Content That Candyn Likes

Content That Candyn Likes

Candyn 4,114 Views

Joined Feb 5, '12. Posts: 139 (17% Liked) Likes: 38

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  • Dec 24 '12

    Since it is the end of 2012, I was sitting here reflecting on this past year. This has been a year of wish fulfillment; trials and tribulation; and, most of all, learning.

    I graduated in May with my BSN and got my license in September. I was not one of those people who knew since they were little that they wanted to be a nurse. Actually, if you told me in high school that I would become a nurse, I probably would have told you that you were nuts. When I went to college though, I knew that I wanted a career in health care. I was going to major in Biology in hopes of being a pharmacist. After my first semester of college, I decided to take a pharmacy technician course and work my way up. Hence, my pharmacy technician certification and license. After the first year or so of college, I decided I wanted to be more involved hands on with patients. That's when I decided that I wanted to be a nurse. My mom is a nurse and she talked me out of it. She told me that I should be a physician. I am pretty compliant and am eager to please, so I followed her advice. I kept the Biology major (which eventually became a Spanish major) and was taking my pre-reqs for med school. I changed colleges and went to another school for a semester. I wanted to come back home, so I transferred back. I told my mom that I wanted to be a nurse. I was two courses or so away from being done with my pre-reqs for med school. But, my heart was not into it. I started into the nursing program. I did fine the first semester and then my second semester, I failed a class. That was a defining moment for me. I was upset, but the one thing that I learned was that I truly wanted to be a nurse--that was why I was so upset. I re-took it and did much better the second time. Then, I went into my senior year. That's when I took Community and Public Health. I liked home health before because of some work I did before, but I think I truly fell in love with that field after this. I loved every clinical day for that class and I went in to every one of them excited about what I would be doing that day. I finished that semester and then my final semester. I was so excited to be graduating after seven (yes, seven!) years of college. At the time, I was so exhausted with school, but I look back on it and have to smile. I had to get things straightened out with the Board of Nursing, so I didn't take NCLEX until September. I passed with 75 questions, first try. I was over the moon!

    Everyone already knows my story with the Boards--backwards, forwards, and upside down (if you don't, feel free to peruse the other posts in this forum). I have been in this monitoring program for almost five months. It is not easy, especially having a license and needing approval for every little thing. It's hard watching hard earned money being spent on urine drug screens. It is hard having people (mainly the Boards) think you are a dangerous person. But, I have learned a lot.

    I have learned to deal with life's challenges and to be persistent. I have learned to appreciate the little things in life and to be resourceful (remember, I don't have much money, so when I need something, I have to think of ways to be cost effective). I have walked a mile (or more) in the shoes of having mental health issues and substance abuse and have learned about society's views of these people (it's not pretty) and ultimately, what needs to change. I have learned so much about myself as a person--what makes me happy and what I stand for. Most of all, I have learned to be stead fast in my faith in God and to look for the silver lining in every cloud. Even when the skies are dark and gloomy and it seems all hope is lost, He is leading me to bigger and better things and giving me everything I ever wanted and hoped for.

    I think the last things about stead fast faith in God and learning to find the silver lining in every cloud are a couple of the most important keys to happiness.

  • Dec 14 '12

    I am glued to the TV tonight watching the coverage of horrific events in Newtown, CT. My heart breaks for all involved. The victims and their families, the survivors, the responding police/fire/ems/counselors/Danbury Hospital....

    The whole thing is surreal yet I look at a small town like that and I understand how easily we all believe we are ready because we do emergency drills and becuse we also believe that it is far away and it wont ever happen where we live.

    Newtown is in my home state and I have nieces and nephews in school in CT....my heart stopped when I saw the first report. It restated when I saw it was not where they live.

    Then I started to think about what I would do if it happened in my school. I have the shakes just thinking about it.

    Am I ready, really ready????? I dont know, I think I am....

    What would i do? How would I react? Scares the ever living stuffing out of me that is for sure.

    He was a known face to them, the son of one of their teachers. How many times has your kids or spouse or friends stopped by to see you at work?

    We will never know as the (alleged) shooter is said to have killed himself after killing 20 kids and 7 other adults. He sounds like he had some mental health issues...how many times have we hears that in these cases?

    How many times have we heard how our mental health system is broken, that we can name some kids in our school who we think may have the ability to do this???

    I know I can.

    Please , Please, let us hold these precious little children and the others in our hearts.

    Let us not forget the impact on our 1st reponders. These are their friends, family and neighboors (small town of <30,000)

    If you have children, hug them extra tight tonight, tell them you love them.

    Advocate for improved mental health care for all. We as a profession can do that collectively.

