Tuesday, December 24, 2013

It Came Upon a Midnight Clear- in the key of A8


It came upon the change of shift, as day shift hands off to the night.
Encouraging nods from all the pods mean hopefully we'll be alright.
Report sheets out,
We're all about
Some serious getting-it-done!
Stick that phone in my pocket;
I'm ready to rock it-
This 12-hour war will be won!

It came upon 'bout 8 o'clock, just as i'm gathering meds.
The CNA rings- "Could you please bring  some sheets to change 802's bed?
The C Diff has struck,
All his bowels are a-muck.
The puddle's now on to the floor."
He said that he's done,
But I'll bet 10 to 1
In an hour there's going to be more.

It came upon a whole minute later;we' re up to our elbows in crap.
1's rhythm converts, she says her chest hurts, and all i can say is "oh,snap!!"
Her heart's in A-flutter,
She's starting to mutter-
I gotta go call the MD.
Let's get a drip going!
The EKG's showing
What all of us already see.

It came upon 2100 or so, my patients are mostly tucked in.
4 is confused-not too bad- i'm amused. so the charting can finally begin!
With vitals q 2,
And some meds left to do
Scattered between now at 5
I'm gonna be busy,
But not in a tizzy
Just gotta keep everyone  alive!

It came upon eleven o'clock and patients in every hall
With lines and drains and addled brains were two seconds short of a fall.
The C. Diff and flu
And, of course, MRSA too
Were lurking round every bend.
And oh, lucky me
Was waiting to see
Just what the ER would send.

It came upon a midnight clear as all the computers shut down.
We finally sit, reflecting a bit- that Christmas has quietly come round.
The lights are turned low,
But our hearts are aglow
With memories of Christmases past,
Of friends and good food,
And a family brood,
And a glorious hope that will last.

They came upon the 1 o'clock hour- the patient with family too
They're all so worn out, but we won't turn them out- there's room in this "inn" just for you.
The patient's in pain,
Needs to throw up again,
The doctor's not reconciled meds.
I check his IV
Infiltrated, I see,
And the orders are mostly unread.

It came upon the 3 o'clock hour, and my energy's about to give out.
The holiday spirit, and everything with it are fighting the tiredness and doubt.
The C Diff' still flowing,
4's wound side is growing
A petri dish cocktail of crud.
Troponins are soaring,
Tonight sure ain't boring!
Let's give that anemic some blood!

It came upon about 5 o'clock enjoying a minute of peace
To-do list in hand, i can plan as i stand by the window that faces towards east.
Can't quite see the sun,
But there's much to be done:
Labs, turns and some I's and O's too,
Protonix and Synthroids,
Some IV Push steroids,
And accuchecks out the wazoo!

It's 6:35, all the patients alive, and i hear the best sound of the night:
"Please return phones"  the little thing drones as i gladly take in the good sight
Of day nurses walking
And cheerfully talking;
As welcome as morning's first ray
A fresh flood of blue
In a bright royal hue
Is coming to take on the day

It came upon the change of shift, as night shift hands off to the day
It's been a good run, though it's not always fun- these patients are set- so we pray!
I'll hand off 1-4,
Sign that sheet in the door
Ushering in Christmas Day
So here's to A8,
Let's hope that it's great
With blessings from every which way!

It comes upon me, all the time, especially this time of year.
Each person i meet the same question repeats: "So why did you choose this career?
You miss holidays-
Though i'm sure that it pays-
But just look how much that you miss!
The hours and the stress
And the hard, smelly mess!
Do you honestly LIKE doing this?!?"

It takes just a sec, to smile and reflect, on the choice that i made long ago.
"Why yes, yes i do enjoy serving you, and here's what i want you to know:
All the 'presumed' pain
Is far less than my gain-
Just look and see all that i've got:
The patients i see.
And my work family
I drew a magnificent lot!

It comes upon me every shift- the burden of blessing i bear
About those tasks of which you've asked-well, now it's my turn to share.
I hold many hands,
Help the  weak learn to stand;
I clean up what so many won't.
Whether ice chips or prayer
Are their need -i'm right there.
Feel sorry? nope- i simply don't.

It comes along with quite a price, I never would tell you a lie.
"RN"'s what you read-much more could be said than those two little letters imply.
I smile when they can't
As they cry or they rant
'Cause their whole world just turned upside down.
I watch the night through
Keeping watch over you
So you know you can sleep safe and sound.

So celebrate as much as you please-go on and please have a great time!
Just say thank-you to those wearing blue and simply keep us in mind.
Have a toast and a cheer
I'll party from here,
If you're home then i've done my part.
If the price that i pay
Is to sleep through a holiday
There's plenty enough joy in my heart."

No comments:

Post a Comment