Monday, March 7, 2011

aaaand... I'm back.

Sort-of.

For the 5 people out there who probably read this (or maybe it's just you, mom) I apologize for disappearing for over a month...  first it was work (which is still 45-50 hours per week) and then I broke up with my boyfriend... so unfortunately I haven't had the energy (or desire) to take the time to comment on my life.  But things have settled down (eh, somewhat... maybe...) so I thought I'd share a few thoughts with you.  But don't worry!  I'm not a depressed, mopey, "poor me" kinda girl -- it is what it is, and I'm grateful for the experience I had... I know that everything happens for a reason, and I have faith that the Lord has some sort of idea of what He wants for me, even if at times the light at the end of the tunnel seems to move farther and farther away from me....  And in all honesty, I hold no negative feelings towards the guy.. as much as heartbreak hurts, it's part of life.  And I'm glad we were able to figure this out now then down the road... but in the end, it's really not up to us -- it's up to the Lord.  And I hope that I find a guy who believes that as strongly as I do.  :)

As for work... it's fantastic, I really couldn't be happier.  Aside from my amazing group of friends up here in Salt Lake, I think that has really been a huge support/distraction from the other stressors in my life.  There is so much development and change in the way things are run in the clinic and I am a critical factor in the changes that are being made (with regards to the "Spine Center" concept) -- both in the actual decision-making process as well as taking on the responsibilities to address issues that arise.  I'm so excited to see where this will go, and I already see how my efforts and hard work are paying off.  It's hard to fully describe in words what my role is at the clinic, but the plan is for me to be the "Gate Keeper" of sorts -- all new patient referrals will go through me, and I will discuss the cases with the surgeons so they can decide on a treatment plan for the patient.  This may sound simple and straight-forward, but the process requires a lot of coordination... and as in any relationship, the only part I can have any control over is the choices I make and the actions I take -- so I have to rely on each party involved, which can be stressful because, of course, everyone is free to make their own decisions, and on their own schedule (which rarely coincides with mine).  SO... it's been quite the learning/growing process for me, but I've really become confident in my role and the responsibility I have been given, so I've become much more assertive and comfortable with my voice and the opinions I have.  And I can't tell you how great that feels :)

In case you're curious, here is a general overview of our "Spine Center" algorithm:

1. New Patient referral received
2. Patient contacted for initial intake
3. Patient mails/drops off printed MRI films
4. Patient put in queue for review by the surgeon
5. Surgeon reviews patients' referral notes/reports/films and gives recommendations
6. Patient is contacted to relay recommendations
7. Appointment is scheduled with appropriate provider in the clinic, or patient is referred to appropriate specialty

At each step, there are many potential issues that we are confronted with... and so unfortunately, it rarely goes as smoothly as we would hope.  But in addition to managing this system, we are also running reports for all established patients in the clinic and testing that is ordered (although thankfully this job will be moved to my administrative assistant's list of responsibilities as soon as she is hired -- yes, I will have an "assistant").  I'm also sending multiple letters daily to patients and referring physicians to update them on the current status of each new patient's referral.  After reviews is our busiest time -- I have to enter all the recommendations for each patient into the computer system, and then Annette and I make phone calls/write letters to each patient/physician to update them on the outcome of the review.  Two of our surgeons are caught up with their reviews... unfortunately, the third has been quite busy with clinic and his on-call week emergency surgeries, so we haven't had a review in over a month... and now he has 73 patients waiting for review -- which he will be going through tomorrow.  SO, needless to say, the rest of my week is looking pretty busy.... but I much prefer it that way :)  I just feel so blessed to be in this position -- to be respected and trusted by those I work with, and to be a part of something that promises such potential for growth and development in my future.  I never thought I would see myself working in an office, but I realize that this is the perfect fit for me and my personality.  Who knows, maybe I'll change my mind in the future... but for now, I really couldn't ask for anything more.  Funny how I think I know what's best for me, and then He shows me (again and again) that He knows me better than I know myself....  :) 

Even though I feel as though I live at my office or in my car, I have been able to get out and have a little bit of fun here and there -- I took a weekend trip to New York with some close friends from my ward a couple weeks ago, and we had the time of our lives.  Such an enjoyable trip, and besides, y'all know how much I love NYC.... :)  I have a few more adventures in the works for the upcoming months, including a potential summer cruise with some close girlfriends... just a few benefits of being single :)  But it's getting late -- yes, I've turned into a grandma of sorts -- so I'm going to wrap this up, and I'll be in touch with a new update soon enough!  Much love everyone! 

