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SpecialK38 ASN, RN

Critical Care, LTAC, Post-Partum
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SpecialK38 has 2 years experience as a ASN, RN and specializes in Critical Care, LTAC, Post-Partum.

SpecialK38's Latest Activity

  1. C-section: IV Toradol first 24 hrs then 500 mg Naproxen q 12 or 600 mg Motrin q 6; 5-10 mg oxy q 4 PRN or Norcos q 4 PRN Vag: 500 mg Naproxen q 12 or 600mg Motrin q 6; Norcos q 4 PRN. Oxys if severe tear
  2. SpecialK38

    Tips for PP Moms and Urination

    I agree- we use peppermint oil on a 2x2 in our hats and it sometimes helps. Unfortunately women's bladders can get distended during pregnancy and have less sensation. That along with some residual epidural can leave them without the urge to go. Also sometimes there is so much perineal swelling (even with some c-sections) that it makes it hard to go. If you have to I and O cath after trying many interventions I wouldn't sweat it. Sometimes it just takes time to regain sensation and urgency.
  3. SpecialK38

    Why are so many new nurses having problems?

    We could pass NCLEX first go around at 75 questions, but could we take a patient load of 6-7? I did not feel confident that's for sure. I was told by a nurse once that you're not a real nurse until you hit the 5yr mark. I took great offense at that for the longest time as I thought NCLEX and a job made me a real nurse and then after that first year, that would make it official. But the amount of time needed to get that experience...it can be about 5yrs. Some can get "there" sooner, some might be later. They don't tell you in school you need much more experience in order to feel more confident and settled. They let you think videotaping yourself doing skills is enough. NOTHING replaces hands-on experience, real life experience. Amen sister- I am 40 years old with a BS in Science Education and wanted to go into nursing for 12 years. Finally graduated in December of 2010 with only 1 B- passed the NCLEX with 75 questions and landed a job in Critical Care 3 months later. I crashed and burned. In my clinical experience we had 1-2 patients of this caliber, but I wasn't prepared for 3-4. I know this sounds like a small ratio, but our patient's were on vents, PEG tubes, wounds, critically ill with multiple co-morbidities, huge amount of meds, paper charting, admits, discharges, procedures (we had to go with patients), non-ambulatory (constant turning), brittle diabetics, kidney failure, etc. We had a code in our 75 bed hospital at least weekly with patient's dying at least every other week. I started making errors and getting overwhelmed. Finally at 3 months they told me it wasn't right for me, but felt like I would do really well in a less-acute environment. They are trying to help me find another position within the system. For me this is like entering college again and trying to figure out what major is right for me. I never saw myself working in a Dr.'s office, but knowing how much I enjoy teaching (difficult to do with pts AO x1) and spending time with pts, plus stress level it may end up being right for me.
  4. Hello all-I just graduated in December of 2011 and got a job in a Long Term Acute Care Hospital (LTAC). I had my clinicals at a LTAC so figured I new what to expect and was excited to get hired in March of 2011. To my dismay, I have been completely overwhelmed and dropping balls left and right. I was on days so we had admits, discharges, doctor rounds with orders, PT, OT, procedures, etc. Our ratio is 4 patients- many of them vented. We have paper charting, tons of meds and a very high acuity level. I was just told today that I was not turning out to be a good fit for them. I had made a couple of med errors. (forgot to split a 5 mg lisinopril and didn't hold a coreg) plus giving meds before doing VS and a few bad judgement calls. No patients were harmed and my DON feels I could still do a good job in a less acute environment.The hospital system is going to help me transfer into another position in the next 30 days. I'm trying to not feel like a total and complete failure (almost straight A's in school and passed my NCLEX 1 week after graduating) and "getting back on the horse" So to speak. There is a position I have applied for- Ambulatory Surgery RN- PT days. Can anyone give me advice if this might be a good fit for me acuity wise? I have also applied to L&D- was a PCT in post-partum care and enjoyed that as well.
  5. SpecialK38

    Motherhood, Death and Nursing

    nitenite- WOW! The things we see as nurses really give us more opportunity than others to live our lives to the fullest! Thanks for sharing your story.
  6. SpecialK38

    Motherhood, Death and Nursing

    Tiddle- thanks for sharing. I have an 8 year old son now, and isn't it amazing how children can simplify life?
  7. SpecialK38

