COVID Kelso RN, BSN

My journey to becoming a nurse was not an easy one. I was a senior at the University of Florida where I felt stuck in a major that I did not like. I remember breaking the news to my stepdad first about dropping out because I was unhappy. Whenever I had to break things to my mom (like dropping out of college, another car accident, or being tipsy underage) I would always go to my Papa Rich first. Spring of semester year of college, my stepdad was diagnosed with Stage IIIB Pulmonary Lymphoma with a life expectancy of two years. I remember coming home from college and crying in my mom’s arms questioning how I was going to live my life without him. He was the first man I ever liked. We were both cynical with a rigged sense of humor, but my favorite about my stepdad was that he introduced to me creative conversations. We would start with talking about science and end with naming every movie Tom Hanks was in. I would spend 4 days home and 3 days back at UF to finish college. My mom...

This week I wanted to throw the towel in and move home.  I know some people are fighting for this to end. Protestors are trying to fight for an end, and because of the Constitution, they can rightfully do so. I hope and pray for those fighting that they will never be intubated, that they will never have to suddenly say goodbye to family members through a screen. I know that some are fighting for this to end, to go back to “normal.” But I am fighting, too.  Every day I go to work and fight for the public. I fight against something I cannot see. I fight for more oxygen, more breath, increase of numbers on a pulse oximetry screen.   I am exhausted. Mentally, I am running out of stamina, and the protestors are not helping.  But some people are helping me.  I get my stamina when I think of the population listening to and following the stay-at-home orders. I receive my energy from the messages from people telling me that they take this seriously whil...

Three Shifts There is something unique about working three days in a row as a nurse. I enter this vortex and often ask questions like "did I give this medication already? or was that yesterday?" The best part about working three days in a row is I build relationships with my patients for three days. I believe that God gave me a mental break when I worked my three shifts. My patients were stable. All six (yes, I know what you're thinking too. I had to protect and advocate for SIX patients with COVID) of my patients progressed over the span of 3 days. I got to witness the clinical trial Remdesivir be administered and make people feel better when Plaquenil was not working. I clapped when patients were being discharged. I did a victory dance at the nurses station when my patient safely weaned off the non-rebreather mask to a nasal cannula of 6 liters to then 4 liters. This is why I became a nurse. I get my energy by not only helping people but by making them feel good. I tho...

I am selfish. I grieve for my travel plans that were lost and my family I cannot see. I remember when I called my mom and broke the news that my unit would be a COVID unit. All I saw first was myself. Concerns like "I cannot believe this is happening," "What about my health or my roommates?" My mom then cut me off mid sentence and said, "Kelsey, think about the people who have it." My heart sank. She pulled me back in. She's good at that. I start my shifts still going in and introducing myself. I hold their hands and tell them that my heart aches for them, too. I hold their hands and tell them that I wish I could take this all away. I hold their hands and squat down so that they can see my eyes peeping through the shields and masks and I tell them that we are going to get through this together.  Sometimes it works; oftentimes, it does not. Shift #4 Assessments are key here. I have four patients. All stable on their liters of oxygen p...

Shift #3 One important bit of information that you always give another nurse or provider at shift change is how alert and oriented the patients are.  Do they wake up when I speak to them? Do they respond? Do they answer my question correctly?  Sometimes the patient will be almost half dead and will still be able to grimace at who the president of the United States is.  Most Covid patients are alert and oriented to person, place, and time (AOx3). Then they will lose the sense of time..AOx2. Then will become agitated, forgetful, confused.  Today was a constant battle with patients wanting to rip every connection or extension off of themselves. I overheard one nurse say, "If you take your oxygen off, you will die!"  The patient arrested 2 hours later and died. One patient fell because she was forgetful and confused. With all of the room doors closed, how can we monitor if they fall, rip off cords, or extensions of themselves?  Today I had ...