Saturday, January 22, 2011

2K-eleven.

With the New Year comes resolution.... however you want to look at it, RESOLUTION = CHANGE.  Why does the word "change" carry a negative connotation in the minds of so many people?  I appreciate the opportunity to reflect on my life and find areas where I can improve... but I've also come to accept that there will be moments in my life when I realize that change is necessary -- even if I don't understand why.  And for some reason, I've had a lot of those moments... and they usually involve a very big decision that will affect the direction my life is heading.  Stressful as they might appear, I'm grateful for the spirit that brings comfort and reassurance that I'm making the right choices.  Especially right now.  After spending months building and strengthening my application for graduate school so that I could potentially start this fall at the U, I finally realized (and admitted to myself) that my priorities have changed.  The application deadline was January 18... and it wasn't until just a few days before that date that I made the final decision -- my immediate future does not include devoting my life to working on a doctoral degree in nursing.   Maybe a few years down the road... who knows.  But I realized that I was committing to a decision that I had made when I was at a different place in my life -- 6 months ago I was unemployed, unattached, and without any clear direction.  As I understood it, my calling in life was to attend to the needs of pregnant and laboring women... logically it made sense to continue on in school and become a midwife/women's health nurse practitioner because school is all that I've really known.  It's a "safe zone" for me.  I love being in school and having an opportunity to learn and grow in that environment.  But these past few weeks, I took a step back to make sure that applying to grad school really is the right thing for me and my life, considering how different it is now than it was 6 months ago.  And as difficult as it was for me to accept, I'm happy with where I'm at and I don't need (or want) anything more right now.  I may not be working in the nursing environment that I initially envisioned, but it really is a perfect fit for me.  I love having a Monday-Friday/8-6 work schedule and going to work with an understanding of what to expect.  I have a clear list of things I need to accomplish everyday, and that is a perfect fit for my personality.  Working for neurosurgeons in this spine center might not be my "calling" -- but that's the beauty of nursing.  There will always be a need, and I don't have to commit to this position for the rest of my life.  But for right now, I love it.  It's a great fit for me.  But most importantly, I have earned respect from those I work with and they trust my judgment.  If I had gone into a hospital environment, I would have been a lowly "new grad" that wouldn't have been trusted with anything, not for a while at least... how does that make any new nurse feel confident in their knowledge and skills?  So for that reason alone I am grateful for this first job as a RN.  And it also gives me one reason why grad school may not be the best option for me right now.  I feel incredibly lucky to be blessed with a job that I enjoy, and I don't want to give that up just yet.  Not to mention the fact that having an income will help me to pay off the debt I incurred from my last educational venture.... haha.  One year at Hopkins really did me in.  But it was worth every penny :)  Yes, there are other reasons why I decided against grad school, but when it came right down to it, I realized that my heart wasn't there.  I couldn't argue with that.  I'm not ruling anything out -- my life could take another turn in the future to direct me back towards becoming a midwife, but for now, I'm content with having 3 bachelor's degrees and one set of credentials after my name.  There is nothing wrong with being "just a nurse" -- I'm happy with it, and that's what truly matters, right?  I can fulfill my calling as a nurse in the Labor & Delivery room, and that's what I intend to do.  But hey, I'm only 26 -- there's no need to rush to create a perfect life for myself RIGHT NOW.  I need something to look forward to :)  And one more thing...  as startling as it may seem to some, I have also finally realized that I don't want my career to affect the type of mother I want to be -- don't worry, I'm not giving up the career I've worked so hard for, but I guess I finally understand the importance one of the primary "callings" I have been given here on this earth... and it is a calling that only I can fulfill.  But I need to make sure that I put appropriate effort into both my callings - being a mother and being a nurse - and I need to consider that before I sign up for the responsibility that being a midwife will undoubtedly require.  I guess that is reason enough to take some more time before grad school, right?  I'm sure you didn't care to read about all these details behind my decision, but I needed to.  For myself.  It's somewhat therapeutic, if you will :)  SO, with all that said, I hope you understand this isn't a decision I took lightly, and I feel in some ways that the decision was already made for me.  But with each change comes a new beginning... and I love the feeling of a fresh start :)

Friday, December 24, 2010

'Twas the Night Before Christmas...

