StudentNurse

Saturday, September 30, 2006

Medical-Surgical First Clinical Day

My first day of clinical was thursday, 09/28/06. I was fretting out. I was so freaked out. I called the bf and let him know how i was really feeling and of course as always he was his great supporting doll-self :) But seriously i wasn't looking forward to this clinical for so many reasons. First off it was going to be just J and I from my previous clinical group. I know it's never about the poeple it's all about me but still there's a way you get used to some people and just get along right? Secondly in my previous clinical placement my L.I was super cool like she wasn't like extra easy on us, she made sure we did the right thing and what we were suppossed to but still let us be you know what i mean? like we had enough breaks and she was just too friendly, in short she was like one of us and for a tr that's way too cool. Thirdly my current clinical placement is in an even bigger hospital let's just say that wasn't sitting too damn well with me. Anyway before i left the house thursday morning i did what i know is the best and only thing i can always count on and what the thing i try to do best, I prayed. I told God unless He went wit me i'd be bummed out so i prayed and let God know if i was gonna go alone then i might as well just not go and i was serious for unless God be ANYWHERE with me nothing will be well.

I left the house and was at the hospital by 6:28am. Bummer! Yes,that early. I had a good 32mins to chill before my other classmates go there. I sat in the lobby flipping 'the newyorker' My L.I. was second to get there.Common courtesy, said hi, introduced myself. She seemed ok, based on first impressions, not like i really care about those anyway lol. By 7am all the studs were there, she gave us the names of our assigned nurses. We went to 5E out floor and 'hunted' them down . My nurse was called J,she was cool. At first there was the will i handle you phase?? but i remained assertive until we built a comfortable r/ship with each other. She had 4 pts.

D, who had just had her endoscopy done that morning, she also had an esophagus ca and had bloody stool. She was really nice, she and i had an instant theraupetic r/ship . I did her all 'bad questions' interview lol. I took her vitals and listened to her heart and lung sounds. I also gave her IV meds, which was super cool. On my first attempt i was abit shaken and dropped her IV-push med-syringe, now that's shady. My nurse was of course not happy with it but she was very understanding, we went back to the meds room, got some more and came back. This time i took my time and screwed on the syringe well into the IV-entry thingy and did fine. I learnt that I have to make sure all the air's out,clean out the IV-push hole with an alcohol swab before i push in the med. I should also push in the med slowly making sure there's no leak and to avoid burning the pt. I also have to flash the IV w/NS in between meds admin to avoid meds mixing. I gave D, Hydromorphone(Dilaudid). I also learnt that 1mg Morphine=3mg Hyrdromorphone.

The second pt, B had Bulimia Nervosa, she weighed 73lbs. She has asthma and had gotten a seizure. That's the reason she was transferred from the 'Behavioral' floor to 5E. She had a brain MRI which showed -ve acuity. I did her vitals and listened to her heart/lung sounds. She also had a J-tube. I hang her J-feeding bag and started her feeding. I also hang and started her IV bags. I also d/c an IV on her leg and started one on her hand. It was all very interesting.

The third pt, C, had a chest tube and thyroid ca. I took her vitals and listened to her heart and lung sounds and watched J change her chest tube.

The last pt,G, had a CABG(Coronary-Artery Bypass Gastric). He was interesting because he had a wire hooked up to his 2 atriums and ventricles and had had his inner thighs grafted to replace his heart. I watched and helped J do wound care on him. His wounds were very well healed w/well-approximated edges. I watched his doc pull out the blakes and wires. That looked very painful needless to say. He also had a murmur which was super cool to listen to. And guess what? I can finally use my STETHOSCOPE,yes blondie me can *woot, woot* woohoo!!! I can FINALLY tell what direction faces my nose, hahaha

J showed me to chart(seeing my clinical placement there is 2mos long i might just as well learn how). She also showed me different meds and explained what they do and i remember Proxin(sp) which is given to all pts b/c of the stress they get into while in hospital and Proxin helps pts relax. I miss J and i'd love to have her for my whole clinical placement there. Oh well next clinical day is fast-approaching. I hope it goes great too. I'm more than graetful to God for how my first week turned out, i owe it all to Him. I'm trusting Him to see me thru my whole placement there, as i do my careplan and weekly journals, i hope and pray to excel.

