As a roll out of bed and prepare to face the day, the reality of yesterday's conversation hit me. Today may be "that" day and suddenly everything seemed so palatable and important. My mind wheels back...did I make the right decision. I asses the risk factors one more time as I make coffee. Suddenly such mundane ordinary things seem so real and beautiful. I wonder if I'll be standing here tomorrow pressing the on button.
Last night, a patient called hostile, upset and angry, threats were made. I talked through scenarios and agreed to keep our morning appointment. Immediately, I thought of my mentor, "Robyn, did you go through the risk Assessment?" Yes...I'm coming in at slightly above 50/50. "Robyn, do you have some one who can be present for you?" No, the only person I could ask ended our friendship a week ago. The reality sinks into my soul. I'm doing this solo. "Then, Robyn, you must put in place you personal protection plan". I diligently put in place the calls that will be needed, the people to be contacted.
As I get dressed for work, I feel outside my body..no, not those shoes, the heels are too high to run. No, wear pants because if EMS comes, I don't want my skirt over my head....and the list goes on. Spend extra time hugging the pup...God willing you will see her tonight, call neighbor just in case. I continue the check list. Call mom, don't let on anything is wrong. Hold strong. Just say I Love You. Unlock the office, stash some gauze and ties in the main office just in case, count the steps from my room to the office, just in case. How long do I need to be conscious before EMS will arrive? The time ticks down. I am aware of life. I am aware of wanting to live. I have so much to do. Be strong, stay strong. It's just a patient, you can do this.
I get a text. The patient is bringing a driver and i know things will be ok. I make the calls to stop the plan and let people know its fine. I shake it off, say a prayer, refocus and give good care. I talk through a plan of care with the patient. I don't back down from the boundaries of care. I tell him I will hold him accountable for his behavioral choices. This conversation is met with frustration and anger but not with hostility. Maybe I'm getting through. Maybe a difference can be made. The day is a full day. Put it behind you, move forward, give good care, emotionally connect later.
Its not until much later do I realize, I stood my ground. At any point I could have ran. Instead I chose to put my faith where it needed to be and knew without a doubt I was where I needed to be. I also know beyond a shadow of a doubt, to help even one, I would do it again.
Having stood in the storm of what could have been my last day here, I chose to walk through it with Grace and Faith. It changed how I see life and how I want to show up. I may hug my friends more and tighter. I may reach out to connect with friends who hurt me or pushed me away. But I was given the gift of seeing how precious life is because I may not have had mine.
I roll out of bed the next day, hug the pup and press the on button for coffee. Today is a beautiful day.