...And all through the house, not a creature was stirring, not even a mou-- HA. I wish!  I've learned that Charlie enjoys midnight romps through my room... and he loves to wake me up in the process.  I love the little guy though, and I'm going to miss him greatly when he relocates to sunny Malibu next week... yes, Charlie is moving back "home" to California to live with my mom until my schedule settles down a bit.  Work has been especially busy lately, as we wrap up the end of this year and prepare to "open" the Spine Center on January 3... I've been working 10-hr days at the clinic, and with my commute to Provo, I've been gone from 7 am to 7 pm Monday through Friday and poor Charlie is left cooped up in my room waiting ever-so-patiently for me to return.  He is the sweetest dog, and the best sidekick/friend I could have asked for... back when I was unemployed and single.  With all the recent changes in my life, though, my ability to care for him the way I would like to (and the way I know he deserves) has been greatly limited, and I realize that in order to do what is best for him I need to let him be somewhere he can have that attention that he needs.  It's been a really tough decision for me -- I feel somewhat irresponsible for bringing him into my life only to semi-abandon him just a few short months later.  But in my discussions with my mom and Jamison (my bf, in case you aren't aware), they have put my mind at ease -- I made this decision to adopt him when I had the time/energy to commit to his needs, but life changes ever-so quickly (and I am definitely familiar with that fact) and I never could have foreseen where I would be today.  Regardless of the current situation, I was able to rescue him from the shelter, and he will stay in a loving home that I know and trust -- which will also give me opportunity to visit him whenever I'm back in California.  I am just so grateful that my mom is willing to welcome little Charlie into her home -- I couldn't ask for a better surrogate "family" to care for him :)  And as much as Charlie loves the snow up here in Utah, I'm sure he will be happy to return to the warm California sunshine (whenever it decides to show its lovely face again)!

So.  Now on to more updates: WORK. I've been at the Spine Center for 2 months now, and I'm LOVING it!  Surprised?  I am.  After all my education and experience, and considering that I found my "niche" in Labor & Delivery, I did not expect to find a place for myself in Neurosurgery, working in an office M-F, 8-6.  But the job description matches my personality quite perfectly, and I feel that I have been able to contribute a great deal to the development of the Spine Center concept.  Currently, my main priority is to compile data and reports for the end of the month so that we can see where we need to focus our attention in January.  I've done quite a bit of patient triage and screening (my eventual central role at the clinic) in order to decrease the backlog of patients for the surgeons, but in order to get our system up-and-running come January, I've had to do a lot of data entry.  It's tedious work, but thankfully I have a great support system at the clinic and I love going to work each day.  I'll be grateful when all this prep work is completed, but we still have 3 more days at the clinic until the end of the month (and YEAR) so I just need to keep pushing forward.  I do see a light at the end of the tunnel, though... and that is what is keeping me motivated.  I am confident that my efforts will greatly improve the clinic's current practice, and I feel grateful to be a part of this new system!

HOLIDAYS.  Hard to believe that they are almost over... I always say that, but for some reason I've been more aware of it this year.   It feels like yesterday that I was celebrating Thanksgiving, and now here we are, getting the house ready for Santa to arrive... I love this time of year.  Especially in the shadows of the snow-capped Utah mountains, and especially with family and friends.  Last weekend I had the opportunity to travel to Idaho Falls with Jamison to meet his family (he is the youngest of 8 children) during their Christmas festivities.  I was slightly anxious about the whole situation (not sure how a Californian would fit in to an Idahoan family, especially because each of his siblings is married with children) but they welcomed me without any second thoughts and all my worries quickly disappeared.  I had such an enjoyable time -- brought me back to my childhood years and our epic Newman Reunions -- being one of 36 first-cousins was overwhelming, but I absolutely loved it.  So celebrating with his family was a pleasant surprise, and I couldn't have asked for anything more.  Is it too much to say that I love his family?  Shoot.  I do.  They are amazing, and I thank them for such a great "first" IF/Manwaring experience! I know what some of you Utahns may be thinking -- but NO, we are not engaged, and I don't see that happening any time soon.  Yes, we've been dating 3 months now, but we are perfectly content with our relationship and we don't feel the need to rush into any major decisions right now!  We are taking a road trip to California next week for New Year's and to visit Brenn and my adorable "niece" Blake, and that's what we are looking forward to.  That and springtime bike rides with Jamison on my new beach cruiser -- his gift to me for Christmas.  I AM IN LOVE.  With my bike, that is.  haha.  I cannot wait to ride around the city streets of Sugarhouse.... if only we could transport both of our bikes to California for a cruise down the Strand.... they are "BEACH cruisers" after all!   I'll have to put that on my list of "2011 Resolutions/Things to Do"  :)

