Tuesday, December 18, 2007
I'm Loving It
I went to school yesterday to help unpack and sort books for next semester. I was thrilled to note that I only have one new set to worry about this semester. We get all of our reference books in first semester and then everything after that are the books specific for the semester (for me, Med/Surg). We got our tentative class schedules yesterday too. During the first week we learn how to start IV's...
Tuesday, December 11, 2007
It is finished
I can't even begin to describe the feelings of relief I am experiencing at the moment. I think this picture sums it up...
Sunday, December 9, 2007
My Own Little World
For most of the semester I have kept my head down, ass up and kept out of all the typical squabbling/cliques that go on in this type of environment. I mostly did it because I immediately knew who in the class I wanted to stay away from, but didn't know their circle of influence.
So naturally in this study group I got to catch up on the class gossip and acted shocked at the appropriate times when classmates antics were talked about (but in reality it was just a confirmation of what I had already surmised).
That being said I received several comments this week along the lines of, "Where have you been all semester - we didn't know you thought that way?" and "How did you stay out of all of this mess?" Each time the answer was, "I was in my own little world." The best reply I got was, "That sounds like a good idea. Can I immigrate to it?"
Down to the final hours
That means on Tuesday I go in for my final evaluation with my clinical instructor and I get my grade for the class. I figured out that I need a 5% on this final in order to pass the class, which means I only have to get one question correct. That makes it nice because I won't be feeling the pressure to do well on the exam in order to advance to second semester. Unfortunately, I can't say it is that way for all of my class. Some really nice people who will become great nurses are struggling. The main problem they are having is learning how to think the way they want us to think.
Oh and on Tuesday night... the husband and I are going out for dinner to celebrate!
Tuesday, December 4, 2007
Squatting at Borders
I'm in love with the man at the liquor store
Thursday, November 29, 2007
Clinicals Are Over!
I loved the second part of clinicals this semester. We were at a local VA rehab facility and I got to see some interesting things and work with some really nice people. Also, I LOVED my clinical instructor. She is a great teacher and no matter what dumb things I did, she was always encouraging, yet correcting me at the same time.
So now I am trying something different while studying for the final, I am actually working in a study group. I have always been against them because I felt that the quality of study wasn't worth it. However, I think with all the time I have available, I am more open to it because I can study with them and then do some on my own. Yesterday was our first session and I think it went well. I also found out a bunch of gossip about things I was completely in the dark on. In fact, one of my classmates said, "Wow, you never seem to be in the middle of this stuff." I told her it's because I completely out of the loop and have no idea of what has been going on.
Oh, funny thing while studying yesterday... the question that was read was about how you insert a tympanic thermometer in an ear correctly. One of the choices was read incorrectly, but nearly had us all on the floor. One of the possible answers was "Move the penis to get into the ear canal." It should have been pinna, but I liked the first choice the best.
Monday, November 19, 2007
Riddle Me This
Sunday, November 18, 2007
The light at the end of the tunnel
I've been doing clinical at a local VA rehab facility. I've had two clients who were absolutely delightful. This last week was the first week for giving medication. My client sometimes is reluctant to take his meds, and he tried to get out of them, but in the end I prevailed. Just before we went to lunch I had to give him some Tylenol and he missed his mouth. He performed quite a dance for me trying to find it (it was stuck in his clothes).
Thursday, November 8, 2007
Shoot Em Up
While on the same subject, I got my flu shot today. The hospital conglomerate associated with my school gave us free flu shots. I was especially thrilled that she didn't activate the needle safety device while still in my arm. If you notice on the picture below, there is a button on the end of the shaft. You have to press it pretty hard to get it to work, plus it can pinch the skin when it retracts. Now, I'm not a fan of getting immunized, but I'm not afraid of it. The nurse today told me about a hospital employee who had to have two colleagues hold her down in order to get her flu shot, the employee was an RN!
Wednesday, November 7, 2007
Cathy can Cath
The Home Stretch
I had my midterm clinical evaluation. It went well so now we are on to the next clinical site with a different instructor.
