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lemonaidangel

lemonaidangel

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I am a country girl. I live on a farm, with cows and pigs and chickens. :-)

lemonaidangel's Latest Activity

  1. Aww, that sucks. I'm sorry you are having such a rough first semester. But please don't think that it will always be like this. There are some truly nice people in nursing school that won't give you all of this highschool drama, you just have to look for them. And when you find them, cling to them for all they are worth. Friends are what will keep you from falling apart in the months to come! As far as care plans go, there are other interventions for constipation other than increasing oral fiber intake. Is your client able to ambulate? Walking is a great nonpharmacologic way of helping constipation. Review her medications, that could be a causing factor. Maybe you could collaborate with the physician about switching or lessening the dose of the drug(s), or possibly ordering a stool softener. Or you could increase fluids through the IV, if it is not contraindicated. Adequate fluids are crucial. If the person has a feeding tube, you can still give high fiber if you consult the dietition. You could use something called Benefiber because it tends not to clump or get thick, all you need to do is just flush it with water and there should be no problems. So basically most of your nursing interventions will have to be collaborative, but there are many NPO things you can do. Another big thing: ASSESS!!! Unrelieved constipation can have many complications, so definitely do a lot of listening to bowel sounds and pay attention if your patient complains of belly pain.
  2. lemonaidangel

    How long are you clinical days?

    In our last semester, my leadership clinical goes from 2-11 PM, 2 days per week. We get assigned our patients (anywhere from 3-6 people, depending on census) and we have pre-ward conference for 45 minutes, and then we can take a quick peak at our charts for 15 minutes before having to get report. After report we get set loose on the floor. Thank God we only had to do one care plan this semester, but in previous semesters we would be doing them over the weekends based on what we acquired during our assessments.
  3. lemonaidangel

    Cheaters in my med/surg class

    What proof do you have that they are cheating? Do you have an honor code in your school? Personally, I would not go to a professor unless I am absolutely 100% certain. In fact, I try not to worry myself about what anyone else does. As long as I have a clear conscience, that is all that matters. Cheaters will pay their dues in the long run, whether or not I tattle on them. Besides, cheating isn't going to help them on the NCLEX.
  4. lemonaidangel

    So what do you absoulutely LOVE about NURSING SCHOOL ? !

    I love all the lifelong friends that I have made. I love feeling more confident in clinicals with each passing week. I love the hour drive home from school. I love making patient's and their families smile and feel more comfortable. I love when nursing staff has told me that they think I will be a good nurse. I love doing IVs. I love that I am in my last semester.
  5. lemonaidangel

    Charting and Codes

    I am in my last semester and we have always had to do charting on our patients. The first semester we mostly just charted vital signs and basic assessments, but as we worked our way up we did more and more with the charts, including nursing notes. Obviously the RNs like to do their own charting just to cover all their bases, but for the most part we are pretty proficient at working our way around the computer systems and paper charts by now. I think it is a great learning opportuntity. After all, when we graduate we are going to be charting on everything. We might as well get used to doing it the official way now so that we aren't so clueless when we work on our own. As far as codes go, I would think the best thing would be to look up hospital policy. Certainly if the patient isn't breathing or has no pulse you should call a code immediately and start CPR, but if you aren't sure what is going on with a patient you should grab the closest nurse and let him/her assess the situation. Like the above poster said, on a telemetry unit, there is always someone at the nurses station monitoring the rhythms.
  6. lemonaidangel

    Last semester, First Incident Report

    LOL! Yup, it's called a reflection paper. We are supposed to take a few minutes to "reflect" on what happened during clinical and then write something that we learned from our experience. I think it's a waste of time, personally. But if that and one care map are the only things I have to do as far as paper work in leadership, I guess I can't complain too loudly.
  7. lemonaidangel

    RN student assigned to LPN???

    I was assigned to an LPN yesterday and she was amazing! She was so nice and helpful, and she really knew her stuff. Even though I am in leadership clinical, she was definitely more than qualified to help me learn what I need to know. There were only a few things she wasn't allowed to do, like IV pushes, so I had to grab my instructor for those, but other than that, I was very happy with my nurse. She is going back to school to articulate into the RN program next fall. I wish her the very best! Oh, and never underestimate the value of a good aid. As far as basic skills go, (like taking blood glucose or vitals or making a bed with a patient in it, etc.) you can learn a lot from them.
  8. lemonaidangel

    Wish I Had Studied More Of....

