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locolorenzo22 10,656 Views

Joined Jan 20, '04 - from 'Chicagoland'. locolorenzo22 is a ortho neuro detox nurse, new tele nurse. Posts: 2,449 (27% Liked) Likes: 1,250

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  • Aug 12 '09

    Mollie Was an Angel

    Mollie was an angel
    Too good for this world
    She belongs in heaven
    Up there with the Lord
    And I am happy for her
    That she was there at last
    But I did not feel happy
    The night that Mollie passed

    It happened late last winter
    My Nursing skills we new
    And I was right beside her
    The night that cold wind blew
    Providing help and comfort
    Medicine and prayer
    I wonder if she even
    Knew that I was there

    There was the loving daughter
    The child that bore her name
    The generous church ladies
    The son that never came
    And it was her granddaughter
    There with her at her death
    And my hands were on her
    When she took her last breath

    Her breaths grew strangely shallow
    Her face grew ever pale
    Her pulse became a flutter
    Her breath a gasping rale
    Again I checked for breathing,
    But respirations ceased
    And then, finding no more pulse,
    I pronounced her deceased.

    My new-nurse heart was breaking.
    My state of mind, distressed
    I'd never been so near a death
    So saddened, or so stressed
    And comforting her family
    I went toward the door
    I needed desperately to cry
    And could contain no more.


    I tended to the family
    I made the needed calls
    I did the usual paperwork
    Required by our state laws
    I had responsibility
    To shirk it would be wrong
    I'd never dreamed before that night
    That I could be so strong

    And yes, I grieved about that night,
    But more than that, I grew
    And started to become aware
    Of things I'd never knew
    The things that Mollie taught me
    No Nursing school could teach
    And her passing touched my heart
    Where nothing else could reach

    Yes, Mollie was an angel
    Too good for this world
    She belongs in heaven
    Up there with the Lord
    And I am happy for her
    That she was there at last
    And I never will forget
    The night that Mollie passed

  • Jul 9 '08

    Do many NCLEX questions. Get a saunders or some other types that have fundamentals and do the questions, read the rationals. This is what hepled me in fundamentals.

  • Jul 9 '08

    Quote from locolorenzo22
    3. Do NOT monopolize class time with "oh, my dad/mom/sister/3rd cousin 3x removed etc...had..and they did...." You will be hunted down quickly!
    4. Ask questions but only those that relate to topic at hand...
    6. get to know 3-4 classmates that you can count on to fill you in if you miss a day, or if you need help with a topic.
    I would like to emphasize locolorenzo's points above; they are right on the money!

    Quote from locolorenzo22
    5. Do not argue with instructors unless it's something that compromises patient safety.
    On this point I disagree. Do not argue with your instructors at all. If they're wrong then let them be wrong and be sure that you recite their "wrongness" back to them if they ask for it. Be equally sure, however, that you know what is correct.

    If you simply must argue with a teacher, DO IT IN PRIVATE.

  • Jan 11 '08

    She wakes up almost everyday at 5 am to prepare our breakfast and her snacks while getting ready for hospital duty at 7 am. It is such a wonder how she looks so refreshing with less than an 8 hour of sleep. She wears now her ironed white uniform, then her stretchy white full support anti-varicose vein pantyhose, and her newly shined white shoes. She does it in a fashionably, fast, and careful manner not to crease the uniform or run the pantyhose.

    The food served on the table was cooling down as she ties her hair in a tight bun. Then she starts eating by chewing the food, at times chunking it down while watching the morning news. She looked at the clock, it was 6 o'clock; she swiftly grabbed her things and closed the door. I heard the clicking sound of a key. She was gone before I would even wake up.

    By 5 pm, she was at home, lying on the bed with several pillows under her legs which served as an elevation to facilitate blood flow, she explained scientifically to me. She started with how her day went, the patients she handled, and some news with her colleagues. She would add that it was not permitted to disclose information about patients.

    The stories of her patients were kept between us. It is not easy without an outlet of our emotions especially with nursing that allows one to absorb all emotions. For her, it was me that served as her outlet, like an online blog for others.

