Yesterday was a little insane.
R found out at the last minute (Tuesday!) he had to travel for work Thursday-Friday. We did some scrambling, and with the help of Grandma and Fairy Godmother, it all worked out.
Thursday morning I dropped Sweet Pea off at Grandma's and went to class. After class I stopped by, ate some lunch, played with Sweet Pea a bit, and nursed her, then changed and left for work. Sweet Pea was very confused.. She saw me put my coat on, so she ran over to the door so she could go out with me. I waved bye to her, and she turned around and waved at Grandma.
Eventually I made it out the door, sans baby, and headed off to possibly the most hectic shift I've worked yet.
I had eight patients (the most I've had), and though none of them were hard persay, quite a few were pretty needy. I enjoyed interacting with each one, but it was hard to cut conversations short and move on to the next room. I went to answer one call light, and asked what I could do for the patient. He said "Tell me goodnight." ....Is there anything else I can do for you to help you be ready to sleep? "Nope." Ok... goodnight..
I did have one patient discharged, so I was down to seven. As I was finally sitting down an hour later to start charting, I see a patient being rolled into one of my rooms. ...Um, hello, who is this? Is he one of mine? I know nothing about him. I don't even know if he's a post-op or a transfer, or what.
Yes, he's mine (so much for seven). Transfer from ER. Learned his name but still didn't have a chart or diagnosis. Surprise! He needs a catheter inserted. And vitals done. And blood sugar checked. And a urinalysis down to the lab. Now. Oy.
Finally got home after a very full 8.5 hours and was pleasantly surprised to find that Fairy Godmother had managed to get Sweet Pea pajama'ed AND asleep in her crib. Woot!
Friday, January 30, 2009
Tuesday, January 20, 2009
It Is Finished.
Today I turned in my application for the accelerated nursing program. They are due in two weeks, then the committee will review and rank them, then make calls to set up interviews.
I saw that 21 people had taken applications. I don't know if all 21 of them will decide to turn in the application, or if they will all be eligible (baseline GPA, done with pre-reqs, etc), but I do know that only 8 (possibly up to 12, but likely only 8) will be accepted into the program.
Applications for the traditional nursing program are available February 2. I will fill out one of those, just in case I don't make it into the accelerated.
There are advantages and disadvantages to both, of course. With the accelerated, you finish in less time, so you save on tuition. With the traditional, you actually have some time to have a job, so maybe you can pay for that tuition.
I saw that 21 people had taken applications. I don't know if all 21 of them will decide to turn in the application, or if they will all be eligible (baseline GPA, done with pre-reqs, etc), but I do know that only 8 (possibly up to 12, but likely only 8) will be accepted into the program.
Applications for the traditional nursing program are available February 2. I will fill out one of those, just in case I don't make it into the accelerated.
There are advantages and disadvantages to both, of course. With the accelerated, you finish in less time, so you save on tuition. With the traditional, you actually have some time to have a job, so maybe you can pay for that tuition.
Saturday, January 10, 2009
Orientation Over
Yesterday was my last day on orientation. I have a few days off, but my next day on, I'm flying solo! I'm not too worried- the last week has gone pretty well, and I feel prepared. I also know that the others on my shift are helpful, and glad to answer questions.
More positive feedback from patients and families. One gentleman said he wished I was his daughter or daughter-in-law, because I was so nice. Multiple others said I will make a great nurse.
I went in to check on one lady, whose husband Mr. B was there with her. When I asked if either of them needed anything, they looked at me like I had just offered to donate a kidney. I explained that I have been the family member of a patient before, and it's always nice being acknowledged. And when I came back with crackers and peanut butter and Sprite for Mr. B? Forget about it. When Mrs. B got discharged, I wheeled her down to where they had parked and helped her into the car. I got a hug and gratitude from Mr. B. Made my day!
And finally, a little PSA for y'all. If you are visiting your family member in the hospital, and the family member is getting a blood transfusion, and the pump controlling the blood flow starts beeping, please do NOT turn off the pump! I don't care if you are about to start your first semester of clinicals in your medical assistant program. Turning off pumps and then not notifying anyone tends to annoy those responsible for your family member's care.
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In child-news, Sweet Pea has finally given up her lifelong boycott of meat. Lunchmeat and chicken strips are currently popular.