    Motherhood, Death and Nursing

    Candy- Thanks for sharing your personal story. I'm learning with death and dying there are no absolutes or rules to go by. Everyone moves through it in their own way and we need to accept that about one another. No offense taken- this should be a safe place to share and vent.
  8. SpecialK38

    Motherhood, Death and Nursing

    Wow! That is amazing! I think the first time I began to think differently about death was when a friend of mine who was a RT talked about being with some of her patients when they passed. She said it was an honor and a privilege to be with them and help them through that time. I always thought it would be a horrible experience and it was strange to hear someone talk about it otherwise. Thanks for sharing your experience with me-
  9. SpecialK38

    Motherhood, Death and Nursing

    Thank you all for your posts. Lilly passed away this evening at 1824. My daughter and I sat with her and held her for the last moments; I actually had my finger on her heart and felt her last heartbeat. Moving through the stages of grief, for sure.
  10. SpecialK38

    Motherhood, Death and Nursing

    Well, believe it or not she is still alive, but barely. She ate a little, but not much. As we speak she is on her side, rail thin and panting. It's really horrible to watch. It won't be long
  11. SpecialK38

    Motherhood, Death and Nursing

    Thanks for your comment!
  12. SpecialK38

    Motherhood, Death and Nursing

    Thanks for your reply- Lilly is still hanging on, and surprisingly starting to eat today! How ironic, I finally make the stand and she comes through! Oh well- at least the lesson was learned!
  13. SpecialK38

    Motherhood, Death and Nursing

    Hi Mocha- Thanks for your reply and words of encouragement- It's so awesome to know we can learn and change as adults and pass that along to our kids! I've wanted to be a nurse for a long time and seeing how it is helping me grow just confirms that I'm making the right decision. ~hugs back~
  14. SpecialK38

    Motherhood, Death and Nursing

    Two more children came along, and I stayed home with the three of them until they all began school. I love being a mom! I was with them for every first word, first step, and first day of school. Finally the day came for me to pursue my dream of becoming a nurse. I began nursing school in the fall of 2008 and plan on graduating with my ASN in december of 2010. I felt accomplished as a parent; however there were some areas I knew I fell short in. Take death and dying for example. I've always had a death/dying anxiety. I'm sure none of us looks forward to it, but I remember having panic attacks thinking about dying. This of course translated over into my role as a mom. It was always so hard for me to talk to my children about death and dying. Honestly, I always tried to change the subject or make light of it. It seemed to come to a head when a pet died or was dying. I swear I did every heroic measure to save even the lowliest of goldfish. I would do anything to avoid dealing with that final outcome. The questions. The burial. The tears- I'm ashamed to say how many goldfish, hamsters, etc. I've cried over. Well this morning my daughter's (who is 11) pet rat Lilly wasn't well. She is about 2 years old (old for a rat). She was bleeding out of her mouth and her cage was covered with blood. She was wobbly when she walked and had grown quite thin over the past few days. My daughter was beside herself, and I could feel myself going into "heroic measures" mode. Should we call a vet? CPR? Meds? 24/7 watch? I examined Lilly and knew she was dying. She is old- she might have a tumor in her mouth or other problem common to older rodents. I was debating my plan of action when suddenly a peace came over me I can't explain. The week before, I attended a perinatal bereavement lecture. The nurse who taught shared about her own painful losses and I left understanding more about death and dying. I guess I should say I left accepting more about death and dying. I remembered her words: "sometimes dying is unavoidable- it's part of life." I looked my daughter right in the eye and said: "Honey, Lilly is dying. She is old and sick. I don't think there is anything we can do for her to keep her alive, but we can take care of her and keep her comfortable until she dies. It's hard to understand, but dying is a normal part of life, and now is Lilly's time." this may seem like nothing to you, but for me it was huge. I had never spoken this honestly about death to any of my children. My daughter's reaction was amazing. She wasn't anxious like she had been with other pets, but began accepting what was going to happen. She held Lilly while I washed the blood off her face a paws. We cleaned up her cage and made sure her water was nearby if she wanted it. My daughter said: "Do you think the room is too bright? Maybe it would be more comfortable for Lilly if I put the shades down." I told her we did that in nursing school for our patients and explained what "mileu" meant. We were able to leave her and go run errands with my daughter feeling fine about it. I feel very grateful to all the nurses who have the passion not only to care for their patients, but to care for and share with their peers. Their teachings and personal experiences transcend classroom, hospital and beyond.

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