    I spend my time with her when I can. She also has an online forum which she visits often, allnurses.com. I can see her posting any questions from complex drug computations to rants of nursing life. It had become one of her nursing tool.

    In some other days, there was no time to chat when she goes home late at night or too tired to talk. She would rather sleep. She tries very hard to balance her time, by doing the laundry, all the cooking and some other school activities. One thing I have observed, she stopped cleaning around the house and doing the dishes when she started nursing school which is alright with me.

    As the night crept in, she was back at her usual study table reading another large book. If she's not reading, I can see her writing the dreaded nursing care plans, researching, or preparing for a case study. I tried not to disturb her.

    From time to time, she would take her so called 'mini break'. She would sing, or dance or go out for a walk. I would be sleeping by the time she comes back. It was just an ordinary yet extraordinary day for a nursing student.

    Occasionally, she'd go out for a friendly dinner or attend a birthday party. I thought she has no more social life for these events seldom happen. As I can recall, she never went out for a date. I tried to remind her that but expectedly prioritized other things.

    One day, I told her how I appreciate her hard work in studying and time management. She simply smiled. I knew that nursing was something special for her.

    Wishing all the best to all future nurses! Nurses' rock!

  • Jan 9 '08

    I could not have written this any better. Every word you have written rings true. I Love being in class and clinicals with mostly women. If you listen and pay attention you can learn alot from your female classmates. Thanks for a wonderful post.

  • Jan 8 '08

    Ph I could relate very well to this. I am a senior nursing student and is currently on my last semester as a student nurse. Being a male in an all female room had been really intimidating for me before. It gave the feeling of being an outcast because they are all of the same type. However as I continue my journey into this endeavor, with countless hours of hospital experiences, group studies, case presentations with the females, I eventually outgrown this uneasiness. Its just a matter of being nice to everyone and it'll pay off. When it comes to nurse-patient interaction and patient care, I realized that it doesn't matter whatever you are, you just have to be confident and you must be able to show genuine interest to the patients. For male nurses-to be like I, just think that we can do whatever they can.

  • Jan 8 '08

    Your article is right on.

    Tomorrow I start my second year of clinicals as the only guy in the class.

    Thanks for the well thought out and accurate perspective.

  • Dec 29 '07

    "Please tell us your name, hometown, reason for joining the nursing program and clinical experience. Maria, let's start with you."

    "Maria Sanchez, Milwaukee, WI, I joined because my mother was a nurse and I respect her so much for the job she does, and I am currently a CNA at UW Hospital on the transplant unit."

    "Very nice, Tait go ahead"

    Gulp.

    "I am Tait, hometown Little Town, WI, I joined the nursing program because something in my soul told me it was the right thing to do, and I have no clinical experience outside of school. I am a waitress."

    A gentle murmur.

    A hawty snort.

    A surprisingly approving look from an instructor.

    "I have to say Ms. Tait" steeling her gaze against the class. "I have known a lot of very successful nurses who were waitresses first, it gives you a very similar look on nursing, balancing a section, being responsible, and learning how to deal with customers."

    BAM.

    Did she say customers?

    As we coast leisurely through the new millienia, life moves along beside us, changing, flowing, and dying. Like constellations born of the fiery inferno of our mothers loins we move along a genetic pathway affected by our training, habits, and lack of discipline or foresight. Each life intricately touching those around us in ways that we aren't even aware of, making a difference in the energies of others simply by passing down the street near them.


    Nursing, as a profession, is a long and steady history of men and women driven to offer something more to society. To take the hand of those deemed unworthy, due to sickness and grief. To nourish those who have fallen to the unknown. To comfort those who sit beside and watch as the light of the cosmos flickers, dies and takes a massive piece of their hearts back to a higher plane. Nursing is about protection, knowledge, compassion, empathy and the ability to stand closest to the fragile line of existence than most people will let themselves admit exists. In and amongst all the expectations of nursing, there is also a special part of each person that is there to make the person feel well, protected, cared for and safe.

