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camelbakhi BSN, RN

Endoscopy / gastroenterology

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  1. To set the scene, I was a new grad working in the hospital, the Mayo Clinic to be exact, and although the general medical-surgical floor I was working on provided challenge, variety, and fantastic training as a newbie nurse - I was not a fan of the work-life balance. Enduring the typical evening / overnight shift rotation that left me without sleep, with an abundance of frustration since I was going to work when everyone else with "normal jobs" was getting off work, and I wanted something that provided a procedural component. I thought of the operating room, cardiac catheterization lab, interventional radiology, etc. My friend at the time was working at a different hospital in the endoscopy center - which I truthfully at time knew very little about aside from the humorous component of experiencing post-colonoscopy patient's farting during clinicals in nursing school and sometimes in hospital wings I walked by. Or, to be professionally sensitive, the "passing of air" after the exam. This was not the huge pull-factor that brought me to endoscopy, but I can vouch for you now that it does provide some comic relief to the recovery component of working at a GI center as I do at the current day. The Training The training involved to work at a typical endoscopy center, using mine as an example, usually requires 1 year or more of hospital experience (no specific area needed), and a BSN degree. Training typically involves 4-6 weeks of working with a preceptor nurse and orienting yourself in a more detailed sense of the digestive tract, specifically the colon since the majority of our exams involve colonoscopy or flexible sigmoidoscopy (condensed version of colonoscopy). We perform upper endoscopies as well, so being oriented with the upper GI tract is helpful, and is a big part of orientation. Most centers have a break down of an admitting, procedural, and recovery area. You flow through these during the week, which helps to provide variety. It is a unique way to liven up a job that for some people over time would become easily and understandably mundane and dull if you worked in the very same area each and every or on a not-so-even rotation. Admitting Admitting patient's involves going through a medical questionnaire with them to rule out any critical cardiac, respiratory, renal, etc. issues as well as any difficulties or complications receiving anesthesia in the past. Most centers use Propofol sedation now with the aid of CRNA's, which is a unique and positive component of this job, as you get to really get know that staff rather than be just a nameless nurse in navy blue to them. This occurs in the procedure room, where you work with them 8-10 hours a day. Anyway, back to admitting, where you interview patient's about their specific health history, typical bowel habits, prep results (which always provides some comic relief and tends to help ease anxiety as you ask of them to describe their bowel movements color and consistency). We want clear yellow. Think pooping urine. That makes us happy and gives us good results. Starting IV's is the trickiest, yet most rewarding component of admitting in my opinion. These patient's are tremendously dehydrated, "hangry" from the fasting and the prep, and present quite the IV initiation challenge. It is a great place to really hone in on that skill. Procedure Room Next up, procedure room. Will keep it short and sweet. It is awesome. Work with GI doc's all day as well as CRNA's. We perform colonoscopies, flexible sigmoidoscopes, and upper endoscopies. Working alongside the physician, you assist with polyp removal - which takes on many various forms that you become very well acquainted with in training - as well as perform various other interventions: esophageal dilation, cauterization, biopsies, colonic tattoos - that's right, I said tattoo's in the colon. To mark polyp sites. All interesting, ever-changing, and provides upbeat challenge as many patient's present with various symptoms, potential diagnoses, and always a balancing act when working with CRNA and physician to keep the patient safe, sedated, comfortable, and ensuring complete interventions during procedures. Recovery We will end it with a bang, or a "toot" - recovery. Fart nation. Just kidding - but the first week in this area you do find yourself smirking as patient's shift over to their side and let out large gusts of room air that we insert in their colon during the procedure. This is where another big nursing skill comes out of the woodwork - EDUCATION. Patient education in this area, enforcing compliance with routine screenings, explaining the "what's next" of their new diagnosis, discussing new medications we have prescribed or suggest, genetic counseling, management of patient's who come out of the exam with complications. One big melting pot and variety pack and allows for great growth in independence and the ability to manage several patient's at once and the reward of seeing patient's leave with answers, polyps removed, cancer prevented... all in one day's work. Endoscopy / gastroenterology is a hidden gem of nursing I feel. Dare I say, it is the "polyp in the rough" of specialties. Terrible joke, but an absolutely awesome area to work in. Great teamwork with staff, passionate individuals, job security, providing Crohn's / colitis care to the ever-growing population who are unfortunately dealing with those illnesses, colon cancer prevention every single day in a multitude of ways... I am happy and thankful to be working in such an area and I hope this description answers many questions for you and provides you with a thorough look at the day as a endoscopy RN - who is not afraid of a little butts 'n guts!
  2. camelbakhi

    Care plan question?

    Hi there, I have a quick question. I have come up with the priority nursing diagnosis of nausea (it is post-operative nausea) and I am wondering if this is acceptable wording: nausea R/T effects of general anesthetic. Input, comment, feedback? Thank you!
  3. camelbakhi

    Junior Year Stress. Anxiety. Heartache.

