Manawatu Guardian - 2021-07-22


Bittersweet end to 40-year nursing career


Judith Lacy

Maxine Gerke still has her red nurse’s cape and white uniform from her early days of nursing. She wore them on June 30, her last day working at MidCentral District Health Board after 40 years. Gerke spent the past 30 years of her career working in the emergency department at Palmerston North Hospital. She loved her job, but after a family tragedy she realised she didn’t want to keep walking a “tightrope”. Her registered nurse practising certificate was about to lapse and she decided to retire. Gerke, who lives in Kimbolton, was happy to share how she got into nursing and changes she had experienced. But she really wanted to let readers know how hard it is working in ED. She particularly found seeing patients waiting and waiting to be seen hard, and asks how many times can you say sorry to a patient for the wait. She would also be trying to triage patients aware there was no room in ED and no room in the hospital to admit people to wards. Doing that every day and apologising every day was grinding. “What do you say to them, it’s really hard, it’s soul destroying.” Sometimes patients would be standing because there was nowhere to sit. Gerke says bed numbers haven’t changed for so long; staff are dealing with the same bed numbers, but patient numbers are “horrendous”. It is hard to get into a practice, and hard to get an appointment with a GP. Gerke says people come in to ED saying their GP told them an ED doctor will see them straight away, but the reality is that is not going to happen most of time because there are other patients to be seen. “These things they are saying on TV are all true.” Gerke always wanted to be a nurse. One of her friends recalls that when they were kids, all the young Maxine talked about was going nursing. One of her mother’s sisters was a nurse, and one worked as a hospital aide. However, Gerke was not allowed to when she left Manawatu¯ College in Foxton because she had a medical condition. Her first job was working in the office of a building firm then at Inland Revenue. She finally got a medical certificate when she was 21, allowing her to enter nursing, and in 1978 started as an enrolled nurse at Palmerston North Hospital. She thought she was too old to do the registered nurse course. In 1981, she started her OE working in Brisbane and Alice Springs then travelled around Europe. She came back to the hospital in 1984 and started in coronary care. The charge nurse there encouraged her to train as a RN, so in 1986 she started training and was registered in 1988. Gerke continued working at MidCentral while training. When she first started, nurses had to be addressed as nurse and then their last name. However, her maiden name was Dear and Nurse Dear didn’t go down well with her because of the teasing she received. She told patients to call her Maxine, but got into trouble with the matron because nurses were not meant to give patients their first name. Gerke also worked in Horowhenua, ward 24 orthopaedics, and anaesthetics and recovery. In 1991, she started in what was then accident and emergency covering maternity leave. She was offered a permanent position and worked there until her retirement. The mother of three was sick on and off for five years and was a patient in ED quite a few times and also got hospitalised a few times. “I’ve been a patient a few times so I know what it’s like on the other side.” When she started, nurses weren’t supposed to talk to patients too much, they would get told off if they did sit down and yack to them. Interaction between nurses and doctors was more hierarchical. The use of technology has increased significantly. Asked what makes a good nurse, she replies empathy. Gerke met her husband, John, through nursing. They had mutual friends, but had never met. On her first day studying to be a RN she met a woman married to a man in Kimbolton. That woman, with whom Maxine is still friends, set her up on a blind date with John. He is a sheep and beef farmer and a descendant of the original Kimbolton settlers. In response to comments on MidCentral DHB’s Facebook post about her retirement, Gerke wrote: “I am overwhelmed with the comments and your well wishing. I am sure I will eventually miss it but for now I am relaxing and taking time for me.”


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