Well, it is Christmas Eve (Day) and there are quite a few things to get done before that jolly old man makes his grand appearance, so I should get going.... I'll be back to update soon enough!  Until then, Merry Christmas and Happy New Year everyone!!  Much love to you all!

Saturday, November 13, 2010

"seriously, so blessed!"

There is a hilarious blog that I occasionally read to brighten my mood... it's an exaggerated look at the life and times of a Utah housewife.  You really have no idea how RIGHT ON it is.  I die sometimes reading it... die laughing that is.  Here is a short clip:

I wish we could all be IRL besties you guys, bc seriously LOVE YOU, and if we were real life besties I would split a rio with a bunch of you and refill your diet any day, THEN hit the gateway for soooo many darling clothes that just SCREAM "us!!!" so loud we could NOT resIST and then whoopsies, overspend a smidge, end up hidding them from our hubbies until the credit card thingie comes, and then if JJWT or your hubby get's mad, we will cry and seriously bawl and then remind them of that one time they hurt our feelings real bad and then zinnnnng, the whole thing gets turned around on him and he'll end up apologizing his brains out and then I'll say, look, babenugget, I know you don't get it, I just need some girl time...

AND THEN WE JUST DO IT ALL OVER AGAIN!

LOVE my life!
 hahahahahaha.  Makes me grateful to live in Utah, just because of the pure entertainment value.

But now on to MY updates... I must admit, I am SERIOUSLY so blessed.  Great family, great friends, great boyfriend, great dog, great home, great job.....  YES, it has finally happened -- I have secured my first job as a nurse!  Not at all what I had expected, but it is turning out to be an incredibly pleasant surprise.  A friend down in Provo gave my information to a new office looking for RNs, and while I was driving back up to Salt Lake from Los Angeles (for another job interview) I received a phone call from the director of the center asking if I would come in for an interview the following day.  A couple meetings later, and after a few trial days of working in the office,
I am now the Nurse Care Coordinator for the Spine Center of Excellence in Provo.  The office has not yet opened, so this time is strictly dedicated to designing and organizing the most efficient and effective way to run our center.  We will be working in conjunction with the Utah Neurological Clinic and the 3 neurosurgeons there, who are well-known in the medical community.  Currently, the clinic has a 6-month backlog of patients waiting to see the doctors for diagnosis and treatment recommendations for pain related to the spine.  Records show that 80% of Americans will suffer back pain at some point in their lives, creating a large market for neurosurgeons specializing in this field... but with only 3,000 total neurosurgeons in the country, most are overwhelmed and understaffed to handle the demand.  Many patients wait months to be seen, and during that time, they are not treating the problem which can lead to worsening conditions and more severe symptoms.  Spine pain is not to be taken lightly, as it can lead to complete disability without proper care.  Many problems, however, can be treated with alternative non-surgical specialists (physical therapists, physiatrists, neurologists, radiologists, or pain management) and prolonging the diagnosis only delays the start of the appropriate course of treatment.  My primary responsibility will be to direct the patient pre-screening process through an online system, and then act as the connection between the patient and the physician before a first appointment is needed.  It's much more of an administrative nursing position than direct patient-care (as seen in a hospital) but I see great potential in the SCE's ability to provide quality patient care in a different way, touching the lives of many people and (hopefully) improving their overall quality of life.  I know it's going to be a bit of an unknown at first, as I am the first (and only) nurse working on this project at the center, but I am confident that once I get started and see how the system functions I will be able to make appropriate changes for things to operate more smoothly.  I have yet to meet the surgeons, but I have been scheduled to shadow their clinic days on Monday and Tuesday, and hopefully I will have the opportunity to watch some surgeries in the OR on Wednesday.  I know that this exposure will help to give more background on the patients' needs so that I will be able to better serve them.  My past experience at UCLA in athletic training is definitely coming in handy, but I know that I have much to review to feel more comfortable discussing conditions and treatment recommendations with these patients.  I'm quite surprised at how much I'm enjoying this aspect of nursing... I'd never considered the business or administrative side, but my personal strengths are very compatible with the job I've been asked to do, and I'm excited to see where this will take me (and what I'll learn along the way)!  On top of it, I really enjoy the office environment and the people I work with, so I am incredibly grateful for this opportunity.  I know there were many applicants for this position (they actually wanted to hire 2 nurses, but my boss has decided to wait and see if I am able to manage on my own for now) so I am extremely motivated to prove that I deserve this position and that I can handle the responsibility I have been entrusted with.  I'll be excited to share more as the weeks proceed, especially once we are up and running (hopefully) in a month.  The one downside is that I do have to commute about 30-45 minutes down to Provo (and it's PROVO... enemy territory...) but I can't complain about having weekends and holidays OFF!  How often does that happen in health care?!  And as a new graduate nurse... seriously. SO. blessed :)

