February 9, 2007

Poor Anna Nicole, Poor Instructor, Poor Me



I can't believe that Anna Nicole Smith is gone. What a tragedy. First she gave birth to a beautiful daughter, then her son dies within the same week, then she's in a big who's the daddy scandal, then she's being sued and now she's dead. You ask yourself...how much more can one person endure? I guess we all know the answer to that question now. Although it's shocking, wasn't this kind of expected? Maybe not so soon, but I don't know if any of you have watched the news lately but her whole life was a big ole mess. I don't mean to be disrespectful of the departed, but she always seemed so out of it. I wondered sometimes if it was just an act and I hope a lot of it was. I can't imagine that she lived this way all of the time. Somewhere behind the glossy eyes was a real person with real feelings. She was human afterall. Celebrity or no, life can take it's toll on anyone. I didn't know her of course, but my perception is that the girl was just looking for acceptance, love and above all herself. She came from less than humble beginnings and rose to fame for just being herself. Was she really famous for anything really other than her huge personality? Sometimes the price of fame is incredibly high. There are a lot of things about her story that bothers me, or rather, makes me wonder. First of all, her son died in her hospital room. The one place you'd think you'd have a great chance of being recussitated if an emergency occured. I know that he was found a little while after he died, but why? I always wondered why someone didn't notice him dead sooner. I'm not speculating that there was foul play or anything, but I think it's really sad how he died in her hospital room. If someone had just walked in there earlier.... And there are reports that her "personal nurse" found her dead and called for help with CPR. Hmm....personal nurse....where was she before she passed out several times and vomited in bed? And why the hell didn't she start CPR? AND why would her nurse let her heavily medicate herself and not intervene? Why did she have Howard K. Stern's prescriptions? If this is true it's probably best to believe that he got those prescirptions for her, but if he loved her.....why? I'm sure he knew her better than anyone....didn't he know she was in danger and where was the weirdo/husband/lawyer when she was laying in her bed dying? We may never know the answers to any of this and it really isn't any of our business is it? It's captivating nonetheless and atleast now she can rest in peace with her son Daniel. Maybe this is the only peace she's ever had, we'll never really know. I can't believe her mother is already on the news talking about her dead daughter. Some people have no shame. Shouldn't she be grieving? Sigh! Kinda makes you realize why she was estranged with her to begin with. Poor Anna Nicole...she was so beautiful. Maybe her life really did parallel Marilyn Monroe's. Maybe Anna always knew her life would end at a young age. I really hate this for her baby girl who'll never know her mother and for what she'll go through in the coming months. No, she isn't old enough to know and that's for the best, but where will that poor baby end up? It's all still so unbelievable and I hope that those close to her will make peace with this.

Moving on....I ended up getting a 92% on my last exam. That's an A people......an A!!!!!!!!!!!!!! They threw out a couple of questions and took two answers on 3 others which I got credit for so I only ended up missing 3. It's a miracle. Here is what is so strange about this....did I tell you that half of the people failed the test? Well, I was wrong, we found out today that 3/4 of them failed. What does that tell you about these tests? They're freakin' hard and if she was a good instructor more than half of the students wouldn't be failing. We've never had these many failures before now....before her. She's so defensive about it too, which makes it worse. She needed to take this as a sign, humble her rocket scientist brain self and take it down a notch. I don't see that happening and the sad thing is she'll be teaching the majority of the next 2 exams.....God help us all. I passed by shear luck I did. I still felt like I was guessing and that isn't a good feeling, especially when you studied your arse off. I really shouldn't be complaining, but those who failed...that could have easily been me. I'm no different or smarter than those folks, I just managed to somehow play eenie meenie miney moe better than them. Many who failed, failed it hard and so their final grade was still a failing one. Damn it all huh? Our other instructor, the good one and my clinical instructor, she spoke with a few of us after clinical (which was the worst ever by the way...for one student who made a terrible potassium med error, bad, bad, bad and I'm not going into it b/c it's way too long) and she ended up breaking down and crying to us. The teacher.....crying....because she's stresssed.....what's wrong with this picture? Something fishy is going on at my school between the instructors and I don't know what it is, but it ain't good. Before the breakdown, she also yelled at us and told us all to leave, get the heck out, go home! We all sat there staring at her wondering if she was serious. She was. Another long story... We didn't leave, we changed the subject and pretended like it didn't happen. Can you say awkward? It was....you could cut the tension like a knife. She's human and confided in us because we confided in her. She asked us what she could do to help these students pass and what they were doing wrong as teachers. It isn't her, it's the other 'one' and we told her so, no holds barred, raw, truthful and quite frankly courageous because who'd do that? LOL She's at her breaking point as we all are. It goes to show that some instructors really do care and carry the weight and the guilt for those who aren't succeeding. But what does success mean when you do all you can to prepare for an exam, yet you still cannot pass it? It isn't the students, truly and we told her so. But....there is nothing she can do, she's stuck, trapped.....politics....sucks. It was a very real conversation. I could see the pain in her eyes. One woman, carrying all of us on her shoulders, her license, her career, her conscience. She guides us and works very hard to teach us, but mistakes happen on her time, and she's held responsible, she's the one to answer the questions in the hot seat. As the three of us sat there, wondering why she chose us to pour out her heart to, we connected. We understood eachother. 3 woman with families, work, responsability, home obligations. It wasn't a conversation of one instructor to a student, it was a stress relief of 3 struggling people trying to work through the chaos. I know this doesn't make a lot of sense, because I can't say too much, it wouldn't be right, but I want to say that I learned a lot about the goings on of our school and it's really scary and I'm scared. BUT we all feel better now and all we can do is keep on keepin' on as I always say. Some things can't be changed so you have to make the change and adapt. I've done a lot of that in my life......

Anyway...I hope I pass this semester. I know that right now I'm sitting at about an 89% average ( the last test they ended up throwing some ?'s out and I made an 86% YIPPY!), but that can change in a second. Those people can make awesome grades on the next 2 tests and I can fail them and be in their shoes. You never know. I keep saying....it can't get any worse than it is. Next semester has to be better(FINAL SEMESTER_WOOOOHOOO!...maybe :-/ ). I think the majority of the problem is that we are the guinea pigs for a new schedule. They changed it around this semester and as they're finding out....it isn't working!!!!!!!!!!!!!!!!!!!!!!! ARG!

We're now talking about the renal system.....yawn. I am just not into the material this semester, but it is interesting sometimes. Renal calculi....I am all up on that because I have them all the time. Kidney stones....they're a real pain in the......literally. OUCH!

OH, OH, OH, I forgot to mention.....I had an opportunity to start my 1st IV on a pt who was going to go to surgery. He needed an 18 gauge needle...yikes! That's huge by the way. So my classmate said...practice on me. I thought she was out of her mind, but if she didn't care......he he he. We didn't have the same needles. We practiced with butterfiles for skills, they use angiocaths I think, so it took getting use to. I tried on her twice and got blood both times but blew the vein. Woopsy. I decided not to start his IV because I didn't feel I had a good technique down yet and didn't want to torture the poor guy. Oh well, there's always another opportunity. Atleast I got to try my hand at it and thanks Tracy for letting me poke and prod on you and I'm sorry I hurt you. lol

Have a good weekend folks. I'm sure the next time I post I'll have some other crazy shiz to tell ya about.

Keepin' it lively....

Christy

p.s. posted a new video/song...check, check, check it out

I also had to re-post some of my vids and find new versions because they weren't available on you tube anymore....hmmm...there must be some new regulations going on. Take away the television, take away the internet, but if you take away the music you're taking away my soul!

February 7, 2007

Thank You 6lb 8oz Baby Jesus

Oh my goodness that test was so hard. It seemed like there were always 2 questions that were right and I felt like I was playing eenie meenie miney mo with them. It was a crap shoot and I thought for sure that I failed it and I thought I failed it bad....as in.. missing half the questions!!! I was ready to walk out and not come back halfway through I was so frustrated. Half of the class failed the test. HALF. That's a lot for a nursing test. I missed 7. I passed. I cannot believe it. Im still in shock. I got an 83% (C). I have since learned that they have already thrown out 2 of the questions so far so this means I missed 5 and I got an 87%(B). Even though I passed I am still upset and angry because I didn't think the questions were fair or worded in a way that we understood them. The 2nd instructors questions were fine....it's only the first. It's always the first....Mrs. Ambiguous.

I felt awful afterwards...drained. I was ready to go home, but we had lecture and had to start all new material....Renal. Yippy. You could feel the tension in the air in our class. Of course we are NOT allowed to discuss the test with the instructors afterward (big no-no), we're just left to sit and stew until the next day of class when they'll go over it with us. Torture.
Many people were talking about how they have now failed both tests....that's not a good feeling for the rest of the semester ya know? When you fail even one nursing test and you come to the final you can only miss so many questions or you'll fail the whole class....I hate that. SO that is what is weighing on many minds and I feel their pain. All of this hard work and you just can't get ahead. It's a scary roller coaster ride and your fate and future are in the hands of those instructors. You have to have a 78% in the class to move on to the next semester. If your final avereage is a 77.9% (D) they WILL NOT round up. No matter what, or so we're told, but I'd like to think that if it was that close they would, but it's in the handbook NO ROUNDING!!! In fact, they don't even round for tests. I think I got an 83.7..but my final grade for the test is just a lil old 83. I'm hapy with it and just thrilled I passed. I think God intervened and threw me a bone this time. Maybe he sees how hard I'm working and decided to let this one slide. :-)

Speaking of God. After class my friend M and I were hanging out in the break area waiting for our Micro class to start and an old 101 instructor walks by and asks if we're going to go to another building to get some food. They always have a lot of committees and club meetings that serve lunch that's free to the students. I was starving by this time so I said ok. So we walk in and I discover that we're in a christian student's meeting and there are only like 6 people there all who are putting in prayer requests. I felt bad because I was just there to eat and only had 20 minutes before my next class. I was going to get my food and take it with me, but then that would be rude wouldn't it? So I took advantage of the situation and decided to thank God that I had passed this last test and everyone got a big laugh out of it. I then scarfed down my food, said my apologies for eating and running and scurried out. I'm a christian and you better believe that I pray, but I couldn't help but feel like I was walking into somewhere I didn't belong. I wonder now if you have to be a member to eat free lunch. lol Oh well...it was a nice respite before the next class...eating ham and praying...what could be a better refreshment?