My first lecture night went great too. Great prof, F! But the terminology was too jargon but am sure with effort i will get around it. I have my first quiz this monday night already! I need to read, read unfortunately i haven't even started. I am such a dork lol. God please help me read and prosper me.

Go me!

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posted by Student Nurse at 2:33 PM

Monday, September 25, 2006

Medical-Surgical Nursing

I had my 'Fundamentals of Nursing' final exam on Saturday. The exam was pretty fair. After the final we did online atitesting. I got a 65% which was good for a first attempt. Hopefully i should improve with more time and practice.

This morning i got my grade. I made a B in NSG200 and a pass for NSG 200A. I'm glad i did well. Thanks to God b/c this has been a class full of trials and hardships but each time God has come through for me and who am i to not be graetful?

NSG205 'Medical-Surgical Nursing' starts tonight. It's going to be a 5hr class. Yup that long. I pray we have a great prof who will help make the hrs fly by or else i'll indulge in what i do best during those lecture nights, text message the hours away lol I'm looking forward to it all the same. I always wanted to be a surgeon and may be in the future i'll follow up the dream.

I haven't bought the books for this class of course because i don't have the money. I was reviewing the syllabus and saw that we'll be using the ATI-Pharmacology book now how exciting is that? i already have that book and it's a great summary of everything so i'll read it, God help me and ace the class. My friend will also let me make copies of her textbooks when i need anything.

Will be back to record how first lecture night went tomorrow. I pray to God to start this class with me, guide me thru it and make me the head and not tail and to help me obey His commandments.

Go me!

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posted by Student Nurse at 12:07 PM

Friday, September 22, 2006

Finals

It's so cold now, what with fall knocking. I'm freezing my booty off so bad. My final's up. Actually, it's tomorrow. I haven't finished reading my ATI book yet. God knows am not even half-way. Plus i got questions to review from elsevier and the exam review to go through. God have mercy. I feel so overwhelmed today. I'm so sleepy. I'm getting off work in 2 hours. Can't wait to get home, i'll hopefully sleep for a few hours then wake up and read the night away. Today's my best night on channel 5, that's the only other thing am looking forward to right now...

I pray and hope for spiritual leak. I need to excel in this class. I'll come back and let you know how it went...

On a different note. I hope to find a place to move to and hours at the job. Hopefully I will go to mass this sunday...I'm so looking forward to it :)

I can do all things through Christ who strengthens me! my sis always tells me this, thanks R :)

p.s I need to do my ati-testing now.

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posted by Student Nurse at 10:24 AM

Tuesday, September 19, 2006

Last Lecture night, C.P.P and P.R.P. and PP questions

Yesterday was last night of lecture night. Woohoo! I got off work at 1pm and was on the busstop to catch a bus to class by 1:40pm. The bus I was suppossed to catch wasn't suppossed to come until 2:09pm. I had an option to wait until then or catch a different bus that would take longer. I decided to catch the bus that would take longer. I was on the stop, talking on my cellphone when the bus drove right past me. I was so mad to say the least. But there was only so much i could do. I had to wait for my first option, the 2:09pm bus. Standing there, a bus pulled up and the destination on it was close to where my school is. Being inquisitive me I asked the bus driver if i had an option to get on that bus and connect at a different stop. And yes that was an option so i go on the bus and made the connection and by 3:15pm I was in school. Now how cool is that? on a regular day it takes me at least 4 hrs to get to school and yesterday it took me like 1 hr 15mins. Missing the first bus was a blessing in disguise because now i found an even shorter route. I am so excited. Thank you God! I did my P.R.P and finished it. Started making correction on the C.P.P b/c the L.I. sent it back to me w/corrections.

