The Dog Ate My Care Plan…

Just a mom/wife/nursing student extraordinaire trying to make it in the big bad city…

Archive for January, 2011

Life of a Bee

Posted by isntshelovlei on January 30, 2011

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So in case you couldn’t tell from the abrupt cessation of posts—spring classes have commenced. I’m already back on autopilot, buzzing from here to there, doing what I do. This semester is Med-Surg II (Chronic) and Nursing Research. Med-surg is a handful—all of the pathophys makes it very “science-y”…gives me A&P flashbacks. But I do appreciate that we get to use the same mammoth textbook for all three of our med-surg courses—that will definitely save me a few ducats. I also really like our professor. She moves really fast, but she’s thorough and will stop to explain things again or a little more in depth if you ask her to (we’ve come a long way from the default response to every question being “it’s in the book”). Nursing research on the other hand, the professor of which is a self-proclaimed “cynic by nature,” is thus far…you know what, I’m not even going to go there. Let’s just say it’s not my favorite subject and leave it at that. I guess I’m a doer, and there’s just no doing in that class. No interventions to learn, no pathophys to navigate through, just reading, and writing. And about what? It’s PAIN-FUL.

On the bright side I landed a really good clinical placement this semester—top hospital, magnet status, and no Nurse Nastys (knock on wood)!! I’m on a cardiac intermediate care unit (I had been dreading the possibility of another ortho unit) so the learning opportunities are endless. Last week I would have thought a VT Storm was a model of a sports car. We had orientation yesterday and today was our first day on the floor and it went pretty smoothly. 

But two weeks into the semester and I am already beyond tired (some of you may have noticed my sleep deprived tweets). The other day at work instead of answering the phone “Department X, IsntSheLovlei speaking” I almost said “Nursing Research, IsntSheLovlei speaking.” Talk about having school on the brain.

But I’m almost there (so they tell me), and just trying to keep it together. 319 more days of nursing school on the wall, 319 days of nursing school, take one down and pass it around…

Posted in Nursing school | Tagged: , , , , , | 1 Comment »

Do As I Say Not As I Do?

Posted by isntshelovlei on January 6, 2011

According to the CDC, almost thirty-four percent of adults in the U.S. are obese. Surely that figure includes some of our doctors and nurses. In the shift from “sick care” to “health care,” or a more preventative health care model, we should be seeing a lot more patient education. But as a patient, how do you think I am going to look at you when you sit me down for the weight loss speech: chastising my diet/eating habits, telling me I need to increase my physical activity…if your BMI is just as high if not higher than my own? Isn’t that like the pot calling the kettle black?

Then at higher risk for heart attack and stroke we have our smokers, and more than twenty percent of adults in America smoke. If I’m a cardiac patient and you’re doing my discharge teaching and telling me how much I really need to kick the stick yet anyone standing within three feet of you knows that’s not perfume you’re wearing but more like eau de cigarette…I mean really…no wonder so much patient education just goes in one ear and out the other.

I’m not saying that health care professionals need to be perfect—totally abstaining from all smoking, drinking, and drugs (I mean what would I do without my caffeine?), and only eating tree bark and berries, after all, we’re human too, but shouldn’t we be a little healthier—or at least striving to be? What exactly is our responsibility (if any) to our patients here? Are we obligated to set any kind of example? Most of us are willing to inject foreign substances into ourselves all in the name of our “duty” to our patients. It seems to me that losing a few pounds or quitting smoking is a lot less invasive…

When faced with health care decisions patients will oftentimes turn to the health care provider and ask “if it were you, what would YOU do?” That’s because we’re the “professionals,” we’re more familiar with the most up-to-date research, we’re supposed to know what’s best (or at least be able to make an evidenced-based recommendation). Patients tend to look at their HCP as sort of a health role model. But when we don’t seem to be making healthy lifestyle choices ourselves, do we lose our credibility as patient educators?

Maybe a little practicing what we preach is in order…

Posted in Health Care, Nursing | Tagged: , , , , , | 9 Comments »

Selected Shorts: The New Girl

Posted by isntshelovlei on January 4, 2011

One day early in my orientation I was answering all of the fifty phones that were ringing because we were playing the lets-train-the-new-girl-by-making-her-do-all-the-work-while-we-facebook-it-up game. I answer phones the way I would think anyone would, not only at a hospital, but at any place of business—in a pleasant voice, providing my name and the name of the department that the caller has reached. So one particular call happens to be a semi-personal call for another staff member. I asked the caller if he could hold a moment and went to retrieve the staff member. When she picks up the phone the caller asked her who I was, as I sounded “professional.” She responded with a chuckle, “Oh that’s IsntSheLovlei, she’s new…” as if my absurd and apparently unexpected behavior warranted some type of explanation!

My bad. I guess after you get past the interview and are comfortably on the payroll (and in the union), some people feel like they can drop the charade (I mean who’s not on their best behavior during an interview?). Maybe they would have preferred that I’d answered, “Yo yo yo…wassup?!?”

Posted in Selected Shorts | Tagged: , , , | 1 Comment »

Carpe Diem!

Posted by isntshelovlei on January 1, 2011

So what’s it gonna be this year? Lose weight…quit smoking…go back to school…fix your credit? Every year many people go through this ritualistic task of making up a list of new year’s resolutions, only to toss them to the wind by the second or third week of January. Then they wait until next year to try again. What ever happened to Aaliyah’s motto: “dust yourself off and try again?” And I mean, right now, not three hundred and some-odd days from now…

I’ve been working on taking better care of myself. That larger goal is made up of many smaller ones (sort of like a care plan) such as getting more sleep, taking my vitamins, and learning to say “no” when I’m overextended. That last one is a lot easier said than done. I am so many things to so many people—mother, wife, sister, friend—that I myself get lost in the sauce sometimes. Add school and work into the mix and you can have a recipe for disaster. But what can I say, I’m a work in progress…

But why do we need to wait for a new year to make these self improvements? Every day, every hour, every minute, every second, is a new opportunity to do or be better. Live in the moment. Carpe diem—seize the day!

“In today already walks tomorrow.” ~Friedrich von Schiller

Posted in Current Events, Odds and Ends | Tagged: , , , | 1 Comment »