In 2011, I was working a typical night shift in the ICU where your patient rolls in the door from a procedure right at change of shift. My patient just had an arterial clot removed from his right lower leg during an Interventional Radiology procedure. He was a big guy, weighing close to 300 pounds.
His right foot was reacting to the sudden rush of new blood returning to his foot and began to spasm uncontrollably. This condition is called a reperfusion spasm. He was screaming at the top of his lungs and his foot was starting to turn blue. I rushed back and forth to our Pyxis (medication administration unit) multiple times for pain medications. I had given him 10mg of morphine and 10mg of dilaudid. It was as if I had never even given them to him.
After informing the doctor of his condition, we tried ativan for his anxiety and valium for his spasms. Again, no relief. At this point, I had no idea what to do. His wife and sister watched as he writhed in agony and I stood there helpless with no idea how to help him. I decided to go for reinforcements and grab my charge nurse for her opinion.
Sierra Baker was the charge nurse that night and was always quick to help in any situation. When I told her how much medication I had given him, we both knew that no matter how much we gave, he would not respond. Suddenly she placed her hands over his right lower leg and started to brush her hands around his leg, without actually touching it. My first reaction was "What the hell are you doing??" Within a minute or so of her brushing the air above his leg, his foot started to slowly relax and the spasm disappeared. His coloring returned to his foot! He let out a huge sigh of relief and blurted out "Ahhhh, thank you!"
His wife, sister, and I looked at each other wild-eyed and shocked. None of us could believe what we just saw. My patient was finally resting comfortably and pain free. Sierra and I left the room to allow him time to spend with his family. I asked her "What on earth were you doing". She told me she had just taken a Level 1 Healing Touch Class a few weeks ago and this technique helps to take away pain.
We went back in the room to ask him what he had experienced. He told us that he knew she was moving his energy and could feel the pain releasing. He had received Reiki in the past and knew she was doing energy work similar to Reiki. It dawned on me that I had seen my grandmother do this on many occasions whenever someone had a headache. She would lovingly brush her hands around someone's head and the headache would magically disappear. I had no idea she was doing Energy work.
Listening to his experience, watching his pain disappear, and realizing I could use this technique in an instant intrigued me. I wanted to learn more. I knew I would take this class. It took another 7 months and a Traumatic Brain Injury to get me there, but I finally took my first Level 1 Healing Touch class. This time, it was my own pain that was floating away. Read about my dramatic transformation of How a Traumatic Brain Injury turned me into an Energy Healer.
To learn more about Healing Touch, click here
Showing posts with label Night Shift Nurse. Show all posts
Showing posts with label Night Shift Nurse. Show all posts
Tuesday, March 11, 2014
Sunday, February 16, 2014
15 Nursing Tips and Tricks
Whenever I impart my wisdom on a newer nurse, I realize that everyone should have a list like this that teaches them what they will not learn in nursing school. If you are a non- nurse, I advise you to put away the food you are eating and prepare yourself for some really gross information. For all you nurses out there, proceed eating....because that's what we do. Here are the top 15 Nursing Tips and Tricks they didn't teach you in Nursing School.
Code Brown Tips
Your patient's room smells god awful and you know you have to clean up a LOT of liquid stool.
1. The Toothpaste trick
Place a face mask on a table and squeeze toothpaste along the outer portion of the mask at the brim of the nose. Place another mask on top of that to seal the toothpaste in the middle. A minty fresh smell right at your nose will cover up a good portion of the smell.
2. Suck it all up
The liquid stool is filling up the bed, running down to the feet, and there is at least 500cc of pure liquid. Use your suction cannister and a yankeur and vacuum it all up so you have less stool to clean up. It's all contained in the cannister, which means it has less of a chance of ending up on you!
3. No more cleaning bedpans
The patient asks for a bedpan to finish having his bowel movement. Line the bedpan with a absorbent pad that you can throw away and not have to clean the bedpan. It's ready to go for the next time you need it.
4. Clean commode
That same patient can actually make it to a commode. Put a garbage bag in the commode and there's one less pot you have to clean when they are done.
5. Coffee grounds odor absorber
The stool is actually melena, which smells a thousand times worse than the non-bloody variety. Might as well pour some coffee grounds into a few emesis basins to absorb the smell and take the edge off the raunchiness. Place them around the room on the countertops. Coffee grounds have an awesome odor absorbing ability!