After micro we were off again...off to the hospital to pick up our assignments for clinical tomorrow. I have 3 pt's.....sheesh. I don't think my partner will be there. She missed class today because she was sick. I'd have to be on my death bed before I'd miss a nursing test because you have to wait until the end of the semester to re-take it. By that time you're worried about the final and who wants to be re-learning all of that material at that time? Not me, no way.

Well...I'm glad I passed. I'm glad that's over. Heck, if they throw out another couple of questions, I may even end up with an A...who woulda thunk it?

Peace and Love

Have any of you seen Taladega Nights (post heading reference). It's hilarious!

February 6, 2007

We're Not In Kansas Anymore

Got another big test tomorrow. Wish me luck. It's over Integument (burns-thermal, electrical and chemical. Hypothermia and frost bite) and Immune (HIV and AIDS, Lupus, blood transfusions and rx, anaphylaxix, different types of hypersensitivity rx, sepsis and septic shock, immunogloblins, lymphoctyes etc, etc...) It doesn't sound like a lot, but it really is. I have over 35 written pages of notes and about 8 powerpoints. I am not sure about how I'll do, but I know that right now I'm feeling pretty anxious about it. In 12 more hours I'll be sitting there at my desk panicking as always. I hate the way this instrucor teaches, or rather throws information at us and sends us on our way. She talks waaaaay over our heads and thinks we know a lot more than we do at this point. I wonder if she talks this way to prove to us how smart she is. I sometimes get that impression, which is fine, but we aren't smart and I want her to explain things to me like I'm in kindergarten ok? LOL Some teachers are just better at explaining than others and when you're dealing with a new concept (septic shock) and you aren't completely clear about what's going on and the phases, someone needs to break it down for you and she ain't that kinda person. Whew...that was windy. I just hope and pray she doesn't try to kill us with the questions because she's one of those ya know? I don't care what anyone says...her questions are tricky and she likes it that way. TRICKSTER!

The other instructor (who taught burns/skin) centers her questions around exactly what she taught. No games involved with her. They are challening and require a lot of critical thinking, but atleast she's straighforward about what she wants. If I'm going to miss a question, I'd like it to be because I just didn't remember or know the answer, rather than because I didn't understand the question. I hate it when that happens. Anyway... tune in tomorrow to see how I did. At this point it's completely up in the air, unpredictable and has no bearing on how much I studied. I am definately not in Kansas anymore kids.

Until next time....
Dorothy

p.s. I got my micro test postponed until Monday instead of tomorrow....Shew.

February 3, 2007

Not Bald Yet

I wrote a big, long post a couple of days ago and went to preview it and when I was finished I hit the back button instead of closing the preview window and lost the post. Arg...don't you hate when that happens? It frustrated me so much that I haven't been on here since. So, now I'm over it and back to post again. I'm glad it's the weekend, but today and tomorrow will be spent studying for my next test on Wednesday (Immune and Integument). I'd rather be cleaning or shopping or just watching the tube. I'd really rather be doing anything but looking at any more nursing crap. I'm so burned out and unmotivated right now. Plus one of my instructors is really p*ssing me off with all this extra work she's been giving us. She has no idea just how busy we are. I think they forget what it was like.

We had clinical on Thusday. I didn't have a normal clinical day like the others, but another girl and I went to CCU and observed. Every semester we go to specialty units for one day and just watch basically. 1st semester we got to follow a wound care nurse around. Lots of ulcers, gangrenous toes etc... Not my thang! 2nd semester we went to the OR and I wrote about that in a previous post. I got to see a breast reduction and an above the knee amputation. Sometimes the nurses will let us do some things, sometimes not. Thursday I got to watch a DR remove a lady's balloon pump and that was kinda cool....and gross. SHe let out a loud grunt when it came out. For those of you who don't know what it is, it's a balloon apparatus that's inserted through an artery in the groin area and threaded into the aorta of the heart. Everytime the heart pumps it inflates to push more blood through the heart. It assists the heart and decreases the work load. She had CHF and had a huge blockage that was inoperable. We all know what that means... She's 61 years old. Sad. When the DR removed it blood squirted across the room...good thing I had sense of mind to move out of the way...quick!!! It went everywhere. Shot straight out towards where I was standing previously. It was crazy. I got to remove her arterial line....it was also inserted through the groin. The nurse told me that once I removed it I had to use gauze and apply all of my body weight on her to stop the bleeding and I had to hold it there for 20 minutes. I removed it and out squirted the blood. She was a large woman and I had to dig in pretty far down to hold pressure. I was basically laying on her to stop the bleeding and the harder I pushed down the more the blood was pooling all around my hands. I was wrist deep in blood and I have to admit I was a little wigged out by it. I couldn't hold pressure anymore, I was tiring out so the nurse took over and I ripped off those gloves and surveyed my hands. My classmate was smiling and laughing at me. Thank God for latex. :-) She is going to be bruised and sore for weeks after that. They removed all of this because the prognosis was bad, so why not let her be without all of the appliances ya know? She seemed to be in ok spirits. We bathed her afterwards because she was made to lay flat on her back for 5 days without so much as a bed bath. She was thankful and kept telling us so. Sometimes all it takes is a warm wash cloth on the face to make one feel better and if that was the most I could do for her then I would.

After our observation we met the rest of our group who'd had clinical in the cafeteria for post conference. Our instructor (not the one I'm pissed at) kept myself and the classmate M who was with me all day behind afterward to "talk" to us. She told us that she knows how hard of a time we're having taking the extra class and if there was anything she could do she would. She told us that compared to a lot of others we were doing great. She seemed to really care for our well beings. I opened my heart to her and vented about everything. I told her how my hair was starting to fall out and how my anxiety level has been raised 10 fold this semester and she understood and comforted us. I tld her how hard it was to raise 4 kids and have a husband and so all of this at the same time. She was really understanding and offered us some good advice. She even told us that her and the other instructors don't always meet eye to eye and she thinks that some of the questions that the 'other' chooses for our tests are more designed for 5 year nurses rather than 3rd semester students. All in all it was a great conversation and it made me and M feel so much better. Atleast now we know that perhaps they, or atleast she, really does know what we're going through. I have a new found respect for her. She was really nurturing.
(I hope all of that made sense) lol

This is the hardest semester of my life. Here it is 3 weeks in and I'm already saying this, but it's so true. I spoke with my sister yesterday about it. She's a surgical tech on the labor and delivery unit. I was telling her how busy we are and how mentally draining it is and about all the pressure I'm under and she said..." I know how hard it is, I've been there." I'm sorry y'all, I hope I don't p*ss off any surgical techs because they do are hard workers and have a tiring job. BUT NO.....SHE DOESN"T KNOW!!!!!! It isn't the same in any capacity!!!!!!!!!!!!!!!!!!!!!!!!! Nursing & surgical techs are not the same thing. They didn't have to learn anything near to what we do. They are there to assist the nurses and doctors in surgery. They learn equipment and sterile technique, CPR and basic anatomy. They do not have to know 5000 + medications with their trade name, generic name, what the drug does and the side effects. They do not have to know how to assess a patient's entire body within a conversation. They do not have to know how to insert IV's, suction someones tracheostomy, give injections, put in NG tubes, intubate a pt who's stopped breathing, and ON AND ON AND ON!!! Sorry...I went off a litte there. He he. It just gets my goat (yes I said that) when someone says to me...I know I've been there if they aren't a nurse. Or when an accounting student proceeds to tell me that their job is harder than mine. Of course I just said..."uh huh"...."mmm hmm" to my sister. I didn't go off like a raging lunatic, but it is disheartening ya know? I mean, there are peoples lives in our hands and they are dependant on us to know what we're doing so we don't kill them. SO yes, I know that this is supposed to be hard and it should be. I wouldn't want a nurse caring for me who failed fundamentals...would you? LOL But the pressure is so monumentous it's sometimes hard to go on. I want to quit every day I walk though those doors. I use to love walking through them, stressed or not, but now I dread it. The end is drawing nearer and with it comes great responsability. The pressure isn't just about passing anymore, it's about ...can I really do this? Do I have the balls for this job? It's more of a reality now than ever. We're being viewed as the next generation of new nurses. Recruiters are throwing themselves at us like blood thirsty vampires with all the free goodies...fully paid tution, sign on bonuses, pens, lunch, fun little bags. lol The shortage is such a big deal and what's going to happen once all the baby boomers are all old? There won't be anyone to care for them...it's scary. If you don't believe me then read this: http://archives.cnn.com/2001/HEALTH/05/07/nursing.shortage/index.html

That's some scary stuff folks. Crisis. The most I had to worry about before all of this was..dr's appointments, grocery shopping, looking cute and being a housewife. LOL Now I'm go home thinking, did I check that pt's distal pulses? Did I forget to give him his medication? Did I do the assessment right? Etc... So, yea my hair is starting to fall out and I'm always feeling like I'm the thin line of sanity and just plain crazy. No, I'm not bald yet. LOL No I'm not really crazy yet, just a little. So please don't flame my post. I'm just a little stressed and tired...but will keep on keepin' on cause I'm not a quitter. If I can do this then anyone can. Once this nursing school is over I'll be in a different world. Of course I'll still be my worrying little self, that's just who I am and yes I'll be laying in bed at night wondering if I did all I could have done for my pt's that day, but atleast I won't have to do all of this while studying for exams, doing care plans and spending every ounce of free time with my head in a book and raising a family. What a marvelous time that will be.

