Tuesday, November 13, 2007
how to have fun in virginia
Thursday, November 8, 2007
i'm not asleep
the heat is broken here on our floor...it's so cold!!!! i have been begging the engineering dept. to bring us up some space heaters for the kids but they keep claiming that they will have the heat fixed in a few more minutes. this has been going on for the last few hours though so i'm growing less and less convinced that this is true.
i felt so bad because i had to change a diaper and the poor little guy was so cold, i went and got him a little knitted hat and booties and bundled him up good afterwards but still, it was a cold 3 minutes.
i have perfected my diaper changing skills so that i can change a poo filled diaper (or any kind of diaper really) in about 60 seconds. factor in the re-bundling and outfit change it's almost like a superhuman power.
i know i'm writing to an audience of mostly moms with multiple children for the most part but hey for a 25 year old single girl these are some "mad skills" to possess. that's street lingo for "an impressive talent" which i learned from the last 10 year old i hung out with (the last 10 year old and also my sister).
i have also fine tuned my hearing to that of mothers who can distinguish their child's cry apart from an entire screaming room of children, now i can hear a pump or monitor beeping and just by listening i can tell you if it's mine. and my super ears are telling me...yup, that one's mine...and the baby's hungry. seriously, i feel if you have to eat every 3 hours you should at least have the courtesy not to burp like a 20 something frat boy who just won a beer chugging contest.
Saturday, November 3, 2007
it's 3:30 am, what are you doing?
so yesterday i talked to the PICU manager and she as formally as she could, she offered me the job. she told me i'd need to contact nursing recruiting to find out my new salary but i'm pretty sure it's more than i make now so that's kind of exciting. she did tell me that i'll need to become chemo certified which freaks me out. i am terrified of taking care of oncology patients let alone putting toxic chemicals through a central line. one thing that made me feel better though is that she told me that if there is ever an really sick kid in the PICU with all kinds of drips and pressors and tubes and such then they will assign 2 nurses to that patient. life is much less scary when you have a buddy.
work here is horrendous right now. the burn out rate for nurses is something like less than 5 years...i'm shocked it's that long. seriously, if our patients were always like the ones we have right now i would quit. i would be back in Ecuador before you could even say "¿Dónde fue ella?". last night i cried when i walked it every one of my patients' room. you really need to remember to pray when you work in a place like this otherwise....it would be unbearable.
well, my thirty minutes are up. i have extremely important work to go do...that will hopefully take longer than 10 minutes! it's all about killing time on night shift.
Saturday, October 27, 2007
Keeping Up Appearances
so life has been quite busy lately, i know i'm horrible at posting but i promise to try harder. there's a lot of things in my life i'm going to try harder at. one is that i have finally joined a gym.
HIGHLY overrated this being "in shape" what is that any way? when the trainer at the gym asked me what my goals were i told him that it was to have the strength and endurance to hike through the jungles of third world countries. that seemed like an acceptable goal but it seems that Bally's Total Fitness does not have a specific exercise plan for training future missionaries. odd.