Last week we got to go to a local long term care center (the new politically correct term for nursing home) and give flu shots to the residents. I did fine and no old people were maimed. I did feel like an idiot when my instructor pointed out that I couldn't understand my client not because of her stroke, but because she was speaking Spanish. So I said "Hola, como esta?" and wanted to say more, but realized the only other thing I knew to say was to order a margarita.
Thursday, October 25, 2007
Fruit Violations
Oh and the orange next to it... It had been shot up the previous week in class when I learned how to give injections. No fruit is safe in my house.
Sunday, October 21, 2007
Penises For Everyone!
A Great Name for a Dog Continued
Yeah, Yeah It has been a while
Wednesday, October 3, 2007
Student Nurse All Thumbs
During lab we learned how to give intermittent tube feeds through a nasogastic tube. It was a great learning experience for all my classmates... they saw all of the things you shouldn't do while giving a tube feeding. I will be practicing that skill next week on my own so that I don't a) pull the NG tube right out of a clients nose and B) cause them to blow up like a balloon from all the air I allow into their system.
Well, off to take a dosage calculation retest. You have to get 100% on it and I did fine with the math (you know - the HARD part)... I just couldn't remember how many milliters in an ounce. Luckily I only have to take a portion of the test again.
Plus this afternoon I have my assessment skills check-off. I feel pretty good about it, so hopefully my partner won't be catapulted out of bed when I start adjusting it for the exam.
Thursday, September 27, 2007
A Pain in the Pancreas
For all you medical types you can appreciate this... his lipase on admission was off the scale at 4,000... man he's such an overachiever.
It Depends
Sunday, September 16, 2007
Laughed Until It Hurt
We went to see Emo Philips last night. If you don't know who he is, check out the website. He's on the order of Steven Wright... and if you don't know who he is, then I can't help you. The husband mentioned that if Bobcat Goldthwait and Steven Wright had a child - it would be Emo Philips.
Anywho - we went to dinner at the comedy club and then to the show. We were seated next to the stage so we knew we could possibly be part of the show, and we weren't disappointed.
Several times Emo said something about being weird and maybe it was just coincidence, but he looked straight at the husband. Later Emo asked him what he did, to which he replied "Software Engineer" and so Emo followed up by asking, "So are you a musician?" The husband said, "No (but the bastard pointed to me and said I was)", to which Emo replied, "I've heard that genius and music go together, but obviously not in your case."
Later Emo asked me what instrument I played and I had to reply that I sang (which I did about 15 years ago). So he asked me what my favorite note was.
Then Emo asked how many children we had, I said none. He told the husband, "Flip her over next time."
It was a great night and Emo is someone we have wanted to see for a long time. I will leave you with a couple of things he said last night that stuck with me.
"I always wanted to teach spastic children, but then I realize they learn it on their own."
"I like a smart audience. If they don't have a good time they think it is their fault for not researching all their entertainment options. A stupid audience just blames the comic."
And my all time favorite...
"My ex-wife who shall remain nameless.... if I am ever alone with her tombstone and a sand blaster."
A Leg to Stand On
Friday, September 7, 2007
Nursing Informatics: A Topic Close To This Geek's Heart
So as I was saying, I saw that today one of the topics is Nursing Informatics. I had NO CLUE what this is so I looked it up and found that " “Nursing Informatics is a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice." (ANA Scope and Standards of Nursing Informatics Practice, 2001,pg vii)
Here I was set to completely make fun of something and I ended up educating myself... not to mention the fact that we get to talk about data collection, computers and nursing - my trifecta!
Thursday, September 6, 2007
Dr. Nurse
She covered the RN-BSN route - which she said was good if you don't have another degree. She recommended that if you already have a degree, such as myself, then going into an RN-MSN program is the better choice. I was already leaning in that direction until she mentioned that there are more RN-PhD and RN-DNS (Doctor of Nursing Science) programs starting up. Naturally that got my attention since I eventually want to teach at a nursing school.
