And if I hadnât been up to my eyeballs in other things to do for my patients, I would have stopped and said: Youâve already missed the point entirely. Iâm not sure why you DO think youâre here. If you hope to be a good nurse (or coworker, or person with a heart), youâre going to spend the majority of your working life doing things you SO mistakenly think are beneath you. You are going to pass trays with a smile - excitement even, when your patient finally gets to try clear liquids. You will even open the milk and butter the toast and cut the meat. You will feed full-grown adults from those trays, bite by tedious, hard-to-swallow bite. You will, at times, get your own vital signs or glucoscans, empty Foley bags and bedside commodes without thinking twice. You will reposition the same person, move the same three pillows, 27 times in one shift because they canât get comfortable. You will not only help bathe patients, but wash and dry between the toes they canât reach. Lotion and apply deodorant. Scratch backs. Nystatin powder skin folds. Comb hair. Carefully brush teeth and dentures. Shave an old manâs wrinkled face. Because these things make them feel more human again. You will NOT delegate every âcode brown,â and you will handle them with a mix of grace and humor so as not to humiliate someone who already feels quite small. You will change ostomy appliances and redress infected and necrotic wounds and smell smells that stay with you, and you will work hard not to show how disgusted you may feel because you will remember that this person canât walk away from what you have only to face for a few moments. You will fetch ice and tissues and an extra blanket and hunt down an applesauce when you know you donât have time to. You will listen sincerely to your patient vent when you know you donât have time to. You will hug a family member, hear them out, encourage them, bring them coffee the way they like it, answer what you may feel are âstupidâ questions - twice even - when you donât have time to. You wonât always eat when youâre hungry or pee when you need to because thereâs usually something more important to do. Youâll be aggravated by Q2 narcotic pushes, but keenly aware that the person who requires them is far more put upon. You will navigate unbelievably messy family dramas, and you will be griped at for things you have no control over, and be talked down to, and you will remain calm and respectful (even though youâll surely say what you really felt to your coworkers later), because you will try your best to stay mindful of the fact that while this is your everyday, itâs this patient or familyâs high-stress situation, a potential tragedy in the making. Many days you wonât feel like doing any of these things, but youâll shelve your own feelings and do them the best you can anyway. HIPAA will prevent you from telling friends, family, and Facebook what your work is really like. Theyâll guess based off what ridiculousness Grayâs Anatomy and the like make of it, and youâll just have to haha at the poop and puke jokes. But your coworkers will get it, the way this work of nursing fills and breaks, fills and breaks your heart. Fellow nurses, doctors, NPs and PAs, CNAs and PCAs, unit clerks, phlebotomists, respiratory therapists, physical and occupational therapists, speech therapists, transport, radiology, telemetry, pharmacy techs, lab, even dietary and housekeeping â itâs a team sport. And youâre not set above the rest as captain. You will see you need each other, not just to complete the obvious tasks but to laugh and cry and laugh again about these things only someone else whoâs really been there can understand. You will see clearly that critical thinking about and careful delivery of medications are only part of the very necessary care you must provide. Blood gushing adrenaline-pumping code blue ribs breaking beneath your CPR hands moments are also part, but theyâre not what itâs all about. The âlittleâ stuff is rarely small. Itâs heavy and you canât carry it by yourself. So yes, little nursling, you are here to pass trays. <3Â
