I work on a COVID floor now. It鈥檚 all COVID patients, all the time. It was a trauma floor two weeks ago 鈥 the type of floor I鈥檇 worked on throughout my nursing career. Trauma made sense to me. I knew about pedestrians getting hit by buses and helmetless-teenagers riding motorcycles off the road. I knew about random accidents, like when an older person trips over the family cat and fractures a hip. I knew these things, and I knew how to care for the people involved.听But things changed when my hospital started isolating patients with COVID on the trauma floor.听Suddenly, everything was new again.
My first experience of being a COVID nurse was like a flash back to my first days after graduating from school. For the first two hours of my shift, I overthought everything. It was like I鈥檇 never worked as a nurse before.听I took everything slowly and deliberately.听I felt uncomfortable, unsure of myself, but mercifully that feeling didn鈥檛 last long.听 I don't know when exactly I got my nursing Mo-Jo back, but I do know it was helped along by watching my younger nurse colleagues maneuver this strange new world. They inspired me with confidence, competence, and even humor. And unlike me 鈥 now an academic who cares for patients only once or twice a week 鈥 these nurses care for patients every day, working tirelessly through long shifts and overtime.
Here鈥檚 what I鈥檓 starting to know about being a COVID nurse:
The isolation of this illness is undoubtedly the hardest part. The people I鈥檝e cared for range from being nearly well to being very sick. I鈥檝e seen my patients, every single one of them, cry during my shift. Some cry from fear, but most cry from loneliness.听I鈥檓 glad to know that hospitals and other caring communities are coming up with ways to mitigate this effect and keep people connected to their families.
At lunch we鈥檙e allowed to remove our double masks and goggles so we can eat, but especially so we can drink.听Protective gear is stifling, and it鈥檚 not so easy to keep hydrated. Everyone has raw indentations across their noses and cheeks from wearing the protective gear, but we鈥檙e still happy to see each other鈥檚 faces.听Conversation is surprisingly normal: food, love interests, and binge-watched TV.听But there鈥檚 anxiety too, and everyone at the hospital worries about bringing the virus home.听We see the disease every day. We see what it does.听
“I took everything slowly and deliberately. I felt uncomfortable, unsure of myself.”
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The days seem to go by quickly now. There鈥檚 a rhythm to their detail, to the absolute concentration and mindfulness of every decision we make. Even the constant putting on and taking off protective equipment is significant.听I felt the weight of this recently, at the end of the day during my final check-in with one of my patients. I realized I鈥檇 forgotten something that I meant to bring to the room.听Rather than un-gowning, I taped a large sign to the window of her door that said: 鈥淚f you are reading this, will you please drop off a telemetry battery?鈥澨齀 ended up with two.听