Catch up on last semester

So I thought I'd write on the best and worst of last semester.

Lets start with the worst (in no particular order):
1. Doing badly on the first patho test & the final. I got a B. I would be fine with this if my mother wasn't so obsessed with A's.
2. Tearing my ACL. It interfered with things like clinicals. That first clinical back was bad. My patient that week had a bed alarm. So I was often walking really fast to get to him. That must have looked funny. I was lucky that the week I tore my ACL was a holiday, so there were no clinicals.
3. Paperwork and nursing care plans. It's crazy. I'm still having a hard time remembering I need to write with verbs and stuff when I'm not writing for class. Paperwork just seemed to go on and on and I know it'll get worst with every semester.

And now the good stuff:
1. Getting an A in fundamentals. Any A felt good.
2. Getting a 98% on that one test in patho.
3. Getting an A on the critical reasoning paper. This was our first big care plan/case study/paper that we had to write. It didn't help that the patient I wrote about was not the easiest. You would think that would make it easier to write about, but not when your patient is confused and you need info from him for the paper.
4. Clinicals in general. I loved them. I liked doing new skills and seeing new things. I also felt really good when I was able to connect to my patient and talk to them.
5. Being able to say that I now have only 2 more years of nursing school.

I have to admit that I'm already getting bored with break and having nothing to study. But I was inspired wonderfully going to the "recognition" or pinning ceremony to help out as an usher. Only two more years and I'll be there. I was disappointed that they did not do the actual pinning. Apparently it was hard to find a place to pin people at last semesters ceremony, so they went with the lei presentation. I can't wait.

I'm back

So I haven't been blogging. I like to think I have a good excuse, but mostly I've just been sick.

I've also been busy with school. Started clinicals 4 weeks ago. That keeps me busy. We have a fair amount of paperwork to do, but I think I'm stressing less then some of my classmates. It helps that we're not being graded, but clinicals is a pass/fail class. I do spend a lot of time working on the patho part. Though it helps that 3/4 pts have had cancer as their main diagnosis.
Clinicals are fun, but sometimes boring. The thing is that we're limited in what we can do. I'm enjoying having pts and learning new things. I realize that as I'm typing this I keep on wanting to abbreviate everything. And I feel funny adding all the verbs in. It goes to show that all the writing I've been doing lately is for clinicals.

I did much better on the last round of tests. It just generally improves my mood. Though I barely passed the medication calculation test. Ugh. I'll work on that.

Not the greatest post, but I just wanted to update the blog.

How's 2nd Semester

So far I can say that 2nd semester is very different from 1st. Both of my classes require time to study and lab is much more involved. I had several students from other semesters, plus on of our 1st semester instructors saying that 2nd is a lot harder. I didn't believe them that it could be that much harder, but what they said is true.
Just think about what I've been through the past week. Last Tuesday I had my first Fundamentals test and Wednesday was my first clinical skills test. Then Friday was action-packed. We went over the template for the care plans we will be doing every week for clinicals. Plus we got to play with Sim Man for the first time. Everyone was telling us how much fun Sim Man would be and none of us believed them. It was fun, but it required a lot of critical thinking.
This week we had our first Patho test. That went well. I realized I like this semesters classes a lot better because it seems logical to me. We're finally getting some of the background of why we're doing something. Last semester we learned all these assessment techniques, but didn't know why. Then at the end of this week we have orientation to the hospital for next week's first clinical.
I think I just need some sleep, and then I can start on this week's work.

Nursing School Bloopers 2

So it is now required that when I have some kind of orals/skills test that I become a total klutz. I dropped the NG tube twice. Plus at the same time the tape went rolling out of my hands, under the bed. I think it stopped before it went under the bed at the next station. Luckily my instructor was very nice about it. It helped that as soon as I dropped the tube I would say, "I dropped the NG tube and would need to get a new one." I can't believe that I blanked out about washing hands after taking off gloves. It's just when we practice we don't always go wash our hands. And I forgot clean gloves. Sigh. At least I remembered pretty much everything without any prompting. And I passed.

