{"id":3290,"date":"2008-11-20T03:53:00","date_gmt":"2008-11-20T03:53:00","guid":{"rendered":"https:\/\/eaumaison.wordpress.com\/2008\/11\/20\/peds-day-1"},"modified":"2008-11-20T03:53:00","modified_gmt":"2008-11-20T03:53:00","slug":"peds-day-1","status":"publish","type":"post","link":"https:\/\/eaumaison.us\/index.php\/2008\/11\/20\/peds-day-1\/","title":{"rendered":"Peds Day 1"},"content":{"rendered":"<p>I&#8217;ll try to keep this short because I&#8217;m very tired and I need to get to bed early, say by 9:30.<\/p>\n<p>Despite going to bed at 9 pm last night it was not restful.  I had just finished my prep sheet for my first patient the next day and I was in a state of panic.  How do I measure input and output for a three year old?  How do you get a UA dip each time she pees?  How I will know when she needs to pee?  How do I get into their omnicell?  What counts as hypotension for a kid on chemo?  What does chemo look like?  And these are in addition to all my normal anxieties about new clinical, such as will I get a good nurse?  Will she like me?  Will I be bored?  Will I get to do anything good?  And what if I screw it up?  What if I get sick tomorrow?  What if I&#8217;m late?  How early do I need to leave?  How will I meet my clinical instructor?  Like I said, I&#8217;ll stop there to keep it short. <\/p>\n<p>So I slept from about 10 pm to midnight, then woke up every 45 minutes until 5 am.  As usual breakfast (oatmeal, banana, OJ) did not taste good that early.  I felt like throwing up and had diarrhea &#8211; my usual anxiety woes.  They usually dissipate by the time I get to my clinical\/first rehearsal\/performance, but they make the getting there part fairly awful. <br \/>I was nearly late and had trouble with my badge access to parking.<\/p>\n<p>Luckily my nurse Anna was in no hurry and set me up for a great day.  She worked with me at my pace and let me do all the things I wanted, without pushing or assuming I knew a lot.  Of course I fumbled and felt flustered and slow throughout the day, but she was a great cheerleader and teacher.  I even dropped an open port of tubing on the floor TWICE in one hour and she showed no disappointment in me.  I worked with all three of her patients including the one who I prepped to care for, a 3 year old girl with a stage 4 neuroblastoma.  She was a cute little girl who liked The Little Mermaid and wanted to play with the empty syringes and bags after we changed her fluids.<\/p>\n<p>I felt like I mostly shadowed today, which is what I wanted.  They had set me up to believe I would be doing total patient care, and indeed I heard some horror stories from other students who were at the hospital last weekend.  Nothing like that for me.  It&#8217;s a top of the line hospital with the cheeriest staff ever. <\/p>\n<p>My biggest complaints with my rotations so far have been 1) It&#8217;s too slow and 2) I don&#8217;t get to do enough procedures.  Well today was anything but slow with NO downtime and I worked with more IV meds\/tubes today than I have in all my schooling combined. <br \/>I don&#8217;t know how I feel about peds.  I don&#8217;t have any spark of &#8220;Oh yes!  Working with kids is the best\/my calling\/all I ever dreamed of. &#8221;  But I don&#8217;t dread it or have any trouble getting over the fact that we have to do things to the kids that hurt.  I&#8217;m dead neutral.  I wonder how I&#8217;ll feel in four weeks.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>I&#8217;ll try to keep this short because I&#8217;m very tired and I need to get to bed early, say by 9:30. Despite going to bed at 9 pm last night it was not restful. I had just finished my prep sheet for my first patient the next day and I was in a state of [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false},"version":2}},"categories":[1],"tags":[],"class_list":["post-3290","post","type-post","status-publish","format-standard","hentry","category-uncategorized","post-preview"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack-related-posts":[],"jetpack_likes_enabled":true,"_links":{"self":[{"href":"https:\/\/eaumaison.us\/index.php\/wp-json\/wp\/v2\/posts\/3290","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/eaumaison.us\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/eaumaison.us\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/eaumaison.us\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/eaumaison.us\/index.php\/wp-json\/wp\/v2\/comments?post=3290"}],"version-history":[{"count":0,"href":"https:\/\/eaumaison.us\/index.php\/wp-json\/wp\/v2\/posts\/3290\/revisions"}],"wp:attachment":[{"href":"https:\/\/eaumaison.us\/index.php\/wp-json\/wp\/v2\/media?parent=3290"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/eaumaison.us\/index.php\/wp-json\/wp\/v2\/categories?post=3290"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/eaumaison.us\/index.php\/wp-json\/wp\/v2\/tags?post=3290"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}