Warning--even though I found this quote
"The best way to appreciate your job is to imagine yourself without one." ~Oscar Wilde, this is going to be a "work rant" and one that I probably am only "safe" to write because, to my knowledge, there is nothing here to link me to where I work.
It's just after 11:00 and I feel like I have just now "recovered". Even still, I'm going to "rant away" because I think I will sleep better once everything is off my chest.
It has been SO crazy busy at work. I'm not sure what it is, but I can't remember the last time I could sit down for 10 minutes of piece and quiet. For weeks I have carried the same packet of oatmeal to and from work because there never was time to eat it. I bring a container of milk and a package of Carnation Instant Breakfast to have for "breakfast" and there have been days that it has been hard to even take the time to chug that (yesterday it was 12:30 by the time I could "drink my breakfast"). My favorite part of working on my floor is being able to talk to the families, maybe cuddle with a sick little one every once in a while. Recently, I haven't been able to do that and I suppose that could contribute to the "work funk". I guess I have also had a student working with me the past five weeks which has been a help at times, but also means that I need to do things a little differently (because, really, who wants to listen to me be a "Chatty Cathy"?!)
I briefly mentioned that there was a particular patient whose nurses ended up having to be assigned alphabetically on a rotating basis. My manager put this into effect because she cares so much about her staff and this family had become so horrendous to work with that people were dreading to come to work (while others refused to take their "turn"). They weren't ALWAYS terrible, and I had been fortunate to care for the child mostly on good days. The child was due to go home today after
weeks of preparation. People had spent hours working to make sure it would be a smooth transition to home, all the "ducks were in a row", everyone was on the same page, and today would be "the day". Yesterday I semi-volunteered to take that on if someone who had never taken the child was "scheduled". Well, as it turned out, my "letter" was up anyway. Yay me! However, being naive, I honestly didn't think it would be "that bad". I take on complex discharges all the time...heck, I just did one yesterday! Plus, I had my student to help with the other two patients, right?!
So much for my "rainbows and daisies" plan because that SO did not happen! One of my patients had been really fussy for a couple days and the NP decided to run some extra tests which required a little bit of coordinating. My patient that was to go home needed labs drawn and coordination with the home health company which took nearly an hour. Then, my poor student has the worst IV luck of anyone I've ever met. Every.single.patient we had with a peripheral IV had it fall out during our shift and a new one had to be placed. I honestly don't think it had anything to do with her care, it just happened every.single.time and it was SO hard not to make it seem like I was upset with her because it wasn't like she TRIED to pull out IVs so the kids had to be stuck again, it just makes so much more work (and, of course, pain for the child...that's important to remember I suppose!) At noon, she noticed the IV was out...right in the middle of doctor's rounds, right when I was supposed to start the final medication before my "difficult" patient could go home. GREAT!
I had managed to drink my breakfast by 9:30, but by 1:15 my stomach was telling me that it was VERY hungry. By 1:45 the new IV we put in had already fallen out and I seriously was starting to feel sick because I was so tired and hungry...and the parents (of course) arrived shortly there after to pick up their child to go home. I didn't have the paperwork done yet, the pharmacist wasn't quite done with that part, and I NEEDED to eat. The dad muttered some comment about "us" knowing for weeks they were leaving today and everything should be done already. Well, some things just can't be done until the day of discharge and I DO have other patients with needs thankyouverymuch. I could feel the tears coming and knew I wouldn't be able to deal with getting yelled at without bursting into tears, so I went to lunch...it was 2:30 and the pharmacist had just wrapped up her portion that I still needed to review, so I "delegated" that task to my student.
Halfway through my lunch, I get a call to my phone that they were "ready to go". Seriously. I was angry, frustrated, tired, hungry, and so I just cried (oh yeah, they wanted lab results printed at this time too). I finished eating, pulled myself together, and grabbed the paperwork to finish making sure all was as it was supposed to be. When I finished, they literally were waiting by the door with their coats on. Come on, now, people, you have been in the hospital for MONTHS and you aren't going to give me 30 minutes to eat my freaking lunch?! Since I had "regrouped", I made them go BACK to their room to go over the instructions (I'm sure that royally pissed them off, but at that point, I really didn't care...especially since I heard that the dad was saying all sorts of nasty things while "waiting" for me...)
And then, they left...at 3:15...pretty sure without any thank yous...at least not to me. They didn't care that nearly an army of people worked together to make going home possible. They didn't care that it took me just over an hour to get everything organized once they got there (or that I'd done probably an hours worth of organizing BEFORE they got there). I think their lack of appreciation for anything is part of what led to the burn-out. It is much easier to work really hard and help people who appreciate the effort, but when you are constantly met with rudeness and unkindness, it completely takes the fun out of it.
But, they were gone...and the day did get better (although becoming that stressed and emotional took a great deal of energy...it took me quite a long time to stop feeling all jumbled up inside). The doctors who helped me with the discharge gave me many-a-thanks and even bought cookies for us thanking us for all our hard work. One of them told me she was really glad I was the nurse for this patient. My student gave me a nice thank-you note that I shared with my manager. The parents of my OTHER two patients were very sweet...and gracious. My manager told me that my name came up in a meeting with a bunch of the "higher ups" in regards to my participation on one of the committees...apparently I am representing our unit well and others are noticing, and showing their "appreciation".
Well, this took nearly an hour for me to sort out and "on paper" it's hard to see why I was such a mess, but it really was crappy. It is hard for me not to be able to please people and I hadn't prepared myself for the fact that they likely were not going to appreciate my efforts (or the efforts of others who did even more work than I did)...as if I would have been able to put forth half effort because that's all they "deserved"! My heart and soul are in my work and it definitely hurts when I am treated that way (okay, so I tried for 10 minutes to come up with a better way to end that sentence, but couldn't!)
Feeling appreciated is huge...and being unappreciated/under-appreciated is not at all fun. So, at the end of this day, after writing about the rough moments, I realize there were also some good things that happened today. Just because one family was awful, my day should not have been ruined...and it ended up being "salvageable", especially when I got to go to the Christmas party with patients and their families (usually I volunteer to help, but this year I had to work!)
On a couple different notes, I am excited for the
second "Bloom" book club book. Even though I have a copy, I never did read the first one (Crazy Love). I purchased the second book a month ago, but have not started reading. I think I will plan to read along this time because this book sounds very interesting to me. From the looks of it, it is about two men from very different backgrounds who become friends...and it is a true story (hmm, maybe I should write a book...ha!) It is called "Same Kind of Different As Me"...and is currently on sale for $7.99
here.
And, something very exciting is happening at my house tomorrow! I haven't committed to putting up my Christmas decorations since it is already going to be the 16th, but maybe I will either before or after the "excitement" :o)
I have the next three days off (besides a meeting)...thank goodness!
Good night.