January 1995 - San Juan, Dominican Republic After awakening, I began reading my English-Spanish Bible in my Pan Dia village home, when Maria, a ten-year-old girl came in and shyly started reading over my shoulder. I gave her a Spanish gospel tract to read, and she was thrilled. Before we said goodbye, the cute children… Continue reading Transcultural Nursing Course in Dominican Republic – Part 2
November 1991 I have now worked in the new dialysis center in the suburbs for about three months. It is going fairly well, although the thirteen-hour shifts three times weekly exhaust me. I have trouble recovering on my days off and feel as bad as when I used to work the night shift. I started… Continue reading From Dialysis to Home Care Nurse
Fall Quarter, 1976 - Senior in College of Nursing This quarter I enjoyed working in Public Health with the County Board of Nursing. They assigned me to care for a family of ten Laotian refugees and a pregnant lady who needed prenatal care. My RN preceptor showed me how to assess them, watched me do… Continue reading Home Care in the Cemetery
From my journal Home Care Nurse Practitioner, New England, February This winter has had record snowstorms one after another. I have not seen the bare ground since the snow started in November. But today is a crisp clear day with brilliant blue skies. With no storms predicted and the roads cleared from the last storm,… Continue reading Buried in Snow
From my journal Home Care Nurse Practitioner - November 1, 2011 Over the weekend twenty inches of heavy wet snow fell in a matter of hours taking down many leaf-covered trees. Nearly a million people lost power including my home and the Veteran's clinic where I worked. Monday morning I put on my down coat,… Continue reading Freak October Snow Storm
From my journal Hospice Visiting Nurse - February, New England, USA This morning, the thermometer on my deck read a bone-chilling -5 degrees F (-21 C). I wished I could stay home, but my patients needed me. I pressed the remote car starter on my key ring to melt the thick ice off my windshield… Continue reading Do Nurses Cry?
From my journal Federal Home Care Nurse Practitioner - April 2005 Five months have passed since I began working at the Veteran's Affairs (VA) clinic as a home care Nurse Practitioner (NP). The VA assigned to me a car, laptop, cell phone, pager, and office. Completing the mandatory online continuing education and typing my lengthy… Continue reading Nurse Practitioner Stress
Geriatric Nurse Practitioner - October 2009 The Veteran's Affairs (V.A.) offered me a job as a Nurse Practitioner in Home Care a month ago. They have begun the grueling credentialing process, more prolonged than any other NP job I've ever had. I passed my pre-employment physical last week. My depth perception was not good on… Continue reading Federal Credentialing Process
Geriatric Nurse Practitioner - July 2009 I was glad to have a day off to relax and catch up on my chores. The phone rang and the caller said, "Pam, this is Dr. S. (my boss). I'm sorry to call you at home, but I wanted to make sure that you knew about the announcement… Continue reading Federal Home Care Nurse Practitioner?
October 2001 Dr. T., my manager, called me into his office. "Pam, I'm afraid I have some bad news for all of us. The parent hospital has decided to close this campus in the next few months because they are losing so much money here. Next month, they will decrease us to twenty hours per… Continue reading Will God Provide?