastating failures.
You will cry a lot.
You will laugh a lot.
You will know what it is to be human
and to be humane.
(Melodie Chenevert)