Wednesday, March 13, 2019

Preparing for a MRI

So have you ever had a medical procedure done for the first time? Maybe you've prepped for surgery 15,000 times but never had it yourself? Well, this happened to me for the first time this summer. First with an Endoscopy and second with an MRI. 

I hate needles. I can prepare a kiddo for a stick all day long, but personally I still struggle. My coping plan consists of looking away, pumping my other fist, and taking deep breaths. Sometimes I feel silly- but it works. 
Image result for mri

As I laid in the MRI machine, I thought to myself, "If I were a child, what would I be thinking right now?" 

1. There is a lot of sensory things going on. 

2. I am bored. 

3. These noises are really loud. 

4. Is it over yet? 

All of these thoughts and many more ran in and out of my mind for the 30 long minutes I laid there.


So here are some steps for a basic MRI prep:

1. Prep for an IV. Most of the time MRI's require contrast so kiddos may require an IV. 

2. Explain to kids what an MRI does (takes special pictures).


3. Show kids what the MRI looks and sounds like either using a doll sized MRI, a prep book, or app on the Ipad. 
Sydney recommends the simply saying app.

4. Talk about the time that an MRI takes. Compare it to something a child knows, if its 30 minutes the length of a TV show, if it's an hour the length of a movie etc.


5. Tell kids what their special jobs are during the MRI (not moving, still like a statue, special glue for arms, etc. )


6. Talk about questions, correct misconceptions, figure out a coping plan

7. Do a practice run, go in and see the MRI machine and practice laying still on a bed outside to see how the patient does.


6. Does your hospital utilize distraction for MRI(like movie goggles, or headphones), can a parent go in with the patient, can child life go in?


Some kids can do great during an MRI and others need sedation, don't feel discouraged if your prep and distraction didn't work, MRI's are tricky
Image result for mri toys


Caroline and Sydney

Tuesday, March 5, 2019

Toy Tuesday: Shake it Baby

Hello Friends!

This is a product I should have shared years ago, but I'm just now getting around to it.

 
A baby soother is a magical little box that provides soothing vibrations, and noise to calm infants. The one we like at my hospital provides white noise, lullabies, heartbeat and running water.

We utilize this product in the ED during procedures to soothe infants. I have found using this, with a combination of swaddling, sweetease, and pacifying works wonders.

Our favorite brand is the Summer one and I will link it here. Its only around $15 and goes on sale frequently. Take off the Velcro strap and it's totally cleanable.


Tip: Need white noise in a pinch? Turn the oxygen to high in a patients room. (please make sure it's not on the patient)

-Syd-

Monday, October 1, 2018

Vegas Strong: One Year Later

This is a post I never thought I would have the courage to write, but as the one year anniversary of the Las Vegas Route 91 mass shooting is approaching, I thought it was time.

Quick Backstory: I work in a Children's Hospital within an adult hospital as a child life specialist in the pediatric emergency department.

October 1st 2017, started out as a normal night in the emergency department, it was low census due to a strange annual lull in patients from the end of September to the second or third week in October. 
It was almost 10:00pm. 

I remember, I was sitting at my station chatting with nurses and teaching a resident how to blow a big bubble, waiting on a doctor to do a laceration repair. The LET would be ready to go in about 10 minutes. 
At 10:15pm the all hospital tele goes off..."mass casualty incident 10 gun shot wounds coming by ground, more to follow."  
Since the patients were headed to the adult side and not pediatric we all kind of ignored it for a few minutes. The doctor appeared around the corner and said, "Syd are you ready to go stitch this kid up?" 
I grabbed my iPad and light spinner and said, "Yes, lets go." As we approached the room the doctor said, "You know what, I'm going to just walk over to the other side to see if i can help. I'll be right back.
As the doors opened to the adult side of the emergency department, I saw him take off running. Shortly after he left, our charge nurse and other nurses went over too. 
Shortly after that, an all call hospital page said, "Any available physicians to the Emergency Department Stat." 
About 10 minutes after that a new one said, "Any available nurse to the Emergency Department Stat.
About 5 minutes after that another one said, "Anyone with hands to the Emergency Department stat"

At this point multiple stories had been thrown around, a shooter on the strip, a shooter at a concert, a shooter at the hockey game. 
We had yet to turn on the news. 
We did not know six miles away, a gunman had shot through his hotel windows and opened fire on 22,000 fans at the outdoor Route 91 Harvest Festival. 

