Tuesday, February 14, 2017

so much snow

Our side streets are one lane, we have narrow paths from our cars to our front doors. Out early or started late two days last week. No school yesterday, no school tomorrow. Thursday iffy.

Those of us who move snow are exhausted. I shovel my steps, scoop my deck and driveway; put on snowshoes and go around the house and garage to rake the roofs. My arms, shoulders, and hips ache.

The snow piles around my house are 12 feet high. I scale them in my snowshoes and I'm level with the roof of my house. It's supposed to snow the next two days: we're expecting another foot.

It's pretty. I like the white stuff. I love to be out in a storm and I love to ski and snowshoe. I like wintry isolation. I like cold outside and warm house; I like to sip tea and watch snowflakes swirl.

I have help: I pay my neighbor to plow the end of the driveway. When the snow piles got too big he had to stop plowing and change to a snowblower. But the snow was so light and fluffy and the piles already so high that much of it simply slid back down into the driveway. My driveway is half full of snow and no place to put it. It's pretty, but there's so much of it right now.

A stretch of warm sunny days will be welcome.

snow days

I'm so glad we cancel school when the travelling is risky. I'm lucky to have a dependable car with 4-wheel drive and good tires; so many of our students don't. My commute is 7 minutes; many students drive an hour to come to school. I'm not a single parent of small kids and don't have to worry about childcare if their school is closed. So many of our students do have those concerns. I recognize that hospital nurses must show up for work, regardless of the weather; our students pay to come to school. Nursing school eases students into the responsibilities of the profession. We like our students and want to keep them alive, healthy, and in class. We're lucky to have College leaders who are sensible and responsive to our students' health and happiness. I'll be working from home tomorrow, students will be studying for mid-terms and writing clinical papers: warm and safe; still committed to education, science, and community. Nursing programs used to expel students for being married, going to a beauty parlor, and drinking alcohol. Nurses have a terrible tradition of "eating their young." We're trying to change that harmful practice. I'm so glad that nursing education has evolved and continues to respond to the needs of our students. We exist because of our students. Our students tell me that they feel respected and supported. Our College is a wonderful place to work and study. Thank you for reading this.

Friday, February 10, 2017

and again

Just read another one. Just like the first one.

This one says: "Being a nurse isn’t about grades, it’s about being who we are. No book can teach you how to cry with a patient. No class can teach you how to tell their family that their parents have died or are dying. No professor can teach you how to find dignity in giving someone a bed bath. A nurse is not about the pills or the charting. It’s about being able to love people when they’re at their weakest moments."

I disagree. I can and do teach these things.

According to this writer, nursing can't be taught. Nursing isn't about books, classes, or instruction. It's not critical thinking, interventions, teamwork, or communication. So what the heck am I doing? Why bother with nursing school? Just get some loving people and turn them loose with stethoscopes and needles.

According to this person nursing is love. Just love.

Nursing is all those things. The art AND the science. Thinking and expressing compassion. Heart and brain.

I find this view of nursing (just love, can't be taught) to be so demeaning. It diminishes us. Yes, I have a heart. Yes, great nurses express compassion. But we also have brains. We're scientists and health detectives. Not just girly hand-holders, we have brains. We assess, plan, intervene, and evaluate. That's the nursing process and it's the foundation of our practice.

I can teach all these things, the science and the art, and if they're not important, then what the heck am I doing as a nursing instructor? Just unleash some lovey hand-holders if that's all nursing is. End of rant.


great nurses

I read a post online that said, "Nurses are born not made."

This is an interesting opinion, similar to the notion that people are "called" to the profession. 

I'm a nurse and a nursing instructor. I wasn't "called," I ambled into it. Stumbled. Thought, "hmmm.... life and death, I bet that's not boring."

Now I help people become great nurses. I help people learn nursing skills such as expressing compassion, listening, and critical thinking about health care. I provide opportunities and facilitate experiences. I help students identify and collaborate with nurses, aides, housekeepers, pharmacists, physicians, therapists, visitors, administrators, and technicians. 

The students practice observing, measuring, palpating, auscultating, and interviewing. They analyze laboratory values and think about how lifestyle and medications affect disease processes. They think about where the patient will be in 5 years, and in 10 years. 

Nursing can be a great job, a rewarding career, and not necessarily a calling. People can learn to be great nurses. 



Saturday, December 31, 2016

coping

Communication, education, and ethics- these are my coping strategies for these scary times.

Thursday, December 29, 2016

consent for Reiki

Many people have questions about consent for Reiki.

Sharing Reiki, that is. Of course self-Reiki is the foundation of our practice. And Reiki is primarily a philosophy and life-style. Still, many people instantly go to sharing hands-on, when they think of Reiki. So that's what I'm looking at here.

As a nurse, I heartily support the ethical concept of autonomy, manifested as informed consent. So I inform and obtain consent before sharing Reiki. I keep the inform part simple. I usually say something like, "Many people find Reiki to be relaxing. Keep your clothes on and get comfortable. I'll be placing my hands on your head, shoulders to hands, and knees to feet. All you have to do is relax and breathe.... Got any questions? Want to try it?"

If the person consents, then I give a few more instructions.

"Eyes open or closed, up to you. You can shift around at any time. You may ask me questions at any time."

I keep my eyes open, so I can check on the person's facial expressions and body language. I'm there to support, encourage, and facilitate the person's journey to health. I'm there to listen and to witness. I'm reticent.

If I can't get consent, then I don't ask the higher self; I refrain. I respect the person's conscious choice. I don't force it on anyone.

Good luck.
Be well, be Reiki. 

50 states?

I'm fuzzy on Wyoming, Montana, and Idaho. It was a long road trip, that one from Maine to California way back then; Utah and Colorado for sure that time. Definitely missing Alaska; probably WY, MT, and ID too. Been to all the rest. Wait, never been to Oregon. Time for another road trip!