Time will tell which route I will go, but the Husband said, "Hmmm... Dr. Nurse - I like the sound of it."
Meltdown Avoided
Don't worry, I'm fine - this is just the reality of nursing school. We have so much information thrown at us that after a while it gets a bit too much. The head of our program, Dr. Whirlwind (not her real name, she is just like a whirlwind - always around and doing something) said that if we can get through this program, everything else will be much easier to us.
The Uniforms are Here! The Uniforms are Here!
Thursday, August 30, 2007
Talk about angst
Wednesday, August 29, 2007
Vital Signs Clinical
My favorite moment was while I was waiting for my instructor in the breakfast room with the other residents of the nursing home. One gentleman said something about all the different colors of pills he has to take and another lady said, "Yeah - we even burp in Technicolor."
Sunday, August 26, 2007
A week in review
I think off handed things my instructors said were more funny than anything. My favorite was:
"Don't do that, you will kill the patient."
We also had our first test this week and I did really well. It was a relief because I had no idea how the questions would be worded. Rumor from the second semester class is that the first two tests are easy and then they turn up the fire.
Friday, August 24, 2007
They weren't kidding
Sunday, August 19, 2007
The Support Hose are Coming! The Support Hose are Coming!
I also decided to buy an additional stethoscope. I bought a fancy shmancy Littmann and even though I got my name engraved on it, I'm not too thrilled with the idea of it walking off during a clinical. I ended up getting a cheaper model from Littmann to take with me to clincials (with my initials on the chestpiece) and I will use the fancy one for labs.
I also got a blood pressure cuff so that I can torment BB by taking his blood pressure until his arm turns purple :) Only kidding honey.. I'm told the bruising goes away rather quickly.
Saturday, August 18, 2007
Earnest Naming
* Not his real name
Not a Man Down
Friday, August 17, 2007
Duh-Huh!
Thursday, August 16, 2007
Not much to report yet
Tuesday, August 14, 2007
A Great Name for a Dog
He wants to name it Peeve.. so he can introduce it as his "Pet Peeve."
I was doing my reading last night and found another good possibility. I like the name Cerumen which means earwax.
Monday, August 13, 2007
My First Nursing Diagnosis
I was driving home and as I was approaching my exit the car in front of me decided to exit too, however he decided to come to almost a complete stop just before the exit. It prompted me to write my first nursing diagnosis for the driver.
Immobility at exit ramp related to inability to get head out of ass in time as evidenced by the butthead driving the car in front of me.
I don't think this what my instructors had in mind for a critical thinking skill, but it sure entertained me.
And So It Begins
Saturday, August 11, 2007
Man Down
Thursday, August 9, 2007
It's too damn hot
I went today for my employee health appointment at the hospital. All it was about was a reminder for me to get the last of my Hepatitis B vaccinations in November. I immediately went to HR and got my ID badge made. At least now I have a student ID so I can get into the movies at a reduced price.
Tomorrow I have off from school, but I will be spending a majority of the day doing homework. I've got a concept map to make, read an outline, print a forest of paperwork and do a scavenger hunt a to familiarize myself with Blackboard (the online component of our course) for Monday. Then I need to write a paper, take some safety orientation stuff for the hospital and look for journal articles for Friday. Pretty light load so far I think and NO I am not kidding.
I also need to finish setting up my schedule. I have to make a master calendar so that I can keep track of where I need to be each day, what time I need to be there and the dress code for the day. Gone are the days when I could just do it on the fly because I could remember everything.
Wednesday, August 8, 2007
Orientation Day #3
Today they pulled out the big guns and we had our overview of the two classes we will be taking. One of them is strictly classroom based and covers the profession of nursing, history, current nursing issues and other effluvia. I think as a class we were overwhelmed by the amount of work needed for the class and underwhelmed with the realization there will be a bunch of group work.
Most of the day was orientation for our clinical class. We went through schedules, the syllabus and the myriad of paperwork that each clinical experience will require. For this semester we will be at a clinical site once a week, lab once a week and in lecture two days a week. While it doesn't sound like much, I think I will be killing a tree with the amount of printed material I will be generating.
