
My trip to New Orleans was really enjoyable. Not only had I not flown since 9/11, but I had never been there before. We stayed in
Metairie, just off the
Lake Pontchartrain Causeway. My nurse manager, one of the clinical educators, and I went to a
VHA conference on creating blue prints to evoke change in institutions. We were focusing on the prevention of pressure ulcers in our facility. In a nutshell, the thrust of the conference was that "culture change" does not occur from the top down, but rather from the bottom up. In other words, if the people who are responsible for owning the change do not embrace the policy, it does not matter really. So many times, institutions appoint committees who come up with a protocol. That is then relayed from on high to those below with the edict, "OK, so here is the plan. Now, this is what you need to do." People fall back into familiar routines and then months later, management is scratching its head wondering why the "plan" is not working. It's an entirely different way to look at institutional change, and it was fully worth the trip.

The first night we were there, we went to Bourbon Street. It is world famous, is it not? Images of the debauchery during Fat Tuesday celebrations fill the mind when the name is mentioned. I will say this... it's wide open. You can find anything and everything there. You know you are in New Orleans when your waiter says, "Do you want a to-go cup for your Margarita?" We laughed. He was serious. Indeed, there are few inhibitions in New Orleans. And few rules. Be nice, don't be an obnoxious drunk. That's about it. But the people were so charming and welcoming.

We went to
Harrah's Casino on Canal Street and made a donation. Ahem. We mainly just played the penny and nickel slots, but it is such an interesting place. I'd been in a small casino on a cruise ship, but never in a full sized one such as this. I marveled at the number of people there willingly feeding money into machines that were singing and whirring noises in a loud symphony throughout the place. (Mental note: NO place for persons with autism.) The atmosphere was so ambient and relaxing and pleasant. Meant to keep you there for hours, with no thought to what time it is, or how long you'd been there. Nice wait staff bringing free drinks as long as you are gambling. A bad recipe for those sure their next big break is one bet away from the one they just made.

The last afternoon we were there, we visited the French Quarter and the French Market, along with Jackson Square. So quaint. So many lovely shops and so many restaurants. Purchased coffee from
Cafe Du Monde and some other souvenirs for home. It amazed me how many street performers there were, and how many wonderful artists displaying their talents. All the while, with a joyful sound of jazz playing in the background. Sadly, we were leaving just as Jazz Fest was beginning. It's a wonderful city, which has recovered gracefully from the devastation of Katrina, and I hope to revisit it someday.
* All photos found on the Web as I did not pack a camera...
drats!