6. Deodorize your tubing
At long last, it's flexi-seal time! Sadly, that tubing still allows the smell to ooze out and into your nostrils. Take a deodorizer/ odor eliminator spray and remove the cap. Pour a small amount of the liquid into the brand new flexi-seal before you use it. Work it through all of the tubing and let it go into the bag. This will definetly help in minimizing the amount of odor that seeps through.
7. Bucket O'Goodness
Now its time to clean up your smelly patient. Grab a pink bucket and fill it with everything! Soap, Shaving Cream, mouthwash, and shampoo should do the trick. The key here is the shaving cream....it works like a charm.
The patient's who test your patience!
Tonight at work, you have a wild, crazy, confused patient and you need every last trick in your book to maintain your sanity for the night.
8. The Cigarette trick
Your patient is so confused he continues to try and "smoke" his pulse oximeter or screams for a cigarette for hours on end. Cut a straw in half, use a red marker to color the end red, and let him puff away. I'll even rip an alcohol wipe in half to "light" it for them....it kind of sounds like a match being lit. But that fake cigarette will keep them occupied long enough for you to get some charting done!
9. Mask your patient
Well, now your patient starts spitting at you. They are restrained, you are wearing a gown, and standing as far away as you can. What else can you do? Put a mask on your patient so everytime they spit, it sits right there on their own mouth and nose. Talk about teaching them a lesson!
10. The Back Saver
Your patient needs a boost and no one is around to help you. Place their feet directly on the foot rest. Turn the bed upside down and start to shorten the foot of the bed. Hold their knees so they don't bend as the bed shortens. This will push them up to the top of the bed and the most energy you used was pressing the little button to shorten the bed.
11. The Taco
Your little wiggle worm ends up at the bottom of the bed every 15 minutes. Place a pillow under their thighs to start. Then, raise the legs as high as they will go, trendelenburg the bed, and place the head at 30 degrees. They will soon be in the shape of a taco and have less chance of scooting down when their backside is wedged in the curve of the bed.
12. The Burrito
Somehow your patient flipped their body so their head is at the bottom of the bed. They are probably screaming, fighting you, and can't breathe so getting their head up (or intubating them) is a high priority. Take the fitted sheets off the corner of the bed, wrap the patient up like a burrito, and with the help of 5 or 6 of your awesome co-workers lift the patient up off the bed and rotate them back to the right direction. Way easier and faster than trying to grab their kicking limbs and torso.
13. Washcloth trick
Your confused little old lady won't stop picking at everything in her sight. Hand her a stack of washcloths to fold. That will keep her hands busy and away from your lines and tubes. If you are really creative, you can configure the wash cloths to look like a doll with some elastic bands and ask them to look after your doll for you. There's something about laundry that always does the trick with little old ladies.
14. Lullaby sleep
If you have a computer in your patients room, find a relaxing, soundscapes channel on either Youtube or Pandora. Soothing, relaxing music will lull a patient off to sleep if you give it enough time. It helps decrease their anxiety and agitation. Plus, it's a much better sound to listen to than monitors beeping and suction sounds.
15. Healing Touch
You've given the maximum amount of pain medication, the doctor refuses to increase the dosage, and your patient continues to ask for more. If you have taken a Healing Touch class and know how to decrease someone's pain by balancing their energy field, you are in luck! Get to it. Relaxation techniques like Healing Touch stimulate the parasympathetic nervous system to release feel good chemicals like oxytocin and endorphins that help to block pain receptors. With the use of your hands, you can take away someone's pain!
Of course, some of these tips and tricks are last ditch efforts and used only under specific circumstances. Always keep your patient's safety, skin, and dignity as a top priority.
What are your best tips and tricks that you want to share with your nursing community?? Share your comments below!
Monday, February 3, 2014
How a Traumatic Brain Injury turned me into an Energy Healer
One month shy of my 30th birthday, I was living my life in pure chaos. I was working the night shift in a busy Intensive Care Unit in San Diego as a Registered Nurse. I had just spent months studying, not sleeping, for my Critical Care RN exam, which thankfully, I passed. My relationships with my friends were filled with tension and my relationship with my boyfriend was coming to a bitter end. I was running on empty. I was drinking too much and dependent on sleeping medication with my schedule always changing between days and nights.
