Happy Thanksgiving!! It is Christine
writing today. I know, you are probably shocked! I figured I should probably make at least one entry seeing as we are leaving for our next placement in 2 days!!! The time we have spent here in Eugene has really flown by. It is hard to believe that we have been here for almost 3 months! It has been a wonderful 3 months though, and we both feel that Eugene was the perfect place to start our travel journey in. Shawn has done a wonderful job at keeping you posted on our road trips and sight seeing adventures...so I thought I would talk a little about the hospital that I have worked in and the experience that I have had.
So here we go...
A bit of info about the hospital: For the past 2 1/2 months I have been working at Sacred Heart Medical Center. It is the largest hospital between Portland and San Francisco (432 beds) and the only Level II trauma center in Lane County. The hospital is know for its 32-bed Neonatal Intensive Care Unit, the Oregon Heart & Vascular Institute. I was hired to work in their pediatric unit with the ability to float to the
NICU.
I started with two days of general hospital orientation and computer training, which was rather boring on the whole...but the computer training was ESSENTIAL!! This hospital does EVERYTHING on the computer! Which, to be honest, towards the end of the placement I grew to like....but in the beginning it was a little frightening. For those nurses who are reading, or just for general interest, here are the things that were done on the computer: documentation, nursing
kardex, lab work, ALL order entry, medication records, image viewing (diagnostic tests), all physician's history's & physicals, any consult by any other discipline and many more things. The only units that still do paper charting is the ICU and
NICU. So when I worked in pediatrics I would not write anything on a piece of paper all day long!! Now, I came from a hospital that was pretty advanced with computers but this was still quite different for me. There is something about not
actually signing off on your physician's orders with ink that freaked me out a little bit....but I adjusted.
So after those 2 days I received 2 days of orientation on the unit. I was paired up with another nurse, basically got a tour of the unit and then jumped right in! On my first day we had probably the sickest child on the unit...of course!! She was a post-op patient and had an epidural catheter with
Fentanyl infusing for pain management. Working for the past 2 years with neonates...I have never had a patient with an epidural or
fentanyl. But once I had a brief overview of the machine that delivered the pain medicine I was
ok. On the unit in which I worked the patient to nurse ratio was 3:1...so it is quite nice...but that day pretty much all of my time was taken up by the computer charting!! There were a few moments throughout the day that I thought to myself "what am I doing here?"...mainly those moments came when I was trying to navigate my way around the unit trying to find essential
equipment,
or when I was trying to figure out how to use the
PYXIS machine(it electronically distributes medication),
or when I would answer the phone and have NO CLUE how to help the person on the other end because I didn't even know
anybodys names!! However, at the end of the day the computer charting did not get the best of me and I walked out the door feeling good about how things went...knowing that it was going to be
ok!
Each day got easier and I couldn't have asked for better staff to work with. When we decided to come to the U.S one thing that I was worried about was how the staff would treat me...as an outsider coming into their unit. But I can truly say that the staff were amazingly welcoming, friendly and helpful. Not one person ever hesitated to answer my questions or point me in the right direction when I couldn't find something that I was looking for. They made me feel right at ease, and after one week I felt like I had been there for months. I am convinced the friendliness stems from the fact that Eugene is a smaller city with very down-to-earth people. I have a feeling it would be quite different if I was working in downtown L.A.
I worked a couple of shifts in pediatrics and then a decrease in pediatric patients allowed me to spend some time in the
NICU.
Ahhhhh...it was great to be back with the babies!!! It was so comforting to me...and it was a very easy adjustment. And the good thing was that I was back to paper charting...YEAH!!! The
NICU at this hospital is a level 3
NICU.
NICU's are broken down into three levels. Level 1-very stable babies requiring minimal interventions. Level 2- more complicated and acutely ill babies, sometimes requiring respiratory support. Level 3-very acutely ill babies and
micro-preemies (ex.24 week gestation babies), requiring ventilators to breath. Now, in saying this...
NICU's can be
labeled a "level 3"...and not always have those types of babies...it simply means they are capable of caring for those types of babies. So, this hospital was a level 3, however functioned between a level 2 & 3...so I fit in well as the unit I worked in at North York was a level 2 advanced.
Ok, so hopefully I haven't confused everyone! Overall I really enjoyed working in this unit. Many people have asked me over the past couple of years what I enjoyed more, pediatrics or
NICU...and by being able to work both once again, I have realized that even though I enjoy interacting with the kids, my heart is really in the
NICU. I love those babies...they are amazing fighters and you get to build wonderful relationships with their families. The best thing of all is that I see the beauty of God's creation in its purest form everyday that I am at work...not too bad eh?
ok...wow...this is a VERY long blog! If you made it this far...thanks for hanging in!
The remainder of my shifts at Sacred Heart were split about 3/4 in the
NICU and 1/4 in pediatrics. Overall my experience was great!! I worked my last shift on
Friday, and it was weird to walk out the hospital doors for the last time. I will more than likely never see any of the people that I have just worked with ever again...and it feels so strange! But that is how this travel nursing works....on to the next place! We are really excited to start in Phoenix and I am even more excited to be back working in a level 2
NICU full time. It should be a great placement.
Well, I think I am going to end this post...but I will write again soon! I still want to talk about some differences I have come across between working here compared to back home...but my fingers are starting to hurt from typing so much (
haha).
I hope that you are having a fabulous thanksgiving weekend...we think about you all often! Thanks for all of your support :) And as Shawn says...."stay classy"