  • Dec 8 '12

    She was 99 years old had just had a pretty severe stroke. She was brought to our rehab unit with the hope of some degree of recovery. Our staff wasn't so sure as she showed little improvement as the days rolled on. Our team of Physical and Occupational Therapists, nursing staff, Doctors, and Speech Therapists gave her great care. She was one of our pet projects.

    Her family who consisted of four daughters were there daily to help encourage her and us to not give up, for they knew what this little lady was like and wanted desperately for us to know her too. I felt like I did know some sense of her feisty personality because of all the stories her daughters entertained me with each time I was in the room performing nursing tasks.

    I learned that she had been a widow for some 30 years and had since lived alone taking care of her two-story home and even a large vegetable and rose garden. She did this adamantly refusing help and was quite firm in her wishes to NOT downsize.

    As she showed signs of deteriorating, the Doctor and staff gently prepared these sisters for the worst. She just looked worn out. Tired. Ready to give up. The sisters agreed that they wanted to tube feed her and IV hydrated. Then the unthinkable happened. She became unresponsive which was the result of the original bleed extending further causing irreversible damage.

    Through much agonizing and lots of tears, the sisters finally agreed that it was over and that they should let her go peacefully. They agreed that it would be best to stop all palliative care as they assumed she would prefer to not linger on. Well this 99 year old little gal did linger for days...and days. The Doc was just as surprised as I was but certain death would be soon.

    The sisters having been there for the duration were making funeral plans and reading the Bible to her. I have to admit she already looked dead and with the cheynne stokes, I was counting the minutes.

    Then a funny thing happened right then and there that I will never forget. This little woman opened her eyes, looked straight at me and said, "What are you trying to do, starve me to death???"

    I stood with my mouth open not quite knowing how to react then replied "yeah, I guess so". With that she let out a laugh that was like music from heaven.

    No one in the hospital could believe that she lingered for 15 days in a comotose state without hydration with a brain bleed that was extensive.

    The best part of this story is that this lady recovered to return home to her house, she began to garden again, and began to visit us regularly. We celebrated her 100th birthday with her family at our facility. I will never forget this miracle as long as I live. It assures me that nothing is impossible if its meant to be.

    Have you experienced anything like this before?

  • Nov 22 '12

    I hope other VCU 2013 jump in here so we can hear about our new classmates. I have run into a few other on another site I frequent as well.

  • Oct 12 '12

    If you see your patient starting to have ectopy (pvcs, pacs, etc) you should call the md and let him know. Hell ask how frequently they are occuring and possibly have you draw a K and Mag at that time. If your patient had a run of v tach or goes in to vtach then almost definitely they will draw lytes.

  • Oct 12 '12

    Quote from Candyn
    Thank a lot for your responses.What rhythm is K/mg imbalance associated with? I have not have a doc ask me to draw a K/Mg stat or maybe not too urgent that they just wait til morning lab?
    You need to look up electrolyte imbalances and cardiac arrhythmia. Not all telemetry units allow drips and even though your unit uses cardizem for "stable HTN" your unit may not be approved for Cardizem use titrated for heart rate/arrhythmia.

    When an arrhythmia occurs you assess the patient. Take their vitals. Are they having chest pain? SOB? What is the Heart rate? Have they done this before....do they have a history of arrhythmia? You call the MD and receive orders. If there are no orders then there are no orders. Now when the patients condition changes then you call the MD again or if the patient is unstable you call the MD. Employ your resources like your charge nurse.

    For the patient with bradycardia. What is bradycardia? What are the symptoms of bradycardia? what causes bradycardia? Is the patient on any anti arrhythmic that can cause bradycardia? Any beta blockers or calcium channel blockers? Have they had this arrhythmia before? I don't think you need to check the B/P of that patient every 30 mins but frequent monitoring is necessary. Are the having pain? What are they admitted for? Are the SOB? Do you have a automatic B/P cuff? Utilize that. Consult your charge nurse/supervisor..

    For the A fib patient? What is A fib/What are the symptoms of A fib?

    If the patient with the A Fib was "in and out" of the rhythm and the patient remained asymptomatic (no pain etc) you would continue to monitor.

    For the monitor tech...who is the tech and not the nurse......who also utilized passive aggressive behavior......I would simply affirm in a quiet professional manner that you are in complete control of the situation, the physician has been advised, the plan is to continue to monitor the patient until morning and to notify the MD if there is a significant change in the rhythm or the patients condition.

