Tuesday, December 23, 2008

Merry Christmas!


We're packing the car and getting ready to head to Houston for Christmas with Jason's family. Just wanted to wish my blog readers a very Merry Christmas! I hope that each of you has a wonderful holiday with those you love most and that you take time out to remember the birth of our Saviour...after all, He is the reason for this glorious season!

Oh, and by the way, I have no nursing news because I have not been doing anything nursing-school related!!

Friday, December 12, 2008

Yippee!!!!!


I'm done with the semester! I passed! I'm halfway through! Yoohoo!

Gosh, it feels good to say those things. I've actually been done since Monday but I waited to blog until my "official" final grades were posted. My final Theory grade was a B and my final Clinical grade was an A...so I earned a 3.5 GPA for the semester. I can hear my Dad now, "Where were those grades when I was paying for school?!" haha! :) Just think of all the "life experience" I had during that time, Dad! :) It's just the power of my new last name...Remmengas are just plain smart!

In my last few weeks of Clinical, I spent most of my time on the Orthopedics floor. Surprisingly I really enjoyed that specialty. Perhaps it's all the insight I've gotten this year watching my mom hop along on a bad knee! I was able to squeeze in another first as far as skills go and do some sterile dressing changes on post-op knee and hip replacement patients. I even got to pull a hemovac drain out of a patient's knee! (Not really all that exciting, but everything is exciting to me right now!). We finished up Clinical at the hospital the week of Thanksgiving and then came back nice and full of turkey for a very informal IV skills checkoff. I remember back in August when I was so worried about IV meds and tubes and pumps...now it's a piece of cake! Maybe I did actually learn something! :)

In Theory, my last unit was Neuro and Ortho. We mainly talked about comatose patients, strokes, headaches, Bell's Palsy, arthritis, joint replacements, etc. The neuro was okay but like I said earlier, the ortho stuff was very interesting to me. I made a 90 on my last unit test...probably because I really did enjoy reading the material!

We had a final exam this Monday that was comprehensive...which meant lots of information to review. Fortunately, I had done well enough on the previous exams that I only needed a 4 (yes, a 4!!) to pass the class and a 54 to make a B. I wound up earning enough points for my B...it felt good to not be too nervous about my grade (have to enjoy it any chance ya can!). Because it was a comprehensive final and everybody was studying the same material, I also got to get together and study with some of my friends from last semester. (See pic above...lots of books!)

Now I am off until January 20th. That's worth another Yippee!!! I plan on enjoying the holidays, doing lots of shopping, working a little bit, and catching up with friends. Once the holidays are over and it's just plain 'ol boring January, I will start cracking the books for next semester...the first 8 weeks are Pediatrics and the last 8 weeks are OB/GYN. Rumor has it that it's the hardest semester of school...

Anyways, I am waiting on some more pics to share with you. Once I get them from my classmate, I'll post them on here for you to see so check back soon!

Enjoy the Holidays...Stay safe and warm!!!

Monday, November 17, 2008

3 weeks left!



The good news is that there is only 3 weeks left of this semester (boy did time fly!). The bad news is that there is A LOT do in just 3 weeks!

Right now I am trying to finish up my Nursing Care Study which is a huge assignment we do each semester. Basically we have to ask our patient a bunch of questions about their perception of their illness, their health practices, etc. We analyze it all as well as write out a care plan with 3 nursing diagnoses for our patient. I know that sounds like a bunch of mumbo jumbo to most of you but take my word, it's very time consuming! When it's all said and done, I will turn in about 20 pages worth of work! I'm hoping to do well enough to maybe secure an A in clinical. In other clinical news, not much has been happening at the hospital. My instructor did arrange for me to get some time on the oncology unit this last week. It seemed a lot like a regular med-surg floor for the most part but I guess that is where I would need to start anyway to work my way up in the oncology world. I will spend my last 3 clinical days on the orthopedics floor- hopefully I can get in a sterile dressing change as I have not had the opportunity to do that yet. We will be done with our clinical days by Thanksgiving break and will just do some wrap-up business at school once we come back, including an informal IV skills check-off which I think I'm good on that.

