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nursealisa specializes in Med/Surg.

nursealisa's Latest Activity

  1. nursealisa

    The good, the bad and the ugly

    Oh my goodness, that's one loaded question, but a very good one. I work in a small hospital in a small town. As a result, we tend to get the same patients on many return visits. Being such a small town, you also see them outside the hospital in grocery stores, church, and even some at family get-togethers. It's very easy to get attached to the people you see so often. The good part of that is, you know most aspects of that persons life and it makes it easier to treat and understand them when they are sick. On the downside of that, it breaks your heart to watch them fade away. And when they die, it crushes you inside. I find that to be the hardest part of my job. On the same small town note comes the ugly part. So many people outside the health care field do not inderstand HIPPA. A small town is like a big family. Most of us, at the very least, know each other and talk at social occasions. People always seem to ask "How's ole' so-n-so doing? I heard they were in the hospital again." or "What's really going on with my cousin? Her husband won't tell me anything." It always seems to cause hard feelings when all you can tell them is that you can't tell them anything. They just don't seem to understand that you can lose your license for the least little infraction of discretion. One of the most rewarding aspects of nursing is actually making a difference in someones life. Yes, you really do make a difference. There is always gonna be that one patient that is all alone in the world. It's usually an elderly person with no family whose spouse died long ago or a demented patient whose children all live 3 states away. Those are the ones that get the majority of my time. You'd be suprised at how much a sweet smile, gentle touch, or a few kind words can mean to a person who has no one. Even when they cannot speak, the look of gratitude on their face is the best reward a nurse can get. I have had many jobs before I chose to pursue a nursing career about 6 years ago. Not one of theose jobs can compare to the satisfaction I get from nursing. Without question, I wouldn't change a thing.
  2. nursealisa

    what should i do?

    OMG! DO NOT give up! You work your butt of in nursing school, sacrificing everything just to make it through. All that does is simply prepare you for what you will learn in the hospital. 90% of everything you learn will be on the floor. No one can be expected to know everything fresh out of college. I cannot count the times I sat out on the back dock of our hospital with my head in my hands bawling wondering what the heck I had gotten myself into. Now, there is nothing that I'd rather do. So far, you have been taught how everyone else does everything. Now is the time for you to find your own niche and perfect your own routine. Hang in there. There really is a light at the end of the tunnel.
  3. nursealisa

    need advice on starting ivs...

    Nurturing Angel is right. Practice makes perfect. It is simply one of those skills that comes with experience. Practice all you can and don't let a few misses discourage you. Always take your time and don't rush yourself (when time allows, of course). Remember, the further up the extremity, the bigger the vein. If the patient is elderly or particularly frail, I don't use a tournicate. It seems when I do, it always blows the vein. A friend also showed me a useful technique. If you have to use the hand, lower it from the side of the bed with the tournicate tight on the wrist. Use an alcohol prep to slowly push the blood toward the wrist over and over. This makes the vein sorta balloon out as it refills making it bigger. My favorite "sweet spot" is the outer forearm. I call it the "big-n-juicy" vein...lol...Sometimes you gotta be a contortionist to get to it, but its always a good spot. Don't give up. you'll do great!

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