    1) Phlebotomy. Even though I am in my last semester, I have only had a chance to start a couple IVs and I am desperate for more experience before graduating. 2) Spanish related to the medical field.
  9. lemonaidangel

    demented vs dementia

    I tend to think of demented in a derogatory manner. It is a term that people use to insult each other, and basically it means they are insane idiots. Dementia, however, refers to someone having a disease. They aren't crazy, they are sick. You see what I mean? According to dictionary.com: demented: crazy; insane; mad; dementia: severe impairment or loss of intellectual capacity and personality integration, due to the loss of or damage to neurons in the brain.
  10. lemonaidangel

    Last semester, First Incident Report

    Yeah, I guess it isn't anything to really worry about, and boy will I never forget again! But I still feel it was a little harsh having to fill out an incident report over something so small, and it definitely did not help put me in a good light with our instructor the first week! I have kicked myself a million times for making this stupid, yet honest, mistake. In my years of clinical, this instructor is the first one to have us email her stuff. Most other teachers have us turn our paperwork in to them the next week if we were unable to complete it the day of clinical. I don't do well having to email important information. I would much rather give it in person, that way I won't have a problem of forgetting.
  11. lemonaidangel

    Politely Refusing to Share Grades

    I don't have a problem with sharing grades either. I'm not going to run around bragging that I got 100% because that might make someone who failed feel bad, but if someone asks me I don't weird out about it. Pretty much everyone in my class shares grades with each other. We figure if the majority of the class did terrible then there must be something wrong with the test itself or the way the teacher instructed the topic, and then we find a diplomatic way to talk to her about it. Or, if we all did really good, then it is kind of like a celebration in the hallway with lots of "Great job!" or "Good for you!" and pats of the back. It kind of helps build a sense of comradery. We are all in this together. I don't get the vicious competition and secrecy amongst y'all. I can understand prior to nursing school when you had to be cutthroat about your grades in order to get accepted into the program, but that I don't feel that should be an issue anymore. We should be encouraging one another, pass or fail, without any of this highschool drama. And besides, if people think you are stuck-up because you got a good grade and they didn't, I imagine that they would dislike you even more if you sniff your nose at them with a haughty attitude and refuse to be part of the group.
  12. We are in leadership clinicals right now, and since it is our last semester and we are taking on a heavier patient load, we don't have nearly as much paperwork as we used to. We don't have to turn in any more care plans or 13 page assessment profiles, and we don't have to make drug cards or do any other busy work like that. Thank God. The only thing we are required to do is write a 2-3 paragraph reflection statement each week pertaining to what we've learned at the hospital. This was our first week we had to turn it in, and our instructor was very nice and laid back about it and told us that it would be okay to email it to her the next day (Saturday) instead of having to rush to write it and turn it in during post ward. We were all pretty happy about that and thanked her and left for home. Well, it turned out I had to work all day Saturday and Sunday, and we had our first test of the semester scheduled for Monday and I was so axious about studying for it when I got home from work, that I completely forgot to email it to her! Ordinarily I am an extremely good about doing homework and turning everything the teachers assign on time, but this totally slipped my mind, and honestly I don't think I would have even thought about it if she hadn't emailed me this afternoon. Along with her reminder, though, she sent me a clinical incident report that I have to sign and come up with a "corrective plan for my behavior", and it has to be turned into the nursing department immediately. So I emailed her back with an apology and explained why I forgot, I thanked her for bringing it to my attention and that I will bring the signed report in with me to clinical. And then I hastily wrote a reflection statement and emailed the attachment to her. I was very polite and humble, so hopefully she won't still be upset with me when I see her. This is the first time I have EVER, EVER gotten in trouble with my clinical instructors. I know that it is my fault and I understand that I shouldn't have forgotten to send it to her when she first assigned it, but I still can't help but be upset. I was always under the impression that in order to get written up at clinical, the student had to make a huge mistake like chart under the wrong patient, or make a medication error, or skip going to the hospital entirely without calling. Is a late, 2 paragraph reflection statement really something worth getting reported for?
  13. lemonaidangel

    Do you quickly grasp on to new concepts from the first lecture?