In Theory, I made a 76 on the Gastrointestinal/Genitourinary exam. It was hard! I thought the Cardiac exam was supposed to be the hardest but this one was definitely tougher. Hopefully I am still on track for a B in Theory. We have moved on to the Neuro/Ortho unit now- studying strokes, comas, and a little bit of orthopedics. I have that unit exam on Dec. 3 and then a comprehensive final on Dec. 8 so there is still plenty of studying left to do!

I have posted a couple of pics of my clinical group from this semester. It's been a good group- we have not bonded as closely as I did with my group from last semester but I have enjoyed being with them. Most of all, my instructor has been fabulous. She holds us very accountable for our education but also really wants us to do well. It's a great combo!

Unless something really exciting happens, I probably won't post until after Thanksgiving. Hope everyone has a Happy Turkey Day!

Thursday, October 30, 2008

I did it!!!!!


I can't believe it's already been a week since my big achievement but this has really been the first time I have had to sit down and blog about it. Last Thursday, I finally successfully started an IV!! Woohoo!!
One of my nurse's other patients needed to have her IV restarted. I went in to take a look at her veins. Immediately I thought that it would be impossible. She was an elderly lady with very saggy skin, several bruises from previous blood draws, as well as "poke" marks from unsuccessful tries. I decided on a vein that I thought might stand a chance. My nurse, Nancy, was with me as my instructor was busy with another student. I started the steps and each step went perfectly...before I knew it, she had a running IV in her arm! It took all of me not to jump up and down and scream "Hooray" in front of the patient! Instead, I totally faked it and acted cool and calm...until I got in the hallway and had a huge smile on my face. My nurse said I did great and my instructor was waiting for me. She said she came up to check on me, walked by the room, and decided not to distract me. Thank you so much because I was in the zone! I certainly felt like a nurse that day! :)

In non-nursing news, I have a big weekend coming up- my best friend Gina gets married on Saturday. Yeah for her and Rob! Also, my beloved Red Raiders face the not so beloved texas longhorns. ut is #1 and TTU is #6 in the country...they are both undefeated...should be a great game Saturday night at 7pm on ABC (national coverage!). Too bad I will be at Gina's reception!!! I'll have my Guns Up anyway!!

As you can imagine, I won't be doing much studying this weekend! Happy Halloween!

Wednesday, October 22, 2008

A trip to the OR!


Well, not for me personally but I did get to go observe. I must say the recovery is much faster when you are just an observer and not the patient! Each of us got to spend a clinial day observing various surgeries in the operating room. I even got to put on surgical scrubs, the fun shoe and head covers, and the not-so-fun mask! The first surgery I watched was a left total knee replacement. It was amazing to watch the surgery tech set up all of the sterile equipment, including many large drills! The procedure was amazing too as they chipped and drilled away at the patient's diseased knee and replaced it with a metal piece. I'm sure the patient was very sore and has a lot of rehab to go through! The other procedure I watched was a patient who was having her breast implants replaced. The original implants were put in in 1975 and one had leaked and the other one was in bad shape too. The surgeon removed the original implants and then put in new ones. That's definitely not a surgery I'm interested in having! All in all, it was a great experience. I'm not sure I have any interest in OR nursing as one of the things I love is the interactions with patients...kind of hard to have that when they are under anesthesia!

My cardiac test went very well...thank God! I made an 88! Actually my whole class did well and our instructor said that was the first time she had a class where not one person failed. Now we are studying GI and GU diseases (gastrointestinal and genito-urinary)...will be another hard unit! Amazingly we are past the halfway point for this semester already. Wow, it is just flying by! In fact, where did all of 2008 go????

As for other news in my clinical experiences, I have now attempted 4 IV starts. Attempted being the key word as none of them have been successful. I have done everything right but apparently starting IVs is actually pretty difficult. Most of the patients are sick, dehydrated, have bad veins, etc. The nurses have been great...telling me that I did everything right and that starting IVs is never easy, even when you have been a nurse for a while. One good thing is that I am definitely over my fear of it and really do not get nervous when it's time to try one. I actually enjoy the challenge! (I know, I'm sick to most of you!)