I know the last post I made was while I was patiently waiting with Brenn for the arrival of her daughter, Blake, but my time in California was cut short when I heard back about a potential position at a hospital and I needed to return for an interview (which, as you may have figured, did not work out but of course everything happens for a reason...).  As of today, Brenn has not yet delivered her baby, putting her at almost 2 weeks of a very prolonged labor... my thoughts and prayers are with her during this difficult time of waiting.  Thankfully Blake is doing just fine -- I guess she is stubbornly refusing to take her place in the world... wish someone would tell her that her family is anxiously awaiting her arrival, and she will be one of the most loved little girls with two amazing parents completely prepared to care for her every need.  Her mom is aware that her "Auntie Lola" is ready to spoil her... I can't wait to meet the newest little Fergie :)

Hard to believe the holidays are right around the corner... but this is my absolute favorite time of year, especially because of the spirit that accompanies this special change in season.  I'm looking forward to having family in town next week for Thanksgiving, and for the early snowstorm we are expecting this weekend...!  I do love Utah snow, especially up in the mountains -- Snowbird opened today, and it's only a matter of time before Park City will be ready... Can't wait to strap on my board and cruise down through the fresh pow.  Oh how I missed being 20 minutes from the greatest snow on earth...!  And I'll definitely be making up for missing last year with my season pass this year... need I say more?  Okay, maybe :) seriously so BLESSED... blessed to live here in Salt Lake, and even more blessed that the Lord has provided me with an abundance of knowledge and opportunities to serve the people of this community.  Never saw this one coming, but that is the story of my life these days!  Guess I'll just continue to put my faith and trust in His plan for me, wherever that may lead me.........

Wednesday, November 3, 2010

Fall, Winter -- Summer?!

I had every intention of writing a new entry last week while I was enjoying the fall weather in Salt Lake City, watching the treetops change to beautiful shades of crimson and gold, and then covering our backyard in a yellow blanket of leaves... it was such a relaxing and enjoyable time.  I love the change of seasons, especially fall -- it's my favorite time of year.  Then, out of nowhere, it decided to SNOW.  Really?! In October?? A surprise "blizzard" created a VERY early winter wonderland, and it caught me completely off-guard.  Thankfully the snow melted over the next couple days, but regardless, I had plans to drive to Las Vegas for Halloween weekend with my boyfriend (yes, you did read that correctly) for his friend's wedding -- at the Little White Chapel no less -- and then on to California to help with Brenn's labor/delivery, so I knew I was going to escape the cold (at least for a week or so).




