there are no saline flushes
there is no tegaderm
there are no caps for the IV tubing.
there are no gloves to start IVs
the same tournaquit is used over and over
and it is a glove.
in which....
the medicines are in a box under the bed
the patients have to buy their own medicines
and the IV tubing
and each syringe for each medication
the IV pole is whatever you can find.
where medication administration is encouraged, but not enforced
and you have to look for your patient, to give them the medicine.
where if they have no IV, to spare expense, you inject it straight into
the vein
in which....
IVF, maintenance or otherwise, is not given unless in an emergency, or
the family can pay for it.....or they REALLY need it.
where there really aren't many emergencies
where people die during the night...and no one knows why
where night shift is 16-18 hours.
by headlamp
2 sets of vitals
double the patients
and double the meds.
in which.....
vitals are only taken Q12, if at all
where no initial assessments are performed
where report is a sentence or two
where no one knows a thorough baseline for their patient.
where there are no curtains
and little privacy
in which.....
everything is in French.
imagine you are a nurse at....Bere.
*** disclaimer**** this hospital does a vast amt. of good, i have only
observed for 3 weeks, prenatal care here is improving, many lives are
saved through surgery, the hospital itself is a blessing to the
community.....the doctors do an excellent job.....the nursing
however....is just....different.
I pictured all of those things with you Janna. I'm thinking about you so much....I will send you an email soon, but courage to you! And please tell Samedi and Jolie I miss them!
ReplyDeleteYES. this is a beautiful sketch. i can't wait to follow the moments that are born from this place...
ReplyDelete