Oh yeah....I also wanted to mention that I ordered a new stethescope and I'm excited to get it. I have a Littman lightweight now and it's fine, but the acoustics aren't fantastic or anything. I saw this one http://standris.com/stethoscope_3mlittmann_breast_cancer.cfm and I just had to have it. I got the tubing engraved with my name on it...so no stealing people!!! It's the Littman limited edition breast cancer awareness SE II steth in baby pink and it's so cute. $5 dollars of your purchase goes to the cause too. My friend has the SE II and the acoustics are a lot better. I could actually hear the chambers fill and squeeze. If you're going to get a steth get a good one off the jump, otherwise you'll be like me and waste your money.

January 27, 2007

Clinicals, Exam I, and Feelling all Nursey Inside


What a week I've had. I decided I had to update my blog to share the events. Where to begin?

Tuesday: (I believe) was the day we found our dog...thank goodness. :-)


Wednesday: Wednesday was a rough one. I had to be at school at 8. I had nursing class until 12:20. Our instructor gave us a huge list of cancer drugs to remember ( not to mention all of the other lecture we had that day) and I was red hot over it. For one, the test was on Friday...you don't give us a list of drugs on a Wed. for a test on Fri. Especially when we have clinicals all day Thursday! ARG! BUT I kept quiet and gritted my teeth....silently. ;-) After nursing I had Micro. We had a quiz and looked at some bacteria on the microscope and yada yada. Left Micro at 4 got back to my town at 5. Had to go straight to the hospital to pick up my clinical assignment for the next day. I was there for an hour and a half looking up labs, history, drugs etc... etc... Plus I didn't know my way around the unit so that took some getting use to....but the nurses all seemed really nice. Leave the hospital around a little before 7 and had a break down in the car coming home. I finally had to cry. What can I say...it was the only moment I'd had all week to breathe or think. I pull up in my drive way and try to get it all out before I had to go inside. Did I forget to mention it was my youngest son Aidan's 4th birthday? It was and I was so sad that I missed most of this day with him. He deserved for me to be there. :-( Mommy guilt is a b*tch. SO... I go in and we had our small little party and I put on my happy face for him and he had a good day, but I still feel bad for not being there. Makes me want to cry just thinking of his sweet little face.


OK moving on.....


Thursday: Get to the clinical site at 6:30 am. We had a pre-conference and off to work we went. All day our instructor kept saying that as long as we don't kill anyone nothing matters today. But the next time...I'll be all over you if you screw up and you won't like me so make it count. Um...alrighty then. Now I will forever think of you as the Nazi...thanks for that. Not to mention that the more you try and intimidate me the more nervous I'll be and the more likely I'll screw something up so STOP IT!!!!


LOL


Don't you just love clinical instructors??? We actually had groups of 2 working on pt's that day. Two of us were to share 2 pt's and then both pick one a piece to do a care plan on. It sort of worked out where I took care of one pt and she had the other all day, which was fine with me. We weren't really suppose to do that, but it was nice to give all of my time and attention to just one pt. I really like my partner though, she and I are good buds and she's always there to help me if I need it and vice versa. My pt was really sweet. He was an 80 year old man who was admitted for a L inguinal herbia repair. He also had a history of MI (heart attack) and drug induced Lupus....ugh...not good. I learned a cool word this week..iatrogenic. It means that treating one problem can lead to another problem and this happened to this poor man. He was taking meds for something else and ended up with Lupus (basically the body's immune system is attacking itself). Damn. I got his vitals right away and noticed his O2 Sat was 83% (should be 90-100) and his respers were 26(norm 12-20)!!!! Whoa Nelly! I ask him if he feels like he's having trouble breathing and he said no. He seemed to be using his accessory muscles a lot so I immediately told his nurse and we put him on 2L of O2. Why didn't anyone else notice this before me? This has happened at clinical to me before. My instructor said I got brownie points for this insightfulness, which is all fine and good, but I think anyone who knows how to use a pulse ox and count respirations would know this wasn't good. Ok, so he was doing ok once the O2 was on and I did the rest of my assessment. I felt like a nurse for the first time that day...truly. It's something I can't explain, but I felt....ok this is the right place for me to be and that was a good feeling.....especially after the trying week I had. I just felt like I knew what I was talking about and I knew how to do things without having to think it through so much. I had a good handle on what was going on with his labs and vitals and everything. I won't tell about the whole day because it was long and not too awfully exciting, but I can't help but think that I had something to do with that man getting better. Atleast for the day anyway. By the time I left he was off of O2 and his O2 sat was in the low 90's...not the best, but better than what it was right? Oh..and I also noticed that where his cath was inserted was some reddish brown (don't read further if you're squeamish) discharge coming out of the meatus. I did peri care of course and informed the nurse. She said it happens a lot with men...this didn't seem normal to me, but she's the nurse and I'm not so I didn't press it further. So.....we finally got out of there at 5'oclock and guess what? I had to scidaddle on home so I could study because I had my 1st test the next morning. YAWN!!!
Friday: 8 am: sitting in the school parking lot sweating like a ...a...really hot person. I'm starting to do that thing again, you know that rapid, shallow breathing thing that gets me in trouble every time. Anxiety....it sucks. The test started at 10:20 and all I could do was stare at the clock every other second. I did get some studying in, but it wasn't quality. I didn't feel really prepared like I normally do, but dang, I'm human and haven't had a moment of free time to do much of it. What do they expect of us? Don't get me started. Ok...I took the test and there were some things on there I'd never even heard of before, much less had in my notes. WTF? Of course I panic and just decide that C looked pretty good...C is always good right? Ha ha. I thought the test sucked but that I knew most of the answers...or so I thought. We go back in afterwards and we begin grading. We had a pencil/paper test that day....hate those....and on those days we get a test booklet and a scantron. We mark our answers on both. When we're finished we turn in the scantron and we keep our test booklet. We come back in after everyone is finished and they go through and give us the correct answers. The first 2 pages I didn't miss any (there were 45 questions) I was getting excited. The last 2 pages I was getting freaked out. There were 2 bonus questions and I got both of those right. Turns out I miss 11 total.
45-11= 34 and 34 / 45 = 75%. 75%!!!!! Oh no....that's failing. BUT WAIT she said that if we got any of the bonuses right we could subtract that from what we missed so I got 2 right which meant I missed 9 so 45-9= 36 and 36/45=80%. WHEW!!!!!!!!!!!!!!!!!! By 2 points. It still sucked and I hated that test. I was so drained by the time it was over I thought I'd collapse right there on the floor. Many people failed that test and even though I passed...I still feel like I failed. This isn't a good way to begin the semester. My confidence was shot to hell quickly. Aren't I little miss Bonny Sunshine? LOL
Was the day over? Nooo...we then had to begin our new material. Immunity and the phrase of the day was AIDS. We were told we were going to watch a video about a family who was dying of the virus. The mom got it in a blood transfusion in the 80's...didn't know. She gave it to her husband and she also gave it to her daughter at birth who was now 2 when the documentary began. They had 2 older sons who didn't have it...THANK GOD! I noticed tissue boxes everywhere and thought...there is no way I'm crying. The video was nothing but some text and a series of photographs set to sad music that this filmaker took and chronicled their last year or so of their lives. It showed the little girl struggling, at the hospital with the mom by her side. It showed them getting the news and grieving. It showed the sons taking care of the mom and drawing up her injections. It showed the toddler dying...but smiling. It showed the family at the little girl's funeral. The mom and dad weeping. Then the father left the family. I guess he couldn't cope, or he was just a prick, but I like to think he shut down because how else can you deal with such realities? Then it showed the mother being taken out of her home on a gurney in a body bag. Let me tell you. It was the most depressing, hearwrenching, soul splitting, moving story I have ever watched. Halfway through I felt the tears well up. I noticed everyone around me was sniffling and dabbing at their eyes as well. I felt the biggest lump in my throat. You know that feeling you get before you begin the ugly cry? I was about to have those diaghram spasm cries and I really just wanted to flee and get the hell out of there before I lost it. I was trapped between people so I was forced to sit there but I couldn't watch anymore. I pulled my hood from my sweatshirt up over my head so no one could see my mascara streaked face and I eventually put my head down. Not that anyone cared, they were all crying too...but still. No one but your mama, your kids and your sig. other should see you at such a vulnerable time. Our teacher was narrating the story and couldn't even finish because she was choking on the words. I couldn't help but think of my own kids and how that mother stayed so strong and kept it together for children even though she was so sick herself. Finally someone said ..enough of this and got out and we all began filing out before the movie was even finished. I wanted out of there as fast as my little legs could take me and I was at my car in a flash. LOL I felt uncomfortable watching that film. I felt like it was something that was sacred and personal and not for my eyes to see. A family ripped apart with illness and grief. I don't even know the rest but I'm sure it wasn't long before the dad died too and there are those 2 boys left...alone and pained. I wonder where they are now. This was filmed in the 80's so it's been a long time. If I find the link or anything to the movie I'll post it but I don't know the name. Speaking of drained..................................................................
Now here I sit and I have relaxed and regrouped and am getting caught up on everything to start a new week and new material. One hour at a time, one day at a time. I've been hugging my kids a lot tighter since seeing that film. You should too. :-)
Peace and love.....