    "Ding"

    "Ding"

    "Ding"

    "Ugh is that Ms. Norris in 25 again? I swear that woman has been up to the bathroom fifty times tonight! Where is Mary, I am not going in there again, every time I do her daughter just wants to yack and yack about how to find a nursing home, how to find a caregiver, and she never wants to help clean her mother up when wets the bed."

    Patients can be frustrating. They don't understand their bodies, they don't want to understand that eating well and taking their insulin will help prevent them immense pain from an amputated leg. They have families that are crying, needy, questioning and overprotective. They question the medications you have to administer, they ask one million questions about the future, even if you have answered them all, ten times. They request you wash your hands over and over because they fear being here. Yes, FEAR.

    As you look at your patient load each day, what do you see. Three people who need a bath, five people who have to have insulin four times a day, two foley catheters and a ostomy in a pear tree. However, when we take the time to turn around and look from a different location, what do we see?

    Four walls and a tv with a bad remote.

    A plastic commode that a stranger must help you up to each time.

    The open door as that person walks out leaving your exposed to the nurses station and a hundred other people you don't know.

    The empty plastic cup on your nightstand without any ice in it, ice that at this point is the only, precious bit of happiness you have.

    A rubber mattress with a sheet stained from the sweat of a fever two days ago.

    A body that needs a "doctor's order" to be allowed to feel the refreshing flow of water cascade down it.

    A different person, coming into your room, a different doctor than the one you normally see each and every day, a different person at three am to poke and prod your tender skin for blood, a different person walking in over and over judging you, questioning you, demanding of YOU.

    Take a breath my patient.

    Relax your heart.

    Relax your mind.

    As nurses we offer a unique experience. Not only are we educated in the ways of healing and technical skill, we are also afforded a very special place in our patient's heart. We have the ability to walk into a room, and have a person trust us with some of the most harrowing, painful and embarrassing situations, of possibly, their entire life. So, the question is, are we making the best experience for our patients?

    Most of us believe we don't have time for customer service. We have many tasks to do, many iv's to check, many patients to reposition every two hours, many families to placate. Customer service isn't something that may even come into our daily vocabulary. However, customer service isn't something your do, it is something we are.

    Imagine the person from the above scenario of worries. How much effort would it really take to make this person just a little more comfortable?

    New batteries in the remote or a quick call to maintenance for a new one.

    Helping consistently with the patient getting up to the commode and then giving them the dignity to leave the room and closing the door. Even if that person has dementia, it only takes one small second to shut the door and stand outside the room and listen to make sure that person is safe.

    Promptly filling that cup with ice, two seconds to you, may seem like an eternity to someone with nothing else to focus on.

    A quick change of bedding while that person is up, and after they have finished their natural business. How lovely the feel of crisp linen on tired skin!

    A moment to help a patient sponge down the areas that can't be showered just yet, and to offer them a bit of lotion to that dry area in the middle of their back.

    However, this situation isn't just about tiny changes to patient care, but also to nursing care. Customer service and patient care are not just about what we are doing for our patients, but how we take care of ourselves. Helping each other out, answering call lights when the CNA/Tech is busy toileting someone, sitting with a dementia patient when you have downtime and helping soothe their mind, and simply promoting a workplace of care and compassion. For your patients, and for each other. Yes, I fully understand there are days when you just don't have it in you, when you are overtired and feel too much is being demanded of you. However these days are most important. The days when someone else can step up, for you, and make your day a better experience.

    When you notice that overwhelmed nurse, take the time to offer them a few of your precious seconds. Changing an iv bag can sometimes be a extremely productive customer service act. Not only are you silencing the wretched, repetitive beeping inside the four walls of a patient's existence, you are taking one tiny thing off a fellow nurses plate.

    A tiny space that might give that nurse a few more seconds to answer one more question from a family member about post open heart surgery infection prevention.

    That tiny space becomes a reinforced piece of knowledge in the mind of that family.

    Who later sees a reddened area around their incision they wouldn't have otherwise noticed.

    Which brings them back to the hospital mere days before a vicious osteomyelitis sets in.

