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Saturday, May 12, 2012

Florence Nightingale's Birthday

Not just any nurse. In 1856, and according to Sir John Hall, chief British Medical Officer in the Crimea, Florence Nightingale was ‘a publicity seeking meddler’. To this day,  her methods and forcefulness are controversial. At the age of 25, her parents balked - she wanted to be a nurse. She rejected a marriage proposal, an expectation of women at that time, due to what she knew as a calling’. At the age of 30, her parents acquiesced and she began her career.
The Lady with the Lamp,
challenged the military medical community throughout the Crimean War. Conditions in military hospitals her prime concern. Extremely poor sanitation. Overcrowding in unclean, bloodied clothing and bedding. No one person responsible on the wards. Overworked doctors. Women and men, learning on the job, cared for
severely injured and ill soldiers.

Historically, her career, as a reformer of the health care system as a promoter of training for nurses. Should patient advocate be added to her resume? Florence Nightingale an angel of mercy for the patients in her charge became a thorn in the side of the medical establishment of the day, not to mention those that entered nurses training schools. She ran her hospitals and schools with military order, an efficiency unwelcome in today's world.
Florence Nightingale School of Nursing and Midwifery,
the first professional school of nursing, still active today,
was founded in 1860. Florence Nightingale ~ strong, determined, courageous and stubborn in an age when women dared not overrule  men or the establishment unless independently monied or with supportive family connections

Cautious, careful people, always casting about to preserve their reputation 
and social standing, never can bring about a reform. Those who are really 
earnest must be willing to be anything or nothing in the world’s estimation.
~ Susan B. Anthony, 1860

Friday, May 11, 2012

Nurses of Another Ilk

It has been quite a trip.
My vacation from my nursing job
has been refreshing and rejuvenating.
My thoughts today go to all nurses outside
of hospitals that, in essence, do 
basic nursing care and 
education in
the streets
mobile clinics
stand alone clinics
nursing homes
extended care facilities
schools
private homes and in
regions outside of major health care centres.
These nurses carry, along with the tools of the trade,
knowledge about
prevention
maintenance.

They refer to other health care professionals and
communicate with
family physicians
pharmacists &
families
suggesting
alternatives before using 'as needed' medication
corrective body positioning for sitting, standing and lying
dietary improvements
supporting 
patients on their journey back to health
families when a journey is nearing it's end.
All nursing populations, 
whether in acute care facilities,
or in these myriad of other positions, have
different levels of
experience
education
personal knowledge.
Nurses aides
Nursing assistants
Licensed Practical Nurses
Registered Nurses from Diploma programs
Bachelor of Science Nurses
Nurse Practitioners
Master’s Prepared Nurses
I am certain I have left out
a type of clinic or
educational level. 
One thing I am certain about is that
the heart and soul of each nurse
comes without classes and degrees, 
is carefully shaped to fit
situations
communities
infrastructures
adding depth and wisdom to nursing tasks.
Nurses working with and for our communities
do so very much for each of us
and for that I am extremely grateful.

"Nursing care comes in many forms. Sometimes it is the ability to make 
someone feel physically comfortable by various means. Other times it is 
the ability to improve the body’s ability to achieve or maintain health.  
But often it is an uncanny yet well honed knack to see beyond the 
obvious and address, in some way, the deeper needs of the human soul."
                - Donna Wilk Cardillo,  A Daybook for Beginning Nurses

Thursday, May 10, 2012

Reflections on Advancements in Nursing

I’m flying today home today.
Soon I rejoin the nurses 
at the medical detox where I work.
Nursing tools of the trade
have changed as technology has advanced through the years.
In a three year diploma program in 1965 nursing students learned how to 
take vital signs using sound and touch
give injections
do a bed bath
make a linseed poultice
calculate dietary requirements
provide health teaching for patients
set up traction
make a bed with hospital corners
take out stitches
change dressings
feed a patient unable to feed themselves
hang an intravenous
wrap a tensor bandage
teach deep breathing exercises pre-operatively
Tympanic ear thermometers replace glass mercury thermometers
Assessing Blood Pressure manually vs digitally
Linseed poultices, long a thing of the past, are now microwave hot/cold gel packs - but seldom used
Dietitians in a distant office calculate dietary requirements
Smooth cotton sheets with folded hospital corners are jersey sheets with pocket corners.
A paper world of documentation is being replaced by the electronic world of computers.
On the surface of patient care,
all of these tools are used to dip beneath
to the soul bound by 
physical 
mental
emotional 
unrest and illness.