Hope everyone is doing well and enjoying Fall (and all my fun new clip arts I put up!) :)

Thursday, October 9, 2008

I love Flu Season!


Not really! Just Kidding! But what I do love is the opportunity to give lots of flu shots! The hospital where I have clinicals at hosted a free employee flu shot clinic today and my instructor set it up so that each of us could go and give some. I swear I did 10 of them in about 5 minutes! The reason I am so excited is that I had not had the opportunity to give an intramuscular (IM) injection yet...(injections such as insulin are subcutaneous which means they only go under the skin, intramuscular goes into the muscle!). Let's just say I got plenty of opportunities today! I do love my instructor for this very reason- she's so good at seeking out various skills for us to practice. It's obvious that she wants us all to be good nurses someday!

Today was also a good day as I had the opportunity to really teach my patient a lot of information about his new diagnosis of Diabetes. A Diabetes Educator was supposed to come and teach him everything but she did a less than desirable job (giving him a video and saying "watch this" and handing him pamphlets and saying "read this" isn't very effective teaching!). He has a very limited knowledge base and had trouble reading the pamphlets. I sat down with him and tried to make it clear and simple and emphasize the most important parts like diet changes, blood sugar monitoring, and foot care. Little did I know that my instructor had walked by and overheard me talking to him ... she gave me kudos for my patient teaching!I felt like I actually made a bit of a difference.

Needless to say, this week was much better than last week! Thanks for your encouraging comments. :)

In my Theory class, I am anxiously preparing for my cardiac exam next Monday. If you are a praying person, please say a little prayer for me as I believe this will be the hardest exam so far in nursing school.

Now I guess I should stop procrastinating and get to studying!

Have a fabulous Columbus Day weekend! Oh, and when you get your flu shot, be nice to your nurse! :)

Saturday, October 4, 2008

My bubble has burst

Well, all I have to say is Thank God I have a wonderful and very patient instructor this semester! My clinical day on Thursday was probably the worst yet. It would be hard to explain it all through my blog so I won't go into too much detail but I just had a "bad student nurse" kind of day. As I arrived on the floor that morning, I could tell that I just didn't feel 100%- my neuromuscular disease was bothering me more than usual. Most of you know about my symptoms, how I get weak and fatigued more easily than most. I was getting ready to give my patient some pain and nausea medicines through her IV and my instructor was with me to observe. My weakness made me shaky and being shaky made me nervous about my performance. Put that all together and I was a mess! I made some silly errors and I felt like I was braindead. Fortunately I had a very understanding patient and my instructor was willing to help me through it all. Everything was fine in the end but I was just very disappointed in myself. I was ready for the day to be over!
In theory, we are getting to wrap up our cardiac unit (already?!). Time to start studying hard for the cardiac test that could potentially kick my butt! I'll keep you posted!
Have a good weekend!
P.S.-No opportunities for IV starts yet! :(

Sunday, September 21, 2008

I started an IV!





Okay, I'm back! I know I promised to blog more often but this school stuff is keeping me super busy! This semester is definitely more time-consuming than last semester. It's been good so far...we are a bit more independent in clinicals and they are actually starting to treat us like nurses! We are able to give all meds to our patients- oral, injections, even IV bags! The IV stuff is new so we have been spending a lot of time practicing in the skills lab on our own time. I enjoy learning about it, especially since IVs are such a big part of nursing care.