We also ordered our lab coats and uniforms. By the end of the session, there were no secrets left as far as measurements were concerned.
The last session consisted of presentations by the various student organizations. I'm interested in the student nursing association, but I have to say the idea of being a part of student government is a bit too much like high school for me. Plus, the nursing association people gave us all penlights :) I am so easily bought.
All I have to do tomorrow is get my hospital badge (which means I get a discount in the cafeteria woo-woo) and go to employee health for a 15 minute appointment. I have no idea why employee health wants to see me, so this will be interesting.
That leaves me plenty of time to do my homework needed for Monday. More on that tomorrow.
Tuesday, August 7, 2007
Title Change Necessary
There were several reasons why the caps were discontinued as part of the uniform. The main reason was that the students voted on not wearing them. They tend to get knocked off and they are an infection control nightmare. Plus, it was reported to the faculty that students from other schools during clinicals ridiculed the cap wearing students.
I have changed the title to include support hose because the director of our school spent at least 5 minutes extolling the virtues of support shoes. Thus the name change. Now if you will excuse me I have to go buy some.
Orientation Day #2
Our clinical instructors gave us the hospital tour. During the tour we were warned about tomorrow. We were told we should bring some Motrin because they are going to fill our heads with so much information we won't be able to see straight at the end of the day. From what I hear, it is a good introduction to nursing school.
Monday, August 6, 2007
Orientation Day #1
The day was great. We filled out a LOT of paperwork today and listen to some people come in and talk about security, the chaplaincy program and my favorite: Risk Management.
Part of our clinical rotations will be in VA facilities, so we had to fill out all the paperwork needed. I swear I am not making this up - but I think I signed my name more times in the VA paperwork than I did on our last house purchase. We will also have to schedule an appointment to get our fingerprints taken. Got to love the government!
Tomorrow we go through the HIP PA lectures and we get a tour of the main hospital where we will be doing our clinicals.
Making this short tonight, I have to read my student handbook and complete some online education for the VA.
Thursday, August 2, 2007
Math Hell
Boy was I wrong!
The subject matter consisted of us learning factoring, Venn Diagrams, fundamental geometry and other meaningless stuff. I think at least half of what we covered where concepts that I taught my 6th grade students 10 years ago. Please tell me we haven't regressed that much in the educational system. Oh and did I mention my favorite? Yes we had to do the dreaded "group projects". I was lucky enough to get a partner that felt the same way I did about the things.
Now this is a math course that is taught to future nursing students, so you think the metric system would be covered. WRONG. Why on earth would they have us study something we actually would use?
So putting the content of the class aside, the humor of the situation was the instructor.
Having come from an educational background, I have met my fair share of math teachers and they tend to have some logical thinking. This woman taught in the high school setting for over 30 years. Therefore, I figured she would understand the concept of teaching to your audience. That was so silly of me.
You are a math teacher and you are teaching adults who are going to be working in an environment where they need to be absolutely clear on what is going on. Therefore, they are going to be more anal and inquisitive than a 16 year old geometry student. This MAY mean that we are going to challenge your problem solving by coming up with multiple ways of getting something done.
The solution to getting the concept through to the class is not to repeat the same thing in a louder voice, the solution is to rephrase your answer or to listen to what our question might be and not what you THINK we are asking. Louder doesn't mean that it will penetrate our skulls with understanding. Louder = headache
It got to the point where I started to time the moment when she became unglued from the challenges to her logic and her inability to clearly explain concepts. Some days it was an hour, other days she lasted three.
Despite all of this I cut her a fair amount of slack like I do all my instructors. I understand what it is like, I've been there. HOWEVER, when you finally cross that line, it's not pretty.