SO, currently I am enjoying the typical California fall weather -- 95 degrees at the BEACH. Whaat?!? That is definitely not normal.  But I'm not going to lie... I'm loving this last little bit of summer weather before I head back up to the truly winter weather in Utah.  But this trip is not exactly a vacation that I am able to "enjoy"... I'm sitting with Brenn after a short walk down the strand, who has now been in labor for 48 hours.  Poor thing... we're all so excited to meet little Blake, who is apparently completely content staying warm and cozy right where she is.  We head back to the hospital in a little while to see if she's made any further progress... bottom line, we are in need of some serious prayers everyone!  And in the spirit of Thanksgiving (it is November after all) I just want to say how grateful I am for the testimony and knowledge I have that everything happens for a reason -- whether it be this prolonged labor or the fact that I don't yet have a job to return to in Utah -- the Lord has a plan.  There are no mistakes or coincidences, only blessings that have not yet been revealed to us.  And with that, I'll be back to update in the next couple days, once there is something to update on... :)

Monday, October 11, 2010

breathe. just breathe.

It's Monday morning, and so begins yet another week as a member of the Day Club... I've been asking myself lately what I am meant to learn from this period of unemployment -- patience? gratitude? selflessness? For a person who truly enjoys being busy and having a regular schedule, this has REALLY been a struggle for me... my roommates say they're jealous, but I would trade this freedom for work in a heartbeat!  Thankfully having Charlie around has kept me occupied, but I worry that when I do start working, he is going to go through a serious period of separation anxiety.... he is SO spoiled right now!!  But I guess I should appreciate this time when I have "nothing" to do... and I'm trying to take advantage.  Like planning a spontaneous trip to NYC this week... one of my favorite places in the world, and definitely a great place to celebrate becoming a nurse :)

Unfortunately, the job hunt is proving to be much more difficult than I had ever anticipated... with the economy in a slump, hospitals have lost a lot of money, and are unable to hire "new graduate" nurses (like myself) because it is too expensive to train us.  It has been getting better over the last couple weeks, as I have noticed more job postings that "strongly prefer" rather than "require" previous hospital experience, but I have applied to 40+ jobs and I'm still waiting for some sort of response... I haven't given up hope though -- the Lord guided me here for some reason, and I have faith that something will present itself when the time is right.

In the meantime, I have been keeping busy by strengthening my resume -- I became a certified Phlebotomist (hoping to find a temporary job, but apparently I'm OVERqualified for those positions) and am currently taking an online Medical Spanish course.  I had intended to take a course to become a certified Doula (or Labor Support person) but I had conflicting appointments and was unable to attend.  I did get the course syllabus though, and I have been reading through it to keep my mind focused on nursing-related topics in the Labor & Delivery field... especially because in just a few short weeks, my dearest friend Brenn Ferguson will be giving birth to her first child (a daughter, Blake Marie) and I will be present for this special time in her life.  I feel so honored, and I am so grateful that I will be able to share this experience with her and her family.  I have complete faith in her, and know that she is going to be an amazing mother!!

The fall leaves are beginning to fall here in Salt Lake... quite late, actually, but I'm not complaining.  I enjoyed having an extra month of summer weather!  But I've pulled out my coats and sweaters, and I am happy to make this seasonal transition.  I'm planning to get my pass to Park City sometime in the next week... SO excited to be close to the mountains again!!  I only had a couple days on the slopes last winter, so I intend to take full advantage of my proximity to the BEST SNOW ON EARTH.  At least here we can make use of snow... I know I won't miss the snowmageddon days in Balmer last winter!  haha.  Well, I'm off to tackle another day of unemployment -- gotta keep busy in order to stay sane!  I'll be back next week with updates from my adventures in the city... until then, take care all!

Thursday, October 7, 2010

Laura Newman, RN


 IT'S OFFICIAL!  

I found out this morning that I PASSED THE NCLEX (aka my nursing board exam)!!  I'm still in shock.  I might have to wait until this afternoon to write a more lengthy note because my head is spinning.... this is just so surreal.  I'm actually a NURSE!!!!!!!  Next step: find a job....

But for now, I'm relishing in the fact that I never have to take that horrid exam EVER. AGAIN.    SO, I'm going to go celebrate... Lululemon is opening their newest store in Salt Lake today (coincidence? hmmm...) and I'm going to treat myself to a little something special :)  And yoga this afternoon, of course.... despite the cloud-filled sky, I feel like it's going to be a BEAUTIFUL day!!!