January 23, 2007

The Dog Bounty Hunters


Oh my goodness....what a day. Last night we posted fliers all over town for our missing dog. We also ran a lost ad in the newspaper. No one called except a few people who had found dogs, none that matched Wrigley's description though. My husband called the animal shelter and the man said that a "dog catcher" had gotten a call on a dog that was interupting traffic about 4 miles from our home. He described him and his collar and we knew it had to be Wrigley. He said he couldn't catch him but shooed him away from the road. BUT he said that all of this happened 3 hours prior. I was so worried he was far gone by the time we got there, plus it was getting dark.

My husband and oldest son were in one car and me and the other boys in another. We searched every field and neighborhood that he could be in within the vicinity. We yelled his name like a bunch of crazies. Imagine that. After a couple of hours I had a feeling he was gone for good...even after the great lead. Then I drive through a park area and there was a dead end that went off to the side. I was going to just go straight but something told me to turn down that road and there at the end of it was my oldest son (they had the same idea as me) looking in a brush pile and as soon as I got out of the car he reached into the brush and pulled out Wrigley. Sigh! He said he saw something rustle in the bush. It's a miracle. We hadn't even seen him, nor were we chasing him. We had just heard he was in the 'area' and what a huge area it was! Of all the places, my son just so happened to walk past that brush pile. Wow. It's a miracle he's ok and even more of a miracle that we found him. I don't know how he navigated the city without getting hit by a car. Wrigley was really shaken up. He was shaking so hard and seemed so scared. He also seems so tired and glad to be home and we are thrilled. He's done nothing but stay at my feet and sleep in his puppy pillow for a few hours. :-) Now I can rest soundly knowing my baby is safe and at home. Prayer really does work.

January 22, 2007



Our darling dog Wrigley has went missing. (He's in the orange.) He got out sometime this morning through a gate that wasn't secured properly and we can't find him anywhere. The bad thing is...my husband had to go to work and I had to go to school, so all day I was thinking about him and wishing I could leave that stupid class and go look for my dog. As soon as I was finished with class and got back to town I drove all over the place searching with no luck. It's dark now and there's nothing we can really do, but my husband is out posting flyers hoping that someone, anyone can provide a clue. It's cold out, and I know he's hungry and misses us and I worry he just can't find his way. This is terrible, he's a part of our family. How can I cope not knowing? He's been a part of our family for a little over 2 years and he's the best dog I have ever had. I was just telling someone this yesterday before he was gone. All I want to do is cry. He has a tag on with our address, his vet's office and our phone numbers which leads me to believe that no one has found him or maybe someone did but didn't think to stop him or anything. And of course I have all kinds of other terrible thoughts too.......

I just hope that whoever finds him is an honest person and wouldn't keep him for themselves or something. I'm desperate and afraid and just don't know what to do. I just want to know where he is. Knowing is better than not knowing anything. I've heard some dogs will come back after a few days. I hope this is one of those cases.

January 21, 2007

Poor George!


Last Thursday was a new episode of Grey's and I always talk about the show and recap so I figured I'd do it now since I know I won't have the time this week.

I'll try to remember all that happened. It was hilarious whenever George went to the refigerator and noticed the check was missing and started looking around on the floor for it. I was cracking up. He thought Izzy lost it or something. Too cute! George's dad.....sigh! What a sad moment for him and his family. Knowing there was nothing they could do and having to pull the plug on him. I loved the speech he gave to Bailey and Weber..."He didn't know better! You knew better!" That was so sad and you felt yourself yelling inside right along with him. Izzy getting involved with the scoliosis pt...she did the right thing. I mean walking around in a 90 degree position forever....that's not a good quality life. Cristina and Burke finally opening up to eachother....somewhat. I loved how she brought his meal to him trying to see if his hand would shake when he took it from her ....genious...lol. Never underestimate Cristina. I don't really know what's going to happen to him after his gay slurs. I wonder if the network will fire him. I know TR Knight and Katherine Heigl are upset by his comments. (You tube-see TR Knight on Ellen) I, too am angry I'm not even gay, but I'm still offended that he can be so racist and verbal about it...and lying that he said it on top of that. Just cop to it so you can move on dude. Sorry if there are a lot of typos in my posts. My wireless mouse doesn't have a good connection and a lot of letters are left out of my words. Oh well.

I can't remember anything else from Grey's right now. I'm tired and not thinking clearly. Maybe tomorrow I'll come in and edit to add more. I do remember that it was a good episode though...as always. I love Grey's Anatomy. I hope the squabble doesn't hurt the show. Until next time...Work hard and play hard!

Christy

January 20, 2007

It Is What It Is


I have done nothing but study and make notes all day and I'm not even near close to being finished. There just isn't enough time in the day...honestly. I wish I could hire a transcriptionist to take all of my notes, then I wouldn't have carpal tunnel syndrome. Ha! I don't like lower GI. Atleast that's something I can now mark off of my list. Feces and ulcers and fistulas...oh my! No thanks. I'm stressin' y'all. I know I say this in every post but I can't over come it. It is what it is and it's HARD!!! If I can get past this first test maybe then I'll know what to expect. Each instructor's tests are different and you never know their style. We have 3 instructors for each semester. Each one is an 'expert' in the field they are teaching and it's inspiring....intimidating but inspiring. Our oncology teacher passed out Live Strong bracelets to the class and made a $1 donation in all fo our names. Yes it's only one dollar, but that's a nice gesture and I appriciate it and her for doing it.


Now that we're juniors it is our job to have set up the 4th semesters/senior graduation and pinning ceremony. We have to compose video, raise funds for food and decide how the even will go etc....kinda. I'm not sure of our exact role, but it's something like that. It sounds like fun, but I don't know when we'll have the time. Oh well. For those of you who don't know what a pinning ceremony is...it's kind of like an initiation sort of honoring the lady with the lamp, Florence Nightengale the "pioneer of nursing". They take lamps and light them in her honor and recite a pledge in an intimate ceremony with only close family, friends and classmates. In most cases you get to decide who will pin you. Some people choose instructors and some people choose friends or family who helped them get through school. Either way, it's supposed to be a special moment. Sounds kinda cheesy? It is, but it's a tradition that dates back to more than 50 -60 something years. Click on the link to see an example. http://www.youtube.com/watch?v=JzeqmqyLOXM The graduation ceremony is separate and for everyone. Cheesy or not, I think it will make me really proud to recite the pledge, it's an honor to be called a nurse and to follow in her footsteps. I think it will be weird for the guys though. LOL


I just cannot wait for graduation. I'll be more than ready. I don't care how hard the last/4th semester is. Atleast then I'll know it's the last of it. This semester is difficult because it's right before the "end" and you kow you still have so far to go. Oh well....let's pray I pass. That's all that matters to me right now.


Well, thanks for listening to me complain some more. That's what my blog is for....for me to vent it all out so I don't go postal on someone. Ha ha ha!

Peace.
p.s I enclosed a pic of some of my buds and I at our Wellness day function at school last year. We served the community by giving free BP screenings, cholesterol checks, flu shots, literature about certain diseases (diabetes, smoking (ours..how ironic), and on and on It was a fun day.


January 19, 2007

Overwhelming 1st week

How is it possible to be overwhelmed after the 1st week of school? Well, I am. My micro class, as I'm quickly discovering, is going to take a lot of my time. I'm not worried about failing that class so much as I'm worried that the class is going to take time away from my nursing class and damage my grade. At this point I don't care if I get a C in both classes...I just want to pass. C= RN too as they say. SO far in 203 we've covered all of the lower GI and begun oncology/cancer. I have so much homework and 2 quiz's coming up in micro this week. I have my 1st nursing test over oncology and lower GI next Friday. I have gotten some of the homework done and plan on spending the weekend finishing it, studying for the quiz on Monday, finishing my GI and oncology notes and try to understand what in the hell I am reading at the same time. Overwhelmed....understatement.

My youngest son's 4th birthday is this coming Wednesday and I'm so excited for him. He's my little angel. I can't believe he is almost 4. It makes me want to cry. I loved his baby age and his toddler years and I'm not ready for him to transition into childhood. He's starting to speak like an adult saying things like....I'm angry at you mom and you're my bestest friend evew. Yes he says ever like evew. So cute! He told me the other day that he wanted some possibilities. I had no idea what he was talking about so he took me to the cabinet and pointed at the Campbell's Soup can and said see mom...possibilities. What a little doll baby! Don't ya just love those commercials? My twin boys, who are 10, both made the A/B honor roll and I'm so proud. One of them was one point away from straight A's....that teacher ripped him off. What a bummer. He has such a great work ethic. He comes home, begins his homework and never complains or has to even be told to do it. He's 10! When I was 10 I was hiding my homework in my desk and telling my teacher my dog ate it or that space aliens transported it to mars....or something else equally ridiculous. My oldest son is doing ok in school. He's in the 6th grade and I think that middle school is a challenging time for him. He hates to read so his reading class grade has taken a dive but the others are pretty good. I worry about him and his adjusting to so much independence and responsibility. In grade school you're held accountable for everything. ...we had to sign their homework every night and now he just says he did it all at school. Whatever...I wasn't born yesterday...I had those same excuses. Regardless, he is a pretty good kid. Spoiled, but good. My son will be 13 this year and I'm only 31. I had him young and it's as if we grew up together more than anything else. We argue sometimes like brother and sister and we're so much alike we often times clash. More than often. A lot. I don't know if it's because he's coming upon his teens or what but he's being such a brat. LOL He asked for a cell phone for Christmas and I was really hesitant...I mean come on!!!! "But everyone else has one!" SO of course I gave in but the gift came with restrictions....lots of them. It's going to be a rough road raising 3 teens at once and now that puberty is starting to rear it's ugly head I'm getting scared. I sometimes feel only 18 myself. lol I have to admit that I am a strict mom. All of my boys have game time restrictions, homework and chore rules etc... , but some kids are harder to mold than others. My oldest is definitely on of those kids. He thinks he knows everything and it cracks me up sometimes. The frightening thing is....sometimes he does know everything. He's an adult in a 12 year old body and always has been. Anyway.....that's my life being the mom of 4 boys. It's crazy, fun, hilarious and maddening but I enjoy all of it. Every single day I hear them say something or see something that puts me in a different perspective and it's nice. It wasn't long ago I was their age and going through the same feelings and things. I just hope, as all parents do, that I'm doing right by them and that they grow to be open-minded and well-rounded. I know they're compassionate and good...everyone tells me so and they're right ...they're awesome good natured kids, I just hope they become great men.