And today (1.10) marks five years since R and I have been a couple, and five years since our first kiss. We are celebrating by watching football, just like that day in 2004. We may even get crazy and hold hands later, to recreate the moment. :)
More positive feedback from patients and families. One gentleman said he wished I was his daughter or daughter-in-law, because I was so nice. Multiple others said I will make a great nurse.
I went in to check on one lady, whose husband Mr. B was there with her. When I asked if either of them needed anything, they looked at me like I had just offered to donate a kidney. I explained that I have been the family member of a patient before, and it's always nice being acknowledged. And when I came back with crackers and peanut butter and Sprite for Mr. B? Forget about it. When Mrs. B got discharged, I wheeled her down to where they had parked and helped her into the car. I got a hug and gratitude from Mr. B. Made my day!
And finally, a little PSA for y'all. If you are visiting your family member in the hospital, and the family member is getting a blood transfusion, and the pump controlling the blood flow starts beeping, please do NOT turn off the pump! I don't care if you are about to start your first semester of clinicals in your medical assistant program. Turning off pumps and then not notifying anyone tends to annoy those responsible for your family member's care.
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In child-news, Sweet Pea has finally given up her lifelong boycott of meat. Lunchmeat and chicken strips are currently popular.
And today (1.10) marks five years since R and I have been a couple, and five years since our first kiss. We are celebrating by watching football, just like that day in 2004. We may even get crazy and hold hands later, to recreate the moment. :)
Monday, January 5, 2009
New Shift
Though not talking yet, Sweet Pea is now signing "more" and shaking her head no. This means we can actually have a little bit of a back and forth conversation! Kids can be interactive.. who knew?
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Yesterday was my first day working evening shift at the hospital. Evenings can get hairy, but yesterday was pretty low-key, so it was a good day to start. I had eight patients, and zero post-ops, so there weren't many surprises. It went well! If every evening were like that one, I'd prefer that shift hands down!
What's the difference between day shift and evening shift, you ask? (Pretend you asked.) What a good question!
Day shift is more structured. There are a lot of things to get done in certain time frames, so it is busy, but one day is generally similar to another. Vitals, breakfast, baths, linen changes, vitals, accuchecks, lunch, dressing changes, charting, pass on report, go home! Of course, you might have a discharge or a post-op in there, but each day you can expect some of the same things.
Evening shift is less structured. The only things you can count on are vitals when you get there, accuchecks before dinner, and another set of vitals mid-shift. A lot of post-ops are on evening shift, which means more sets of vitals. You never know how many post-ops you'll get, or what time they'll come up. Yesterday was pretty quiet, but today (I'm off) there are 13 surgeries scheduled, so it will be hectic!
Random fun fact: PG was the house float yesterday, so I got to see a familiar face every so often. :) Hi, PG!
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Yesterday was my first day working evening shift at the hospital. Evenings can get hairy, but yesterday was pretty low-key, so it was a good day to start. I had eight patients, and zero post-ops, so there weren't many surprises. It went well! If every evening were like that one, I'd prefer that shift hands down!
What's the difference between day shift and evening shift, you ask? (Pretend you asked.) What a good question!
Day shift is more structured. There are a lot of things to get done in certain time frames, so it is busy, but one day is generally similar to another. Vitals, breakfast, baths, linen changes, vitals, accuchecks, lunch, dressing changes, charting, pass on report, go home! Of course, you might have a discharge or a post-op in there, but each day you can expect some of the same things.
Evening shift is less structured. The only things you can count on are vitals when you get there, accuchecks before dinner, and another set of vitals mid-shift. A lot of post-ops are on evening shift, which means more sets of vitals. You never know how many post-ops you'll get, or what time they'll come up. Yesterday was pretty quiet, but today (I'm off) there are 13 surgeries scheduled, so it will be hectic!
Random fun fact: PG was the house float yesterday, so I got to see a familiar face every so often. :) Hi, PG!
Wednesday, December 31, 2008
Week Two
Still getting in the groove of my job. Going pretty well. Getting lots of positive feedback from patients and families. The sister of one patient today asked me why I want to be a nurse. Two reasons came to mind immediately.
1) I love interacting with people up close and personal. I like getting to know them, having conversations, sharing stories, making them laugh, offering them a listening ear.
2) It's amazing to be able to help people in such a tangible way. Example: One of my patients this week was having bladder issues. He was not able to urinate at all, despite being well hydrated, and he was very uncomfortable. I scanned his bladder, saw that it was indeed very full, and then drained it using a straight catheter. He felt so much better, and it improved his mood.