We did not know we would see almost 200 patients—And we surely didn't know that fifty-eight people would die. 

Unlike a normal day, the wounded arrived in waves. 
First the police came dropping off people two at a time, 
Then the pickup trucks, 
and then the two-door sedans with as many they could hold. Ambulances that abandoned protocol, bringing five at once, no time for backboards or stretchers. The walking wounded, staggering through our hospital doors. 
No one could ever imagine this.

It was now 10:50pm. 
We finally had the news on and knew there was a mass shooting at the Route 91 concert. 

On this particular night, several of my co-workers, friends and even my boyfriend were on the strip at the Vegas Knights Hockey game. Another one of my co-workers was at the concert. 
As the news of the shooting arrived, I began to frantically text them- hoping they were okay. They were on their way back to their cars while the shooting was happening. 
I remember texting in all caps 
"GO HOME NOW," 
"get off the Strip," 
and them texting back - 
"it must be a joke" or 
"just a few people we don't see anything.

And then there were no texts for 10 minutes... the longest 10 minutes of my life..

[Thankfully] then the texts rolled in...
" I've got a wounded person in my car I'm bringing them to the hospital"
"we are safe on the highway", 
"I'm barricaded in the MGM hotel", to 
"I'm safe. I'm home."

Back to the hospital: 
About this time, the police showed up... this time with children who had been at the concert and gotten separated from whoever they were with. 
And this is where Child Life comes in :)
The kids ranged in ages from 5-12. 
The police had told the kids fireworks had gone off early and hurt some people. The younger kids believed this story while the older kids knew the truth. 
Instead of telling the kids the cops had lied to them, I had each one of them tell me their stories of what they saw. I corrected any misconceptions and validated everything. 
We talked, colored pictures and squished some play dough while waiting for their family members. After about an hour all the children had been returned to family members. 
It was such a great relief to see the families reconnect. 

I then moved on to comfort care, 
and did whatever I could do to help anyone in need. 
I started in our waiting room which was now full of friends, family members, and other concert goers looking for their loved ones that were hurt. I brought warm blankets, water, Kleenex, shirts, baby wipes, band aids, gauze and crackers to these people. 
I sat with them, hugged them, cleaned them, prayed with them... everything I could think of to make them more comfortable... and it just didn't seem like enough. 

I looked around the room. Desperate to continue helping in this crisis. I realized one of our nurses was sitting at the triage window. She was being bombarded by family members wanting updates and locations. The social workers were working as hard as they could to pair everyone back up, but it is a huge undertaking. 
Our hospital saw almost 200 victims that night. 
The nurse and I started our own check-in list to compare with the social workers so we could make sure every one was accounted for. 

Throughout the night, our pediatric Emergency Department shortly became an adult Emergency Department. I handed out stress balls, and even talked a few adults through wound cleansing and IV starts. 

The hours drug on and the rest of the night became blurry. Tears, happiness of reuniting, so many people coming to donate blood... so much blood on the floor... 
directing family members to different parts of the hospital, and so many just  people wanting to help. 

I stayed till 6am the next day. 
I'll always remember how quiet Las Vegas seemed that morning. 

During the next week the Child life Disaster Relief team came to Las Vegas. My coworker and I helped them get some toys and any other items they might need to help the kiddos.

A year later, I really thought I would be okay... but as I started seeing Vegas Strong signs and hearing about events...
 my entire body just becomes covered in goosebumps, and the memories start flashing back.  
The images of that night are still crystal clear. 
The guilt remains for not being able to do more and for being afraid. I remember the outpouring of love, from other hospitals, from other child life specialists, from the community, from my coworkers. For as much pain, grief and suffering I witnessed, I saw even more love, selflessness, and appreciation for one another. There are some truly amazing people in this world and I'm lucky to work with some of them.

Tonight, on the eve of the anniversary, I visited the Las Vegas Sign, which is turned into a memorial. I read about each of the 58 victims. 
I cried. 
I took a bubble bath. 
I feel better. 
I feel ready for tomorrow. 