Sorry about the typos, I'm tired.

Peace....

January 17, 2007

1st day back

Yesterday was my 1st day back to school. The whole day seemed weird to me. The students were acting strange, the teachers didn't come across as very nice...it was just odd. I think the rest of the class were just as bummed about being back as I was. No one talked much and everyone acted grouchy. The teachers all knew our names and we never even told them. I think they have dociers on us and study them...seriously. The same thing happened last semester and I know they keep a picture of us on file because they took one 1st semester. We didn't do much really except get oriented to what we'd be doing this semester and we went over our care plans and what's expected of us at clinical. Today we had our clinical orientation. There are 7 of us in my group and they're all pretty cool, so hopefully this rotation won't be too bad. We are on a 40 bed, super busy medical/surgical unit of our hospital. The instructor seems a little scatter brained, but nice....so far. You never really know an instructor until you have clinical with them so we'll see. I'm keeping my fingers crossed. Myself and another student had to leave early in the day to drive 30 miles back to school to attend our second class...medical microbioligy. The class is from 1-4 every Monday and Wednesday. I've heard it's the hardest of all the nursing pre-req's....can't wait! After this class I have one more pre-req to get and it's my humanties/elective class. I'll take it in the summer.....no biggie. If I could turn back time (Cher) I'd have finished them all before starting the nursing classes, but when I got the letter saying I was accepted I couldn't reject. For those of you who aren't in the program yet....finish your pre-req's first!!!
So far we've been given about 3 pieces of homework to complete and we have 2 quiz's next week in micro. This class is going to be really difficult. It's a lot of busy work that I don't have time for right now but I'll do my best and see what comes. Atleast I know I'm not alone and there are others in my class taking it as well. Isn't it awful that I'm glad I'm not alone? lol Misery loves company, or so they say. Our 1st nursing test is next Friday (lower GI and oncology), we haven't even had 1 hour of lecture yet....hopefully that's a good sign. Maybe there won't be much on the test. Yeah right! LOL Well..I must go get busy on my assignments. I've pledged to do everything the night it's assigned so I'm never behind. Good luck to everyone going down this road too!

Until next time...

January 14, 2007

Mr. CHF

Two more days folks. Two days until I go back through the gates of hell...nursing school. I drove to school the other day to pick up my books and the second I saw the school sitting on top of that hill I felt sick. Ugh. It looked all dark and ominous. Not a good sign. I hope I don't scare any of the hopeful nursing students away with my posts. LOL It's not that bad really.........well, yeah it is, but I promise it's worth it. Don't judge your school program by my own and don't take anything I say to heart because I'm really negative when it comes to school. I always get this way before a semester, so don't let me frighten you too bad. He he. Once I get there I'll be ok...I hope.

I have yet to complete my care plans... I plan on starting them tonight. Judging my my case studies I'll be up until the wee hours of the morning. Here is one of them:

A 85 yo man is admitted to the hospital with a diagnosis of congestive heart failure.
Nursing assessment findings include: A & O times three. B/P 170/100. Apical/radial pulse of 130 and irregular. Respiratory rate 22 and shallow at rest with increase to 30 a minute and irregular with exertion of walking to bathroom. Oxygen at 3 liter per nasal cannula. Bilateral coarse crackles in bases anteriorly and bilaterally half way up in posterior lung fields. Heart sounds distant S1 S2. 3+ pitting pedal edema. Radial pulses 2+ and pedis pulses 1+. Extremities slightly cool to touch. Skin turgor loose over sternum. Requires assist of one with bath and help of one to ambulate. Weight of 170 on admit and noted 160 upon discharge one week ago. States “no appetite” and admits to maybe “one good meal” each day consisting of “some taters, ham and beans” with “some cola and coffee”. Lives alone. Daughter lives four hours away. Attends local church regularly. Denies regular checkups to family physician. “I go when I have a problem.”
Reports “I have only two vices. Smoking and a few beers now and then.” Does confirm when questioned that he has smoked 2 PPD for 45 years. This is his fifth admission in 9 months to the hospital for CHF. Admits he gets up “four or five times a night to pee”. Medications sent home with him last admit were: Lopressor 50 mg BID, Lasix 40 mg qam, vasotec 5 mg daily and nitcotine patch to wear daily. Diet to be 2gm Na.
You administered Lasix 40 mg IV at 8am and Lopressor 50mg po at 9am.
Initial labs results: HCT 31%, BUN 26, Sodium 136, Potassium 3.0.
Four days after admit: HCT is now 35%,sodium of 136, potassium 3.4 and the patient has lost 3 pounds.
Thinking question: Why was the initial HCT 31% and the potassium 3.0? Why did the sodium remain the same?


Okie dokie! I'll get right on top of that.

My first impression is that he has .....obviously...fluid volume excess r/t CHF..but I'm sure that's too simple of a dx for them. How about Impaired breathing pattern r/t CHF? I think the reason why his HCT is low is because he's holding onto all of his fluid in his extracellular space and it isn't in the cells, therefore he's dehydrated ( As evidenced by: poor skin turgor), low cell volume = poor O2 echange = resp rate of 22-30 (trying to compensate). The weight he gained is obviously because he's holding on to the fluid and the weight loss is because of the Lasix. Was he not taking his meds properly? Hmmm. The edema, crackles in the lungs and distant pulses are r/t the excess fluid. Anyhow, getting to the NA (sodium) and the K ( potassium). I have no idea why his NA remained the same. This stumps me. Normally if you have excess fluid you have a low NA. My critical thinking tells me (and what do I know, I'm only a student?) that because there isn't much fluid in the cells that the NA has shifted there, but that wouldn't make sense either really b/c it says it's NORMAL. Hell...that needs to be investigated. Listen to me trying to sound all smart. He he. Anyway..... I think the K was low because he's getting up all night to "pee", therefore losing the K. If it were me I would have put the man on aldactone because it's a K sparer instead of the lasix, but again....I'm could be wrong, I'm only a student. I think a secondary diagnosis would be noncompliance...seems as though he comes to the hospital to be corrected and is somewhat stable then he goes downhill again....but this is only an assumption and assumptions aren't to be made, according to our student handbook. (HA!) Well, here I have sat trying to work on my care plan all while blogging to you fine people. Maybe I'll do all of my homework on my blog so it won't seem like work, but fun.
I kid. Don't worry, I won't put you through the agony!

Incase you haven't noticed, I have updated this blog to make it look better. It was so boring before. I've also discovered how to add videos and I've become obsessed. I cannot stop adding them. Many of my videos are some of my favorite songs that hold special meaning to me...in one way or another. ;-) What would we do without music? I can be in a foul mood and listen to the Dead and feel better instantly. It's my happy pill.....music. Therapy for the soul. Sometimes we get so caught up with life that we forget the more important things. I admit that I do it often. So, when I feel disconnected I just pop in some tunes and heal my soul, and dagummit you should too!

My advice to Mr. CHF: Take one happy pill q day every day for the rest of your life...and oh...take your other meds as ordered, visit your phsycian regularly and stop smoking and drinking too!

Until next time....
Peace!

January 13, 2007

McSexy Pants

I was so busy complaining in my last post that I forgot to mention the new episode of Grey's Anatomy. Speaking of Grey's....check out those pics of McDreamy/Patrick Dempsey....Sigh! Need I say more? The images speak for themselves.
Now that I've regained my composure, let's talk about the episode. First of all..what's with all the lying/covering up on the show? Cristina lied about helping Burke...Burke lied about his hand...Dr Bailey and the chief are lying/witholding from George about his dad etc...etc... It seems like these people are always keeping something from someone and the something that they are keeping is going to create a lot of problems in the future. Did that make sense? Anyway, I feel so bad for George, he's going to be so hurt when he finds out about his father and what Miranda and the Chief did, but he knows what's going to happen...inevitably. He's a Dr and sometimes being a Dr or a nurse can be inconvenient because they know what can and will happen. Sometimes it's best to be ignorant. I wish George were ignorant about his dad's illness. I hate to see him struggle the way he is. I loved how Callie has stood by him during everything, she really does love him. I also loved the part where George was checking the catheter bag awaiting the urine and when it cam Callie and George jumped up and down all excited and then kissed eachother. Only people in the medical profession can really appriciate and understand how important that urine can be. It made me smile.
Izzy at the bank depositing that 9 million dollar check of Denny's.....she played that scene so well. I wanted to cry right along with her. It was as if that was all she had left of Denny and she was finally letting it go. Metaphorically she had to deposit that check so she could move on in her career and life now didn't she? I saw in the previews she was going to want to pay for that girls spinal surgery and Miranda was telling her not to get personally involved again. Sigh...oh Izzy, your heart is too big. The man at the bank was hilarious, he looked at her as if she was crazy and well, she kinda was in that moment. I think having that much money can sometimes be more of a burden than a relief. It comes with great responsability, I just hope she keeps some for herself. LOL
The Cristina/Burke thing was really cute and touching. She kept trying to get everyone to ask how his hand was doing for her because she was too proud to ask herself. He wasn't falling for it. They were both too stubborn to speak the first word because then the other would 'win'. I loved how at the end of the episode they were both just laying there staring at eachother, neither saying one word. It spoke volumes about their relationship...this is why I love the show. One look says more than words and Shonda Rhimes gets that and executes it with perfection.
Speaking of looks...the way that McDreamy looks at Merideth...he doesn't even have to open his mouth. His eyes speak volumes. I bet they could have a show where all he did was stare into the camera lens and people would watch and be just as intrigued as if he were speaking. His style is so subtle, but so moving. Sigh..again. I love him. When he and Mer were talking by the nurses station and she tells him about her abandonment issues and that he has to sleep with her from now on and all he says is 'ok'.....perfect!!!!!! They should sell him in a jar.
OMG..I almost forgot about Alex and Addison! I can't believe they almost kissed, I mean I knew it was coming, but it was still a shocker...the sweetest moment. I've never seen Alex so vulnerable. She asked why he left the plastics (or something) and he said...because he was mean to you. Awwww...what a softie. When he backed out of the room....hehehe.
If you haven't seen this episode or any of them...head on over to www.abc.com to watch all of them. If you aren't a fan now, then you will be. It's the best show on television.
If you haven't noticed I updated my blog ..I'm still trying to get it right. It might be a while as I havent' a lot of time.
Peace out.


