Today I did both of my jobs…
Some days I love my job. Yes, I tell myself that everyday, just as a reminder. And if you think about it I have two jobs. One is the day job, the one everyone tells you not to give up until you have at least three best sellers. The other is the one where I write and wait impatiently to see it published.
Today, almost as soon as I reached my office, the night charge nurse came in smiling and content with life. He has several new nurses on his shift and was bragging about them. (The new nurses fall under my job description.) For half an hour and within just an hour of the day shift crowd being there, it all went to hell. He had four patients suddenly going critical at the same time.
One was crashing as his blood pressure tried to reach zero, one having an allergic reaction that tried very hard to close off his throat, one rushing to surgery.
The fourth was a young girl, who when she entered the ED was complaining of abdominal pain and missed her period a month before. Trouble was when the nurse examined her she was as near to crowning as you can get without the head popping out. (You know the scene in Knocked Up.)
The doctor came and did a quick exam and sent three nurses up with her to reach L&D while the doc stayed with the other patients in the ED. They called to warn L&D(labor and delievery) and rushed to get her there in time. Trouble was there was not an obstetrician on the floor. He said he could hear the page over head. Three ER nurses and a couple of L&D nurses delivered this little girl.
He was feeling pretty good. Saved some lives and brought a new one into the world. He was smiling as he told me that he had so wanted to simple push aside the L&D nurse and deliver the baby himself. It was a tantalizing idea to be the first to hold her as she was born. The baby was early, but not that early. The other patients all made it without complications and all was right with his world.
I wasn’t with them while they showed the gold. After more than 15 years in the emergency room it was a thrill to see the nurses that I helped orient and encourage, gain the knowledge and skill to shine when it all seemed dark for a time.
I know how he felt. We bear witness to tragedy so much of the time in the emergency room. We see the miscarriages, not the deliveries. We see the first golden hour of traumatic events when everything you do can make a difference, not the day they walk home. We hear the death wails of family members as they are allowed in the room to watch as we try to save their husband, wife, brother or father, not the sweet remembrances.
It requires a very special individual to do that job. We don’t have the hours or days of getting to know our patients, instead we a short window of time save the emergent patient or diagnose and treat the less emergent. We are the way station on their way home, the hospital room upstairs or to their maker. There’s always someone else waiting for us to get to them. So this nurse would go home today weary from life, with the knowledge he and five other nurses made a difference in the lives of everyone they cared for that night. Some days at the end of your shift that feeling is not there, because you feel only the weary. It was a good day for him and I was glad.
So today I did both my jobs. I bore witness to his story and then I wrote about it. In my life I don’t have to come up with outrageous tales, I can just tell you about my day or one of the many I remember. When I write I always see the happy ending, even if it is not part of the real story. That’s why I write fiction.
Rhianna Samuels/story teller/ER nurse