I also got to make copies of all 48 chaps of the PP book so that will make my reading easier. Class was boring. The last group made their presentation. Lecture started...We went on lunch break at 10mins to 7pm and that's when I decided to leave class early. I left w/my friend who gave me a ride to the T.S. I was home early, yaay! I got extra sleep. I just hope we won't get into some kind of trouble for leaving haha. I'm also not sure if the prof gave out an exam review or not lol I'll find out tomorrow during clinicals.

This morning I finished up my C.P.P and reviewed the P.R.P and sent them both to the L.I. I hope and pray I get an A in both of them b/c that will up my grade. I also hope to do well on my final this saturday. I'm going to review my ati and the PP questions, I pray for God's favor and excellence.

Go me!

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posted by Student Nurse at 10:23 AM

Monday, September 18, 2006

Saturday-best clinical day YET!!!!

Clinicals has totally been superultracool. I have had so much hands-on its blowing me totally away. On saturday i had the best nurse yet. She was overly receptive and walked me through everything single thing she did, now how cool is that?I shadowed her to all her patients. She let me insert a suppository in my assigned pt. At first i was a tad shaken like wondering how it would go and how far i should insert into the rectal but she explained it step by step and this boosted my self-confidence. I got the suppository and the KY Jelly, washed my hands, gloved up. Helped my pt into the sims position as comfortably as i could. Put the KY jelly in the tiny cup-container, broke the suppository seal and took it out, lubed the tip then holding the rectal hole open with my left hand i inserted the suppository until i felt the sphincter then pushed it in and woohoo i had done it! it felt like the beginning of a journey after what had seemed like waiting forever. I also got to gown up and go into a MASA pt's room. He had MASA in his blood. I watched my nurse insert an IV, i learned a whole bunch in there too, the pt was really cool and totally receptive. She also showed me how to chart a pt's info. Saturday was the bomb and then some, i totally balled through the hours. She also showed me how to use the pyxis system and when to have another nurse present as witness especially when taking out insulin or dispensing narcotics.

My L.I. gave me a ride home saturday night so i was home and in bed early. On sunday i woke up at 9:30-ish am and got ready to go to the library. I was in the library from1pm to 5pm writing up my care plan and process recording. I finished my care plan and sent it to the L.I for corrections and got almost half way done with the P.R. I just got the care plan back from the L.I. I gotta make some few corrections here and there and re-send it. I so want to get an A in both papers to up my grade. I'm at a B right now, not good :(

I also need to finish reading my ATI book. My final's on this saturday, kinda looking forward to it. I just want to be done and over with it.

Tonight is last night of lecture. Woohoo! Let the class end already :) It's going to be an excitingly hectic week that i can tell for sure. I pray and hope to finish my care plan corrections and P.R. papers by end of today and start reading for the final like now. Hopefully tonight the prof will give the exam's review, just hopefully... I got 2 days more of clinicals, yaay! Wednesday and Thursday. I hope to learn some more. I'm so loving this and keeping an open mind so help me God.

I got some hours on Friday night, twas crazy that's all am saying. He was BANANAS!!! My personal B.S./Q.T. this morning was about the truth setting me free,it's all coming down to self-control. I sure am praying and hoping for more of that God help me.

Okie gotta go now. I will be back soon...

GO ME!!!

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posted by Student Nurse at 8:48 AM

Thursday, September 14, 2006

First day of clinicals

I just barely crawled out of bed, took one of my allergy pills amd now here i am. My head is killing me. But i'm trying to be strong as always.

I was nervous and anxious yesterday as my first day of clinicals. And guess what? it went great! I got assigned to a pt, who's a retired RN and who my nurse thought was nasty. okie the pt gets easily agitated but when i walked in there she was polite and said hi. She is a fall pt. She fell at home and broke her L hip. She had surgery done and a fixation of the hip was done. She's in excruciating pain :( She's on foley cath b/c she can't ambulate. She's on IV and also P.O. The day shift nurse i was assigned to, J was great. She let me do a whole load of stuff and also showed me how to chart on the hospital's computers. Computer's are different in each hospital but it's nice to at least have an idea. It was really interesting b/c she showed me how to look up meds info. If I don't have a clue what a certain med is i can look it up. I got most of my case recording info, almost all of it from the pt's file and talking to her and the nurse.