January 12, 2007

Vent!


I got an email today from my instructors saying that we had 2 care plans to complete by our 1st day of class. We aren't even back to school yet and they're already loading us down with assignments. ARG!!! What if we pretended like we didn't get the email? What would they do about it? I don't want to spend my last few days of "freedom" doing care plans. Save it for clinical....geesh! Nursing instructors assume we don't have a life outside of school, not to mention other classes. Example: I am also taking micro this semester and my 1st day in that class is Wednesday and guess what? They scheduled clinical orientation on Wed from 6-5. Hello...some of us do have other classes! Our clinicals aren't even on Wed. they're on Thursdays....so why not have our orientation then when we are scheduled to do it? What do they expect those of us who have a Wed class to do...miss it? Anyway...I just needed to vent. I had my weekend all planned out and now I'll spend it doing those care plans....which I hate to do. Yes, I know it helps the nurse to think critically and all that other stuff...but save it for when we're back in school and you have my time because until the first official day of school I'm not yours! Maybe this is their way of preparing us for reality. Many nurses I know are called in on their days off and are made to feel crappy if they say no. I, however, will not feel bad about saying no, in fact I might not answer the phone at all. LOL Maybe I'll just play dumb and act like I didn't get the email...LOL That'd be nice, but I'm sure I'll complete them because that's the kind of slave I am.

While I'm already venting there are a few other things I need to get off of my chest. As part of our clinical hours we were told we had to go to the site the night before to get our assignments. This really isn't a problem for me because I happen to live in the town where I do my clinical...but what about the ones who don't live here? I go to school about 30 miles from where I live and a lot of the students who are actually doing their rotation in my city don't live here, meaning they will have to drive 30 + miles every Wed night just to get handed a piece of paper with their patients on it. Last semester we were emailed our assignments from our instructor. I just hope that I don't ever have a clinical 30 miles from here and have to drive there just to get my sheet of paper...I think I'd be extremely upset about it. There...I've said my piece. I'm finished venting and I feel better already....not really, but what can ya do?


Onto other things...I think my house is haunted. I won't go into details about the happenings just now, but I will say that my ghost friend likes to scare the crap out of me while I'm alone. Where are TAPS when you need them? I think I'll do a little investigating on my own and let you know what I find. I just hope that I don't hear or see anything. If I saw a full on apparition I'd lose all bladder control. On the other hand, I don't like feeling like something is there, but not seeing it either. I don't think the spirit is a bad one, but good or bad I don't like noisy invisible shit.

This reminds me of something comedian Mitch Hedberg says " I think Big Foot really is blurry, and a big out of focus monster roaming around the countryside is scary."

Peace

January 7, 2007

You Know You're a Nursing Student When...

Most of these I wrote from my own experience, but some of them I read elsewhere...either way, they are the common denominator among us students. Enjoy!


Your backpack is on wheels because it weighs more than you do

Your arms are toned from pulling your backpack

You can discuss a stage 4 decubitus ulcer over lunch and not think twice about it

You are like a kid at Christmas when you open your lab kit each semester and shriek with delight because you got a foley catheter this term

You have nightmares about your clinical instructor

You have nightmares you forgot to chart your assessment findings and clinical instructor gives you a big fat U!

You are standing next to a gorgeous guy and you think...he has nice veins.

You diagnose yourself with whatever ailment you're studying at the time

You secretly hope that your patient has high blood sugar so you can give an insulin injection

You study until 1:00am and get up at 5:00am to study some more

You can cry in front of your classmates because you've seen them all cry before too (men and women)

You look older than you did a year ago

You live off of coffee and snacks out of the vending machine

When two of the four test answers are correct but you have to pick the most correct answer (hate those)

You can eat breakfast, study for a test and talk on the phone all while driving to school

When Maslow's Hierarchy and Davis's Drug Guide becomes your bible

Your family members only visit if they have an illness

You can spot microscopic germs from a mile away

You check the expiration date of your Tylenol and you never did before

You point out all of the medical mistakes on television shows

You wash your hands before using the bathroom

You subconsciously diagnose everyone in your family

You shout "I'VE GOT BLOOD!" with joy if you get a blood return on an IV stick

You write everything in nursing shorthand

You hear a stranger cough up phlegm and not only do you assess it, but you instruct them to drink plenty of fluids and to turn, cough and deep breath qid

You have more ink pens than Bic, but most of them have drug names on them

You notice every person in a restaurant who is about to choke when no one else does

You mentally prepare the steps you'll take when they actually do choke

You praise Jesus silently when they don't and go back to your meal

You read license plate letters and they become medical abbreviations (HCT=hematocrit, SOB=short of breath, DKA=diabetic ketoacidosis etc...) and you wonder if the driver knows they have this problem. Ha!

Your patients look scared when they see your student nurse badge and that you're holding a needle

You assess your children's urine for color, clarity and smell

You witness someone wash their hands and turn off the faucet without a paper towel and you CRINGE!

Your laundry pile is competing with Mount Everest

You use your pen light to look down drains

When someone tells you how much they weigh and you mentally convert it into kg

You don't ask questions anymore that require yes or no answers, because it wouldn't be 'therapeutic'

You bend down to pick something up and you feel a strain and you shout "I think I pulled my sternocleidomastoid!"

You get excited when your patient has a big BM

Your classmates start to know you better than your own family

You and your classmates fight over who will get to put an NG tube in

You see someone with a blown up 'beer belly' and know they probably have ascites

When a friend tells you they're thirsty you reflexively assess their skin turgor and they yell OUCH!

You look at your paper cut and notice it is scabbing and think to yourself... epithelialization phase.

You forget what it's like to have free time....what's that?

You make a mistake in your lecture notes and you draw a line through it and initial it with the date and time

You let your classmates stick you because they need the practice

When someone complains of numbness and tingling in their feet you automatically wonder if they're diabetic

You get excited when you hear an S3 or S4 in someones rhythm

Your text books and supplies per semester cost more than your mortgage payment

You now know that Lasix and "water pill" are the same thing

Your kids and pets become your guinea pigs

You empty you lab coat and find alcohol pads, saline flushes, tape and gloves in them

Your backpack looks like a garbage can

You open doors with your back

Hearing rhonchi or stridor makes you giddy

And finally....you know you're a student nurse when: You're on a break from school and spend everyday thinking about all the work you'll be doing the next semester instead of enjoying your time off!

January 6, 2007

Keep on Keepin' On


It's late and I'm not tired. Ever since I've been out of school I've been on this weird schedule. I stay up late and want to sleep late and I hate sleeping in. I like getting up early and if I don't then it ruins my day. I hope I can get back on schedule by the time school starts in 11 days, 264 hours and 15,840 minutes from now. Yes, I'm counting...and dreading. I'm being pessimistic, I know, but without it I wouldn't survive. It's how I cope. I always feel dread before the beginning of a semester and I always think I'll fail all of my tests. Before every exam I proclaim that "I'm going to fail, I just know it!" Then I hear from everyone, "You always say that". Granted, I haven't failed a test yet, but someday I will and then I can look at all those people and say... I told you so! Ha ha. At least I can now tell people I'll be graduating this year, that's a positive right? Wonder how many minutes until then? Nevermind, I don't want to know.

Even though I'm going to hate going back to stress town I am excited to see some of my classmate friends again. They speaka my language and they know my pain. It's hard talking to civilians about this nursing school/boot camp life because they just don't understand it and I don't expect them to. You may as well be speaking Yiddish. Heck, half the time I don't even understand it myself. LOL If I had to explain it, I'd liken nursing school to jogging up a mountain for months at a time without stopping. At first you have some steam and you're moving at an ok pace. (This is usually over by the 1st day)You run into all kinds of rough terrain but you find a way around it. (Instructors, skill tests, 6am clinicals) As time goes on you feel like you've been running in the same spot for weeks.(Mid-term blues) You're out of energy and you're running on fumes. (Coffee and vending machine food) You look around and see your fellow classmates and they're all huffin' and puffin' right along with you and you keep on treckin'. (Looks like Jane may need some oxygen, she's way back there) Finally you start to see the top (I can only miss 10 on the final or else I fail the class!) and after another upward, rocky climb you finally make it. (Shew, I missed 9!) You collapse in exhaustion, but you're elated. You don't know whether to laugh, cry or hit something. (I did all three) You're just d*mn glad it's OVER! (For a few weeks anyway) You look down that mountain and see everything you accomplished all you surpassed to get to the top. (How the hell did I do that without medication?)And you then realize you forgot something at the bottom and have to go back....just kidding!