i have had a lot of visitors as well in the last month or so, first a good friend from college, then erin and lucia (which was so much fun guys!) and then just this past week my friend who had lived with me down in Ecuador. i love mary dearly but we always have the worst luck when we're together. i swear, if only MTV made a reality show about us...let's just say Real World's got nothing on us! and this past week was no exception. my car got towed! we were leaving the museum of natural history to go back to my car when i noticed oh so many cars along constitution ave. being towed, i started to become a little nervous and so, started walking a little faster. we were finally within eyesight of my car... and the tow truck in front of it, and i started running screaming "that's my car! where are you going?!!" the truck driver was good enough to stop and give me the address of the place it was being towed to. i asked him "what am i supposed to do? i'm not even from here?" and he told me "catch a cab, they all know where we are located" evil bastard. reason number 5,679 to hate DC. and so it was that as i watched my beloved daewoo being dragged through the streets mary and i hailed a cab driven be the nicest jamaican cabbie ever. when we got to the place he insisted on giving us directions back to constitution and then waited at the side of the road until i had my car back. he even was going to wave half of the cab fee when an oversight led us to hand him a $5 instead of a $10. the first truly nice person i've met since i moved here. he said it was because he's really from jamaica and not DC. and so, a $100 ticket later and a trip to the SE portion of DC later, the daewoo and i were reunited hardly the worse for ware. and mom, dad, if there is an inexplicable bill for towing sent to the house please direct it back here and i'm sorry for the inconvenience
also i have noticed that there are far to many smells in my life, i go to the hospital and am exposed to all kinds of foul repulsive smells, then i come home and it seems like i have a different cleaner for every different object in my apartment, and lotions and perfumes and laundry detergent etc. why? there is no need for so many different smells in one life and so it is that i have decided to simplify. i've just become so overwhelmingly nauseated by smells that this has become an necessity rather than a choice. so there it is, i have developed an allergy to smells.
in the work aspect of life i am still very much as i was. over worked and under paid. just kidding, to an extent. i do love my job but it can be very trying at times. i have heard from the PICU here and they have told me that i would be able to make the move in febuary. this is exciting but very intimidating. can i really be a PICU nurse? this means a lot more than i currently deal with. this means life and death and vents and ECMO and serious ethical questions. the question that most frequently comes to mind though, is am i smart enough? but i know that this is a ridiculous doubt, a fear of the unknown more than anything else.
tomorrow is anther day and i have to go to work again. i had off today which was wonderful, highly unusual but a welcome change of pace when i usually have to work every other weekend and this time around i only have to work this sunday.
Saturday, October 6, 2007
no hables espanol?
tada!!
that's right, i'm still alive.
was at work today, made it to mass which is always a plus.
you never know when you work in the hospital whether or not you're going to be able to make it to mass or not. sometimes i don't. it makes me pretty sad when i don't, but today i did.
i even got to go to confession which was awesome.
i love the priest at the hospital. he really takes the time to get to know people and offer spiritual direction and tries to call all of us heathens on to be better people.
i do have to go back to work in exactly 7 hours though, so i am off to bed.
just wanted to let everyone know i'm still alive.
adios mis amigos.
Saturday, September 8, 2007
From the Mouths of Babes

Monday, August 27, 2007
When Moths Attack
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the moth did escape unharmed but i'm pretty sure he'll think twice before coming near me again.
Wednesday, August 22, 2007
To Lisa:
Sunday, July 15, 2007
Deep Thoughts, by Finney
It's made up of 12 + 1 (13 including the octave) chromatic tones.
We consider the semi-tone (1) and whole tone (2 semi-tones) to be building blocks of diatonic scales.
Pentatonic scales are 5 tones.
Diatonic scales are 8 tones.
The 1st, 3rd, and 5th tones in the diatonic scale are the building blocks of root chords.
I could go on to demonstrate the influence that the Fibonacci series has had in music...but it's likely better (if you're not convinced) to trust me that i know what i'm talking about"
Thursday, July 12, 2007
A Journey's End
I was able to see her to say goodbye and mourn with her parents and family for a short time this morning.
We will all miss Maggie but we take comfort in knowing she's no longer suffering and is now up in Heaven praying for us all.

“He called to Him those whom He desired, and they came to Him"
Saturday, July 7, 2007
Happy 4th of July
So we went out to Annapolis for the 4th and not only were there fireworks but there was a parade....WITH CAMPER VANS!!!!!! i now believe that a 4th of July parade cannot be complete with out a string of camper vans, especially vans with white bear skin rugs, champagne glasses and pillows that say "Big Mac".