We have also been given the go-ahead to start IVs on a patient if the opportunity presents itself. Well, when I first heard that, I freaked out. I was so not ready to stick a needle in somebody's vein! My carpool buddy, Alisha, and I have been practicing the procedure together but obviously not sticking each other. My friend, Josh, from our sunday school class volunteered his veins as he is a firefighter/paramedic and went through this himself during his training. He and his fiancee, April, came over after church today and I did it!!!! I have proof too, look at the pictures!! The first stick was a little tough. I tried a vein in his hand and the vein kind of moved on me and it took a while to get it but the second stick was nice and smooth. It was a rush! He's going to let me practice again next weekend but then I think I will be ready to try it on an actual patient (probably won't have pictures when that happens though). :)

That was definitely the highlight of my weekend. Last week was good too. I made an 88our first lecture test which was a good start to a hard semester of tests. I might need those points later on!

Enjoy the pics! Thanks to Josh for letting me borrow his veins...and I'm also proud of my husband for not passing out when getting in close enough to take the pictures! :)

Sunday, August 24, 2008

Back to School and Back to Blogging!



Hi Friends!
Well, after an unplanned break from blogging, I am back! Coincidentally, so is school! Tomorow is the big day. This semester is called "Adult" and will focus on the Medical/Surgical setting in the hospital. Our theory classes will focus mostly on disease processes. Even though it will be challenging, I am looking forward to learning more about specific diseases.
My summer semester in Psychiatric Nursing went by quickly and successfully. I am definitely not interested in the Mental Health field of Nursing but I feel like I learned a lot about dealing with mental illness as well as psychotropic drugs which apparently everyone takes (i.e. antidepressants). The best part was that I earned 2 A's...a 4.0!!!!
My job has been going great. I am so glad to be working at the hospital and my summer experience has been invaluable. I can't wait to see how it helps me this semester in my clinicals.
In non-nursing news, I turned 30 on August 7th. I celebrated with a 70's party at our house. Here's some pics to make you laugh, one is of me and Jason and the other is me with some of my nursing school friends. More posts to come! Thanks for your patience over the summer!

Monday, May 12, 2008

I made it!

Well, it feels good to be able to say that I have successfully finished my first semester of nursing school! Last Tuesday was my last test. I wound up with an A in clinical, a B in Skills (sooo close to an A!), and a B in Theory...my semester GPA is a 3.33.

After our last test, I had everyone over for an evening BBQ at our house. We filled up on burgers, drank some celebratory cocktails, and talked about how fast the semester went by. I invited everybody's spouses, boyfriends, children, etc so it was nice to meet all of the significant others as well. Jason did a fabulous job as the grill master!

For now, I am catching up on the rest of my life and plan on taking some substitute jobs until I am able to start my new job at Baylor Medical Center on May 20th.

Don't worry, I'll continue to blog! I'm sure I will have some good stuff to tell you about my adventures on the job.

See below, I've included some pictures for you...The first two are from the hospital on our last day of clinical. The next one is from our night out, after our last clinical day, at On The Border. The last two are from the BBQ at our house...make note of Jason doing some serious grilling. :)

Some pictures, as promised...





Sunday, May 4, 2008

One more test!




As promised, here's a picture of my clinical group. The silly picture really captures our fun personalities, it's been a fun group. I have more from our dinner celebration we had after our last day of clinical but I still have to download them onto the computer. More to come!

My Theory final is Tuesday morning...I am so ready to be done with it! My other two classes are complete...I made an A in Clinical (woohoo!) and a B in Skills. I was a little disappointed about my B in Skills as I should have made an A. I had exactly a 90 up until last Tuesday's Wound Care evaluation when I didn't exactly do too well on the check-off. I made an 86 which isn't terrible but it was enough to drop me to a B. Oh well, I can revel in my A in Clinical instead!

Last Tuesday was definitely the most stressful day of nursing school thus far. We had the ATI test and the wound care skills check-off. Our instructors just put so much pressure on us to do well on the ATI test and there was so much material to learn. I have never been so nervous and freaked out about a test! I made a 73.3 so I passed and was able to breathe again. My wound care evaluation was that afternoon and my nerves were just so shot from that morning's test that it caused me to make some stupid mistakes (hence the 86).

Now I just have to survive one more test on Tuesday morning. We are capping off the end of the semester with a BBQ at my house that afternoon...looking forward to letting loose! :)

I'll be back later this week to recap on my first semester! Have a good week.