 I am Vegas Strong and always will be. 
Thank you for letting me take a break from the blog, 
and heal and find my own way back. 

All my love, Sydney

Sunday, September 16, 2018

FACLP 2018- What's in Your Tool Box?

And just like that another FACLP Conference is in the books... 



I love FACLP. 
I love conferences. 
I love child life. 
I love feeling revitalized. 
I love networking with people of like minds. 
What about you? 

This year's FACLP theme was "What's in your Tool Box?" My first thought was... "Well that doesn't really apply to me anymore, does it?" 

But as always, conference has a way of putting things into perspective for me. 

My Tool Box is my Tool Box. Not yours. It's mine. I can have what I need in it to be the best I can be at whatever I might set out to accomplish. 

As is the case with many things in this world, it is easy to fall into the trap of comparison. It's easy for me to quickly assume that as a CCLS, my tool box should contain things such as "5 years working in Children's Hospital of ABC" or "Extensive experience in the ICU setting working with XYC population." 

But as in other areas of life, my tool box looks different... and it's about time I own it with pride. It's time for me to start giving back to the child life community with my unique skill set instead of being ashamed of my tool box. 

My Tool Box contains items such as 

I am a Child Life Specialist. No, I don't work in a hospital. I might never work in a hospital again. Or maybe I will? Who's to say where my tool box might take me next? But what I do know for sure- My tool box is my tool box, and no one can take it from me. 

Remember that iconic quote from The Princess Diaries? 


So why do we give others the power to make us feel like our tool box is inferior to theirs? 

It's your tool box! Own it!

So what's in your tool box? 
How different is yours than mine? 
How similar is it? 
Where has your child life journey taken you? 
Let us know in the comments! 

-Caroline

Sunday, July 29, 2018

Confusion for the CCLS

Hi friends! 
So it's been nearly a year since we have posted anything on here, and yet in the mean time we still have constant emails regarding questions for those entering the wonderful field of child life! Yahoo! 

I've been thinking about you all lately and what I would like to say to my readers... And honestly, I think it's more of a confession. 
Image result for job confusion
I am slightly embarrassed by my current job position. (And I don't know how to talk about it within the Child Life Community.)
Image result for embarrassed I have been working in a nonprofit, community based organization for almost 2 years now. (And I love it so much). 
A little over a year ago, an opportunity arose for me to become the Director of the Early Learning Center within the organization. My first thoughts were "No, I'm a CCLS. Not a child care teacher." "I worked too hard on my certification to go back to early education." 

However, y'all. It's been the best thing for me yet. I work in a city where there is a Children's Hospital right down the road... I could go apply for a CCLS position, but ya know what? I did a few years ago, and I didn't get it after two different interviews. That door was closed. 
Why? I don't know. But I know I am not supposed to be in the hospital setting. It was never in the plans for me. 

So here I am with my CCLS (and MASTERS degree at that), directing a really nice, high quality early learning center with a huge waiting list... 
And when I get that email from the ACLP telling me I owe this fee or that fee, part of me starts to cry inside (Not just because of how much it costs, because whoa!) but because I feel an unspoken criticism from the child life world. I feel as if my certification does not mean as much as yours because I am not in the hospital. 

When we get emails from students asking for an interview for their classes, I hate responding saying, "Well I don't work in the hospital, but I would love to help anyways." 

When I sign up for conferences and all of the workshops are for medical procedures, end of life care, staffing, or new preparation interventions... I ask myself, why am I spending money? 

And most importantly, when people ask me what Child Life is... I struggle to find an answer sometimes. But Child Life is simply helping children cope with life's challenges. And that's what I do every day, just not in the hospital. 

Yes, I am aware of (and somewhat involved in the online forum) the movement for Child Life in a Community Based Setting, but even then it is a focus on medical. 

It doesn't relate to me. Does that make me less of a Certified Child Life Specialist? 

Food for thought? 

Well of course, it doesn't make me any less of of a CCLS because I worked super hard for those four little letters, I pay a lot of money every year to maintain them, and I attend as many professional development conferences I can to continue to increase my knowledge. 

However, when does it change? When does it become acceptable and supported to be a CCLS in an early education setting? When do we start supporting each other for the individual paths we begin on? 