beacuase nothing says American pride like a 1/2 mile string of campers vans
Tuesday, July 3, 2007
Updates
as many of you know, i've been a bit preoccupied lately by one of my patients at the hospital. she's actually no longer my patient since she's now in the ICU but i've become close with the family so i've become somewhat territorial of them. Maggie is still very sick and the family is asking for all your prayers. she's been close to dying more than once now and she still has a very long road ahead of her, not only does she need to recover from this last open heart surgery but she will need a liver transplant in the very near future. so please pray for her and her family.
other than that not to much has been going on, i went to New York a few weekends ago. I went to both visit one of my good friends and also to look into a possible job at the Children's Hospital there in manhattan. it was a great visit with mary and i had so much fun but all my plans for going to the hospital totally fell through. it's still a possibility for the future but for right now i think i want to go into ICU nursing and if i moved to new york i'd have to take a position on a med/surg floor like i'm working on now. not a bad thing but it would throw off my 5 year plan.
oh that's right folks, i have a 5 year plan. 1 year of med/surg nursing, 2 years of ICU nursing, 2 years of OR nursing and then volunteer again. i'm hoping to go back to Ecuador to volunteer but i would go anywhere really. after that we'll see. i was thinking of going back to school for anesthesiology but that will depend on how well i like the OR. actually all i really want to do is work around the world volunteering. i hear the sudan needs nurses...
nothing else new, Kelly, Dan and the boys are coming out on friday, 5 of us in my 1 bedroom apartment... things should be very interesting! i'm actually really excited because i love getting to spend time with them and there are plenty of things to keep us busy outside the house so that we won't be on top of each other all the time. and as an added bonus for us all i finally got my air-conditioning fixed.
the A/C has been broken for close to a month now, basically ever since the weather started getting hot. but i've been out of town on the weekends and working so i really haven't thought about it too much, then the other day it was about 85 out and oh so humid and i decided to go for a run and walking back into my apartment felt a little like walking into my own personal sauna and it was then and there that i called to have them fix the air. i just envisioned hot cranky babies all weekend and it was not a good image. but as things are now a comfortable 78 degrees i don't have anything else to do except possibly clean my bathroom
Monday, June 11, 2007
my latest adventure
so as a general courtesy i let everyone know i was leaving the floor and would be able to run whatever errands they needed. i was instantly bombarded with requests and so off i went with my list in hand:
*central supply for a dressing for Korri
*diet coke from the vending machine for Emily
*lab for me
i decided to go to central first as it was on the first floor and i could just work my way back upstairs after getting the supplies i needed.
opting to take the elevators instead of the stairs for safety reasons i absentmindedly got on the first one that opened on my floor (first mistake of my ill-fated journey). as the doors closed i had this vague feeling of uneasiness as i realized that i was on the "slow" elevator but i shook it off and told myself it was fine, i had told everyone if i wasn't back in 15 minutes they were to come looking for me, a joke of course but at the same time i meant it and they knew it.
as the elevator neared to the first floor i noticed a funny sound, kind of like a chinking/grating type noise. not being well versed in elevator maintenance i wasn't entirely positive but i was pretty sure that this was not a good noise.
then i noticed that i was no longer going down, but back up.
what was this?
i started hitting buttons in an attempt to stop the elevator but to no avail, it just kept fluctuating between floors but not stopping!
i had no idea what to do, i pushed every button i could and the elevator kept going.
after what felt like an eternity but in reality was about 5 minutes i was reaching for the phone in the elevator when i saw that i had not pushed the button to the 4th floor. i closed my eyes, said a little prayer and hit 4. i sensed the elevator moving now upwards but with what seemed like a purpose. the doors opened and i lept out feeling a sense of freedom i've never experienced. i was still a little leery of taking the steps in a dark hospital in the middle of the night so i hit the down arrow and waited and in a bank of 6 different elevators which one came back up? the one i had just escaped from. after that i took the stairs regardless of the creepy factor.
oh but wait, it doesn't end there.
once i finally made it down to central supply to pick up the dressing Korri needed, i couldn't get anyone inside to open the door. i kept ringing the bell but nothing. eventually some of the guys who were cleaning the floors a little ways down the hall told me i could get inside but another door.
