Before I started this semester in January, I was notified about who was to be my clinical instructor for the first rotation, psych. I was both horrified and terrified. I dreaded the beginning of the semester like never before in my school career. It was a little 70-year old African-American professor with a BAD reputation larger than the great state of Texas. It was well-known that she was “old school” with very high expectations of her students and rapacious when it comes to her workload requirements. Worse, it was rumored that she had been forced into a sabbatical last semester due to the fact that she was too hard on the students the previous semester. It was no secret that she had failed 13 in their skills check offs and that many had gotten into a huge amount of trouble for literally hiding in the stairwell in order to avoid having to go to her station for those check offs during exam time. I was positively sick when I found out I had been assigned to her. Ironically enough, our entire class had the opportunity to hear her speak last semester (during her sabbatical) when she came in to guest lecture on cultural competence in nursing and she was absolutely adorable. What a conundrum. She had this amazing, eclectic, phenomenal-black-woman air about her. She was the epitome of proud, wise, understanding and fascinating, all bundled up in a tiny little 70-year-old woman with the most unusual, adorable hairstyle I had ever seen. How could THIS woman I had seen be the tyrannical maniac I have heard about? It didn’t matter, I didn’t want to find out. So, I did my damnedest to try to switch with someone. I went through over 10 different people who were looking to switch for various reasons. Nope. No luck. NO ONE would swap with me. I was stuck. It seemed my entire class had heard of M’s reputation. They are no fools.
So, as the semester progressed, I started my rotation with her. I have whined and cried and moaned. The reputation was correct. This amazing woman is pretty much a tyrant when it comes to paperwork. I have written literally HUNDREDS of pages for her, including 2 MAJOR assignments: an 11-page analysis of one of my clients and our interactions as well as a 5-page group research paper, which she found to be woefully inadequate, although she still put a smiley face and “good start” on our draft, to protect our fragile baby nurse egos. LOL I am madly in love with this women. She is everything I aspire to be, professionally, though she is damn near killing me. Sometimes I actually have to temper my interactions and reactions as to keep my “hero-worship” a secret. I feel sure she is aware of my feelings about her, however, because she has such incredible insight, but I simply cannot help myself. I tell everyone who asks that it’s a love/hate relationship. I love, love, love her, but HATE all this work. I whine incessantly, but I work my ass for her. I strive to please and impress her and definitely manage to please and impress myself in the process. This rotation has been the richest, most amazing experience I’ve EVER had and more than I ever could have hoped for it to be.
Initially, I was lamenting and feeling sorry for myself because I wasn’t at one of the 2 “ideal” mental institutions of the available rotations and was, instead, stuck with “the tyrant” at the geropsych unit. However, she is a TRUE educator in every sense of the word. When I was sitting with a fellow classmate after didactic on Tuesday, I realized just how much of an educator M is. This friend, who is an excellent student and at one of the “ideal” rotations, was telling me about her experience. She said she has had almost no interactions with her client and that her instructor leaves them to fend for themselves. That person gives them no direction whatsoever. She said she is allowed to observe groups and that she has struggled to tie in what she has observed to the lectures, but that she thinks she learned this and that…. I found myself thinking, WOW! She has learned absolutely nothing compared to what we have learned!! M has guided us, challenged us, explained things, pushed us, forced us to write loads of comparisons and do pages and pages of anaysis…. I have no doubt that I KNOW my stuff. That’s why most of our group all scored in the 90′s on our test and the rest of the class barely made in the 70′s. The proof is in the pudding. I paid BIG money to be educated and that’s what I am getting. No, I haven’t had a social life and my stress level has been in the red zone for weeks, but, by God, I have LEARNED and I will have that the rest of my life. This is my shot and M doesn’t care about her reputation or popularity with the students. She care about her moral and ethical obligation to educate future nurses, who will be taking care of human beings one day – and the 7 of us are well prepared to do just that.