The night following my break up with my boyfriend, I just wanted to get a good night of sleep. I took an Ambien to help me fall asleep. However, I made the dreaded mistake that many make when taking such a powerful sleeping medication. I stayed awake. I decided to make a sandwich and get a glass of water, which I accidentally spilt. The next thing I know, I am in my hospital room with a pounding headache and could only see out of one eye. The lights were too bright, my vision was pixelated, and I was pretty sure my head was going to explode.
The doctor told me that I had suffered a Traumatic Brain Injury and had been unconscious for the past 12 hours. My roommate found me at 7am, unconscious, badly bruised all over my body, and bleeding from my mouth and my nose. It appeared I had slipped in the water I had spilt and hit my head on a hard surface in the kitchen. In a stupor, I proceeded to fall all over my apartment attempting to get help and fell multiple times, hitting my head against hard surfaces at least 5 more times. I had 2 black eyes and 59 bruises on my body.
The next 6 months, I suffered with unbearable migraines and ice-pick headaches, photophobia (light sensitivity), dizziness, a stutter, aphasia (difficulty getting my words out), extreme fatigue, depression, anxiety, and more. I was taking multiple different medications to try and manage my symptoms. The medications barely took the edge off my extreme headaches. I was diagnosed with Post Concussive Syndrome. This is the condition made famous by NFL players who have been promoting concussion awareness. Even as an ICU nurse, I had no idea how debilitating Post Concussive Syndrome could be. My neurologist anticipated it would take over a year to feel like myself, but it was also possible I might never fully recover. I felt like I had no hope, no end in sight to my condition, and no relief from my constant headaches.
I made a brief attempt at returning to work a few months after my accident. During this time, my coworker Sierra was hoping she could help me with my pain. She had just taken a Healing Touch Level 1 class and thought that this pain technique might help diminish my headaches.
Healing Touch is a relaxing, nurturing energy therapy that is based on the concept of the body having a biofield. Energy (also known as Chi or Prana) flows through and around our bodies through energy centers called Chakras. When energy along these pathways becomes congested or depleted, the person experiences symptoms such as pain, inflammation, anxiety, stress, etc. The practitioner uses their hands in a heart-centered, intentional way to direct the flow of energy, release the congested energy, and put the energy field back in its original smooth flowing alignment. With the body in perfect harmony, relaxation occurs and the body has the ability to heal itself.
Each night at work, Sierra and I would go into an empty room during our break and she would practice her Healing Touch techniques on me. I immediately connected with the treatment, felt my headaches diminish, and had more energy afterwards. I would be able to continue my shift in the ICU and have just enough energy to drive home in the morning. The treatment effects would last only a day or so due to my unhealthy lifestyle, which included trying to fight my bodies natural sleep-wake cycle by working the overnight shift.
On my days off from work, there were times I could barely get out of bed. I had unbearable migraines. My energy level was severely depleted. Despite all of this, I would still try and be a normal 30-year old woman. I would meet a friend for a drink, watch my football team on Sundays, or go out to eat. Each event would cause severe headaches, nausea, dizziness, and the stimulation of all the activity going on around me would cause me to zone out. I would stare off into space as my overloaded brain would shut down as it just couldn’t handle the stimulation. Each attempt at being "normal" would set me back even further.
7 weeks after returning to work, a visit to the neurologist changed everything. She placed me back on disability for 3 more months against my wishes. She saw how depleted I had become in the past few months. Instead of making progress in my recovery, I was regressing. My multiple medications to control my headaches were at the maximum dosages and I was still constantly in excruciating pain. I was at the end of my rope. I was utterly depressed and lost without my job. My friends were disappearing because I couldn’t keep up with their social lifestyle and my depression was becoming a drag. I didn’t know how much longer I could suffer this way. My thoughts were constantly negative and pessimistic.
It was at this time that Sierra had urged me to take Healing Touch Level 1 to learn how to heal myself. I laughed, “Heal myself? I can barely get out of bed, how on earth am I going to heal myself?” I decided she was right. I needed to take this class.
In my 2 -day Healing Touch Level 1 class, I spent the weekend learning about chakras, energy, positive intentions, and about loving yourself. I was able to give and receive multiple treatments all weekend long. I learned how to do a self-chakra connection on myself which helped to open and balance all of my chakras and energy field. Every time I received a treatment, I felt rejuvenated, peaceful, and re-energized. It was eye-opening to see how a positive intention, a loving heart, and the flow of energy through your hands could provide such deep relaxation and pain relief. By Sunday evening, I was glowing! My depression had lifted, I barely had a headache, and I had so much energy! I was happy, hopeful, and suddenly full of life!