Wednesday, April 16, 2008

You're Hired!

Another week down! Sure feels good, too. These last 2 weeks have been good. Last week, I made an 80 on my Theory test and a 100! on my Foley Catheter evaulation. Yeah! (and i was the only 1 out of 10 of us in our clinical group to make a perfect grade, not that i'm bragging or anything...haha!) I also had a major paper due this Monday, called a Nursing Care Study. I had to interview my patient and ask them all of these "psychosocial" type questions and then sort of elaborate on it all in my paper. It consisted of 2 parts and when it was all said and done, I turned in 14 pages!

Nothing major this week...that's the last time I can say that until after May 6th. I plan on enjoying my long weekend because once Sunday comes along, it's super study time until the end of the semester! We get one free day to miss Clinical so today was my free day. I spent it doing laundry, having the refrigrator repair guy come visit, and going on a job interview! Yep, that's right...Mary's gettin' a job!

In order to continue strengthening my skills and get more and more comfortable with patients, they encourage nursing students to get a job in a hospital as a Nurse Technician. It's basically a Nurse's Aide but they call us Techs when we are also nursing students. I had my interview today at Baylor in Grapevine for the position on a Med/Surg floor. The manager I spoke to went to Nursing School at Texas Tech so we immediately hit it off. The interview went great and she said those 2 magic words, "You're hired!". The position is PRN which means it's on an as needed basis. I won't have a set schedule and can basically sign up ahead of time for any shift I can work. That flexibility will hopefully allow me to keep the position throughout the remainder of nursing school and then maybe help me get on as a real nurse after I graduate. I'm super excited and look forward to working on my skills as much as I can. Orientation is in May after I finish the semester so I don't have to worry about until then.

That's all for now...I will keep you guys posted as I wrap up the semester (hard to believe it's time for that already!). Oh, and I promise I'll have some more pictures posted next time so keep checking back...

Friday, April 4, 2008

1 month to go!

Well, Spring Break is long gone and I am back into the nitty gritty school work...BUT only one month left to go! It's been a busy couple of weeks at school. I have gotten to give another insulin injection which went very well. I also am now clear to check blood sugar levels (finger sticks) without my instructor's observations. It's kind of like my first truly independent nursing skill...not that it's exactly rocket science but it does make me feel like they trust me with something! I've been doing vital signs and physical assessments since we started but that's not nearly as much fun as seeing blood!:)

The grades are still satisfactory but there's a lot left to happen in this last month that could make or break me. Right now, I am busy studying for another Theory test and Foley catheter evaluation. Inserting a Foley catheter isn't really that hard but it's a sterile procedure so you have to be especially careful not to break the sterile field and because I am so new to all of this, it's pretty easy to break it! Our clinical instructor, Ms. Barnett, is the one evaluating us on this (yep, she's the real intimidating one) so needless to say, I will be practicing all weekend. If you're curiously wondering how exactly I can practice such a procedure, we use the Skills Lab and mannequins during school hours and then at home, I usually just practice the sterile technique part. Don't worry, Jason can relax! haha! :)

Although I will be very relieved when I know that I have survived my first semester of nursing school, I will miss spending so much time with my clinical group. Jason calls us a "sorority." They have helped me learn so much and I always look forward to our next silly discussion. There's no guarantee that we will be together in future semesters but I know we will be checking on each other's progress. Being part of such a close-knit group has definitely been one of the most pleasant surprises of nursing school...it makes you feel like you're not alone in this craziness!

Anyways, I also plan to start taking some more pictures so I will post them for your viewing pleasure. Back to studying...please pray for endurance as I push through this last month of the semester.

Have a good weekend and Sunday is Leo's 1st Birthday!!

Thursday, March 13, 2008

More Skills and More Good Grades!

Happy Spring Break! Yes, it's that time and I couldn't be happier! I am looking forward to having next week off and getting to catch up with some friends, watch all my Tivo'd Oprahs since January, celebrate Easter in Kingwood, and yes unfortunately, I also get to catch up on some school work.

