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nursesarah

Reel in the New Year!

Here is something lighthearted to start, which is basically the complete opposite of my intentions for these posts but I guess it highlights the importance of balance: I’ve been thinking about little things that can bring joy to the everyday, especially as we enter a new year. What can I look forward to? Where can I bring more joy into my life? Last week as I sat on the hospital shuttle after my shift, I took off my ID badge and realized here was a potential moment for just this. I’ve always used the hospital issued badge reel, mostly out…

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Third Time’s the Charm

Hello again! I’ve done a lot since my last post. To start, I completed my master’s degree in nurse education which included creating an online resilience module as a thesis project. I’ve guest lectured a few times to senior nursing students at a local university. While continuing to work in the PACU, I stepped away from the bedside to take an eight month nursing professional development practitioner fellowship as an educator on my unit in 2022 and just last Fall tried the role of clinical instructor for nursing students. Plus I got married and had a baby. So it’s been…

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Nursing + Writing 2.0

  During my travels I asked myself several big questions… What was next? What did I want to do in nursing? What did I like about nursing? Most important..did I still want to be a nurse? After seven years at the bedside, from working with both adult and pediatric patients, on med-surg units and in the cardiac intensive care, to performing leadership roles like charge nurse and precepting, I hadn’t quite found my place.   I knew I loved getting to know my patients and their families, building rapport, participating in difficult conversations, and nurse education.  But I felt lost.  The…

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Goodbye to the CVICU

Well it’s been almost two years since I published these essays… Looking back, writing and sharing these experiences here allowed me to build a healthier relationship to the CVICU. But time helped, too. The longer I worked there the shock started to wear off.  I developed strong friendships with my coworkers, a better self-care awareness, and a more comprehensive understanding of the heart than I could have ever imagined. I got trained to manage equipment like CRRT (continuous renal replacement therapy) and Ventricular Assist Devices and sometimes worked as the “buffer nurse,” supporting my fellow nurses.  Slowly, I began to…

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Hello there, Palliative Care!

Through the first few years of my nursing career, I heard whispers of palliative care; the words floated around as recommendations from nurses in report, as something that happened on the cancer care unit, or with my friend’s elderly grandparents. Palliative care, hospice care, comfort care–I interchanged these different stages. That all three of them meant to stop unnecessary treatments and focus on making the patient comfortable. That the end was in sight.   Once, while working in an adult hospital, I paged the palliative care consult physician in distress because the primary medical team was drawing labs, sending blood cultures,…

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Schwartz Rounds

Knowing I had had a difficult time after Baby K’s death, my nurse manager reached out to me when the hospital’s Schwartz Rounds Committee wanted to have a panel centered around a difficult experience on my unit earlier that year. This months topic was:  Moral Distress in the ICU. When is Enough Enough? They wanted a physician, social worker, and nurse to each present their perspective.  Schwartz Rounds offers a monthly space for healthcare providers to share their experiences and thoughts on difficult moral and ethical topics created from actual patient cases. According to the Schwartz Center for Compassionate Healthcare…

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Baby K: A Year Later

Looking back, I realized that Baby K’s death served as a catalyst for everything I had not processed in the CVICU: the codes, compressions, and other children who had passed away in recent months. I had taken care of these dear patients or been familiar with their journey but when I learned of their passing I’d simply feel sad for a second and then get back to work. I never quite processed their deaths. I didn’t where to begin.  I needed to learn how to face the emotional impact of working in this high intensity environment, how to swim in…

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Baby K Part 2

Baby K’s death, my experience with the cold room, and the visualization of her with the Jizo Bodhisattva was only the beginning of my grieving journey. I had a few days off but spent them distracted at a friend’s wedding out of town and then at the Japanese Garden. My first shift back, I felt a dark, distant cloud over my head.  It was difficult to take care of my assignment. I knew I needed to work through what had happened but had no idea where to start. So after work I called my dad.  Our conversation was filled with…

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Baby K Part 1

Working in the CVICU brought many first in my nursing career: the first time I did compressions, the first time I took care of a patient on ECMO, the first time I saw a patient come back from the operating room with an open chest, and the first time I ever withdrew care on my patient. In adult nursing, I helped my coworkers with post mortem care for their patients, but I never had my own patient pass away until Baby K.     This experience profoundly impacted my nursing path: I had to learn how to grieve as well as process…

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Compressions

Despite years of life support classes, starting with BLS in high school and then graduating to ACLS and PALS towards the end of nursing school, I never had to do compressions on a real patient. The occasional code happened on my other units but I managed to slide out of participating, and if I was involved, I gravitated towards roles such as recorder or comforting the family. I never rushed into the action. This piece comes from right after I did compressions for the first time in the CVICU.  On this day my coworker in the next room had a…

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Nursing + Writing

Welcome! I’m glad you are here. It’s been a long time goal to share my writing somewhere other than my Google Drive and I’m so excited to finally make it happen.  Growing up, I dreamed about being a writer: filling dozens of  journals until the last satisfying page, writing stories about heroines my age, taking intensive poetry classes in high school. I watched Finding Forester with a notebook in hand to get tips on writing, and even submitted a story for publication when I was twelve years old. (Sadly, A Writer’s Daughter was rejected.)  When it came time to head…

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