    Management and staff alike need to realize that nursing is more than just pushing medications and making sure a patient has had a bowel movement before going home. This is a career of compassion and care, of hospitality and service. In an age where people can pick and choose their hospital, as easily as the steak house next door, we must take the time to ensure our practice, our patient well being, and our own mental state by looking for the little things that make an experience just that much better. No, we won't make everyone happy, there will be the vegetarians, the angry couples that should have stayed home and went to bed instead of coming out for steak, the people that are late for their movie because the kitchen ran out of lettuce. However, and over all small change, can sometimes have the biggest impact.

    In conclusion I offer the following challenge. Look for opportunity. To give a person a little something extra. Close the door when you leave the room. Look to the nurses around you and see if they need a little extra care as well, ask for help when you need it, push your management to deal with issues that lower patient and staff satisfaction. In the end, never forget and always enjoy the fact that you hold a place dear in each patients heart, whether they realize it or not. Without the nurses, phlebotomists, technicians, cooks, maintenance and supervisors these people would suffer, wither and die without feeling the warm touch of compassion and hope.

  • Nov 8 '07

    Hang in there locolorenzo. Nursing school is a lot of work, but you have been doing well so far and that is more than a lot of people can say. It takes a person with tenacity, intelligence and character to be the "go to" person. When you are all done you will come out of it with all three traits intact, and a wealth of knowledge to add.

  • Nov 8 '07

    Loco, let go of the things you can't control, like your dad. And hang tought. You're going to be a fine nurse, and that's what this is all for.

    Now, a long, hot bubble bath does wonders. I don't know if you're a guy but I introduced my stressed-out husband to them and I highly recommend a long, hot bubble bath.

  • Nov 8 '07

    You cannot be all things to all people. Unfortunately, they'll attempt to pull you in different directions to satiate their selfish needs, but you must be the one to set the ultimate limits during these times when there's so much on your plate.

    Here's a hug, as you need it right now! :icon_hug: (((hug)))

  • Aug 24 '07

    No, drips per minute is the amount (ml) x the drip factor, divided by the total number of minutes.

    Quote from locolorenzo22
    I understand....we're just reviewing starting IV calcs and it took me a little while to get the hang of it again....

    Rate is simply the amount to infuse divided by how many hours you are to infuse it by.......

    Drips per minute is the dose desired over the dose on hand x the drip factor.....

    I finally got the hang of it again....

  • Aug 12 '07

    I am not in clinicals yet, I start that in January. But when I was in the Army waking up between 5 and 530 to be there for 630 PT (physical training). I used to actually start doing pushups, crunches, and jumping jacks and sometimes going for a run around my apartment building. I hated being up in the morning, but I started doing this again about 3-4 mths ago because I wanted to get back into waking up early plus it's cooler to run early in the morning compared to the day in the summer. It's hard to fall asleep or be tired after exercising since your body's endorphins are at a high.

  • Jul 1 '07

    I haven't read "Nursing Against the Odds", so I can't comment on the book. But my experiences of nursing as a profession are different than those posting thus far. I in no means attempt to negate the experiences posted; rather, I just want to add my own.

    I'm not a person who is in their first career as an RN. I left what most would call a comfortable/ "easy" job (flexible hours, office environment, casual dress, time to play Yahoo Gin and get paid for it, etc.) for the chance to be an RN. I finished nursing school, landed a job in critical care for my first position, and have been there ever since.

    Yes, doctors can be dinks. Yes, administration can ignore our needs. Yes, nurses can backstab and be petty. Yes, our union does nothing to protect us (to the point that I'm thinking about un-enrolling in the union-- why pay for something that doesn't help me?).

    But . . . there are things in this profession that make, and keep, me happy. When my patient tells the oncoming nurse, "I miss my other nurse!", that's cool. When a patient that everyone counts out rallies and gets better, that is fantastic! When I am able to comfort a family member of a dying patient and make a difference, I know why I'm in this line of work. Do I leave my 12-hour shifts feeling like crap, exhausted and emotionally/ physically drained? Absolutely. But do I also derive pleasure from knowing that, in some small way, I made a difference? Yes. That makes it worthwhile.

    --Heather



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