Another Allergy

I don't think I've written about it before, but I have asthma and allergies. Believe it or not it was adult-onset asthma and it was only after I as diagnosed with asthma did I realize how bad my allergies were. I have the general allergies to dust, pollen, etc. And I have recently discovered (last summer) that I'm allergic to peanuts.
Now I've added another allergy to the list this week - latex. You're wondering how I survived one semester of nursing school without figuring this out. Well the only time we used gloves was when we were checking patient's mouths. And I usually used non-latex gloves and if I used latex it was on and off within minutes. So we were practicing putting on sterile gloves and my hands started itching. No rash, but I never had them on that long. I really need to see an allergist. Who knows what else I may be allergic to.

Lab is going great. We had a lot of fun today practicing our wet to damp dressing changes plus NG tube insertions for next week's skills test. I'm not as nervous as I was, but that may be because I have a test to do before I do my skills test. It was disconcerting the first time I did the dressing change. It was so awkward pushing the wet dressing into the wound.

Back to studying.

Skills Testing

It's been longer than a week since I last posted. But I actually have an excuse. I'm fighting some kind of virus. Not really bad symptoms, except I'm really tired and have been having the full body ache.

This week we are learning about wound dressing. We're supposed to know this and NG tube insertion/feeding for skills testing next week. I was really nervous before we did NG tube insertions. But I've come to realize that it is not really hard to do it on the mannequin. The problem is to remember to do everything in the right order. And we have know why we do something. For instance, do not pack the wound too tightly, because it prevents wound contracture and capillary growth.

Plus we the first two tests for Fundamentals & Pathophysiology coming up in the next few weeks. Ugh. I'm going back to bed.

Loving 2nd Semester

I'm enjoying 2nd semester. I'm starting to feel like a real nursing student on my way to being a real RN.
What I love:
1. I'm really enjoying our "Clinicals." They are now just all in dry lab and we won't go to the hospital for a couple of weeks. But we're doing real "nursing things" like toileting, bed changes and moving patients. Next week we do our first real procedure - NG tube insertion and tube feedings. Everyone is having fun. Even though we're three sections, we're all doing lab together. It's great because we all feel that we're getting the same education. (This is compared to last semester, when there was a difference between what the different clinical instructors were teaching.)
2. Fundamentals class is interesting. Our instructor is really knowledgeable about nursing. She doesn't teach a clinical section, but is often in lab giving us her "pearls of wisdom." She can be really intimidating, but is very nice about telling you what you're doing wrong. And she has a great sense of humor.
3. Finally I'm taking pathophysiology. It's still at the stage where it's all overwhelming. But it's nice to finally learn this stuff.

Next week we learn about nursing diagnosis. Some of it seems silly, since we were told right up front that hardly anyone uses them anymore. But I think I will find it helpful to help organize my thoughts.

Note: If you have a skinny butt, sitting on a bedpan isn't that uncomfortable. But if you butt is bigger like mine, they do start to cut into your butt.

Nursing Bloopers

At the of November, I took my clinical exam. This was in two parts. During the first part, we examined a "real" patient, and then for the second part we wrote up our findings. We were in the new medical school, with their nice new examination rooms. You know those stools that you see in doctor's offices that roll around. Well, I tried to sit down to take a health history and fell down - twice. Both times my equipment fell out of my pockets. I finally got smart the second time and took out the heavy stuff. It also helped that I put the stool further down and did my best to keep it from rolling. Those are dangerous.
The exam itself went ok. My patient did have a leg cramp when I was doing the abdominal exam and I was running out of time. I was trying to be nice and let him recover. But at the same time I wanted to get him up so I could complete the exam. I did run over time in the end.
The story does not stop there. I was writing up my results, but had not thought that I should be writing in black pen. So my pen ran out of ink. I then borrowed a pen from someone else and her pen ran out. Luckily the 2nd pen I borrowed lasted until I finished. It's a good thing, otherwise my instructor would have gotten a report in her choice of pencil, blue or red.