As a young nurse, with only six months of experience under my belt, we moved to the small town of Cozad, Nebraska. I applied at the twenty-bed hospital, starting almost immediately on the night shift. I soon learned, as the only RN in the building, that things were going to be a lot different from the six floor hospital in Lincoln, Nebraska. As I remember, there wasn’t much of an orientation. It was more like an introduction. “DeLila, meet Velma and Marilyn. They have both worked here a long time and they will be your full-time aids. They should be able to answer most any question you have.” It’s true, they had a lot of experience but aids can’t start IV’s, insert catheters, place nasogastric tubes, or do OB checks – all things I wasn’t very experienced at. Back at Bryan Memorial there had been at least three RN’s to every floor on the night shift as well as a supervisor with a pager on her hip roaming the floors and helping out where needed.
This Cozad Hospital was a different world. Not only was I responsible for however many patients we had, but also for the Emergency Room, the ICU (which was one bed behind big glass windows next to the nurse’s station), and any OB patient that might come in and deliver. Some nights were slow; some were crazy wild.
Over the course of the year I became quite efficient in IV sticks, catheter insertions, NG placements, and yes…even OB checks. It didn’t happen all at once, but with each positive experience I grew less anxious and more sure of myself. I had come a long way from that first week when I was less than convinced I could do the job.
I’m not the only one that’s ever wrestled with doubt and insecurities. When God told Moses he was to lead the Israelites out of Egypt Moses replied, “But who am I to appear before Pharoah? How can you expect me to lead the Israelites out of Egypt?” (Exodus 3:11) Moses’s insecurities manifested in excuses why he couldn’t do what God was asking. (Believe me Moses…I can identify.) We know, with God’s persuasion, that Moses did end up leading the people out of Egypt. And what a job it was to lead two-million bickering and complaining people around in the desert for forty years. The thing that saved Moses, was that God had promised to be with him, and He was. And just like Moses, God was with me too. He is with everyone of us that places his faith in Him. Psalm 16:8 says it simply this way: I know the Lord is always with me. I will not be shaken, for he is right beside me. So many times, I would have been shaking had it not been that I believed God was with me. I envisioned Him sitting right next to me the night I started my first IV on a child – a seven year old girl with dark hair and brown eyes. I prayed fervently while gathering my supplies that she would remain calm and I would too. Just prior to making the stick I said, “Amy, you may want to turn your head away.” She was having nothing to do with that. She watched me intently, never flinching. I made the stick and blood started flowing back into the tubing, telling me I was in. Amy surprised me when she said, “That is so cool!” Once I finished taping things in place, I gave her a hug and assured her I wished every adult patient was as calm as she was when getting an IV. Thankfully that first experience for both of us went well. But there were other times when I failed on the first or second attempts (sometimes even more) to get IV’s in, catheters inserted, and nasogastric tubes placed. Because I had no one to “save me”, I had no other recourse but to try a different approach. Either way, my confidence increased.
Now retired, (after thousands of IV sticks, catheter insertions and nasograstic placements) I no longer worry about preforming nursing duties efficiently, but there’s other things to learn in this season of life. When I find myself in the midst of a new experience or an unfamiliar job, I do what I learned to do so many years ago…pray, acknowledge that God is right here with me, and appreciate that I’ll either perform well or learn a different approach.
Until next time…keep on readin’ and I’ll keep on writin’.