The Dog Ate My Care Plan…

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

Posts Tagged ‘scrubs’

REVIEW: Cherokee Body Scrubs

Posted by isntshelovlei on April 14, 2012

So the folks over at ScrubShopper.com, a retailer of nursing scrubs and nurse uniforms sent me these Cherokee scrubs from Cherokee’s Body collection to review.

My life is hectic enough so I’m usually a if-it-aint-broke-dont-fix-it type of girl. I’ve been wearing scrubs for years now and already have a particular brand that I like and usually wear, but I’m willing to try anything once (sometimes twice). So as biased as I might have been I was actually pleasantly surprised…

As soon as you put them on, you know these are not your run of the mill cheap-quality scrubs. At first glance, they’re cute/fashionable (I’m a girl so that’s important—don’t judge me), and sort of sporty. I like the material, sort of activewear-ish, made of a 64% polyester/33%cotton/3% combo. They’re soft with just the right amount of weight to them, almost like real pants—not like some of the other paper-thin scrubs I’ve unfortunately had the displeasure of wearing. I mean who wants to wear see-thru wallpaper all day? I know you’ve seen the nurses where you can see the big “PINK” written across their arse right through their scrubs—definitely not a good look.

I like the way the Cherokee Body scrubs are cut. They don’t have that unflattering boxy fit—after all, I’m a nurse with curves, not a SpongeBob character. I’m also a peds nurse, which means a lot of bending and squatting and whatnot to get down and work with the kids at their level. These scrubs were up to the task; they really move with you (and likewise allow you to move).

I usually wear size small scrubs, but order medium pants because it gives me a little more room to stuff the pockets full of goodies (I’m a big pocket fanatic—the more the merrier I am). I carry half of the med room and pyxis around in my pockets. The scrubs definitely passed my pocket requirement but the pants did end up being a little too big and I kept feeling like my arse was hanging out (it wasn’t) so I was constantly retying the drawstrings throughout the day, but that was probably my own fault.

Overall I was impressed with Cherokee’s Body scrubs—I might have to make some more room in my scrub closet…

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Nurse Nasty Not Niceness

Posted by isntshelovlei on November 3, 2009

mean-people-suckLast clinical weekend I had a nurse from hell. Not only was she nasty to me, but her attitude even trickled down to my (I guess I should say “our”) patient.  The day started out how clinical days usually do, getting up at the butt-crack of dawn, hot-wheeling (as my children would say) to the hospital with just enough time to grab a cup of Starbucks before running in for report. I find the nurse I’m assigned to—”B”— introduce myself, tell her I’m assigned to such-an-such a patient…all that good stuff. She looks at me like I have three heads. I shrug it off—it’s too early, we’re all a little grumpy and most of us are waiting for the caffeine to kick in. She grudgingly pulls out her little notes to give me report. She tells me a few relevant things about the patient, but mostly just complains that she was “too young to need such total care.” She then asks (herself I’m guessing, because how the hell would I know), “Is this ‘the one’ with MRSA?” And proceeds to go back and forth in monologue about whether or not the patient had MRSA–something you’d kinda wanna to know before going in the patient’s room. We finally did establish that the patient did not in fact have MRSA.

So I go to check on the patient, introduce myself, etc. She’d had a dilaudid PCA from which she was being weaned (or actually by the time I got to her it had already been dc’d). Poor thing was clearly in pain and was wondering why her IV “didn’t seem to be working” so apparently no one had talked with her about it. I got my own set of vitals and asked her to rate her pain for me—which she of course rated as a 10 on a scale from 0 to 10. I reported this back to “B” who replies unsympathetically —“Oh well, she ain’t getting nothing else.” OH-KAY… The patient recently had a lumbar laminectomy, was discharged, then fell and broke her wrist. So she’s laying here with post surgery back pain, which was most likely made worse by her fall, a splint holding her broken left wrist together, and an IV in her right arm which was clearly infiltrated—unpleasant to say the least. So right about now, I’m stumped. Am I supposed to go in and tell my patient that her “real” nurse doesn’t give a crap that she’s in pain?