this other door opened into a part of central supply i had never seen before, i kept calling out but no one answered me. as i walked on into the labyrinth of various medical paraphernalia the thought that i should probably just give up and call it a night did cross my mind but after the adrenaline rush of my earlier brush with death i just couldn't. so i kept going. and going. and going
so there i was, lost in the hospital's central supply at 4:30 in the morning. i kept calling out but literally only heard my echo in return.
i could not believe this was happening, first the elevator now lost? as i wandered through the sections of diapers, i couldn't help but see what an opportunity i had in my hands. to be unsupervised in central supply was like turning a fat kid loose on an all you can eat buffet.
eventually i did wander into the section i knew so i picked up the supplies i was asked to get and then just a few more i felt would be useful to us nurses on the floor. after that i headed to the vending machine for Emily and then to the lab.
as i finally walked back onto the floor a full half an hour after i said i'd be back, i felt my pager go off. i checked the message and saw that i had been missed. evidently i had been gone for 45 minutes and a search party was being organized if i didn't call them back.
next time i think i'll just wait till someone else volunteers to go off the floor.
Monday, June 4, 2007
who say's that?
i dislike working nights mostly because i can't get back on to a normal schedule as soon as i'm done. i worked wednesday, thursday, friday night last week and i'm still finding that i can't sleep through the night. that said i can't really sleep in the day either, it's more like a series of naps where i always feel more tired when i wake up then when i went to bed. on the bright side only 2 more shifts before i get to go back on days.
last time i was at work one of the patient's on the floor invited me to her birthday party. of course i'm not exactly sure where "Deja house" is, so that might make getting there a little difficult but she seemed fairly confident in my abilities to get there.
I have never met anyone like this child. we had her up at the nurses station because she woke up at 5am and proceeded to watch tv, call her nurse in, go to the bathroom about a thousand times. this wouldn't have been a problem except that she had a roommate who really wanted to sleep. so we just brought her up to the desk with us and she entertained us for the next 2 hours. this child must have the soul of a 90 year old woman who's lived through 2 world wars, raised 15 children, and had to grow her own food and sew her own clothes her whole life. what adds to it is the fact that she's always had problem with her ears and now she's almost deaf in one of them so you have to practically yell for her to hear you (this was understandably another reason her roommate wanted her out of the room!)
at one point she turns to me and says, or rather yells "you know what katie, sometimes the kids at school make fun of me and it doesn't bother me. it doesn't bother me katie, you know why? because i know that they're just jealous. they're jealous because i have the beautty and they want it too. my mommy always tells me that if someone says something mean about you it's only because they don't feel good about themselves. there's a lot of kids at my school who don't feel good about themselves"
so since i'm awake and my apartment is disgusting i should probably go and clean it. it hasn't been done in a while and there's some kind of funk coming from the kitchen, all very good reasons for me to go and clean.
Thursday, May 24, 2007
big events
Monday, May 21, 2007
won't you be my neighbor?
Sunday, May 20, 2007
happy anniversary to me
~here is the Good Friday procession through El Centro, the guys dressed in purple are part of the brotherhood Cucuruchos and basically are penitents who walk the procession carrying crosses, wrapped in chains, and are in some way making acts of penance
what smells?

Friday, May 18, 2007
this is my life?
