Tuesday, March 12, 2013

Plays, foleys, and CT scans


Well, there is a lot going on with me right now. It has been so crazy. Poor Alan has had to deal with my stress too. I don’t imagine that is easy.

I am currently sitting in the waiting room of radiology to get my one year CT scan!!! So exciting that it is so close! I had to get my scan a little early due to the fact we are going on vacation, but it is still nice to know that milestone is right around the corner. I got my class schedule for next quarter and know I have my anniversary day off, so my plan is to go get my survivor tattoo then go get a few drinks!
Clinicals have been strange. I was sick for 10 days! Unfortunately it kept me from going to my first 2 of 4 days at Children’s Hospital. I was really bummed about it. There is some very valuable experience I missed out on, but that is ok…more on why in a bit. I then missed day 3 of 4 because there was an incident on one of the days I missed and my clinical instructor was unable to work with us for week 2. Day 3 was cancelled, but thankfully my theory teacher was able to work with us on day 4. It was a great time, and I learned so much. It was the first time I went to clinical and thought that I wanted to work where I was doing clinical or work in the same type of work as the clinical. It was a steep learning curve since I only had one day and I wanted to take in as much as possible.

I still had to make up work for 3 missed clinical days. My teacher is so awesome! She scheduled me a shadow day with a care coordination nurse at Children’s and a school nurse another day. That way I only have to do one case study. It makes my schedule very full though because there is only one week of school left. I have had to cancel all of my fun plans. Oh well, worse things have happened to me than that!

The other part of my clinical assignment is working in maternity for 3 days. I had my first night last night. I started with mother/baby, which is caring for the mothers and their new babies after delivery, but spent the second half in labor and delivery. I have to say that if I was offered a job in maternity, I would do it. It is definitely an interesting type of nursing. I did not react to it the way I thought I would. I gained a lot of experience though! I saw an epidural given, finally was able to place a foley catheter, helped a new mom with breast feeding, viewed a poor baby that was a fetal demise and had a teach about the nursing aspects of it, and saw firsthand why cesarean sections should be done only when absolutely necessary (why anyone would elect to do that just because is beyond me, but to each their own I guess), needless to say, there were some complications post-surgery that were difficult for the mother to deal with and interfered with mother-baby bonding and feeding. The complications weren’t life threatening and actually the procedure was done well, but the mother did not tolerate the drugs and procedure very well. Also, she was in so much more pain than the other mothers were and her recovery from birth was not nearly as easy a transition from vaginal births.  At any rate, I learned a whole lot. I really loved the nurses we were working with too. Hopefully I will be there for a delivery on our next clinical day!

I found out that I got a preceptorship next quarter on the surgical unit at Children’s Hospital! Ok…so a preceptorship is a senior practicum. When we do clinicals we work with a clinical instructor everyday and are supervised quite a bit. There is not a lot of autonomy. With preceptorship I will have a clinical instructor, but I will only see them a couple of times throughout the process. I will be assigned to a nurse. We will decide which shifts I will work with her, but I do work her scheduled work shifts. I am to take some of her patients and am responsible for total patient care. There are some things no student can do depending on the facility’s policies, but other than that I am the nurse for the patients she/he assigns me. The position is very autonomous, however, it does not have the safety net that we have always had on regular clinical. This will really test my mettle. Hopefully I will make a great impression and I will walk away with a letter of recommendation…or even a job!

One last thing I would like to mention before I sign off is my niece, Sydney, and a play she was the lead role for. She got the role of Annie in Annie Warbucks! We are so proud of her. We were lucky enough to be able to see her a couple of weekends ago. She really held her own. It must be hard to be 9 and the star of the show! That is a lot of pressure. She is a natural though and did such a great job! She stood out on her own and she sang so well. We really enjoyed seeing her. That play was actually one of the better plays she has been in yet, so that made it even more special. I couldn't help but cry at times watching her. It was an exquisite moment!

Well, until next time…

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