Friday, November 2, 2007

life in the ED

I spent the day in the trauma bay at the emergency department of the hospital where I work. It's not exactly like ER, mostly because I never saw George Clooney walking around purposefully and rescuing patients with excellent plot outcomes. Things I did see and experience:

--overheard between two residents: "Um, to put in that NG tube... yeah... the thingy goes in there, I think." Fear should strike one's heart at the words "thingy" and "I think" from a doctor's mouth.

--a man with a self-inflicted gunshot wound who made himself into a quadriplegic needing breathing support

--several nursing home falls and two nonagenarians among them

--a bicyclist vs. semi with nary a broken bone or internal bleeding

I think the highlight of my day, other than the many times where I jumped in and did actual nursing interventions, was a two year old girl who came in with her mom. Both were in a car collision, and both were unhurt but visibly shaken; the mom was 36 weeks pregnant and fearful for her unborn baby's health. They brought her two-year old daughter into the trauma bay with her since there was really nowhere else for her to go, and the little girl was strapped in her car seat still, solemn, wide-eyed, and looking very unsure about her new surroundings. I crouched on my feet next to her and started talking to her softly: about her shoes, the candy she still clutched in her hand, her pretty dress. Slowly, she started to speak, mostly to ask "where's momma" ("the doctor is helping her get better"). Eventually, she let me pick her up and take her to her mom; she clung to my neck and played with my name badge, where I had a Sharpie pen and flashlight attached to keep her pretty occupied until her "oma" came to pick her up.

Of everything I did that day, helping a child to feel less scared and more safe was the best thing I did all day. Seeing her smile - even as small a smile as it was - made my heart swell.

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