So far, March has been a good month. The week before last, we started giving medications during clinical. The first day, we only gave PO meds (PO meds are oral meds, liquids, pills, etc). Then we got to the good stuff...injections! I had a diabetic patient who had an order for sliding scale insulin. Basically that means that we check his blood sugar with a finger stick (my first blood! i know, i'm weird for thinking that's cool) and then based on the blood sugar level, we give him so much insulin. I got to give 3 units of Novolin R Insulin in the patient's right arm! woo hoo! My instructor pretty much walked me through the entire preparation process (drawing up the insulin in the syringe) and let me tell you, she is sooo intimidating! It's much different than practicing in the Skills Lab and injecting mannequins. Everything went well and my very nice patient told me that it didn't hurt at all! :)

Our instructor also had to observe us checking vital signs and performing a complete physical assessment on our patient. I got all 50 points on it! I had such a nice gentlemen for a patient that day...he was also the one who was my guinea pig for injections...thank God for nice and patient patients!

Gradewise, I am doing well. 82 on my second Theory test and a 90 on my Skills exam. This week, we had another one of those scary skills evaluations (remember medication administration?). This time we did Nasogastric tube insertion and removal. Made a 99!

I also came down with a bit of a respiratory infection/head cold last weekend which lasted into this week. I managed to suck it up and get to clinical and class (such a change from the old me!). There's just no room to miss anything in nursing school.

After Spring Break, we only have about 6 weeks left. Wow, where did the semester go? I am learning so much and doing so much but I know the last 6 weeks will be the defining time of the semester for me. With that said, bring on Spring Break!

Thursday, February 28, 2008

And the work is piling up...

I'm back! Sorry it's taken me a few days to get back on here and give you an update. Last week started off good as I got the opportunity to discontinue and remove a foley catheter from a patient. Removing them is quite easy...first you drain the bag (you know what's in it!) and disconnect it. Then you deflate the balloon that's inside the person which is what holds the catheter in (it's deflated by sucking out the air with a syringe) and then slowly pull out the catheter(take a deep breath in!) and finally, clean the area and teach the patient to let the nurse know when they need to go to the bathroom next. My instructor came to observe my skills and she said I did "fine." (she's not one to overly praise). In April, we'll learn how to insert foleys. It was fun getting to do my first sort-of nursing skill!!

I had my medication evaluation last tuesday and made a 90! That was so not fun...I went into a mock hospital room with an instructor and began my evaluation. The instructor was so stoic, she didn't nod in agreement or disagreement so I had no idea how I was doing. Because it was so intimidating, my brain turned to mush at first but I quickly bounced back and did fine.

That's pretty much all I remember from last week. Sometimes the days are a bit blurry because I am just drenched in new information. I do remember that I actually got to have a relatively quiet weekend as far as studying goes...nothing major this week on the test/evaluation front.

So, now on to this week. Monday was not good. During clinicals, we have to complete a Nursing Care Plan on Monday or Wednesday and turn it in for a grade. My goal was to do mine on Mondays so that I could focus on more skills on Wednesdays. Well, it just wasn't happening on Monday. I got nothing accomplished and didn't feel like I had learned squat. It left me feeling so frustrated! Wednesday turned out to be a better day for a care plan anyway but boy was I rushed to get it all done! Like I said, no major grades or tests this week so that was nice.

In Skills Lab, we've learned how to insert nasogastric tubes (that's right, in your nose and on down to your stomach!). We also discussed suctioning and let me admit, suctioning sputum out of a trach does not sound as much fun to me as discontinuing a foley catheter!

Next week I have 2 tests on Tuesday! Yikes! I bet you can guess what I'll be doing this weekend...

That's all for now. Have a good weekend and Happy Birthday to my mother-in-law, Darlene!

Sunday, February 17, 2008

Pictures!



