Sunday, May 3, 2009

I love my new job!

I've had two days orientation so far, but I already know that I am going to love this job! I've started IVs on kids ranging from preemie, new born that day, to 17 years old. And apparently I'm pretty good! I seem to be better at it under pressure because we've had several kids who have already had other nurses try to get IVs on them and been unsuccessful. They call us in and as soon as we step in the room, the child is crawling up the wall! There is always two of us, because we usually need someone to hold the arm, leg, or head of the child so we can get the IV in. On a couple of cases we have needed two people holding the child down while I put it in! And the parents are there watching the whole thing. Luckily I've been able to get it in the first try! I actually had a room full of family, when putting in an IV for a 4 y/o, and just as I was about to put the needle in, the grandmother stood up and snapped some pictures! Not something I would think you'd want to put in the kids scrapbook for the memories!
I've been oriented on placing PICC lines which go from the forearm into the superior vena cava. I'll get to use ultrasound to place them, scalpels, lidocain, and then I get to suture it into place as long as the tip of the catheter is in the right place. We have to get an x-ray done in the patient's room to check that. I'm excited to try my first one, knowing full well that anything can happen! The one I saw placed went so slick that I got excited to try my first one. I know this probably sounds a little (or a lot) morbid to some, but I get a rush everytime I see that flashback of blood in the catheter and I'm able to advance it into the vein with ease. I know Annaleigh will agree with me, it's COOL!