Ok, enough of my stories. Let me just tell all you people who don't think this is difficult and who like to compare it to "regular" college classes that you are just plain stupid....just kidding again...let me just say that until you have walked a mile in a nursing students shoes you should never say such a thing because it might result in a harmful injury.
Nursing diagnosis: Impaired mobility: related to being hit in the knee with a heavy Littman stethoscope.

He he he...THE END!

January 4, 2007

I'm gonna miss you sucka



Here's a picture of my clinical group, minus one. I think she was sick that day, anyway....that's our teach in the pink. She turned out to be a really cool lady, but I'm glad we won't be going back there. LOL The unit was great, but I'm ready for something else.

Well, I found out one of my nursing home girls isn't coming back next semester. (She's the one in the front, on the right in the photo) I'm sad about it, she and I had many a laughs and screw ups at clinical together. We could figure out how to draw up meds and give shots, but neither of us knew how to refill the coke machine/dispenser and we ended up with syrup all over our pristine white uniforms. Classic! It's nice to be around people who don't take their selves so seriously and she was my partner in crime. We'd always meet up in the hallway and tell eachother about the stupid things we did or said and laugh till we were in tears. Sometimes life throws things at you and knocks you off course, but everything happens for a reason. I wish her well and hope she goes back to school to finish someday. Peace out sista!

December 31, 2006

Happy New Year !!!!!



It's New Year's Eve y'all. Come midnight it will be 2007, I can't believe it. When I was young I always thought in the year 2000 we'd all be driving around in space crafts like the Jetson's had. I just drive a minivan. Ha ha! I envisioned us in silver space suits with helmets and cheap flights to the moon. Pretty ridiculous right?

Every New Year's we have went out on the town and partied it up. This New Year's Eve we plan on a nice quiet little party at our house with drinks and music and games. I guess that's what you do when you get older. LOL Plus it saves the frustration of getting a cab. The last 2 years we took a taxi out and it took the cab 2 hours after the party to pick us up. Arg! Needless to say the transportation dept in my town isn't well equipped and aren't the nicest ppl you'll ever meet either. I'm putting it nicely.

For those of you who are driving...be safe. No drinkin' and drivin' people.
p.s. call ahead a couple of hours for a cab!!!

Happy New Year!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

December 23, 2006

It's Christmas Eve Eve


I can't believe tomorrow is Christmas Eve. I love Christmas and all, but I feel more stressed out this Christmas than I normally do. Perhaps it has to do with the family. I love them and all but I can only take them in small, infrequent doses. Plus, I always feel so broke this time of year. Having 4 kids is expensive, especially at Christmas time. Maybe this is why so many people get drunk on New Year's...they're washing away their Christmas time blues. I also dread the taking down of the lights and tree. Ugh!
Anyway...
I finally finished my book Outlander. When I wrote the post about the book I was only 500 pages in. (See Outlander post). It was so good I can't even say, but there are some things about the book I forgot to mention such as....the violence. This book is extremely violent in some parts and I'm not typically squeamish, but DANG! What Black Jack Randall does to Jamie toward the end of the book is horrifying and it was really hard to read. I had to set the book down a couple of times to regain my composure. Also there was a lot of sex in the book , some of it violent and also hard to read. You have to read it to know what I'm talking about, but it's terrible too. THat kind of thing happened a lot in the 1700's though and that is what you have to keep in mind while reading. Glad I didn't grow up them. Ha!

Well, I just wanted to say Merry Christmas to all and I hope everyone gets what they want from Santa.

Peace out!

December 19, 2006

Craigh Na Dun (see Outlander post)

Go and and get ye this book Lads and Lassies



As often as I can I try to make time for a good read. And no I'm not talking about Medical Surgical Nursing either. I'm talking about a great story to get swept up in. Well, I have found it. The book is called Outlander by Diana Gabaldon. (www.dianagabaldon.com and www.amazon.com) I normally don't include my favorite books in my blog, but I felt I must tell you about this one. While shopping at my local book store I came across this book and noticed it was a mother of a book....a little over 800 pages long!!! I had heard from several people that this book was really good, but the size was daunting. (Don't let the size deter you, or the plot description on the back...it's much more than a romance, believe me!!!) Despite all that, I thought I'd get it where it would probably sit on my must read pile like all the others. So, being out of school and having some free time I decided to pick it up and take a gander. I haven't left the book since, except to tend to such things like eating and the occasional trip to the toilet. I know my family is about to go crazy, but I just can't put it down. It's been a long time since I have been this submerged in a book. This is the 1st of Mrs. Gabaldon's novels I have read and it won't be the last considering this is the 1st book of a series and judging by the reviews the entire series is fantastic. Let me just say that this book isn't just a story, it's an epic adventure full of romance, humor, passion, action, adventure, mystery, danger, magic and intrigue. How she pulled all of this off in one book is incredible. You will be spellbound from beginning to end and taken on a journey through the Scottish highlands seen through the eyes of Claire the heroine. Not one page is boring and not for a minute can I put the book down. This book is for men and women alike. Yes it has a lot of romance and some hot sex scenes, but it's so much more than that. It's perfectly balanced and written in the most honest way possible.

Ok, so here is the synopsis: Claire Beauchamp Randall was a British combat nurse ( go figure eh?) in the 1940's during World War II. The story picks up at the end of the war where Claire and her husband Frank are reunited after a 6 year long separation. Married in Scotland and separated shortly after, Frank , a history professor, was shipped off to war and Claire was left to nurse the sick and injured. They meet up once again for a second honeymoon back in Inverness, Scotland (the site of their marriage)to rekindle their burning flames and so that Frank can do a little family history research of his late descendants/ancestors. He makes a big discovery and finds that his great, great, great... (realllly great) grandfather was a captain of the British army in and around 1740's and he had a reputation of being somewhat of a dictator. Claire, being uninterested and bored by his research spends her days milling around the rolling green hills of Scotland collecting different plants and flowers for her own botany research (she's interested in the plant's healing powers). (Sounds boring? Well It isn't ...keep reading) She stumbles upon a great fairy hill and nestled at the top is a miniature'esque Stonehenge called Craigh na Dun. Fascinated, she tells Frank and they decided to venture up the hill on the next day. While upon the hill they discover some visitors. Frank recognizing them as Local "witches" coming to do some kind of ritual, hides himself and Claire so they can watch the ceremony without disturbing them. The women do some chanting in some native tongue and they leave. Frank surveys the site and can find no signs of anything different and they decide to go. On their way out Claire discovers a rare flower she'd read about and decides to come back later to get it. Later that evening as Claire is preparing for bed and Frank's return, the weather takes a turn for the worse with the wind picking up and the rain pouring down. Frank is walking up to the B&B where they are lodged and notices a man in full on kilt and everything standing outside staring up at Claire's window watching her. He asks the man if he can assist him in any way , the man walks away without a word and Frank notices despite the wind and rain the man's kilt and hair never moves and Frank swears the man dissapeared like a ghost. He gently questions Claire assuming for a moment that while they were apart she took a lover and she becomes immediately defensive that he would ask such a thing. Moving on....the next day Claire ventures back to the fairy hill in search of the flower. Moving between the stones she suddenly hears a loud noise such as shouting, buzzing, sounds of war as she's heard them before. Feeling odd sensations as though she's fighting an invisible force she finds herself on the same hill, in the same place but it's different. There is shouting and shooting and fighting. Claire witnesses men in red coats and men in kilts of a different time period and assumes she bumped her head or is on the set of a movie which she quickly finds out she is not when she is captured and almost raped by none other than Captain "Black Jack" Randall, realllly great grandfather to her husband Frank. Terrified and confused Claire struggles for her life and just when Jack Randall is about to have his way with her he's hit over the head and Claire is saved and captured once again and led off on horseback by none other than a real Scottish Highlander. This is where the story actually takes off and begins.

Claire finds herself in a real life castle surrounded by dirty, huge Scottish brogues and this is when she meets Jamie. (Sigh!) Sitting by a fire nursing a badly cut shoulder wounded from battle Claire sees Jamie and recognizes instantly that if she doesn't help him clean the wound it will become infected quickly and he could possibly lose his life. Watching some of the other men try and clean Jamie's wound with soiled rags Claire steps in and offers to clean and stitch his wound. Claire instantly notices Jamie's body is covered in scars and that his back looks as though it's been thrashed sometime in the past. Badly scarred and looking horrifyingly painful Claire makes no mention so as not to stick her nose where it doesn't belong. The men immediately recognize Claire as an asset, a healer and quite a bonny (pretty) one too. They are also more genteel than the English soldiers and realize she could be in danger if found by them again. They also realize she may be a threat as well because they recognize her accent as Sassenach (Outlander/English) and think she might be a spy of some kind. They decide to take her along on their long journey back to the Leoch (the home of the Mackenzie clan) so they can keep a close eye on her and to also let Laird Mackenzie (Colum) decide what to do with her. On the run from the English soldiers and other enemies of the Mackenzie clan they begin their long journey back to Leoch traveling in the shadows in constant fear of danger. Jamie MacKenzie Fraser is told to take Claire on his charge for the journey and to keep her safe. Along the ride Claire gets to know a little about Jamie and recognizes that he is as friendly as he is handsome. He thanks her for the mending of his shoulder and vows to keep her safe on their way to Castle Leoch. The friendship is instant, but also distant as there is a lot that Jamie doesn't know about Claire and a lot that he keeps from her as well. Throughout this trip to Leoch Claire does a lot of thinking and comes to the conclusion that some way she will escape and find her way back to Craigh na Dun so that she can somehow get out of there and get back home to Frank, but she will wait until the time is right and hopes that maybe the Laird of Leoch will help her get back. Deciding to keep her "secret" to herself she feels a little better knowing she has a plan. In the meantime finding a friend and protector in Jamie helps her ease her fears and take her mind off of her bizarre and frightening situation for the time being. Once they arrive at Leoch is when the story takes off and flourishes. Claire is welcomed at Leoch as a guest but is watched closely by the Clan upon orders of the Laird. And thus the story begins and no I haven't given anything away, but let me say that the love that develops between Claire and Jamie is real and pure and without those (whatever!) moments. There will never be two characters like Jamie and Claire again. They've made an impression on my heart forever. In fact, every character in this book is so meaty and rich that you feel as if you know them and you keep turning the pages to find out what happens with them next. As the story goes on Claire and Jaime discover that they are a part of one soul and this leaves Claire with all the what if questions and forces her to face herself and her future plans. It's interesting to see them on this journey through time travel and space. I don't mean to go on and on, but you must read it to become as engaged as I am, believe me...it's worth it and will never be lent out to anyone!

