I've been a user here for about 3 years now. I remember when I initially was looking for A&P study help, guides, and just about anything related to A&P. I survived and thrived in A&P 1 and 2. Now, I'm in the third level of the nursing program. We go over peds, OB, and more med/surg. Although, I primarily do clinical in a med/tele unit (I prefer that setting anyway).
Recently, I've really started to interact with users on here more than I did in the past. I would post a comment here and there. After I became more involved in the community, one aspect I've noticed is the willingness to help others and the tough love one receives. I've noticed many, many threads that ask a variety of questions. And, many questions boil down to working the nursing process. Starting square one and moving forward. What's interesting is that by seeing more experienced nurses constantly harp people about working the nursing process, I've started to reevaluate if I'm working the nursing process.
Sometimes I did. Sometimes I didn't. But, seeing many comments about the process as well as giving some of my own, when I help, has encouraged me to look back on my own work. So, one of the best parts of allnurses is my own work and my own thinking process has improved. While we take fundamentals early on, it still applies today. The first thing I learned in school was the nursing process. It's easy to neglect and automatically attach decreases cardiac output to a patient with CHF. However, does the patient have S/S of decreased cardiac output at this present moment? Not necessarily. It's easy to diagnose before assessment. Change goals when unmet for convenience. I'm learning more and more the basics, the fundamentals, and the nursing process is there fore a reason. Members from allnurses have reminded me that. Sometimes, with some good ole' fashion tough love.
Otherwise, I'm kinda an A&P nut. I love helping folks understand A&P. It helps me stay fresh as well as by doing so, I can better understand a patient who has various conditions in the hospital. Another aspect of Allnurses, however, is I get reminded and humbled that I don't know everything. One diagnosis of CHF, COPD, CAD, or any others has so many nursing implications. When a student presents a case study, I'll think, "yeah, I gave em' some good suggestions." Then a more experienced member (nurse) will come and say, "Hold your horses." Did you think of this? What about safety? What about that lab value? Did you assess this, or this, or that? I get constantly challenged here. Encourage to think about patient conditions on a deeper level. I absorb the advice and apply it as much as I can. I don't remember everything. I do remember some things though. I appreciate the encouragement to think on a deeper and more critical level.
Lastly, I have grown as a student nurse which can somewhat be attributed to the community here. I'm not as reactive to a Pulse Ox of 94%. I don't think the patient is going to crash with somewhat abnormal VS. Yes, these are important values and should be assessed. However, I don't let little things get to me as much as they used to. I try to consider patient status as a whole. Is my patient safe at the present moment? If not, what can I do? I think being in school for awhile has helped to. But, discussions here have helped me grow as a student that I believe will transfer over into the hospital once I'm licensed.
So, thank you. Thank you to all the experienced nurses out there giving advice and encouragement. Thanks for the tough love prn. :P Thanks students for the opportunity to help you with your studies. Thanks to all the nice folks out there overall.
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