Ta-Da! Here I am! Proof that they really are letting me study to be a nurse! Pardon the 6 year old hair-do I've got going on...my instructor requires us to wear our hair back and out of our face so this is what I get to look like! We also can't wear jewelry, other than a watch, so I have to leave my wedding rings at home. I can handle that but what I can't handle is the 14 mini heart attacks I have throughout the day when I think I've left them somewhere!

Both clinical days went great. I followed a nurse around on Monday and on Wednesday I got to partner up with one of my classmates to work on a patient. We got to do vital signs and a physical assessment! We also got to help give a patient in a wheelchair a bath and change her sheets. One day when I am an RN I will be able to delegate those types of activities to nurse aides, but for now, it's my turn!

Best news of the week was that I passed my Dosage Calculations Exam...in fact,I made a 100! This test is extremely important as you must make a 90 or above and you only get 2 chances. We have to take it each semester but I am happy to say that I'm done with it until next fall.

I have been spending most of the weekend preparing for our Medication Administration Performance Evaluation. Friday night, about 8 of us got together at my house and practiced and when they are not around, Jason gets to hear it! Next Tuesday, I will meet with my Skills instructor and show her all 50 (yes, 50!!) steps in giving a patient either an intramuscular or subcutaneous injection. We have to show her all of the proper injection sites, as well as how to draw up cetain medications. It's another one of those do or die type evaluations but I'm glad I have had several days to perfect my skills. I'll be sure to let you know how it goes.

Hope everyone had a Happy Valentine's Day!

Sunday, February 10, 2008

I passed my first test!!

Last Tuesday turned out to be a great day! I had my first Theory test and made an 88!!! The class average was a 74 and boy, oh boy, was it a hard test! Our instructors had warned us of that....they said nursing school tests are unlike any other, and they were definitely not lying! It's just a lot of applied questions...you have to know your stuff in order to even understand what they are asking. Getting a good grade was definitely encouraging.

The day before, on Monday, we had to be "checked off" on taking accurate vital signs by our clinical instructor. That was a piece of cake! I think I've got temp, pulse, respiratory rate, and blood pressure taken care of, which is good since they are beyond basic nursing skills!

In our Skills class, we got to play with our needles for the first time. Yeah! So fun! They have these squishy rubbery pads you inject into, called injectapads. We practiced drawing up meds from vials and injecting with proper technique. Gosh, do I feel sorry for our patients who agree to let us stick them for the first time! But I tell you what, I will make my patient think I've done it a million times! :)

The funniest part of the week was Thursday night when 5 girls from our clinical group came over to study. We decided we needed to focus on injections since we have a super important evaluation coming up on the 19th. One of the things we have to show our instructors is that we can properly find all of the sites for injections using certain anatomical landmarks. In order to learn it correctly, you need to practice on each other, right? Well, here we are, me and 5 college-aged girls in the middle of my living room pointing and feeling each other for various injection sites...Jason comes walking in the room and gets the biggest smile on his face, he thinks he's in heaven!! Needless to say, Jason has volunteered our house for all future study sessions.

So what's up for this week?
Tomorrow I head to North Hills hospital to officially begin my clinical training. Yikes!! Things are really going to start picking up now but I'm so excited about what I'm going to see and learn. Our dosage calculation exam is Wednesday so please keep me in your prayers as I have only 2 chances to make a 90 or above on the test and continue in the program...I'm confident that I'll do fine but just hope that those test jitters don't get the best of me!

I'm charging my camera up tonight so I can get some pictures tomorrow as I head off to the hospital in my swanky uniform. I'll post them on here as soon as I can figure out how to do that! Have a good week!

Wednesday, January 30, 2008

So far, so good...

3 weeks down, many more to go. But like I said, I am celebrating all of the small victories each day and week.

On Monday, we had our hospital orientation at North Hills. We learned more about where we'll be and what we'll be doing...basically we'll rotate around on the surgical, medical, physical rehab, and progressive care units. I've been out of the hospital environment for more than 18 months now but after our orientation, I am so greatful for my time at Sloan-Kettering. During my time there, I learned so much about patient confidentiality (gotta love HIPAA!), patient safety, and just basic hospital operations. These are things we also have to know about so I feel like it's at least one less thing for me to worry about knowing. My experience makes me feel more comfortable in my new settings.