Some of the new things I've done this week:
-put in catheters (on both males and females)
-empty colostemy bags
... Ok those are the only new things I can think of. But I have found that I'm getting more confident with my basic skills, like taking blood pressure and whatnot.
I've had several days where I worked a full shift at the hospital, then drove straight to the assisted living place and worked another three hours. Those are long days, but the jobs are different enough that they require different parts of my brain. The hardest part is being away from R and Sweet Pea for such long periods of time. I leave the house at 6:30am and get back about 13 hours later. Just enough time to feed Sweet Pea, snuggle with her for a few minutes, then put her in bed.
BUT in another week, I'll be on evening shift at the hospital and won't ever be working both jobs on the same day.
School starts up again in just under two weeks. All I have left to take is A&P2, and I'll be turning in my application for the nursing program in the next month.
1) I love interacting with people up close and personal. I like getting to know them, having conversations, sharing stories, making them laugh, offering them a listening ear.
2) It's amazing to be able to help people in such a tangible way. Example: One of my patients this week was having bladder issues. He was not able to urinate at all, despite being well hydrated, and he was very uncomfortable. I scanned his bladder, saw that it was indeed very full, and then drained it using a straight catheter. He felt so much better, and it improved his mood.
Some of the new things I've done this week:
-put in catheters (on both males and females)
-empty colostemy bags
... Ok those are the only new things I can think of. But I have found that I'm getting more confident with my basic skills, like taking blood pressure and whatnot.
I've had several days where I worked a full shift at the hospital, then drove straight to the assisted living place and worked another three hours. Those are long days, but the jobs are different enough that they require different parts of my brain. The hardest part is being away from R and Sweet Pea for such long periods of time. I leave the house at 6:30am and get back about 13 hours later. Just enough time to feed Sweet Pea, snuggle with her for a few minutes, then put her in bed.
BUT in another week, I'll be on evening shift at the hospital and won't ever be working both jobs on the same day.
School starts up again in just under two weeks. All I have left to take is A&P2, and I'll be turning in my application for the nursing program in the next month.
Thursday, December 25, 2008
The End of Week One
Work at the hospital is getting better. I'm becoming more and more comfortable in my role there. I have a better idea of what needs to be done, and what I can and can't do. I was on the same section of the floor for three days in a row, so I got to know some of the patients pretty well.
One ornery old man had been pressing his call light constantly, complaining about everything, cussing up a storm, and just being a pain in everyone's rear. By day three, I think he had gotten more used to me (and vice versa), and I made sure to attend to the things I knew were important to him. Before I left his room, I checked to see that his trash can was close by, his pillows were arranged to his liking, everything on his bedside table was set up the way he wanted it, etc. That little extra effort cut waaaay down on the number of times he hit his call light, and he was more likely to agree to do the crazy things I wanted him to do, like wash up.
I had several patients and family members tell me I was doing a good job. A little positive feedback is always nice.
This week I've:
-discontinued IVs
-discharged patients
-had post-op patients (we are more vigilant with them when they are just out of surgery)
-discontinued catheters (but haven't put any in yet)
I just feel like I'm getting more of the hang of things, getting a bit of that intuition that you need in a profession like this.
One ornery old man had been pressing his call light constantly, complaining about everything, cussing up a storm, and just being a pain in everyone's rear. By day three, I think he had gotten more used to me (and vice versa), and I made sure to attend to the things I knew were important to him. Before I left his room, I checked to see that his trash can was close by, his pillows were arranged to his liking, everything on his bedside table was set up the way he wanted it, etc. That little extra effort cut waaaay down on the number of times he hit his call light, and he was more likely to agree to do the crazy things I wanted him to do, like wash up.
I had several patients and family members tell me I was doing a good job. A little positive feedback is always nice.
This week I've:
-discontinued IVs
-discharged patients
-had post-op patients (we are more vigilant with them when they are just out of surgery)
-discontinued catheters (but haven't put any in yet)
I just feel like I'm getting more of the hang of things, getting a bit of that intuition that you need in a profession like this.
Sunday, December 21, 2008
Christmas 2007 vs. Christmas 2008
Ahh, how much has changed in a year! Just thought I'd put up comparison pictures from Christmas 2007 (3 months old) and Christmas 2008 (15 months old).
These were both taken by BFF.
These were both taken by BFF.
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