Sunday, August 4, 2013

in which i am traumatized by camp nursing.

so i do this thing every year where i work a 70 hour week and then head straight to kids camp and be their nurse for a few days.  every year i dread it, and every year i leave happy and feeling like i did something good.  for the past few years, i have soothed the hypochondria of children and put on some band aids.  this year, i expected more of the same.

that was, until, the very first night of camp.  when a mere 5 hours after the kids arrived, i heard the horrific screaming that only comes when someone is very very hurt.  my suspicions were confirmed when people started yelling for me, so i followed the noise to the kid writhing in pain on the ground with a very obviously broken arm.

now i'm a trauma nurse.  but i don't work peds, and i'm not a first responder.  the fractures that i see are all splinted or ex-fixed or at the very least, covered in some way by the paramedics.  i'm definitely not used to seeing such a little hand just hanging there, especially when it's attached to a terrified little kid.  i would like to say that i launched into nurse mode, but i actually think that it was more like mom mode.  i grabbed the crying child, pulled him into my lap, and held on for dear life.  the arm was bleeding, and even when i was asking him if he remembered falling on anything, i was pretty sure we were dealing with an open fracture.  and instead of my nice shiny sterile hospital setting with all of my supplies, i'm sitting in dirt at the bottom of a hill with a first aid kit that somehow doesn't have gloves.  and this is my fault, because i was the one who "restocked" the first aid kit....just not very well, apparently.

i honestly think gloves wouldn't have mattered anyway, because the kid wouldn't let me do anything to his arm.  i had nothing to splint it with.  the open area was all the way underneath the arm, where i would have had to twist it to look, and he was having none of that.

so there we sat.  in the dirt.  at the bottom of a huge hill.  him in my lap, his broken and bleeding arm laying on top of my intact one as i acted like a human splint.  i held his hand on the broken side, and we waited.

i have never been so relieved to hear sirens in all my life.  we packed him up in the back of the ambulance and went to the hospital, where the xray showed a both-bone open fracture that needed to go to the OR right away.  i stayed until his mom got there, then went back to camp.

i talk about being this mighty trauma nurse who's seen everything and is not phased by anything, and that night it just wasn't true.  sitting on the side of a big hill, in the dirt, with a crying and terrified child in my lap...it was SCARY.  none of my supplies, no resources, no higher authority than myself...everyone looking to me to decide what we were going to do.  you would think that someone who loves to be in control would be thrilled with such power, but i wasn't.  i was out of my depth.

so once it was finally over, i called my nurse bff and cried.  and then i felt better, and went on to nurse another day.  a day in which i had to deal with this:


it turns out that it's a bad idea to wrap a t-shirt doused in lighter fluid around a piece of wood to make an "olympic torch" and then run with it through camp, as one of the counselors learned the hard way.

such.  big.  blisters.

i hear both 'patients' are recovering well, and after a week i finally have too.

hats off to those who make a living listening to the panicked screaming of people who are healthy one minute and broken the next.  i have officially learned that is not for me.

2 comments:

  1. awwww don't be so hard on yourself. Hurt kids are never easy to deal with. And "mom mode" is what his scared little self needed. The important thing to remember is that if you are the only medical professional there, then no one else knows that you are freaked and feel clueless. It isn't like you did field surgery and amputated his arm with a broken bottle! You held him close to bring down his panic and fear, used what resource you had to immobilized the arm and stayed with him until mom showed up. Gets my mom,s thumbs up, it is the kind of care I would want if it were my son in that situation.

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