What I Learned This Week: Discipline is King

Ixchel needed someone to create this week's "What I Learned" thread, so I'll go ahead and attempt to rise to the occasion. I've learned a few things... Nurses Announcements Archive Article

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1. Discipline is King:

I learned that discipline is fundamental. I am referring to self-discipline. After a decade of shift work, I now work from a home-based office and am finding I lack the discipline to get my day started in a timely manner. When I had to report to an actual workplace and punch a time clock, it was enough of an incentive to arrive on time. However, since I now work under a laissez-faire manager and must determine the course of my own work day, it's been tough.

2. Routine is King:

I learned that some people can go with the flow. I have no problem going with the flow, but my work day needs to be routinized. I need a set wake-up time, a coffee routine, and knowledge of how my work day will turn out. I suppose this is how I remained in LTC nursing for six years...I somewhat knew the residents and routine, which made things easier for me.

3. Networking is King:

I learned that our professional lives are made easier by having a network of colleagues that will have your back, answer your questions, and put in a good word for you whenever you need a reference. I got my current gig by having a friend put in a good word about me to the hiring manager.

4. Reciprocation is King:

I learned that reciprocation is important. If someone does something helpful for you, it will be beneficial for you to reciprocate by doing something helpful in return. Karma will reward you for doing to others as they do to you.

5. People are King:

I learned that relationships with people contribute to the spice of life. For example, I returned from a toddler's birthday party a few hours ago. Both his mother and I are nurses. The toddler's father (my friend's spouse) has a wide social circle of longtime friends. My friend complains about her husband's social circle, but I can tell that these people are enriching his life since he enjoys their presence. Without relationships with various people, our lives and worldviews can be limited.

What have you learned? ?

The more I read about OR nursing, the more I'm convinced that I will love it. I might be asking you questions, Rose, in the near future. And I have been following that OR thread.

I'm wondering if I should do Med-Surg to get an overview of nursing skills, even though I am certain I will not enjoy it from my experiences thus far.

ETA: A lot of nurses and physicians show up at my Starbucks while I'm studying. I'm always tempted to introduce myself and ask questions, but then I think "Mmm, better not..."

Specializes in ICU.
cracklingkraken said:
The more I read about OR nursing, the more I'm convinced that I will love it. I might be asking you questions, Rose, in the near future. And I have been following that OR thread.

I'm wondering if I should do Med-Surg to get an overview of nursing skills, even though I am certain I will not enjoy it from my experiences thus far.

Honestly, if you are pretty sure you will like OR, I wouldn't bother with med/surg. At my last job, there were some people starting on my unit with me who were former OR nurses who hadn't done anything else since nursing school, and they did have a bit of a learning curve when they moved out of OR, but they ended up thriving on my unit. It's possible to have no experience but OR and work somewhere else later if you want to.

calivianya said:
Honestly, if you are pretty sure you will like OR, I wouldn't bother with med/surg. At my last job, there were some people starting on my unit with me who were former OR nurses who hadn't done anything else since nursing school, and they did have a bit of a learning curve when they moved out of OR, but they ended up thriving on my unit. It's possible to have no experience but OR and work somewhere else later if you want to.

Thanks for the insight! OR residencies seem more competitive than the other specialties, so I guess if I don't get accepted, I can always look into Med-Surg.

I have a really good memory and love coordinating, as well as working with others and focusing on one patient. I'll apply to some OR programs and see if it's meant to be. A friend did offer to put in a good word for me because she knows the OR nurses at her hospital, but that means I'd have to stay in the Midwest.

Specializes in Behavioral Health.

I decided to teach myself sleep medicine, and then randomly I had a patient tell me they've been sleepwalking all of a sudden. One day she woke up in different pajamas, her iPhone was in the living room instead of the night stand, the front door was wide open, and she was wearing jewelry. Somnambulism is rare in adults, and it fits my theme, so I researched evidence based treatments. Here they are:

1. Another good reason to go to bed and get up at the same time everyday. Consistent sleep patterns reduce sleepwalking.

2. Treat sleep apnea and restless legs. The level of arousal caused by these conditions can trigger sleepwalking.

3. Rule out medications that can cause sleepwalking, like zolpidem (Ambien).

4. Don't drink alcohol within a few hours of bed (day drinking now evidence based, "I have to drink at lunch to avoid sleepwalking.")

5. Scheduled awakenings or a door alarm (buzzes and wakes you when door is opened).

Like your #4, D.

Specializes in OR, Nursing Professional Development.
cracklingkraken said:
The more I read about OR nursing, the more I'm convinced that I will love it. I might be asking you questions, Rose, in the near future. And I have been following that OR thread.

I'm wondering if I should do Med-Surg to get an overview of nursing skills, even though I am certain I will not enjoy it from my experiences thus far.

ETA: A lot of nurses and physicians show up at my Starbucks while I'm studying. I'm always tempted to introduce myself and ask questions, but then I think "Mmm, better not..."

calivianya said:
Honestly, if you are pretty sure you will like OR, I wouldn't bother with med/surg. At my last job, there were some people starting on my unit with me who were former OR nurses who hadn't done anything else since nursing school, and they did have a bit of a learning curve when they moved out of OR, but they ended up thriving on my unit. It's possible to have no experience but OR and work somewhere else later if you want to.

And I would say that there really isn't much from med/surg that's going to transfer to the OR. It's a whole other world.

Cottage cheese mixed into scrambled eggs makes it more fluffy without having an overwhelming cheese taste, as is with other cheeses.

Malignant hyperthermia is genetic and is an adverse Rxn to anesthetics, particularly succinylcholine.

Dantrolene is used in treating malignant hyperthermia.

If relocating doesn't work out, a friend has offered to put in a good word with the OR nurses at a local hospital for me. Hopefully, that won't be necessary, but I was grateful for her offer.

I've learned that I need to let a uroject marinate for 20 minutes.

Guess I'll bring a deck of cards to my next male foley insertion.

Add me to that list as well!

Southern Republican that fears a Trump in the White House,

I've learned that people will claim they are allergic to acetaminophen and in the same breath say they sometimes take Tylenol Cold and Sinus. *facepalm*

It's really difficult to choose a quote for graduation. Would it be inappropriate to use a quote from The Office or Parks & Rec? I'm being 100% serious.

cracklingkraken said:
It's really difficult to choose a quote for graduation. Would it be inappropriate to use a quote from The Office or Parks & Rec? I'm being 100% serious.

Such as?