My healing began immediately. It dawned on me that I was sabotaging my recovery from my brain injury by living my life out of balance and refusing to listen to what my body was telling me. I started living my life in perfect harmony, treating myself with twice daily self-chakra connections, repeating positive affirmations, journaling, eating a healthy diet, meditating, and reading anything I could find on Energy Medicine, Holistic Medicine, and Personal/Spiritual Development. I began a yoga practice that helped me to gain strength physically, as well as mentally. I aligned my physical, emotional, mental, and spiritual well-being and realized that all along I had the innate ability to heal myself. I exchanged treatments regularly with Sierra, at support groups, and with new friends from each Healing Touch class I took. My symptoms from my brain injury were rapidly disappearing and I felt amazing! I realized that from chaos comes clarity.
6 months after I took Healing Touch Level 1, I had worked my way up to taking Healing Touch Level 4 and started my 1-year apprenticeship with a Certified Healing Touch Practitioner as my mentor. I had healed completely from my brain injury and felt so blessed to embark on this incredible journey of self-healing. During my apprenticeship, I completed over 100 documented Healing Touch sessions, multiple reading and writing requirements, and began a community project providing Healing Touch to homeless veterans. I used Healing Touch everyday in the hospital with my patients and coworkers.
When my apprenticeship was complete, I took Healing Touch Level 5 (the final level of the Healing Touch certificate program) and completed further homework to achieve certification. Receiving my pin as a Certified Healing Touch Practitioner was one of the most special moments in my life. It symbolized the strength, perseverance, and dedication to my healing journey. I became an Energy Healer spreading healing light and love to those I touched. The saying “everything happens for a reason” suddenly made perfect sense to me. My brain injury had become a true blessing in disguise. Finding Healing Touch saved my life.
Today, I have a Healing Touch Practice, Healing Nurses in San Diego with my best friend Sierra, who had helped me to heal and encouraged me to take my first Healing Touch class. I continue to work in a Surgical ICU and have been busy promoting and teaching other nurses about Healing Touch. My patient’s experience less pain, less anxiety, and a faster recovery from receiving Healing Touch treatments while in the hospital. My dream is to become the Healing Touch Nurse at my hospital so that I can consult daily on patients in severe pain that will benefit the most from this relaxing, nurturing energy therapy. I have spoken in many different settings about my healing journey in hopes of helping others in chronic pain.
Healing Touch has become my passion in life. Spreading this treatment to all who are looking for optimal health and wellness has become my mission. Healing Touch is being taught throughout the country and is being used widely in hospitals due to the effectiveness of helping patients to heal. To experience a treatment for yourself, visit my website Healing Nurses to schedule a Healing Touch session. To find a class near you and begin your own healing journey visit www.healingtouchinternational.org.
The night following my break up with my boyfriend, I just wanted to get a good night of sleep. I took an Ambien to help me fall asleep. However, I made the dreaded mistake that many make when taking such a powerful sleeping medication. I stayed awake. I decided to make a sandwich and get a glass of water, which I accidentally spilt. The next thing I know, I am in my hospital room with a pounding headache and could only see out of one eye. The lights were too bright, my vision was pixelated, and I was pretty sure my head was going to explode.
The doctor told me that I had suffered a Traumatic Brain Injury and had been unconscious for the past 12 hours. My roommate found me at 7am, unconscious, badly bruised all over my body, and bleeding from my mouth and my nose. It appeared I had slipped in the water I had spilt and hit my head on a hard surface in the kitchen. In a stupor, I proceeded to fall all over my apartment attempting to get help and fell multiple times, hitting my head against hard surfaces at least 5 more times. I had 2 black eyes and 59 bruises on my body.
The next 6 months, I suffered with unbearable migraines and ice-pick headaches, photophobia (light sensitivity), dizziness, a stutter, aphasia (difficulty getting my words out), extreme fatigue, depression, anxiety, and more. I was taking multiple different medications to try and manage my symptoms. The medications barely took the edge off my extreme headaches. I was diagnosed with Post Concussive Syndrome. This is the condition made famous by NFL players who have been promoting concussion awareness. Even as an ICU nurse, I had no idea how debilitating Post Concussive Syndrome could be. My neurologist anticipated it would take over a year to feel like myself, but it was also possible I might never fully recover. I felt like I had no hope, no end in sight to my condition, and no relief from my constant headaches.
