The Dog Ate My Care Plan…

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

Posts Tagged ‘med-surg’

Life of a Bee

Posted by isntshelovlei on January 30, 2011

Image Credit: http://glitterista.blogspot.com

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…

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Lucy! I’m Home!

Posted by isntshelovlei on May 18, 2010

Nursing school—so we meet again…

So I have already accepted the fact that my summer is just going to…well…suck. Work, then class till 930 pm… clinicals Saturday AND Sunday… geriatrics (*shudders*)… No offense to those that love it, it’s just not my population. It reminds me of Fundamentals all over again—hip replacements and back surgeries; 98% of the floor on fall precautions… I would rather take another round of maternity over that. Oh well, such is life…

My Med-surg/Geri class starts tonight—but we didn’t even have an instructor assigned until yesterday! So the syllabus, book list, and first couple of lectures were just posted around 10:30 pm last night. Which of course leaves me plenty of time to buy 11 books (thankfully I already have 6 of them from previous classes), get them delivered (as if I would ever pay the school bookstore’s crack prices), and read the first few chapters for tonight’s lecture at 6pm (like that’s gonna happen). Excellent—we haven’t even started yet and we’re already behind…

The syllabus, though at 15 pages is one of the shorter ones I’ve seen, looks like one hell of a headache. Exams, quizzes, med math, check-offs…the works. And then Pharmacology, with all of its glorious attributes, starts on Thursday. I feel like that damn coyote dropped his anvil on me. Can’t… Breathe…

I am hoping though, that this is just beginning-of-the-semester jitters and I’ll somehow survive it all…

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Finally—Patients With A Pulse!

Posted by isntshelovlei on October 16, 2009

thumbnailSo we are finally out of the lab and in the hospital—woohoo for making it through all the exams, math tests, and lab practicum that made it possible. For a minute there I was becoming a little unraveled and thought I wasn’t going to make it. Our first day we had hospital orientation—which of course was boring as all hell. Videos upon videos we watched—fire safety, restraints, Accu-Cheks—ancient VHS tapes (do they still make those?) that they’ve probably been using for decades. And since watching TV has become such a rarity in my life these days, having to sit there and actually watch those videos for hours was just pure torture. Afterward we took a tour of our unit and the staff rolled their eyes at us with this “OH GAWD–we’re being invaded by nursing students” look on their faces. But whatever—never mind them. On my way home I stopped at Barnes and Noble to pick up a care plan book—Ackley’s Nursing Diagnosis Handbook—I LOVE that thing and highly recommend it. That along with my Medical-Surgical Nursing textbook (which at 2016 pages is more like a nursing bible) helps me crank out care plans with no problem.

Day 2 of clinical we were actually assigned a patient. The nurses were still less than enthusiastic at our presence, but none of them were downright nasty—though there were a couple that were a little more snappish than I would usually tolerate. But since this wasn’t my turf I had to fall back. I was assigned a sweet, older woman who basically had surgery but was discharged from the hospital too soon (imagine that—damn insurance pressure). So she had a fall, which landed her right back where she didn’t want to be. Acute pain, impaired mobility, and risk for peripheral neurovascular dysfunction were my nursing diagnoses for her. Probably should throw risk for impaired skin integrity in there as well. But basically all I did all day was vitals, hygiene/toileting, and meals. I didn’t get to give meds even though my patient was on plenty of them. I must admit I was bored out of my mind. The downtime at least gave me a chance to get a head start on my care plan. But even that was difficult given how cumbersome the nursing station had become with all the extra bodies—the only place left to sit was probably the bathroom!

And last but not least, we took our Fundamentals midterm last night (NCLEX-style questions of course)—I didn’t think it was so bad. You can usually narrow each question down to just two possible answers anyway. Both might even be right answers, but you have to determine which one is more right. Ah, the joys of nursing school…

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