    That could be your problem. I don't know how many times I've been told by instructors to read ahead of time so we won't be so lost in class. It helps.
  14. lemonaidangel

    Would you want a classmate to be your nurse?

    Some of them I would never let touch me with a 3 foot pole. But there are others who are amazing at clinical and in the classroom, and I would trust them with my very life. I think it all just depends on the person.
  15. lemonaidangel

    How Quickly We Forget

    They were cramming for pharmacology and very anxiously awaiting the grades from a principles test. Some were crying even, and all of them were so stressed out it made me want to pull my hair out along with them. The girls were so pale and tired from lack of sleep. The comment was flying amongst them like, "Oh. My. Word. I had no idea nursing school would be this hard!" "This is crazy, who writes tests like this?" "I know for sure and certain I am going to fail. I completely bombed our last test, I know it." "These teachers are a bunch of quacks. I hate this place." "How in the world am I supposed to learn all of this stuff?" At first, I caught myself smiling inwardly. Aww, look at the cute freshmen worrying about pharm. I am so glad I am not one of them anymore. But then midway between flipping a page of my notes and stuffing a bite of salad into my mouth, it hit me how condescending I must have seemed to them. My goodness, it was not so long ago that I was in their place. I thought those same thoughts, felt those same things. I came home crying almost every day from exhaustion, I freaked out over every little thing, and I just knew in my heart that I was going to fail out because I got a 79 instead of an 80. Nursing tests were once the hardest things in the world to me, head-to-toe assessments and care plans were like speaking a new language. The site of a blood pressure cuff used to make me quake. I remember being so stressed because finals were in four months! I would never be ready! Somewhere, somehow, between my first semester and my senior year, things got easier. I fell into my own comfortable routine. NCLEX tests don't freak me out anymore, and I have my own studying techniques that work for me. I can take care of more than one patient without feeling like I am going to kill anyone just by looking at them the wrong way. The instructors know me by name when I pass them in the hall and I can say hello without wondering if they are conspiring against me. I sleep better now. I guess I can't say that my senior year is easy--it is far from it--but it is...better. I guess I kind of forgot what it was like to be brand spanking new to all of this. I wish I could take each and every one of these first semester students by the hand and teach them all of my tricks, and somehow convince them that it will get better eventually. How could I forget so soon? It is kind of a humbling experience. I used to wonder why nurses can be so unsympathetic toward students. I would think things like You used to be a student! You have been through this, you had to write care plans, you know the stress of nursing school. You should remember what it's like to shake in your boots overhanging your first bag of normal saline. Don't laugh at me, please. Give me a little bit of slack. I'm not perfect like you. And then today I realized that I was becoming one of them...and I'm not even done with school yet! I am so ashamed of myself. If it is so easy to slip into acting superior over freshmen because I know more than them as a senior, how much easier do you think it will be to be like that when after I graduate and have my RN under my belt. I don't want to be one of those nurses. I want to be the nice one, the one students feel they can come to for anything without fear of being laughed at for asking a seemingly stupid question. Even when I am busy, I want to be the one that takes time out to give a little hint on giving insulin or to give a word of encouragement. So, to those new students that I pass in the hall every day, I would like to apologize. If I seem arrogant, or like a know-it-all, or being condescending, I don't mean to be. I am just SO happy that I am not in your shoes anymore! It is hard to describe the feeling without sounding superior. You are right. The first semester at our school is known to be as hard as heck for a reason...because it IS hard as heck. The tests ARE terrifying and overwhelming. They DO pound information into your brain until your hippocampus feels bruised. Your first head-to-toe assessment check off IS something to be nervous about. Pharmacology IS a crazy hard class. You don't sleep, you don't eat, you don't have a life. You work hard for every single grade you get. You guys are amazing. If you can make it through this semester, you can do anything. I tip my hat off to you. If there is any way at all that I can help, or if you need a shoulder to cry on, don't hesitate to ask. Remember to breathe. You can do this! You can make it to your last year too! Please, don't ever let me forget my first semester.
  16. We wear navy blue pants, white polo shirts with the school emblem embroidered on the collar, and a navy blue lab jacket with the yellow school badge sewed onto the right sleeve. White shoes, white socks.