In Skills Lab on Tuesday, I had my first skills checkoff. Sure it was super informal and not for a grade, but I nailed it!:) We had to show our instructor how to properly wash hands and put on sterile gloves. If only it was always going to be that easy! Now we are starting medication administration...injections next week!

Today's clinical class included lessons on urinary and fecal elimination...I'll be nice and not elaborate on that one too much. :)

My first test is next Tuesday in my Theory class. A bunch of us are getting together a couple of times this weekend to study together at Starbucks. Nothing like a $5 cup of coffee to aid in the learning process!

I'll keep you posted as to how I do on the test. Have a good Super Bowl Weekend!

Saturday, January 19, 2008

Let the madness begin!

Well, I passed my first week in nursing school! I have decided that I will need to celebrate even the smallest of victories to keep positive throughout this challenging and exciting journey I am beginning.

As I was driving to my first day of classes on Monday, my stomach was turning in knots and my hands were a bit shaky. Why am I so nervous about school??!! Turns out, so was everybody else! All 10 of us in my clinical group were discussing our jitters which I think made us all feel better too, that we weren't the only one freaking out! For me, I think I was just so anxious to begin doing what I am meant to do!

For the first 3 weeks of classes, our clinical group will meet on campus before we head off to North Hills Hospital to terrorize our poor patients with our lack of confidence and ability. haha! :) (I'm sure those nervous feelings will return again then.) We have started working on "dimensional analysis." It's basically calculating dosages for patients with all sorts of fun math and conversions. Yuck! During the 5th week of the semester, we will be given a 20 question test in which we have to make a 90 or above to pass and if we fail it twice, we are out of the program. Makes sense though- do you want a nurse giving you meds who failed the test on how to calculate the proper dose? Now I was really worried about this test as I have never been a straight A math student, but our instructors are doing a good job in helping us learn and practice. The bad part is that we are tested on this all 4 semesters!

As for skills, we're basically learning how to be a nurse aide at this point, learning vital signs, giving patient baths, changing bed sheets in an occupied bed, moving patients correctly, etc. The funny thing is that even though experienced nurses usually don't like doing stuff like that (and I'm sure I will be that way too), it's so exciting and new to me that I love it! Poor Jason has to pretend to be interested when I come home from school and demonstrate to him how to put on sterile gloves! He's such a supporter!:)

As for my theory class, we are learning about the "Nursing Process." (Assess, Diagnose, Plan, Implement, Evaluate, in case you were wondering) Something I didn't realize before this week is that nurses have their own diagnoses they work with on a patient. A nursing diagnosis is different from a medical diagnosis in that a medical diagnosis is usually the major problem (diabetes, cancer, etc) and the nursing diagnosis is usually all of the causes of the problem (hypertension, edema, etc). Now, nurses are still to help treat the medical diagnosis based on a physician's orders but they have their own problems to solve as well. Interesting huh? I imagine that, based on where a nurse works, this particular responsibility varies. My theory class meets once a week for 4 hours at a time which I thought would drag on forever but our instructor does a good job of keeping us busy and again, it's all so interesting you want to listen! Such a change from the old Mary!

My other class is a Skills Lab. This is where we will be learning various skills and procedures that we will then have the chance to use in the clinical setting. Injections, venipuncture, and foley catheterization are some of things we will learn. Now, we may not get a chance to try out our new skills in the first semester...my clinical instructor said that only 2 people last semester got the chance to try their hand at foley insertions...is it sick that I hope to be that lucky?? I kind of feel like Dr. Yang on Grey's Anatomy, how she's always jumping at the chance to get in on the nitty gritty surgeries. That's the best way to learn though!

Sorry for the long initial post...I think this blog will also help me study as I write down a review of what I'm learning...You might be getting more of a nursing education than you asked for! Thanks for reading...Check back soon! Have a fabulous weekend!