The first night of class while discussing our research papers she told us we could either attach the reference materials we used (like it said in the syllabus) or we could just cite the resources. We were taking our final and she was grading our last paper we had to write. All of a sudden she says "Class, it clearly states that you are to attach your reference materials to your papers, some of you didn't do that." The immediate response was 18 people looking at her with dropped jaws and bugged out eyes. Keep in mind that we had already turned in at least two other papers by this point and nothing had been said. Naturally, one of the more outspoken members of our class reminded her of what she had said. The response was the typical annoyed, "Well, OK".
At that point she crossed the line - interrupting us during a test with this inconsistent drivel was the last straw for me. We get the opportunity to fill out surveys on the classes. Let's just say we could have roasted marshmallows with the flaming review I gave her.
Wednesday, August 1, 2007
So many places, so little time
A Few Words About My Pre-req Classes
Tuesday, July 31, 2007
Ya Sure, You Betcha, Y'all
Later I remarked that maybe the only reason why he suggested it was to see how weird my Illinoisan with slight Southern influenced accent would sound after living there a while.
Jumping through Hoops
If you want to get into a nursing school these are the steps you might have to go through before you can step through the door:
Fill out an application
Get 3 (but I got 4) letters of recommendation
Go to the Post office and get a cashiers check for application fee
Get all of your schools to send transcripts (I'm surprised they didn't want one from my mothers obstetrician saying what an exceptional fetus I was)
Write an essay
Take an entrance test
Wait while the Student Affairs Committee decides if they want you in the school
Get sick to your stomach when you see the letter in the mail
Jump up and down when you read that you have been accepted
Freak out when you realize what you have just done
Go back to the Post Office to get a cashiers check for the admissions fee
Undergo a background check (This wasn't so bad, the background check to get my temp job was much more intense)
Take all your prerequisite courses
Get a physical with bloodwork and pee in a cup
Make sure our immunizations are up to date (I've had 4 in the last month - my body is SO not happy with me)
Get a TB Test
Pay tuition
Get stethoscope and shoes
Follow up with getting more things faxed from your doctor
All the while keeping my fingers crossed that everything that you mail gets to the school on time.
It has been like a part time job getting some of this done.
I don't know what is worse
Friday, July 27, 2007
Doobie-Fibrillation
To correct the arrhythmia, he is sedated and then shocked with a defibrillator, which is called cardioversion. Since he recently slipped back into afib, he is scheduled for another cardioversion.
While talking with BB about it I theorized that we could have done it at home. I quipped, "Here dad, smoke this joint* and then hold these two electrical wires**." BB called it "Doobie-fibrillation".
Oh we laughed about that... and then I called my dad and told him our idea. He said it sounded like something the Mythbusters would have concocted.
* & ** in NO way am I advocating illegal drug use or electrocution. It's a joke people.
Wednesday, July 25, 2007
Breakfast, Beer and Baths
We stayed at an awesome B&B called the Lion and the Rose. The breakfast they serve is outstanding. It filled us up so much we didn't need to eat lunch the entire time we were there!
The highlight of the trip was a visit to Shoji, a Japanese themed outdoor hot tub retreat. We did the 2 hour spa vacation. We first showered at the main building and then put on Yukata's (robes) and were lead down a path to our private hot tub. After soaking for a few minutes I found that I enjoyed just laying on the deck in the sun. The real procedure is to soak for 10-15 minutes and then either get into the plunge pool at the top of the hill or take a cold shower localed just outside our tub. Next time we are going to get massages. I figure they will have to pour us into the car when we are done.
Besides breakfast and a bath, we also enjoyed some beer. Asheville has a number of microbreweries in the area and we made an effort to sample various brews while in the area. They were all good, but since I seem to have forgotten which ones we drank, I guess I need to go back and do more research.
Thursday, July 19, 2007
We Are Slow, But We Get It Done
There was also a mysterious stain on the wall. I'm please to say that it has been eradicated and no longer graces our home.
Tuesday, July 17, 2007
I Am NOT a Morning Person
BB has been making fun of me ever morning. Normally, he has to drag me out of bed. Not the last two days... I've gotten up before him and even gotten the coffee and have been (gasp) in a good mood. There is something seriously disturbing about these events.
Saturday, July 14, 2007
Felis Catus Helpus
So Why Do You Want To Be A Nurse?