I made a brief attempt at returning to work a few months after my accident. During this time, my coworker Sierra was hoping she could help me with my pain. She had just taken a Healing Touch Level 1 class and thought that this pain technique might help diminish my headaches.
Healing Touch is a relaxing, nurturing energy therapy that is based on the concept of the body having a biofield. Energy (also known as Chi or Prana) flows through and around our bodies through energy centers called Chakras. When energy along these pathways becomes congested or depleted, the person experiences symptoms such as pain, inflammation, anxiety, stress, etc. The practitioner uses their hands in a heart-centered, intentional way to direct the flow of energy, release the congested energy, and put the energy field back in its original smooth flowing alignment. With the body in perfect harmony, relaxation occurs and the body has the ability to heal itself.
Each night at work, Sierra and I would go into an empty room during our break and she would practice her Healing Touch techniques on me. I immediately connected with the treatment, felt my headaches diminish, and had more energy afterwards. I would be able to continue my shift in the ICU and have just enough energy to drive home in the morning. The treatment effects would last only a day or so due to my unhealthy lifestyle, which included trying to fight my bodies natural sleep-wake cycle by working the overnight shift.
On my days off from work, there were times I could barely get out of bed. I had unbearable migraines. My energy level was severely depleted. Despite all of this, I would still try and be a normal 30-year old woman. I would meet a friend for a drink, watch my football team on Sundays, or go out to eat. Each event would cause severe headaches, nausea, dizziness, and the stimulation of all the activity going on around me would cause me to zone out. I would stare off into space as my overloaded brain would shut down as it just couldn’t handle the stimulation. Each attempt at being "normal" would set me back even further.
7 weeks after returning to work, a visit to the neurologist changed everything. She placed me back on disability for 3 more months against my wishes. She saw how depleted I had become in the past few months. Instead of making progress in my recovery, I was regressing. My multiple medications to control my headaches were at the maximum dosages and I was still constantly in excruciating pain. I was at the end of my rope. I was utterly depressed and lost without my job. My friends were disappearing because I couldn’t keep up with their social lifestyle and my depression was becoming a drag. I didn’t know how much longer I could suffer this way. My thoughts were constantly negative and pessimistic.
It was at this time that Sierra had urged me to take Healing Touch Level 1 to learn how to heal myself. I laughed, “Heal myself? I can barely get out of bed, how on earth am I going to heal myself?” I decided she was right. I needed to take this class.
In my 2 -day Healing Touch Level 1 class, I spent the weekend learning about chakras, energy, positive intentions, and about loving yourself. I was able to give and receive multiple treatments all weekend long. I learned how to do a self-chakra connection on myself which helped to open and balance all of my chakras and energy field. Every time I received a treatment, I felt rejuvenated, peaceful, and re-energized. It was eye-opening to see how a positive intention, a loving heart, and the flow of energy through your hands could provide such deep relaxation and pain relief. By Sunday evening, I was glowing! My depression had lifted, I barely had a headache, and I had so much energy! I was happy, hopeful, and suddenly full of life!
My healing began immediately. It dawned on me that I was sabotaging my recovery from my brain injury by living my life out of balance and refusing to listen to what my body was telling me. I started living my life in perfect harmony, treating myself with twice daily self-chakra connections, repeating positive affirmations, journaling, eating a healthy diet, meditating, and reading anything I could find on Energy Medicine, Holistic Medicine, and Personal/Spiritual Development. I began a yoga practice that helped me to gain strength physically, as well as mentally. I aligned my physical, emotional, mental, and spiritual well-being and realized that all along I had the innate ability to heal myself. I exchanged treatments regularly with Sierra, at support groups, and with new friends from each Healing Touch class I took. My symptoms from my brain injury were rapidly disappearing and I felt amazing! I realized that from chaos comes clarity.
