Published
Hello, everyone! ixchel has been a trooper, juggling many things on her plate, so I have relieved her for this coming week. Here are some of the things I've humbly learned throughout this week:
1. That confused LOL who presses the call light constantly, and presses it several times while you're in the room with her, is charming for the first 5 minutes you meet her. Every time the call light goes off after that makes you want to run in the opposite direction, as fast as you can. Now, I understand what people mean when they say they hear a call light going off during the night. I've been hearing call lights ever since I got home.
2. I'm almost as giddy as my patient when his Foley and wound V.A.C. are removed after weeks of being hospitalized.
3. I emptied my first colostomy bag and was able to teach my fellow cohorts how to do it as well. I've never felt so happy to see a BM (On a side note, am I the only one who notices that my BMs smell like my pt's later on in the day?).
4. A positive Kernig's and Brudzinski's sign are indicative of meningeal irritation and that's not good.
5. Pseudomonas aeruginosa is a gram negative bacteria that is multidrug resistant. Also, not good.
6. Just plastering a smile on your face throughout the shift can really brighten people's days. Although internally, I might not be feeling it, I don't let it show because, come on, the people in the hospital need a LOT more cheering up than I do.
7. Don't inject air into Dilaudid because it will blow the end off the vial. Thankfully, I did not do this, and my instructor told me not to before I even started drawing it up. I also got to flush a central port.
8. My sarcasm and dark/dry humor is not wasted on my clinical mates.
9. There are doctors who don't see some tasks as "beneath them". Garbed in isolation dress, I poked my head out to have a fellow mate grab me some iced water. Seeing my searching gaze, a passing doctor - who was easy on the eyes - asked me what I needed and then brought me some water for my patient.
10. I've been having trouble with frequent urination, including waking up in the middle of the night, even though my bladder isn't that full. It's been irritating, and I'm wondering if I should go see my doctor sometime. I haven't been too concerned, but since it's been persisting for a month now, I do wonder... I've ran through, in my head, the possibilities of diabetes, cancer, and hyperthyroidism with my current symptoms.
So, what have you learned this week?
*slides in* Yo...1) I have 4 more weeks of first semester left.
2) For as much as I panic before clinical, I get there and this odd calm comes over me and I just, go.
3) A's do not exist in nursing school. 93%? I'm doing good to get 80%. It hurts me.
4) I get to pick out my next semester schedule on Friday, and I'm very happy about that because I need to find different child care, apparently.
5) The magnitude of nursing related things I have learned since the last time I showed my face (?) on AN cannot be explained. Wednesday I get to practice dressing wounds and removing staples/sutures. I'm so freaking excited.
6) Care plans are not cool, but concept maps are even worse.
7) I have to get back to writing my last paper of the semester.
Bye all!
Here comes my girl...here comes my girl...
Yea, and she looks so right,
She is all I neeed tonight...
-Tom Petty
Yay, Ood! Been missing you!
Viva, I'm so sorry you are having to go through this. (((Hugs)))
I had my first ever orientee that I recommended be terminated. She was terrible, but I feel really guilty about it.
My job stress is less when I'm precepting. I like teaching.
I learned that I learn a bunch when I'm teaching, like antivirals are given for Bell's Palsy patients sometimes as a treatment.
I also learned that way too many people I know are getting divorced. Weird.
Have a great week, everybody!
*slides in* Yo...1) I have 4 more weeks of first semester left.
2) For as much as I panic before clinical, I get there and this odd calm comes over me and I just, go.
3) A's do not exist in nursing school. 93%? I'm doing good to get 80%. It hurts me.
4) I get to pick out my next semester schedule on Friday, and I'm very happy about that because I need to find different child care, apparently.
5) The magnitude of nursing related things I have learned since the last time I showed my face (?) on AN cannot be explained. Wednesday I get to practice dressing wounds and removing staples/sutures. I'm so freaking excited.
6) Care plans are not cool, but concept maps are even worse.
7) I have to get back to writing my last paper of the semester.
Bye all!
So jealous that you removed staples and sutures! I removed an IV...yay. 🙃
Also 80% is super acceptable. Like really super acceptable.
Tonight is my last clinical shift and I'm really bummed out. I have absolutely loved being in the ICU and have learned so much, I don't want to leave!
Things I learned last night:
Serotonin syndrome can initially be mistaken for neuroleptic malignant syndrome. Treating NMS involves meds that will exacerbate SS.
A patient who spikes a fever of 107 can survive with their cognitive function intact.
When a lumber puncture returns CSF with sandy particles in it, that's usually bone fragments and not a good sign.
Code meds should be given at a rapid, steady pace while keeping your line intact.
Insulin, dextrose and calcium will correct for a really high serum potassium by causing a cellular shift of electrolytes
I received a voicemail from a MI hospital to schedule interview. I have a question, though.It was for a Clinical Nurse II position, but said that graduate nurses would be considered. So should I not worry about the fact that it's a CN II position instead of CN I?
Congrats! but I don't know the answer to your question.
I was on spring break this past week, so I learned that I have a new favorite IPA and that my cousin will always be my sister and best friend. If only she lived closer!Spring break also gave me a ridiculous case of senioritis--ridiculous because I still have a bit over a year left of nursing school. But, it is exciting to think that I'll start applying for jobs in January. I started peeking at job postings in the area I would like to eventually live in, and was pleased to find several postings that said "ADN required" with no mention of "BSN preferred." Crossing my fingers for the future!
It blows my mind that I can start applying for jobs in January. Like who me? But I just started nursing school, you want me to start being responsible for my own patients when? I'm so so grateful that I live in an area where they need nurses. All the local hospital systems start actively recruiting in January/February, even at my CC.
WellThatsOod
897 Posts
*slides in* Yo...
1) I have 4 more weeks of first semester left.
2) For as much as I panic before clinical, I get there and this odd calm comes over me and I just, go.
3) A's do not exist in nursing school. 93%? I'm doing good to get 80%. It hurts me.
4) I get to pick out my next semester schedule on Friday, and I'm very happy about that because I need to find different child care, apparently.
5) The magnitude of nursing related things I have learned since the last time I showed my face (?) on AN cannot be explained. Wednesday I get to practice dressing wounds and removing staples/sutures. I'm so freaking excited.
6) Care plans are not cool, but concept maps are even worse.
7) I have to get back to writing my last paper of the semester.
Bye all!