I am not a Director of an Early Learning Center because I failed to receive a position in a hospital- which is what most people assume. I CHOSE to work in the community setting. 
I CHOSE to be the Director of an Early Learning Center. 
I LOVE my job and what I do every day. 

So help me change the expectations. Help me advocate for the necessity of Child Life beyond the hospital. 
I mean hell0- because of my CCLS- I have enrolled a child with a feeding tube, and helped assess a child with a language delay! 

The expertise of Child Life is beneficial way beyond the hospital, clinics, and doctor's offices. Children need Child Life because we know children.

So I am tired of being embarrassed. I am tired of avoiding the blog because I become emotionally fatigued over rationalizing my job choice. I am going to start speaking up for the spread of the Child Life Profession in other settings! 

Anyone feel me? 
Anyone support me? 
What are your thoughts? 
-Caroline









Tuesday, June 6, 2017

Toy Tuesday: Wiggle, Wiggle

Time for another Toy Tuesday!

Today I'm talking about Water Wiggler toys. These toys go by other names too, like water snakes, water tubes, water wiggle tubes, ect. 

I like to use these toys for laceration repairs. I tell the child their job is to try to hold their head or whatever part of their body the lac is, still like a statue or a rock, but I allow them to move their hands if they get wiggly.

This way they can play with their water wiggler. Some other ideas are having them count how many times they can squeeze the wiggler, hold the wiggler on their tummy without letting it fall, talk about what is in their water wiggler (Nemo, glitter, Spiderman, etc). You can use your own child life brain to come up with even more games to play with the water wiggler.
 

I just recently picked up some larger ones at Walmart in the "cheap/amazing for child life" aisle, but we also order the mini ones from Oriental Trading which are great for the kids that have trouble letting go of mine that I wash and resuse.

Here is the link for the oriental trading minis- Check it Out!

Do you guys utilize water wigglers?

-Sydney

Monday, May 29, 2017

That's a Wrap: ACLP Conference 2017



And there you have it, the ACLP Conference 2017 in Las Vegas is over. Thanks to all of you lovely people who came up to us and introduced yourself! 



Check out the hashtag #childlifetakesvegas on Instagram to see all of the fun from this weekend!
In order to recap everything we learned, we would spend most of our next waking hours typing vigorously away. Instead, we will just highlight the things that stood out to us the most! 


Sydney was lucky enough to be able to spend Wednesday with the winners of the International Conference Scholarship winners. She was able to tour them around her hospital in Vegas and learn about their programs(in the UK, Malaysia, and Hong Kong). It was so surprising to hear that some things about child life are universal.  

 

 Caroline arrived Thursday and we wasted no time hiking Red Rock National Park in true southern belle fashion in dresses and heels.






 Alright enough fun and games let's get on to the conference!

Key Note: 
The key note speaker, Kevin Spencer is the founder of the foundation "Healing of Magic." His presentation was compelling, educational, and inspiring. After a personal injury that landed him in the hospital, he strove to discover how magic had its place in the therapeutic realm. Read more of his story at www.magictherapy.com


The Punitive Nature of Rewards: A Controversial Assessment of Popular Behavior Modification
How many times do you catch yourself or maybe a team member say, "If you just hold really still, will give you a prize?" Catherine Reed from Golisano Chidren's Hospital of Southwest Florida completed some research regarding the success of such rewards, the dependency on the treasure box system, and new ways to teach children life long skills instead of quick compliance. She argued that while incentive programs are sometimes easier and maybe even most appropriate, as Child Life Specialists we should challenge ourselves to be creative and look for alternative ways to get to the root of behavior that may be getting in the way of procedures, etc. 

Back the the Basics ... Examining the Modern Child Life Toolbox
 
This was potentially Sydney's favorite session! Thanks Karyn Positano and Shaindy Alexander from the Hospital for Sick Children in Canada for an incredible learning adventure. Keep an eye out for a future Toy Tuesday post in the days to come to hear all about Hermin! 



 
What Do You Stand For? Being an Emerging Leader in Child Life
Stephanie Hopkinson sought to inspire and empower all those in attendance of her session to truly reflect on their values and experiences that led them to where they are today. She called out the leader in all of us and had some very interesting concepts she introduced. Be on the lookout for another post going into more detail about her session on Leadership! 

