Tuesday, October 28, 2008

Did you know it takes 200x the force of gravity to break the forehead bone (supraorbital rim)? Yes, this is what I'm learning. Mom brought to my attention last night that many of you may not know what my fellowship is or what I'm doing. In nursing school we are taught to think like nurses. We learn how to assess and determine what course we think a patient might take and what might be needed to stabilize and improve the condition of the patient. At least that's what I think we were supposed to learn. They also teach us how to do procedures like start an IV, draw blood, insert catheters and NG tubes, how to give various types of meds, etc. But mostly we're taught how to think. So all new grads, when they start working in the hospital get some form of orientation to the unit and are taught how to be a nurse. Some orientations are relatively short, others are much longer. For example, a general medical-surgical unit might orient for 12 weeks whereas an ER might orient for 6 months and an OR might orient for a year. As I am in the ER, I orient for 6 months. So between now and December I will have class for 8 hours a week, online class for 8-16 hours a week, and clinical training for the remaining hours. In a few weeks I will be assigned a preceptor. I will work that preceptor's schedule and during that time will be required to pass off a number of skills. My whole orientation should be complete in April and then I will be responsible for taking my own patients. That whole program is called a fellowship. There are 12 of us, all girls, that all started together. Because of the size of our group we are usually divided up for our clinical days. I really enjoy my group. I think I have found "my people". We are all slightly irreverent and find humor in things others would be horrified or at least nauseated by. We can talk about secretions at lunch and nobody gags or loses their appetite. Apparently most ER nurses have a similar sense of humor. Last weekend I worked my first night shift. I actually did far better at night than I do most days. The interesting/funny thing was, at some point, everyone got a little punch drunk. It was perfectly okay to be giggly or to call your co-worker the "Purple Power Ranger" (one of the techs nicknamed me due to my purple scrubs). I loved it and had the perfect excuse to sleep all day.

As for the social life. I am making friends and have already found a few people that I really enjoy. Last night I went with the ward to the Children's Hospital to play with the kids. There were 20+ of us and about 5 of them. My table, who included family favorite Mike Hill, played with playdough. Afterward 9 of us went to a diner called, no kidding, "The Diner" in DC. The food was fantastic and it reminded me of the diners you see in TV sitcoms. Sunday night I attended an Apple Fest - featuring treats made with apples. Saturday was a quiet day and then a friend came over to watch a movie. Tomorrow I'm going to a Halloween dinner and Saturday night is Fall Festivis (everyone prepares a dish using an ingredient they've never used before). Overall, I love it here. I miss my family tremendously but know I'm right where I need to be.

Wednesday, October 15, 2008

Since then...

Oct. 3: Date night at the DC Temple with Ty then birthday party for unknown girl. Met loads of new people. Mostly a blur.
Oct. 4: General Conference at Ty's house. Fajitas between sessions then a quiet night of unpacking at home.
Oct. 5: General Conference at Ty's and a Crepe Party. Met loads of new people.
Oct. 6: 1st day at Inova!!!! Spent the day in the classroom learning about how fantastic working for Inova is. After work, FHE. A member of my ward spoke about the economic crisis. He works for the Treasury Dept and was instrumental in writing and proposing the package passed by congress. Yes, he is single, very smart, and seriously cute. Oh, and met new people...
Oct. 7: Institute: we're studying Jesus the Christ. Delightful.
Oct. 7-10: Orientation at work.
Oct. 10: Pick up car, which arrived significantly later than planned but arrived no the less.
Oct. 11: Crabbing in Chesapeake Bay, MA. Absolutely beautiful and so nice to be outside and near the water. Enjoy the photos. Met new people... After a day in the sun we went back to Ty's house for dinner and the BYU game. Again, met new people...
Oct. 12: Dinner at the Utah St. Girls house. After dinner we played games.

Week of Oct. 13...
I started working in the Emergency Dept (ED) this week. The ED has been experiencing a large number of mislabeled specimens going to the lab. This is a safety issue. So my fellow fellows and I have been stationed at the tube system charged with the task of checking every specimen before it goes to the lab. We also get to observe 10 blood draws per day. So fun. Not really. It's very, very boring. However, I try to remember I am actually getting paid to sit and chat with people as they bring their specimens. Plus, we get loads of sympathy. Today I was "rescued" by one particularly kind nurse. She asked me to help her transport her patient up to the ICU. Her patient with c. diff. If you don't know what that is, it's a highly infective intestinal infection that gives its victims horrible diarrhea. Ahh, lovely. But at least I got away from the tube system for a while.

So now I get to stay up late so I can start prepping to work all night on Friday night. I'm currently watching the Presidential Debate. Are these guys actually saying anything?

Enjoy the crabbing photos...

As Promised...

Photos of the family. I miss you all!!!