    I always share a collection brain sheets.....organization is key. Adapt them the way you wish.

    mtpmedsurg.doc 1 patient float.doc‎
    5 pt. shift.doc‎
    finalgraduateshiftreport.doc‎
    hourshiftsheet.doc‎
    report sheet.doc‎
    day sheet 2 doc.doc

    critical thinking flow sheet for nursing students
    student clinical report sheet for one patient

    Understanding Arrhythmias | Dr. Stephen Sinatra's Heart MD Institute

    http://my.clevelandclinic.org/heart/...rrhythmia.aspx

  • Oct 10 '12
  • Oct 3 '12

    Weeeeellllll...I actually *did* burn out about 19 months ago. Went down in flames, right there on the job. Ended up on a psych unit on suicide watch. Eight weeks of intensive therapy. How's that for some burn out?

    What I came to understand in my recovery is that I had stopped taking care of myself about 20 years ago. I was taking care of everything at home and never had even 1 day to myself. I was all care-giving all the time. And then my body and my mind just shut down. It has taken me over a year to recover, but now I have some coping skills. I understand the importance of support systems, therapy, medications, exercise, diet, and sleep and how all those things work together to keep me mentally healthy. I have learned that I have to limit my hours in order to stay healthy. So I have a new job now, working part-time as a school nurse and it's a match made in heaven! I feel so much better, alive and enthusiastic, better than I have felt in the last 15 years. I no longer contemplate suicide on a daily basis--that's gotta count for somthing!

  • Sep 5 '12

    Quote from wish_me_luck
    Victoria, I have to agree. It seems most hate psych patients here. I am not saying that they aren't difficult at times but I have heard some horrible stuff said about patients who have a psych dx and aren't doing anything to the nurse at all (not on AN but on med surg floors and in my psych class). Plus, you have to consider that they do have something mentally wrong with them hence their behavior (I am not saying every behavior is excusable but you have to admit that part of their "acting out" is the psych illness; I am speaking of a true psych pt not someone looking for quick disability). I want to know the nurses' excuse for such poor behavior.

    I am a psych patient myself and I read these threads and hear first hand some of the stuff nurses say about psych patients and I think to myself, I pay people to be talked about and treated bad? Victoria, I have had the same experience as you. I think some people think psych is just an easy/low risk job compared to med surg (I am not saying every psych nurse but there are some). It's just as serious because you run the risk of the patient killing themselves (it has happened before on psych units).

    I believe the stats for suicide in Borderline Personality Disorder is 1 in 10. That's completed suicide, the others have suicide attempts. I thought I would put that down because it seems that that is the one illness everyone keeps pointing out that they don't like in psych. It's not all attention seeking; it's a serious psych illness.
    Quote from DeLanaHarvickWannabe
    I have a mental health history myself; however, I am not adept as a psych nurse. I for sure don't HATE psych patients, but therapeutic communication exhausts me. I'd rather give you a fluid bolus to fix you. All nursing has a psychiatric component but I just know I am not the nurse you want if the primary diagnosis is psychiatric in nature. Maybe it is because of my psych history, I don't know.

    Anyway, plenty of nurses adore psych nursing. My boyfriend works exclusively with the psych population and loves it. I could never do what he does...likewise he couldn't be calm in an emergency like a code blue.
    Venting about a patient population you dislike, either on allnurses.com or in the break room of your job, is not "poor behavior". If it upsets you so much to read the vents, please don't. None of them are directed at you personally, and patients with a mental health issue are very frustrating to many of us. Most of us who are not psych nurses do not feel as though we know enough to deal with the issue therapeutically -- other than making sure the psych meds don't get held unnecessarily -- and we have neither the time nor the patience for therapeutic communication. And, as DeLanaHarvicWannabe posted, therapeutic communication is exhausting. Especially when at the same time you're doing it, or attempting to do it, you're also trying to stop bleeding, fix airway issues, replace the IV the patient has just pulled out or clean up poop.

    Some nurses, as DeLana pointed out, love psych nursing. Those nurses are usually found on psych units. So if you're hospitalized for a psychiatric issue, you're probably not paying "for someone to talk about you and treat you bad." And if you're hospitalized for a non-psychiatric issue, please bear in mind that the nurses you encounter will not BE psych nurses and attempt to modulate your behavior appropriately.

  • Aug 11 '12

    Quote from RNsRWe

    Ah, but I seriously doubt that you'd post one like robert.a.sampson@hotmail.com ....right?

    <disclaimer: the above email is a fake. Any resemblance to a Robert A. Sampson, living or dead, is entirely a coincidence and is not the intention of this writer :P >
    Hah! Poor Bobby Sampson is going to wake up to an inbox full of Viagra ads and Nigerian money scams.

  • Aug 10 '12

    As many of you are already aware, allnurses.com is the largest online nursing community on the world wide web and one of the most commonly visited professional social networks in existence today. The variety of forums, sheer number of wonderful members, supportive atmosphere, and constant exchange of information all contribute to making this website a fantastic virtual place for spending one's free time.

