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AmericanChai

AmericanChai

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AmericanChai's Latest Activity

  1. AmericanChai

    Has anyone gotten pregnant and continued w/NS?

    We have two pregnant students but neither was planned exactly at that time. ;-) Honestly I don't know how anyone can do it, but I know it can be done. I was sooooo tired with my two in first trimester. In second tri I had to go on bedrest with my second baby for 3 months. I can understand it happening without being planned, but to get pg on purpose in nursing school-- no way! At least maybe not until the last semester. 27 is still very young. :-) ETA: I have two older kids ages 6 and 9, and I hardly see them or my husband right now. They are in school full time, and they have to go to after school day care because of my school/clinical hours. I have two study groups per week, study all day Saturday, and I'm getting A's but our family is definitely having a hard time with me being in school. A baby needs so much more care. My kids understand why I have to study so much--but a baby would have a harder time of it. And don't forget your spouse. I have had to make a 15 min appt with him each evening after the kids are asleep so we can actually have a conversation. Not trying to say it's all that bad-- it's doable but I wish I had decided to do nursing *before* I had kids.
  2. AmericanChai

    Well, No Nursing for Me

    Wow I'm sorry about that!! In our area we have several nursing schools. The two community college programs have the highest NCLEX pass rates, at over 90% passing the first time. However down the street another community college is about to lose its accreditation.
  3. We have this teacher coming up that everyone says is super hard. Even A students fail her tests! Yikes! I always do all the work and reading but I'm wondering if there is a study guide that will outline the most important things I should know and cement that info in my brain. Our book (Wong) is all over the place and difficult to glean info from, at least so far in the pregnancy/birth section. Any suggestions?
  4. AmericanChai

    Should I become a Nurse at 30?

    Hi Dave, I'm so sorry for what happened to your son! What an ordeal!! Like you, I became interested in nursing because I had a sick child. I am 36 and about to graduate from nursing school in March. I started my pre-req's at the community college, one class at a time at night, about 4 years ago. I thought that taking one class at a time would be a test to see if our family could do this, and to see if I was really interested after all the pre-req's were done. Nursing school has many routes. There are part time programs for people who hold day jobs, and there are accelerated programs that get you through in 16 months. And of course the traditional program. There are even programs that are mostly on-line but you of course have to do clinicals in person. In my class we have about half of us in our 30's and one man in his 40's. We have 5 guys out of 29 in our class. Many of my classmates work part time jobs to help support their familes. One family is current living on student loans. It can be done, and there are many paths to the goal. I wish you luck in your decision!
  5. AmericanChai

    CNM scope of practice

    I was just researching for a paper and found this for AZ! Maybe it would give you an idea on what to look for in your state. Scroll down a bit and find the exact scope of practice as well as prohibited actions. http://www.azsos.gov/public_services/Title_09/9-16.htm
  6. AmericanChai

    Pt fainted on me while standing up

    Thanks for your feedback. :-) I pretty much did exactly what some of you described-- padded the fall and eased her to the ground in a somewhat controlled way. My instructor is a nice person and I learn a LOT from her. She makes me think deeply about things . . . and probably she was just really concerned about my safety. I guess the nature of the job is to help people and oftentimes we put our safety behind our pt safety automatically.
  7. AmericanChai

    sharing some happy personal news

    Thanks again for sharing my happy news! :-) This AM I took the bandage off and it seems to be all closed up. It looks like an innie belly button, and not leaking at all. Kids heal so fast! I remember how much panic I felt when her button fell out a couple of times, knowing how fast it can close up. I still had that moment when I looked at it-- I need to adjust to not worrying about it anymore!
  8. AmericanChai

    chickenpox immunity

    It's best to get titres done because then you know for sure.
  9. AmericanChai

    personal tragedy

    I'm so sorry for what your family is going through! I also don't have any personal experience. I think the best thing, if she's responsive and can squeeze people's hands or blink her eyes and understand questions, is to ask her what she wants. If not, it's probably up to your brother. Hopefully they talked about their wishes if they were ever in this situation. That is just so sad no matter what.
  10. AmericanChai

    Really need help with this issue, LONG

    No advice as I'm a student nurse, but WOW! I wonder if the BBB would be appropriate for reporting something anonymously.
  11. AmericanChai

    What nursing drug book do you like?

