Monday, June 10, 2013

Shoes for Life

 Ah, shoes.....yes.... every girls favorite subject.... let's do it!

Background:  I am a Critical Care/ ICU  trauma nurse in the second busiest trauma center in L.A. County.

Cold winter day. Trauma room.  Gunshot wound to the head. 20 year old male.

I am responsible for rapidly transfusing what could be 100s of pints of blood within minutes.  Ok, he is on the table.  He is bleeding, no... hemorrhaging blood and brains from a blow out in the top of his head.  I am standing at the Level 1 Transfuser at his left shoulder.  I'm starting a large bore IV, pouring blood into this kid.  His brains are all over my pants and shoes. His blood. His life. On my pants and shoes. He dies.

His mother arrives at the hospital. The doctor goes into the hallway to tell her. I hear screaming.

I start to make him pretty for her to say goodbye.  I put an ACE bandage around his head to stop the brains and blood.  I clean up.  He is clean. He was a beautiful boy.

Moral of the story: Never wear Crocs! They have holes in the top! I was smart and had learned this early in my career - no Crocs! I had close toed shoes that you could wipe down with sani-wipes. I still had to throw them away (along with the pants), but I had not been exposed to any blood borne pathogens.

I am on my feet 12 hours a shift. Shoes matter as much as eye glasses. 

Are they comfortable? Can I stand for 12 hours? Walk for 12 hours? Can I have my toes run over by a bed weighing 1,200 pounds and not have an injury? Can I hold open the door with a foot while pushing in equipment? Blah blah blah, you get the point.

Most importantly, can I jump onto my knees and kneel next to someone on their bed and do chest compressions without my shoes falling off? You cannot do that in clogs you know....they fall right off.  

ICU/ Critical Care nurses have to be able to run, bend, reach for chest tube lines under beds, stretch to reach pressure bag hooks high overhead, dodge flying puke or poop like Neo. We are life sustaining athletes.  I can bob and weave like Sugar Ray. I found this out when my first gang banger came down off of meth and was violent and assaultive.

I love shoes. I like them to match my scrubs. I like them loud or flowery printed. I have animal print ones.

I go through a lot of shoes. Ones with straps break easily. Clogs fall off.  Crocs... even the close toes ones....  nuh uh -  there's no support.  How about those Skechers Shape Ups? Great way to twist your ankle in a crisis let me tell you. I'm still looking for a perfect work shoe. They are expensive.

Anyway, my facility is requiring 80%  of all their RNs to have their BSN (Bachelor of Science of Nursing) by 2015. I start next month on that journey.

Please help fund me so I can continue saving lives and comforting the sick and injured as well as their families. I can be the best part of someone's worst day.