    Thank you for your comment. I have such a hard time with the tests, and now I just keep replaying the ones I got wrong in my head and I cannot believe I chose the answer I did for them. I am really upset with myself and it is hard to just swallow and accept. When you say find a new way to study, what do you suggest? I read the chapters many times over, review the notes a million times and make flashcards. The hardest part is that this test was 25 questions each worth 2 points. I only got 4.5 wrong which is insane because that is a C, but that's the way it is.
  4. Hi. I entered into the nursing program with a 4.0GPA and even after my sophomore year, I got a 3.8 at the end of the year too. It is 4 weeks in and I had my first exam in my one of my classes where I usually do really well with this teacher and I got an 82% and the cut off for a B is 84%. So I got a C. I am having the HARDEST time accepting this. I have never gotten a C in college on any test. Ever. I have the hardest time accepting even anything lower than an A and I just cannot even breathe right now... I am panicing, I feel like giving up, it is all a mess. I just want to know what to do with myself, and how to improve. the test was 25 questions and I got 20.5 on them right, but it was doubled so I got 41/50. This is horrible to me. Please. Comments. Thoughts. I cannot accept these grades lower than A's. Are C's bad? The thing that kills me most - I do not have a job. I study ALL the time. Students that studied half-ass and work still did better than me.
  5. camelbakhi

    Junior year stress / anxiety.

    What? I also posted this and completely forgot about the terms & conditions of the site, I do not think this post is appropriate since it is in a way asking for medical advice. I apologize. I will not post any further.
  6. camelbakhi

    Junior year stress / anxiety.

    Hi there everyone, Alright. I am writing this post because I am desperate and am finally to the point where I feel like I need to talk to someone about what I am all experiencing. I will try to sum it up the best I can without being too lengthily. For starters, I came to college as just an average high-school student but I worked way too hard and studied way too much and of course got the 4.0 and got into the nursing program right off the bat. Once I have entered, I have kind of turned like... insane.. very obsessed with perfection and I just feel horrible anytime I don't get an A on anything. I am sure others experience this too. The part that is starting to alarm me is that I am experiencing other things as well. I have become very anti-social and socially awkward. Anytime I converse with a classmate, I get a weird "high" sensation and feel good, but then after I am done I think to myself "why did I say that, that was so stupid' because I honestly feel like I have some social issue. On top of that, I get weird periods of feeling really high and excited and nervous, and then I get REALLY low periods of just stress, irritability, and hopelessness. I am having a really hard time sleeping, and this is effecting my school work and ability to sit down and focus and simply study. My clinicals have started and this week was miserable. I felt like I was foggy and not even remotely in tune with what was going on. I had the hardest time focusing and was just blank-faced and looked depressed the whole time. It was hard communicating with people and I am feeling this way everyday now.. I am over-thinking myself on tests and losing points and it's upsetting me more because all I ever do is study... Sorry for this rant, I know it is sort of just a cluster of problems, but I was wondering.. would you suggest I go and actually talk to someone at my student health services about this? My main purpose of this post is because I am thinking that I am to the point where I may need to consider getting some form a prescription to get rid of these crazy things dragging me down and put me more at ease, etc -- because right now, things are getting a little concerning. Thank you for taking the time to read this, any input at all would be great.
  7. camelbakhi

    Nursing School Apartment Living

    Okay, so here's a brief summary of what's going on and why I need advice. So basically, I lived in the dorms my first two years of college and had a great roommate who moved away the first year, and then second year it was too late so I got stuck with a random and that year of school was miserable for me, especially as my first year in the nursing program it was impossible to live with this girl and my stress was at an all time high. So this year, my third year, second year in the program - I moved off campus onto an apartment with two roommates who are really quiet. Everything is so much better than the dorms here. My main problem right now, (now I don't know if this is because I am just so filled with stress and anxiety over the junior year of nursing, or if I have a legit concern that needs to be addressed) is the people BELOW me. At random points in the day they BLAST music and their bass shakes my floor and my desk. Being the person I am, I cannot study at all when this is going on. Since there's so much readings to do during the day, I cannot read with the floor shaking. My apartment is not close enough to campus for me to just pack up and leave, and I personally do not have a car. Also, the music usually starts at 7PM and then goes until like sometimes even midnight-1AM. I contacted my apartment manager today and he said that he "left a message on their voicemail and they definitely got it" and that they have been warned. Today, their music, at like 7PM was blasting and my desk and floor were vibrating. Do they have a right to do this as long as it is before 10PM? Am I being irrational and do I have to stick ear-plugs in to study when I pay 500 dollars a month to live in this apartment? Just looking for some advice from some fellow nursing students who have the same stress as me which as you guys know, makes everything like 4059x worse! But i'm not exaggerating with the music though. Literally shakes floor and booming bass. thank you!