I return to the patient’s room to find breakfast trays are being delivered—good—a welcomed distraction. I helped her get set up—between the splint and the IV she really had limited use of her hands. She relaxed a little as we talked, but as the last traces of dilaudid wore off you could tell the pain was beginning to bother her again. Usually after breakfast we do hygiene and personal care, but she refused as she was in too much pain and did not want to be touched. I let her be for the meantime and decided to get started with my meds. Nurse Ratched finally allowed me to see my patient’s MAR (medication administration record), so I was able to look up the meds I didn’t know. She did not want to give me the key, nor let me into the drawer so that I could pull my meds. “You don’t need ME, you NEED YOUR INSTRUCTOR!” she snapped. Now at this point I’m seriously wondering what is this chicks’ malfunction? I went to find my instructor, who mind you is running around like a chicken with her head off helping all six of us pull meds (this was the first weekend that ALL of us did meds, previously just one or two of us would). After I returned with my instructor, “B” didn’t want to give her the key to the damn med drawer either!! She walked her devil-red scrubbed arse down to the room with us in tow, unlocked the drawer, and left without a word. Why couldn’t she have just done that 20 minutes ago? So I pull my meds, my instructor double-checks them, and then down the patient’s hatch they go.

At the beginning of the day the nurses were informed that the students would only be doing PO (oral) meds and injections—no IVs. Lo and behold we’re meeting with our clinical instructor in the cafeteria and Nurse Nasty hunts us down, MAR in hand—mind you the unit is two floors up, over the river and through the woods. “Why didn’t you give the such-and-such?” (I don’t remember what it was). I responded that was an IV medication. “Well how was I supposed to know you weren’t giving it?” Now she was really beginning to annoy me. If she took the time to actually l@@k at the MAR which she snatched back from me seconds after I gave the PO meds, she would have seen that I had not signed off on the IV medication—hence I did not give it! My instructor also added “I informed all of you this morning that the students would only be giving PO meds and injections today.” Nurse Nasty turns and leaves, horns just a-glistening. When we returned to the unit she now wanted to know why I also neglected to sign off on the patient’s Desenex powder, “You haven’t even bathed her yet…well what exactly ARE you doing today?” Nurse Nasty aparently forgot that “50” (she referred to all of her patients by room number and not by name) refused hygiene because SHE refused to acknowledge her pain status! Why would I apply desenex powder to a soiled ass behind?!? I figured we (more like I) could give it another try a little later after the oxycontin I had given her had a chance to kick in and her pain was a little more under wraps. Needless to say I could not wait for this day to end.

I realize that most of the time the nurses aren’t given a choice as to whether or not they will have a student nurse—I get that. The clear discontent of some of them is quite evident. And while they may be good at their jobs, some clearly do not have the right attitude to teach. But do they have to take out their frustration on us and even worse, the patients?!? Can’t they remember back to when they themselves were students? Sometimes I really do wonder why certain people have chosen this profession.

Thankfully, the next day I was not assigned to any of Nurse Nasty’s patients (which by the way, sucked for one of my classmates). I had a great nurse and two patients both of whom asked if they could take me home with them :). It was also the first time that I had more than one patient so I was busy—vitals, breakfast, baths, meds, fall risks, bed monitors going off, safety checklists, care plans…the whole shebang. My older patient (I believe she was 85-yrs-old) had literally about 15 9 a.m. PO meds. It took her three tall cups of water and about 30 minutes to get them all down. On top of the PO meds I had to give her a subcutaneous lovenox injection, “up close and personal,” as she called it. But I must admit that I do love when I give injections and they ask “are you done already?!?” It was an exhausting yet exhilarating day, and before I knew it, it was over.