Easing distress with care, kindness and respect.
Care for those who cannot care for themselves.

"I feel a need for no other faith 
than my faith in human beings.  
~ Pearl S. Buck

Wednesday, May 9, 2012

Nursing Instructors: Planting Seeds, Fostering Growth

A Nurse Log - Life to Life
Knowledge to Knowledge
Florence Nightingale, a pioneer in establishing
nursing protocols
nursing schools
could be considered one of the first known nursing instructors.

Nurses training would possibly be 
non-existent without nursing instructors.
Caring, an emotional response to 
need 
hurt
is developed long before nursing school.
How to deliver care, while addressing
unhealthy emotional involvement vs healthy personal boundaries
can be a difficult lesson to learn and to teach.

Nursing instructors have
‘been there - done that’.
Have the ability to 
share their knowledge,
developing
minds
hands
hearts
that are ready to learn.

Patience with their students,
love of nursing,
determination to pass on
details and depth of nursing
has encouraged me to
welcome all students nurses
where ever I work,
as did other ‘floor nurses’ as 
nurse fledglings entered 
the world of patient care.

Four pivotal lessons for me were:
 - How to wrap a tensor bandage in a smooth figure eight, lining up the overlap precisely in a line of V’s (Miss Wise)

 - When I asked my instructor why the RN’s didn’t have to do the same things that we were required to do, the pleasant answer I received was:  “Remember that when you’re an RN” (Mrs Ritchie)

- ‘Isn’t it exciting?!” as part of an opening lecture on sociology.  (Mrs. Duthie)

- When I asked if I would have to leave nursing because of newly diagnosed epilepsy, the kind answer I received was:  “Not unless it affects your nursing.”  (Miss Linnell)

Naming all the other nursing instructors both
in the classroom or
at the bedside
is not possible in this space;
you know who you are if you teach nursing.
I am incredibly grateful to each of you for showing me, and all other nurses, the way of nursing.

Nursing is an art: and if it is to be made an art, it requires an exclusive 
devotion as hard a preparation, as any painter’s or sculptor’s work; for 
what is the having to do with dead canvas or dead marble, compared with 
having to do with the living body,the temple of God’s spirit?  It is one of 
the Fine Arts:  I had almost said, the finest of the Fine Arts.”
~ Florence Nightingale

Tuesday, May 8, 2012

Approaching the Dragon's Tail

Women have come so far in the work world.

In the 60’s, there were limited choices for us.
Nursing was one of those choices.

High school completed, it was time to step out in the world.
Staying in the world I had come to know with
a good book
my family
my community
would have been comfortable - temporarily.

My memories are misty about 
my participation in the decision 
to pack my suitcase and 
go to the big city 
where I would spend 
the next three years
learning the details of nursing.

My sister Janet, just two years older than I,
a shining advance party into a nursing career,
graduated with her black band the same year I
entered the Regina General Hospital School of Nursing.

Nursing school in 1965 was
three years in length, had been
exciting 
gross 
routine 
mundane 
technical
frightening
with many hidden learning curves.

The Dragon’s Tail, 
an eleven mile piece of highway 
with three hundred and eighteen curves 
has great potential for
danger
beauty and
challenges
for avid biker's that enjoy the open road.

With the enthusiasm of youth,
the life experience of almost eighteen years,
this small town prairie girl was about 
ride the Dragon’s Tail!

Nursing has proven to be
beautiful
challenging
with some potential for danger.
Constant learning changing procedures and protocols to navigate 
all the curves that continue to confront.

“The most beautiful things in the world cannot be 
seen or even touched, they must be felt by the heart.”
~   Helen Keller