Constructing the Play Lady: Child Life and the Female Human Identity
Have you ever been ashamed to be referred to as the "play lady?" Our founding mothers held that term with pride all the while seeking to pursue a higher level of dignity and respect as an advocate for developmentally appropriate practices when it came to children in the hospitals. Davina Wheelwright of Children's Hospital of Michigan presented a compelling review of literature and personal insight about the history of child life, the evolution of gender roles and stereotypes, along with the modern day struggle of women to balance a work and family life. 

Closing Session: The Positivity Solution
Shola Richards, human resource trainer for Children's of Los Angeles by day and motivational speaker and author of The Positivity Solution by night, presented an empowering and soul searching closing session to launch us back into the world. 
He challenged us to ask ourselves three questions: 
1. Is it kind? 
2. Is it true? 
3. Is it necessary? 
He also reminded us that we are Child Life Specialists and we have a place at the table. Don't ever let anyone steal your thunder, power, or joy. We can make a difference today.


 
The Exhibit Hall did not disappoint either, full of toys, distraction items, MRI goggles, VR games, alternatives to the dreaded hospital gown, and much much more






Thanks to the ACLP for putting on an engaging conference!


Couldn't make it and would like to learn more? Conference All Access Pass should be available for purchase in the weeks to come from childlife.org. Remember every 5 years, we are up for re-certification and this is a great way to earn some PDU's. 


Were you there and we missed you? Tell us your favorite part about conference! Which workshop fired you up to go back to work this week?

Sydney and Caroline

Saturday, May 27, 2017

Anger Management

I work in a children's home. This means that most of my clients have a history of abuse, neglect, and trauma and have been separated from their family, home, and what they considered "normal" life. 

Children and teens who have been exposed to these life experiences often struggle with anger management amidst many other things. When I meet with my clients, it is my job to provide activities that allow children and teenagers to learn and practice anger management strategies. While doing some research and gathering ideas, I stumbled upon this awesome website with lots of anger management activities! It's called School Counseling Files

The first activity (and free download might I add) I used was the Miner 5 Point Scale. It prompted the 12 year old boy I was working with to label characteristics of the five point scale in categories of "Feels like," Looks like," and "I can." I used this activity for anger but it could also be easily adapted to anxiety, sadness, or fear. 



The second activity I used with an 11 year old boy was the "Don't be an Angry Bird" booklet. It works through all the different possibilities that can happen when you are angry and allows the child to provide alternative behaviors or thoughts to the situations. At the end, it prompts the child to draw their favorite coping strategy for dealing with anger. 

My boys are very dynamic and I am still working to figure out what works for them. But I thought I would share this website with you because I really liked it! 

What activities have you found successful in working with anger in kiddos and teenagers?? Leave a comment! 


-Caroline



Thursday, May 18, 2017

See You in Vegas Baby!

Guess who has ....

her plane ticket :)
conference registration :)
free place to stay :)
and bags not quite packed :)


That would be me! Next Wednesday, I will be on a plane to LAS VEGAS to see my sweet friend Sydney!!!!!!
(BTW: This was my face on the zipline at Camp Blue Skies about 6 hours before Daniel proposed to me!!!!)


Oh yeah, and to go to my first ever Association of Child Life Professionals NATIONAL Conference


To say I am excited is a complete understatement! 

Will any of you be there? 

We promise we haven't left the blogging world and many of you wonderful people continue to reach out to us for questions! We want to wish all of those who were offered an internship a huge CONGRATULATIONS!!!! 

(We know those around you may not understand the relief it feels, so don't be afraid to express yourself!) (And don't forget to read our post: You got the Internship, Now What?)



We also want those who did not to eat some ice cream, and go back to the drawing board! Don't give up yet! You can do this!

Go refresh your memory on the crazy competitiveness of the field here

We also have an entire series on Self Care!
Our favorite Self Care posts are...
Failure
Why do we do it? 
How to handle rejection

I'll tell you, working a full time job is for the birds! Blogging has been at the bottom of my priority list as I have been planning a wedding, interviewing for a new full time job (story coming soon!), and trying to focus on my health in order to be the best me I can be! 

How are you guys? We love you! We are thankful for you! And I hope to see some of you in Vegas Baby!!!!!

-Caroline