6 months after I took Healing Touch Level 1, I had worked my way up to taking Healing Touch Level 4 and started my 1-year apprenticeship with a Certified Healing Touch Practitioner as my mentor. I had healed completely from my brain injury and felt so blessed to embark on this incredible journey of self-healing. During my apprenticeship, I completed over 100 documented Healing Touch sessions, multiple reading and writing requirements, and began a community project providing Healing Touch to homeless veterans. I used Healing Touch everyday in the hospital with my patients and coworkers.
When my apprenticeship was complete, I took Healing Touch Level 5 (the final level of the Healing Touch certificate program) and completed further homework to achieve certification. Receiving my pin as a Certified Healing Touch Practitioner was one of the most special moments in my life. It symbolized the strength, perseverance, and dedication to my healing journey. I became an Energy Healer spreading healing light and love to those I touched. The saying “everything happens for a reason” suddenly made perfect sense to me. My brain injury had become a true blessing in disguise. Finding Healing Touch saved my life.
Today, I have a Healing Touch Practice, Healing Nurses in San Diego with my best friend Sierra, who had helped me to heal and encouraged me to take my first Healing Touch class. I continue to work in a Surgical ICU and have been busy promoting and teaching other nurses about Healing Touch. My patient’s experience less pain, less anxiety, and a faster recovery from receiving Healing Touch treatments while in the hospital. My dream is to become the Healing Touch Nurse at my hospital so that I can consult daily on patients in severe pain that will benefit the most from this relaxing, nurturing energy therapy. I have spoken in many different settings about my healing journey in hopes of helping others in chronic pain.
Healing Touch has become my passion in life. Spreading this treatment to all who are looking for optimal health and wellness has become my mission. Healing Touch is being taught throughout the country and is being used widely in hospitals due to the effectiveness of helping patients to heal. To experience a treatment for yourself, visit my website Healing Nurses to schedule a Healing Touch session. To find a class near you and begin your own healing journey visit www.healingtouchinternational.org.
Receiving my Certified Healing Touch Practitioner pin from my mentor Donna Cahill
Thursday, January 23, 2014
My Patients Become My Family
As a night shift nurse, I always felt that my presence with my patient's during their difficult ICU stay was most beneficial at night. It is at this time that their families go home to get their much needed rest and they are left in a scary, unfamiliar environment.
There are tubes, catheters, wires, alarms going off, blood pressure cuffs squeezing their arm frequently, bright lights, and an uncomfortable bed. This is not their home, this is their biggest fear. They want their family, their bed, and to feel better.
I am their night shift nurse, and I am going to be their family for the night. I tell them this right away. I also make sure that my actions, my care, my words, and especially my touch, reflects this statement.
I listen to their concerns. I let them tell me their story. Sometimes those stories are about meeting their spouse of 50 years. Other times, the stories remind me of those my Grandfather, a proud Air Force veteran, would share. Occasionally, my patient is my age and has never been sick a day in their life.
The one thing that all of my patient's have in common is that I become their surrogate family member for the night. I take care of them as if they were my own blood. I show them the same love and compassion my family receives.
I become a healing presence in whatever way they need. Healing Touch is my way of helping them to relax, sleep more peacefully, relieve anxiety, and diminish their pain levels. My hands transmit that essence of love, family, and healing energy. I have been blessed for the past 11 years as an ICU nurse of having added so many different, unique, special people to my surrogate family by being their night shift nurse.
There are tubes, catheters, wires, alarms going off, blood pressure cuffs squeezing their arm frequently, bright lights, and an uncomfortable bed. This is not their home, this is their biggest fear. They want their family, their bed, and to feel better.
I am their night shift nurse, and I am going to be their family for the night. I tell them this right away. I also make sure that my actions, my care, my words, and especially my touch, reflects this statement.
I listen to their concerns. I let them tell me their story. Sometimes those stories are about meeting their spouse of 50 years. Other times, the stories remind me of those my Grandfather, a proud Air Force veteran, would share. Occasionally, my patient is my age and has never been sick a day in their life.
The one thing that all of my patient's have in common is that I become their surrogate family member for the night. I take care of them as if they were my own blood. I show them the same love and compassion my family receives.
I become a healing presence in whatever way they need. Healing Touch is my way of helping them to relax, sleep more peacefully, relieve anxiety, and diminish their pain levels. My hands transmit that essence of love, family, and healing energy. I have been blessed for the past 11 years as an ICU nurse of having added so many different, unique, special people to my surrogate family by being their night shift nurse.
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