typically my days begin at 5:30 when my alarm goes off, i try to avoid the inevitable and generally hit the snooze button once giving me a whole extra 7 minuntes, so in truth i should say my days begin at 5:37. then it's shower, coffee, dress, run frantically out of the house because i hit the snooze button and took to long in the shower. I get to work at 7 am, or just before so as to avoid the glare of the night shift, they like to act like they are the victims because they had to stay up all night when in truth 90% of night shift is made up of nurses who specifically have requested to work nights, and mostly because they cannot handle the stress of a day shift.after report is done i then face the next 12 hours of being waitress, transport, public relations, therapist, babysitter, secretary, oh and i'm also still the nurse, which means i still need to assess my patients, give medications, get blood or other specimens for the doctors, start IV's, hang blood, change dressings, suction out trach's, and whatever else those crazy doctors have decided they need to do with these kids. (including but not limited to colon clean outs, enemas, describing in detail a patients stool, retrieving "nasopharyangeal aspirates" which is a fancy way of saying they want you so suck boogers out of the kids nose and send it to the lab, all of which things are about as much fun as they sound) the worst though, is the paperwork. i think every nurse will complain about the paperwork. i have been tempted many times to write something like:
Nurse Focus Note: D) Pt. is 6 mo old male, admitted for R/O sepsis, VSS, afebrile, purple and green lesions to body noted, non-tender, round and approx. 3 in. in diameter occurring over total body surface. small bony prominences noted on forehead, appendage from the coccyx increased in length this shift, current length 63cm. A)VS Q4, measure strict I&O, Measure tail length BID, Meds given per MD orders, IVF running, Cont. on CRPO2 monitor, MD notified of new length and lesions, family updated on POC. R) pt. resting quietly with family @BS, no apparent pain or distress. No new lesions noted, no increase in size of current lesions or tail. Good PO and UOP, approx 4cc/kg. Afebrile. Will cont. to monitor. K. Corrigan, RN
i wonder how long it would take before someone noticed it, my guess is never. that's how important nursing notes are. if the doc's have any questions you can bet they aren't going to flip through the chart to find it themselves they are clearly just going to hunt you down and ask you themselves.
this is all just a broad overview of what i do, no one can even imagine how stressful your day can become over something like a baby not peeing for 5 hours and you can't get a hold of the doctor because they're in clinic and the person covering for them is not around and all the third year will tell you is that you need to page so and so for the answer, or a medication that was supposed to be given at 8am for a kids seizure disorder is still not on the floor and the pharmacy hasn't sent it down and now it's 3 in the afternoon and every time you call pharmacy just keep telling you that it's coming, or my personal favorite, when you get overhead paged to go to 4 different rooms, all consecutively done and then the same person pages you to the front desk to answer a phone call....and you are standing directly behind the person paging you the whole time. it's not that i think everyone is mentally challenged it's just that i think they turn off any form of logic or critical thinking skills they may have once had, as soon as they start their shift.
so if you are ever so unfortunate as to find yourself or a loved one in the hospital please remember before you start bad-mouthing your nurse for not getting your jello cup STAT, that she is probably juggling about a thousand different things at that same moment and changing linens, giving baths, getting ice water or jello cups are not high on her list of priorities. especially when she has patient (A) who is receiving a blood transfusion, patient (B) who has suddenly become tachypnic with decreased urine output, and patient (C) who needs to have his trach suctioned out every hour or he will develop a very large mucus plug. I am not a personal slave, i am a human person with dignity and deserve to not feel guilty about going to the bathroom or eating food!
this obviously comes after a very bad week where all of this clearly happened, it was such a bad week that i actually cried a little in front of a stranger, but the reality is that this happens every week. when people get sick, or their child gets sick, they loose all sense of proportion and reality. people begin to think that they are the only people in the entire hospital and start demanding ridiculous things of you. i have to constantly check my emotions and say a little prayer asking God for patience otherwise i will loose it and you would probably find me wandering around the parking lot all tangled up in IV tubing attacking any one who came near me with an ambu bag
nursing is very much one of the thankless jobs, and one where people remember the bad things that happened much quicker than the good, but regardless of all this i love my job. it's definately those times when someone does say thank you after you've given up all hope of it that totally make things worth it. i may have 5 days off and i may be so thankful for them and feel like i totally deserve them but i'm excited to go to work at the end of everything. (alright i realize that last little bit was pretty cheesy but i don't want anyone to think that i hate my job or that i think it's horrible in any way.)


i don't really feel like the picture needs any explanation.