This week we witnessed an ECT, electroconvulsive therapy, treatment (formerly called “shock therapy”). AMAZING! It was the most thrilling thing to be able to experience. (And by the way, it is NOTHING like the horrific procedures of old. Now, they use paralytic medication and the patient is, basically, under a general anesthetic, so it is NOT the violent experience it used to be!) I was able to watch a nurse anesthetist and RN take charge of a patient’s life. The psychiatrist was there, but he was so busy talking about his golf game and this and that with his intern, that he was barely present. The nurses took care of that woman. I watched as they LITERALLY held her hand and her life in theirs – and still talked us through the entire procedure toward the end, when it was safe to do so. They were tender, caring, professional and all business. No one in that room was putting on a show for our benefit. It was real life and I was so damn proud of the professionalism of the nurses and embarrassed for the doctor and his lackadaisical attitude. I want to be one of them! When I came out, I was ecstatic!! One of my classmates, snorted and rolled her eyes. She said, “My God! There she goes again! Sandy you never stop smiling. You’re always so damn happy and excited. You’re always like a kid in a candy store over every experience. When we left _____ facility for the last time, you had to go say goodbye and thank you to everyone. You fall in love with every patient; you love everything!” I smiled a great big smile and said, “I never want to stop learning and I love people! I think I’ll be in school for the rest of my life! How can you NOT love it all???” EVERYbody smiled. It’s contagious, you can’t help it.
Yesterday, we went to a local homeless shelter and taught a motivational class to the women. It was wonderful. We discussed where they would like to be in a year, the steps they need to take to get there, and the potential barriers they had to face. Giving hope and inspiration was so fulfilling. Many of them are interested in going back to school so we told them how to do it and gave them inspiration. Many thought that mental illness was a barrier, but I made sure to teach them about the disabilities office and how we had a nurse who went through the program who lived in her car – and still graduated! We also have nursing students who are in wheelchairs and have mental illnesses. We also explained that they can get grants, etc…. Sometimes it takes outsiders to get people fired up. It was exciting to share my story about having gone through a divorce, losing my house and car and now being in nursing school, ready to graduate in 2 1/2 semesters. We asked them what they might like us to talk with them about when we come back next week and they perked right up and said they want to know about depression, fear, and various mental illness issues. Someone suggested putting out a box so they can put questions in there. I am so excited to go back!!! Of course, shortly after we arrived, the same student who made the comment to me the other day commented that she was scared for her life and that she was sure we’d be raped or torn limb from limb or something horrible. Naturally, she was staring at me in amazement as I was smiling and greeting everyone, shaking hands and hugging. LOL I tried to explain to her that these are just people and “there, but for the grace of God, go I.” Deaf ears…. Fortunately, she learns by example. By the end of our class, she gave one woman with children a few dollars, had made plans to go to our school’s office to pick up some brochures to leave for the women, and was organizing everyone to bring donations when we come back next week. Even SHE was fired up. YAY!! Go, God!
While I was there, I had the amazing fortune to meet another phenomenal woman who has dedicated her life to the plight of the homeless. She has a master’s degree in psychology and is an ordained minister. In order to complete her masters thesis, she actually went out and lived as a homeless person for 5 1/2 months. She told stories that touched my heart and one that caused tears to spill. I just couldn’t stop it from happening. During our conversation, I mentioned where I used to work and she touched me and said, “I KNEW I recognized you! I have been trying to figure out where I knew you from all morning! I’m so glad to see you again!” Wow, I was floored! That someone of her caliber would recognize me just flattered me beyond belief.
I have been so incredibly blessed during this rotation – my entire life, really, to have met so many extraordinary people – coworkers, friends, patients, professors, community leaders, and more. To experience so many incredible people whose lives enrich my own. What a rich, rich life God has blessed me with. I am so grateful to be alive. I want to grab every moment, squeeze the juice out of every second and drink it all up. What’s NOT to love? Even heartache makes us learn.
Cheers and every drop of knowledge to you!
~Sandy
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