    The Mosby's drug guide-- it has nursing considerations in it like assess for low pulse before giving the med, etc. - Things you would not get from a regular pharm book. The other resource I use a LOT is epocrates.com. It's free and lot of doctors use it. It has cross checks between drugs with explanations, pharmacology info, and dosing info among other things. I have this on my ipod touch and use it during clinicals to quickly look up drugs. I also have loaded an app for medical spanish that I have used with patients a couple of times.
  12. AmericanChai

    sharing some happy personal news

    Thanks so much for listening! :-) I still can't believe it's true, that this part of the journey is over. I do NOT want to do peds, though. I think I have done my time in peds already. Give me grown-ups any day.
  13. AmericanChai

    Nurses with self-harm scars?

    I just was thinking about how much courage and strength it took to overcome your issues and not self-harm anymore. If I had those scars I would probably get some kind of tatoos over them to celebrate my journey. :-) Not to hide them necessarily, but to celebrate how far I'd come. ETA: My daughter just got her g-tube out today and I hope that someday she gets a cool tatoo for her tummy, too! It's something to be celebrated, the end of a hard time and the beginnings of a new journey
  14. AmericanChai

    sharing some happy personal news

    When my second daughter was born, she presented right away with eating problems, FTT, and crying a lot. At 3 months old, after the ped was still blaming it on colic, I took her to ER desperate for help. She stayed for 6 days and came home with an NG tube. I never had imagined that I would have a tube-fed baby. It was so hard. She was on slow intermittent and continuous feeds. She started to grow and got hand control and would pull her NG tube out and I would have to put it back in over and over and over again. She stopped bonding with me. She vomited and vomited so, so much and cried and it was just really a nightmare. At 8 months old she still had no dx but she got a g-tube put in. She continued to vomit, be sick a lot, but due to the constant pushing of formula she did grow pretty well. We had her in feeding therapy with limited success, and OT for her sensory issues that she had developed. Was not a happy baby or toddler a lot of the time. At 2 years old we still had no dx and she was starting to not grow as well again and still vomiting. I finally decided to see another GI doctor. Within 2 weeks of seeing the new doctor she was dx with EE (eosinophilic esophagitis) and she had a very severe case of it with lots of esophageal damage. She was just a couple of weeks shy of her 3rd bday. The plan was to take away ALL foods and start over from scratch, and put her on elemental formula for a couple of months. Within 2 weeks her skin started to glow and she lost the dark circles under her eyes and she was actually a little bit chubby. She got tall really fast. We then had to introduce 3 foods and then scope to see if they caused inflammation. 3 more foods, another scope and so on. Finally by age 5 she had a reasonable diet although she was vegan (no animal proteins, no nuts, etc). She started Kindargarten and she is for the most part a very happy child now, doing great in school and with friends. She's also tall for her age. :-) She made it through the winter without needing her tube to get through illnesses. She got sick a lot because we never had her in daycare and we had protected her from crowds, but she got through the illnesses just fine. Today, after 5 years, 7 months, and 12 days, she got her g-tube removed!!! and I got to do it!! My daughter will never be cured from EE. It is related to asthma and eczema-- like having eczema on the inside of her GI tract. She will always have a limited diet. But she no longer needs the tube. She's going to grow up and be just fine. And through the process of caring for her I decided to be a nurse and am now going to graduate next March. I have never ever regretted the G-tube. It saved her life. It was a HARD journey but I learned so much, and learned what really matters in life, and found out who my true friends were. I also found out a couple of years ago that my other daughter has Celiac disease!! They are not related at all-- the EE is from my side and the Celiac Disease is from my husband's side (he found out he has it too, after we all got tested). Meal times are interesting, but thank goodness for the health of my family. I see people in the hospitals who are so sick and I really count my blessings. Anyway, just wanted to share my happy news. ETA: she's 56% for weight, 76% for height. Thriving and growing!! :-)
  15. AmericanChai