Last night BB (AKA Big Brain, my husband) and I were talking about this very question and my difficulty in answering it without sounding like either an idealistic freak or a complete moron.
Information necessary to understand the rest of this story: For years I have wanted a dog. I understand the implications of ownership and the financial demands that accompany the decision. Therefore, it has just been too much of a responsibility for me to undertake. I decided that after I passed the NCLEX (nursing school boards) test that my reward would be to get a dog.
I have loved Basset Hounds forever and ever. There's something in those ears and stumpy legs that just melt my heart. I even love their stubborn personality. For years I figured I would eventually get a Basset. Whatever I get, the dog will have a job. I intend to train it to become a therapy dog. These are animals that go into nursing homes and hospitals to visit people. So keeping that in mind I knew that the Basset would be fine, but then I started to think about the Welsh Pembroke Corgi. They were originally bred as cattle dogs, so they have the stubby legs I love so much, a silkier coat than the Basset and they need a sense of purpose. Plus, they are SO darn cute!
Back to the original story:
BB made the insightful suggestion of saying "I'm going to nursing school in order to get a dog." I thought that was perfect. So now my answer is going to be "I'm going to nursing school in order to support my future dog." It is a short, true answer to the question. It sure beats the 5 minute lecture I could give on all the reasons.
Friday, July 13, 2007
Until Next Time
Sturgeons General
Former G. W. Bush appointed Surgeon General Dr. Richard Carmona is accusing the Bush administration for interfering on issues like stem cell research and emergency contraception because it didn't fit their political agenda. Excuse me while I try to appear shocked by this news.
Nope... can't do it.
I found it interesting that he and two other past Surgeons General testified to political interference while holding the post. Dr. C. Everett Koop said that the Reagan administration discouraged him from talking about AIDS and Dr. David Satcher said the Clinton administration asked him to delay releasing a report favorable to needle exchange programs. In both cases the men released the information.
Will anything change? No way, it's Washington. Was it nice to hear someone admit that there was political interference concerning public health all in the name of defending a particular groups dogma? Yes.
Thursday, July 12, 2007
Will it ever end?
Wednesday, July 11, 2007
The Check My Subconscious Didn’t Want to Write
This week is the deadline for tuition payment for the first semester of school. I went there to pay the balance of what my loans didn’t cover. While I was writing the check I had trouble remembering the date, wrote the amount on the Pay To: line and desperately wanted to write on the memo line: OHMYGODWHATAMIDOING. Instead I voided the check and wrote the correct one. I don’t think it was the act of paying for school that gave me the trouble nor was it the amount of money. I think it was because according to the check book log, I write about 2 checks a year (thanks to BB, who does the bill paying and credit cards) and have lost this life skill.
Anonymity
In order to keep within HIPAA regulations and to preserve some semblance of discretion, I will be referring to my classmates, clients, family and friends by nicknames. This isn’t a far stretch considering that from the moment I started taking my pre-requisite courses at the beginning of the year I privately gave my classmates nicknames (always ending in “Nurse”) when talking to my husband. I realized after about 4 months it would be better to use their real names so when he meets them I don’t have to whisper their secret identity to him.
So, on this blog everyone will have a secret identity. So stay tuned to the adventures of Student Nurse Cathy X. Is and her classmates Real-Estate Nurse (sells real estate), Security Nurse (lots of security related jobs that if I talked about he would have to shoot me), Cake Nurse (she makes wedding cakes on the side) and Grey Nurse (she loves Grey’s Anatomy).
Oh and the husband will be called BB = Big Brain. This comes from a conversation with a coworker who was meeting men that were blessed with brawn, but not brains. I told her she needed to get a guy with a “Big Brain”.
Communication
I know that I have a difficult time keeping in touch with friends and relatives when I get going on something. I am the antithesis of “The Great Communicator”. So this blog is my attempt to touch base with people and let them know some of the more entertaining stories of my nursing school experience. Plus, it’s a good way for people to know that I am still alive.