We got there at 3pm. Kinda lounged abit and went upstairs to 7th flr to meet charge nurse, L, who oriented us and showed us where each of the items/places on our scavenger list were and she gave us the codes for access to different rooms. It was all interesting, then we sat in the lounge and went through the different sections of a pt file. After that we took a break until 5pm. At 5pm is when we met our assigned nurses, each of us had one who we were suppossed to 'shadow' for the next whatever number of hours until the PM shift came in. At 7pm we had our dinner break and went out, grabbed something for about 45mins and got back at about 8pm. We came in to find the PM shift nurses already in. We kept the same pts but different nurses. I waited on my PM shift, S who was at first not very receptive but after a while she gave in to me and let me shadow her to almost all of her pts. She was very kind, she introduced me to her pts, walked me through what each pt had and what she was doing to them and even let me do some of the procedures. She let me take a listen to the pt's lungs, stomach, heart and chest sounds, am now doing it hands on it's so fascinating. I also emptied a few caths and talked to some pts who were really interesting. It feels good to be there for others who need us and be able to offer some kind of help :) At the end of the shift i walked a pt who had her op that morning and it was interesting too. S also showed me a fistula :)

The floor we are on is basically a fracture ops floor. At 10pm we had our post-conf w/out lab instructor. Everyone went on and on about how their day was and how their assigned nurses were. We left at 10:30pm. L.I gave me a ride to the T.S.. I was at the T.S. alone at 11pm, twas all deserted and scary. It's getting pitch dark now with winter coming. I got home at 12am. I started my driving classes w/ G yesterday and it was so exciting i was nervous at first but she's really great teacher so i relaxed. I keep moving towards the curb don't ask me why b/c i don't know. We'll do some more today. I really need to get my DL please help me God.

Today i'll get my info for the care plan paper i have to write and get all the NANDA stuff i need.

I'll make a cup of coffee and go back to sleep, i feel pooped and my headache is still on, ugh. I got pretty bad news from my bank, tuesday night, but i called them yesterday morning to sort it out, hopefully by end month i'll be fine.

Go me!

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posted by Student Nurse at 8:34 AM

Tuesday, September 12, 2006

Clinicals Eve

So the big day is about here. It's tomorrow the day i start my clinicals. I'm starting to have cold feet now :( Sad haha, that laugh is to let out some nervousness and anxiety. I laugh and tell jokes when am nervous about something.Before i even get into the whole clinical vibe let me just break it down, how the Fundamentals class has been so far. It's been ok. Besides you know who writing exams in tagalog and teaching straight off of the cds that came with the book, it's been fine. The lab class has been a kick back, literally no sugar coating. I don't feel like i learnt a whole bunch in it but hey when i start doing the hands on i hope it'll fall in place then i can connect the dots, just hopefully...

Yesterday. Monday night was lecture night. Finally we got our uniforms, they gave them to us in class contrary to what they said on orientation day that they'd come to us in the mail but it's same difference to me. Everyone was fitting there's in class. I waited out until i got home to try mine on and they are a perfect fit and oh so very cute tatata, plus with my tenies on, i look good to go. I hope it's as easy as i'm trying to make it sound.

Yesternight was first night of class w/out Q. I miss her already, too bad she can't be in my cohort anymore. They also gave us out Med Surg(which my next class beginning 09/25) schedules. It sounds complex and i've not even started it and plus she was kinda mean to everyone and rubbing everyone the wrong way and she's not even teaching yet. Is it me or is it getting worse? oh well...I'm excited and graetful to God b/c for my Med Surg class my clinical placement is in a hospital near my house. Also no more saturday classes as i said last week. So hopefully it'll be a tad better but i know for sure the workload won't let me.