We have clinicals again this weekend so we’ll see if Nurse Nasty remembers to take her happy pill. I guess sometimes the devil doesn’t wear Prada, but scrubs…

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Ready, Set…

Posted by isntshelovlei on August 21, 2009

NursingSchoolSurvivalIt’s been a month since my last post so I felt the need to check in. I actually wrote a quite lengthy post about the whole Creative Steps / Valley Swim Club incident but to be honest I am really tired of talking about it—Yes, we went to Disney World; Yes, we met Tyler Perry; Yes we had fun except for the fact that we were stalked by paparazzi and random people would stop us on the street because they’d seen us on television (I mean honestly how could you ever miss those bright orange shirts??). Thanks but enough already. Besides I think people have become so swept up in the hype that they’ve forgotten what this is really about and why this is all happening—that unfortunately, racism is not dead as some naïve folks would like to believe…  

Anyway, back to the next phase in my life—nursing school. I know I will regret saying this but—I cannot wait to go back to school. First of all, because I don’t know what to do with myself when I’m not overextended with work and school and home and so I’ve been sleeping to the point where my body is no longer absorbing it and I still wake up exhausted. Secondly, because I will finally get to do real nursing stuff! No more art history and world civ and pottery classes in an effort to make sure I’m one of those “well-rounded” students—bring on the pharmacology and starting IVs! Okay so this semester I’m just taking Intro to Nursing and Foundations so no IVs quite yet but I’m excited anyway. And I do realize that along with all this “fun” stuff there is a dark side—body fluids and poop to name a few, but hey somebody’s gotta do it…

We finally had orientation which gave me a little taste of what I should expect for the next two and a half years—total and complete information overload. You cannot even imagine all of the information that we were infused with in those four (short) hours. This included but was not limited to the bare essentials such as attendance and dress code, and professional comportment (“you don’t have to like everyone but you do have to get along”—trust me I get plenty of practice with this at work…). If you didn’t already know the grading system is a little different in nursing school. For instance in the real world a C ranges from 70-79, but in nursing school (or at least at mine) it’s a 75-77. There is no C-. Get a 74 and you just got an F. Get two of those and you’re sent packing. Talk about pressure! And let’s not forget the dreaded math policy–you must make a 90% within three tries on the math exams or you fail. I have long heard moans and groans about various nursing program’s math policies—“but I had the right answer, I just put the decimal point in the wrong spot”. Well, HELLO. Let’s face it, the difference between giving a patient 1mL of a drug and 10mL a drug may very well kill them.

We were informed of yet more stuff we needed to buy—such as a nursing lab kit filled with all kinds of goodies–BP cuff, IV set,  tracheostomy care kit, ostomy wafer and bag (I told you there was a dark side) and so on. They even threw in 10 whole alcohol prep pads (like those’ll last long). We talked about clinical compliance and all the reasons why former victims students were failed and/or kicked out—mostly HIPAA slipups. There was one girl who decided to get into an argument with a surgeon during an operating room experience (because of course she was so much more knowledgeable than he was)—so we’re no longer allowed to go to that facility. And lastly—the big kahuna—NCLEX-RN prep. So my school’s NCLEX pass rate hasn’t been so hot these past few years so of course they need to put in supports to help get that up. And guess who’s in the guinea pig class?—yours truly. So now we will have to take a HESI exam (which is supposed to predict NCLEX success) after each subject in order to continue on in the program. This is actually not a new concept. Other schools have already been using this method to weed out the poor achievers—and this is how they keep their pass rates higher. Basically you have to obtain a certain score on the HESI or you can’t continue in the program. At the end of the program you have to take the HESI “exit” exam and pass with a certain score otherwise the school won’t sign off on you taking the NCLEX-RN. So basically the school gets to make their pass/fail rates look great because if you don’t pass the HESI to their satisfaction you never get to take the NCLEX. Oh, and I almost forgot—we also have to do (and show proof that we did) 3000 NCLEX practice questions before it’s all said and done…so I guess I’d better get started now.

In other news my uniforms finally arrived and the pants are just as horrible as I remember them the day of the fitting. They are about three shades darker than the shirt but after an hour of retail therapy they had been replaced with some pants that I could actually live with (shhh…I don’t need the uniform police citing me for being out of uniform). And I know I live under a rock sometimes but when exactly did Baby Phat start making scrubs???—Kimora Lee Simmons definitely stays on her grind.  I am also now armed with my engraved Littmann stethoscope and some white Dansko clogs I got off eBay for peanuts compared to what they cost in the store. As soon as I knock off this $1000 book list I should be ready for nursing school. But the real question is—is nursing school ready for me??? Till next time…

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