    The culture of nursing - Professional behaviour & conduct

    Just like in other areas of life you get good people and bad people. I am just in Block 2 so I don't have a huge amt. of clinical experience yet. We did 6 weeks last semester in different types of care settings. I too am a very outgoing, friendly, curious type of person. It's hard for me to just sit there and act dumb. Instead of choosing a pt, I choose the nurse in charge of my pt. I start by asking her about something I notice she's really good at, how can I learn to be good at that, too. Usually that makes her more open to having me around. I give my assigned nurse breaks from me to catch up on charting and stuff, and try to take my lunch when she's not on lunch break to again give her some time "alone." What also works is to show I'm willing to do the grunge work. If someone needs cleaning up, I'm the first one to step in. I don't mind doing nursing assistant work because it helps me to learn to assess people. I would maybe never get a chance to look at someone's skin quality until I am able to see all of them undressed during a bed bath. Then I can sneak in a quick assessment. When the nurses realize I'm willing to get my hands dirty they seem to welcome me more into their unit. When I'm on a floor of hands-off, not so friendly nurses I escape into the patient's rooms and talk with them. Usually the pt is only too happy to tell you about their health issues, family, social life, etc. and what they wish would be different about their nursing care. They are flattered that a person would be so interested in them. ;-) There was a time when some tenseness was happening on my pod due to a pt. family issue, and it affected the moods of all the nurses. A social worker was brought in. I sensed that I needed to stay out of everyone's way for a couple of hours, so I literally went room to room asking pts if they needed anything, and keeping busy that way. And then talking to the pts in the process. Or, I find a pt who needs to go elsewhere for a test/procedure and I ask if I can go with them to learn more about the procedure.
  16. I'm sure this must get better in time . . I'm a Block 2 student. My child had an NG tube for a few months before her gtube was placed. She used to pull it out a lot and I would have to hold her down and put it back in. It caused a lot of emotional trauma for us both and bonding issues. I finally begged the dr. to put in a g-tube. 6 years later she still has the g-tube but hoping to get it out soon. Anyway, I thought I was past all that, but we had to practice NG tube insertion on the mannequins. My classmates knew of my experience with this and were asking me details of how I did it for my daughter. As I was talking about it all those memories flooded back and it took a few hours to deal with it and let it go. When I was in clinicals I did see actual patients with NG tubes and got to do various things with them. I think I'll be fine when I'm in the moment, worried about pt feelings when it's time to insert one on a real person. People always ask me if I'm going to do peds because of my daughter. I spent 3 years caring for a very sick child who was undiagnosed, suffering, vomiting, and then the whole feeding tube/pump thing. I just don't want to do peds. I feel like I did my time in peds. With adults it's different because *most* of the time you can explain the reasons for things and they will try to cooperate. And if they choose not to, it's their own choice and responsibility. I have a classmate who had a much sicker child than mine who also shared her experiences as we were covering that unit this week. I could tell how emotionally difficult was for her to recount those hard times, even as her experience was very useful to us. She knew more than the instructor on that topic. So many people I know, in fact, become nurses because of close contact with a loved one with health issues. So how do you work through those issues? How are you not haunted every time you get a pt with a similar issue? Especially in peds where you are literally holding a child down and doing things to them while they fight and cry. I mean, you can try very hard to calm the child down and make the procedure tolerable, but at some point it just has to be done. Or, if you dealt with a friend/loved one with something like cancer, how do you turn those bad memories into something that benefits your patients? Thoughts?