The program is really fast pace. I barely started the fundamentals class and look i already see the shore, like i should be reading for the final right now. Again last night Lisa said to read the ATI book, gotta do it. Hopefully the final will come from the ATI. We also got our 2nd exam back and you guessed right i so flanked it, not like i expected to ace it. I didn't read jerk nada b/c i was all busy studying to retake my Med Calc exam and i had both exams on the same night and my priority was def the med calc exam which i passed. I have to ace the final so bad.

Tonight i'll have to wash my uniforms. They are all starchy and new-smelling. Tomorrow clinicals at 3pm. I commit this to God. 3pm-11pm that's an ok shift considering for my med surg its a 12hr shift, i believe nothing i can't do, so help me God. G is giving me a ride there so thats a day one plus, gotta keeping writing my gratitude list right? then for my lab the L.I was really nice and gave me a ride to the trolley each night after class so that too was a huge blessing.

I'm really nervous about tomorrow. I hope and pray i'll be fine. I hope i get a good patient to work with and a great nurse. Well i'm trying to expect none of both,b/c according to me expectations are resentments in the making so am just hoping right? God help me, i'm leaving it all to God.

Okie gtg now, will hopefully come back and update you on how it went. God luck to me. Go me!

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posted by Student Nurse at 3:42 PM

Thursday, September 07, 2006

clinicals

Life has been ok. What can i say? Not so good but with time i've learnt projecting does jerk for me and am so keeping that lesson. School is same old. Yesterday was last day of lab class. No more class, yaay! Next Wednesday i start going to hospital. I'm totally excited about it. For my lab evaluation i did 3 procedures, Trach suction , Trach change and administering an IM injection. I did great in those 3. I would have loved to try the IV procedure and NG-tube because i don't feel confident with those yet. I also had to write up a case study for a diabetic pt w/an ulcer on her R leg. The paper had to include nsg interventions, nsg evaluations and rationales and nanda dx. That was intensive. I also had to write up a sample charting. I need to buy the NANDA book pretty soon.

I've not worked in such a long time. Honestly i can't even for the life of me remember the last time i worked. How have i been surviving? One of my best friends sent me a check, which cleared my over-drafted a/c. My moms also sent me some money which paid off my cellphone bill. My a/c is over-drafted once again. It's my way of living right now. I deposit a check, wait for it to cash and clear overdraft and then over-draft STAT again. Right now i need to work so bad. Food-wise, i have a 38-pack box of noodles and Y sent me a package some weeks ago and my angel L also gave me a package so in regards to that sailing hasn't been as bad.

I'm excited because for my med surg class which starts October no saturday classes instead we'll have 10, 5hr lecture sessions which is woohoo for me b/c then i can work, God help me. I need hours so bad. I called them up said i'd be available this weekend so i pray God favors me.

I'm still waiting for my clinical uniform to come in the mail. As you know my white tennis shoes have been around since forever.

The bus/trolley schedules were changed b/c of lower ridership in my county. That totally sucks and some. I gotta wake up early and walk to the trolley or wake up later than i used to, get to work later than i used to and work till late then most probably end up walking home. I think I should move. I'm thinking of moving the only thing is my landlady right now is easy with my rent, i mean not like i don't pay it on time but it's overly fair. Cheap but comes w/ so disadv's. Cheap is expensive sometimes. I don't think i'll move out. I think i will in light of my strengths and in spite of my weaknesses, practise my driving, go to DMV and do my written and behind the wheel exam, i really need God's grace, i have it i know i just have to keep reminding myself.

My lecture final is on the 09/23. I should be reading my ATI Fundamentals book. B/c she hinted that's where she'd test from so hopefully i'm on the right track. When i think of reading the PP book i feel overwhelemed coz the chapters are super long. Plus cammon we've had 2 exams already and both of them have been in 'tagalog' like hello? where was this in the book. Anyhow am not complaining i'll give it my best shot and I trust God I'll excel.

Go me!

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posted by Student Nurse at 1:28 PM