    Personally, I became a member more than seven years ago while I was a student at a school of vocational nursing (LVN). As I have grown professionally and personally in the nursing field, allnurses.com has been right there with me. During my tenure here, I have completed an LVN program, graduated from an RN bridge program, and worked as a nurse for more than six years. I am still amazed at the fact that I continue to learn new tidbits on an almost daily basis while browsing these informative forums.

    This message is a friendly, heartfelt reminder to exercise the utmost caution when posting personal information about you, your school, classmates, instructors, coworkers, and place of employment. After all, allnurses.com is the largest online community of nurses and nursing students, and clever readers are more than capable of putting two and two together to come up with you.

    Even if you have not posted the name of your school, your workplace's name, or your exact geographic location, some inquisitive people have been able to read the very detailed posts and figure out that the member is someone with whom they are acquainted 'in real life.' In fact, this scenario has played out on more than one occasion.

    While these forums are generally safe to vent and release some steam, think twice before insulting your professors or posting too much information about the patients and families that you encounter during your clinical rotations. Tread carefully when posting vivid details about the annoying classmate or the critical coworker. Exercise some caution when criticizing your nursing program. You absolutely do not want any posted material to come back and haunt you at a later date.

    In summary, be careful when posting. Continue to enjoy the multiple forums, fellow members, continual flow of information, and abundant resources that make allnurses.com the biggest and best online nursing community on the internet today. After all, this website would not be the same without your great posts, opinions, contributions, viewpoints, and discourse. I know that I speak for others when I say that we love having you all here. You, the readers, are the reason that allnurses.com rocks!

  • Aug 9 '12

    Yes, it gets better. But it sounds like you are well within your right to be overwhelmed.

    I would ask your preceptor how you are doing, how can you improve. Does she think you are where you should be at. Maybe it is very normal to stay late on that floor?

    Good luck!

  • Aug 7 '12

    Vaginismus is a medical term that refers to involuntary vaginal tightness when any type of penetration is attempted. The condition may render all forms of penetration impossible or extremely painful, including the insertion of tampons, sexual intercourse, or routine gynecological examinations.

    The pubococcygeus muscle, better known as the pelvic floor muscle that surrounds the vagina, involuntarily tenses and spasms without notice. This involuntary muscular response results in excessive tightness that may prevent penetration in the most extreme cases. The woman afflicted with vaginismus has no voluntary control over the spasm of her pelvic floor muscles.

    Two distinctly different types of vaginismus exist. Primary vaginismus refers to vaginal tightness that is so intense that a woman has never experienced pain-free sexual intercourse in her lifetime. Many females with primary vaginismus have never been able to undergo routine pelvic examinations, wear tampons, or insert menstrual cups or vaginal suppositories.

    Other women experience emotional torment because they have been physically unable to have intercourse or consummate their relationships with their significant others. Secondary vaginismus refers to extreme vaginal tightness that suddenly occurs in females who were regularly able to achieve problem-free penetration in the past. Secondary vaginismus sometimes occurs during menopause, after traumatic childbirth, after a surgical procedure, or as a psychological response to a sexual assault.

    Fortunately, several treatment modalities are available to treat vaginismus. The exact treatment option for vaginismus is heavily dependent upon the specific reason that the patient developed the condition.

    According to the Vaginismus website (2012), effective treatment approaches combine pelvic floor control exercises, insertion or dilation training, pain elimination techniques, transition steps, and exercises designed to help women identify, express and resolve any contributing emotional components.

    The woman afflicted with vaginismus may choose to initiate treatment within the privacy of her own home, or she may consult with a health care provider who is knowledgeable about the condition. In addition, psychological issues may arise when a woman suffers from vaginismus, so seeking the help of a sex therapist or other mental health professional may greatly benefit these types of patients.

    Although the worldwide incidence of vaginismus is thought to be between 1 percent and 17 percent, the true prevalence is not yet known due to the lack of available data. In addition, it is believed that many women who have the condition never seek treatment due to shame, mortification, lack of knowledge, or embarrassment. However, with treatment options available, women around the world no longer need to suffer in silence.

    RESOURCES
    Medicine Central:
    Home - Vaginismus.com

  • Aug 6 '12

    I am a shameless fan of Dorothea Dix. "In a world where there is so much to be done, I felt strongly impressed there must be something for me to do."

    And I did recently have the most perfect fortune in my fortune cookie, "Not just live and let live, but live and HELP live."

  • Aug 6 '12

    i am so old that i go back to that old hippie quote (actually older than that) from elderidge clever (8/31/35 -5/1/98)

    "if you are not part of the solution you are part of the problem."


    and my tag line: " a man can get discouraged many times but he is not a failure until he begins to blame somebody else and stops trying." ~~ john burroughs 4/3/1837 -3/29/1921


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