December 15, 2006

You either love it or hate it

You know how when you go on My Space to visit a friend's site and before you know it hours have passed and you've looked up everyone you've ever known and more likely than not they're on there? I love looking up the ex's. They're the most fun to look up because it helps you remember why you aren't with them anymore. I once dated a guy who refurbished Volkswagen Vans for a living. He still does it, I'm sure it's a very lucrative career. I remember our break up like it was yesterday. Everything was fine then BAM, no phone calls, no nothing and we were together for a
couple of years. He was out of my life as quick as he entered it. I had heard he joined a commune somewhere and is living off the land. I saw him about a year ago and he was hitting on me...the nerve of some people. It felt great to turn my back and walk away and never turn back. I also saw a lot of people I went to high school with.
Most of them haven't changed a bit. That is why I don't go to reunions. I have several friends from high school that I still speak to regularly. Why do I want to go to a reunion to see people I didn't like back then? Maybe I'll attend my 20th, we'll see.

As I was reading many of the My Space pages I noticed a lot of them had their likes and dislikes and I thought..hey what a great idea so I'm going to post mine. Ok....where to begin...let's start with the positive shall we?

What I like:
Getting hugs from my kids
Falling in love
Reading a fantastic book
Laughing till I cry
Deep conversation
Laying in the sun
People who are chill
Sunsets
Being alone
FLowers...especially daisies, orchids and lilacs
Peace
Seeing my kids smile
Passionate people
Peter Gabriel's song In Your Eyes
The Allman Brother's Soulshine (obviously)
Passing nursing school
Open minds
Road trips
Warm towels
Clean sheets
A fridge full of food
Teaching my children
A voice full of soul
Rainy days
Tie Dying t-shirts
A good cry
Hearing my husband's voice
Good manners
A great photograph
Connecting with my spirit
Meeting new people
Traveling to places I haven't been
Intelligent people
Cozy fires
Hot baths
Candles
Oprah
Being silent
My groovy music
Dancing to my groovy music
Caring for others
The colors white, blue, green and brown
A great kiss
Heartfelt moments
Being silly
Laughing at myself
Talking on the phone with friends
Learning new things
Feeling young and alive
Having money in my pocket
Shopping without guilt
Reading gossip mags
Looking into someones eyes and knowing they love you


Things I hate:
Rude people
People who make fun of the disabled or mentally challenged (GRRRR)
When one of my son's are sick
Fighting
Chewing with your mouth open
Getting bad grades when I studied
Studying
The colors orange, hot pink and mustard
Closed minds
Drunken stupid people
Being broke
People who can't drive
Feeling stuck
People who want you to listen to their beliefs but won't listen to yours
Fanatics
People who are uptight
Movies about Satan
Feeling sick and tired
Being alone
Plane crashes
Nightmares
Anything with ketchup on it
Vomit
The sound of a ringing phone
Bills in the mailbox
Weeds
Dirty dishes
Cave crickets
The end of a good book
Getting older
Feeling older
Not being good enough
Not getting enough sleep
Feeling hopeless
Confrontation
Not being heard
Not feeling validated
Punishing my kids
Marilyn Manson
Flying
Potty training
Being misunderstood
Racism
Know-it-alls
Waiting a week for my favorite show
Checking my email
Sending email
Dirty teeth
Feeling fat
Having buyers remorse
Smoking
Feeling neglected
War
Bill O'Reilly
Paris Hilton
Crime
An empty fridge
Conflict
and finally...I hate hate

December 13, 2006

Two Down, Two to Go


Well....nursing 202 is complete....CHECK! I'm officially half a nurse. How about that! As we go through this little thing called nursing school we learn that we live one moment, one test and one skill at a time. Every thing is an accomplishment that means we're on to the next accomplishment that gets us to the end of the semester. I missed 9 out of 80 questions on the final exam making an 88% , which is a B and I made an 87% (B) total for the semester...not bad if I do say so myself. Only two people out of 30 made A's in the class. They must have photographic memories or something. I think's it's almost impossible to make an A in nursing and if you do then right on!!!!!! Congrats Michelle and Denise....you rock sistas!!!!!! I wish I were one of those people who remembered everything that was said to me. I have a terrible memory. I can't remember what I had for breakfast this morning, much less hours of lecture. Oh well....this is the brain God gave me...ha!

This past weekend was pretty much a nightmare. Everyone in my family had some kind of ailment and I had my final exam on Monday. I was stressing out big time. My youngest son was admitted into the hospital for dehydration. He had the terrible stomach virus for the second time since November SIGH! Bless his heart, he's better now and we're all still recovering, but getting there. My exam was 11:00 on Monday so I got to school at about 8:30 to try and study in some peace. As I sat in my car chugging my coffee, trying to wake up from being up all night nursing my kids back to health, I began to panic. I was reading all the material and it just wasn't sticking. My breathing became rapid and I couldn't gather my thoughts. My mouth was tingling so I automatically thought I was hypocalcemic and was experiencing tetany. LOL But then my rational mind told me I was hyperventilating. I tried my deep breathing and the more I did that the more panicked I became. Since when did I become so anxious about tests? I began to have test anxiety when I started nursing school, but this was the worst case I've ever had. I started feeling clostrophobic so I got out of the car and decided to go inside and find a quiet place to hide and gather myself. When I walk in the door I see one of my teachers doing some kind of relaxation therapy with a couple of other students and heard others talking about feeling like hurling. This did nothing to calm my own nerves. I ran into one of my first semester teachers Michelle and she must have noticed the panic on my face and began guiding me back to my happy place. She talked to me and helped me calm down and it really eased my mind and I owe her. God bless ya Michelle! I'm just glad it's over.

It's funny, when I would go to clinical and talk to the nurses about nursing school all they would say was...."it was difficult". They wouldn't say anything else. Maybe they blocked it out of their minds never to be thought about again and I can see why. I'm not trying to be a whiner or complainer, but this is the most challenging time of my life. If it weren't for my family and my nursing school buddies I don't think I could have made it this far. I'm glad it's over....until January anyway.

I am going to relax and spend a lot of time with my kids until I go back to school. Relax and re-energize....that's my goal.

Until next time.....

December 10, 2006

Merry Christmas Everyone!

The time has come

It's the end of second semester and I couldn't be happier. This semester has been like...wow. I'm studying for my final (comprehensive) exam and looking back on all we've done and I'm amazed at the amount of material we have learned. IV's, Trach care, NG tube, Central line dressing, blood administration, cardio, respiratory, ortho, lower GI, endocrine, diabetes and on and on and on. This semester was difficult, but I believe I'm coming away with a B. I'm fine with that. Getting an A in nursing school is incredible hard so I'll settle with my B thank you very much. Our final is tomorrow and I'm so tired of studying I thought I'd catch up on my blog. Tomorrow is the last day of school !! WOOT! Well, at least until January 18th...waaaaaaaaaahhh!!! :-( I'm going to get caught up on my housework. Lord knows it needs some deep cleaning. I'm going to spend time with my family and just enjoy the holidays and my free time. Next semester will be the most challenging yet. Not only will I be in NSG 203 (OMG!) I'll also be taking Medical Micro. Here is what my schedule looks like:

Monday: 10:20-12:20 Nsg Lecture
1:00- 4:00 Micro Lecture
Tuesday: no school

Wednesday: 10:20-12:20 NSG lab
1:00 - 4:15 Micro Lec and Lab
Thursday : 6:30-4:30 clinical
Friday: 10:20- 12:20 NSG Lecture

I wanted the Tuesday off in between my crazy Mon/Wed schedule. I hope this is something I can do...it's going to be hard doing both, but hey I took A&P I with 1st semester and I did fine so we'll see. One good thing..no skills in NSG 203...yay!
Next semester out clinical is on the neuro and renal floors. Should be interesting...I hope. It seemed like yesterday when I was beginning 1st semester, I was all skeered and anxious...he he he. Now I'm a pro and I see the little freshman come in looking scared and hopeful and I can't help but smile. They have no idea what's coming at them. I still think 1st semester is the hardest so far, only because it's new and you're trying to get organized and use to the grind. 2nd semester was definitely hard, the material was harder for sure, but 1st semester has all the Nurse Ratchet teachers...glad I don't have them anymore. Well guys, I hope all my fellow nursing students did well this semester and for those who are just about ready to begin let me give you some valuable advice.... don't get behind, manage your time, try to take deep breaths....it will be over soon and one other thing, enjoy it, you'll never have an experience like this again!
Peace for now...