This is an excerpt from my nursing clinical journal...I think it paints a really good picture of the struggle I'm having in school so far:
Shadow day at the hospital. I definitely felt better about today than I did about orientation day...what a world of difference being one-on-one with a nurse made. I think I am still experiencing a little bit of reality shock, though. For some reason I just seem to have a picture in my head of what a nurse's job looks like each day, and it is not jiving with what I am seeing actually happen. I can't figure out if this is because I am seeing a Med-Surg unit and that's just what Med-Surg units happen to look like (while some other unit matches my mental image), if it is because I have not yet seen a nurse who performs nursing care the way I envision myself doing it, or if it is because I really just have a skewed picture of what the nursing profession looks like. It is a little bit discouraging, but I keep reminding myself that the nursing field is so broad; somewhere out there is a niche for me. I just have to find it. :)
I think another little point of discouragement is the reality of the nursing shortage and all that follows because of it. We are reading Bed Number Ten for Cheek's class, and I was horrified to read of all the miscommunication between staff and the lack of loving, personal care to each patient. I thought I was reading about a rare unfortunate situation, but I'm finding out it is reality. There really are lazy nurses, there really are communication breakdowns (frequent, actually), and there really is a lack of warm, personal care, simply because nurses are stressed, busy, and overloaded. I don't want ever to become that kind of nurse, and I'm afraid that working in an environment that repeatedly puts me in that situation will mold me into that shape.
On the bright side, I am really looking forward to relationship-building with my patients, and I am thankful that I will only have one patient to really focus on each day, leaving me with lots of time for personal attention. Even just the small amount of time I had with first-time acquaintances today, I experienced the emotional high of helping someone get to the bathroom. Sounds weird, I know, and it probably won't last, but I felt really good being someone's rock--meeting such a real and tangible need. I enjoyed helping. I really think that med-surg is going to be a difficult unit for me, just because of the rapidly changing clientel. I see myself doing better in a unit such as oncology, or even in a nursing home, where I am able to interact with clients for longer periods of time, getting to know them as people with lives rather than just bodies in beds.
That's all for today, I guess. Mental note: stuff more PB crackers in my scrub pockets next week. I gave mine away and was really shaky by the time we got out of post-conference today. This is not conducive to learning!!
June 18, 2008
June 15, 2008
Picking up a second income...
My mom is an expert at finding money. She saw some program on TV once about all the places you can find money, and once she started paying attention and looking around, she found all kinds of change in all kinds of places. Dollar bills in the car vaccuum filter, quarters in the newspaper and vending machine returned coin slides, random money in random parking lots...we have paid for ice cream at Dairy Queen with Mom's found change on more than one occasion. Free ice cream tastes really good.
It appears I have inherited this talent for finding change. Or maybe just the appetite for free money (but who doesn't have that??!). I have gotten pretty good at finding money in the parking lot of our apartment complex; I usually make anywhere between one and five cents every time I take Jasper out to poop (letting him out to pee doesn't take me far enough into the parking lot...has to be #2). Today, though, I hit a personal high of 56 cents, mostly in pennies and nickels. And I found it at the beginning of our walk, which means I held onto a dirty handful of change for 30 minutes while we walked around the neighborhood. It was gross, but I was not giving up my free 56 cents.
Don't laugh. It all adds up, you know. I've calculated that if I find just two cents every day, I can pay off my tuition loans in about a million years...that's faster than the billion years I'm looking at without that free change!
It appears I have inherited this talent for finding change. Or maybe just the appetite for free money (but who doesn't have that??!). I have gotten pretty good at finding money in the parking lot of our apartment complex; I usually make anywhere between one and five cents every time I take Jasper out to poop (letting him out to pee doesn't take me far enough into the parking lot...has to be #2). Today, though, I hit a personal high of 56 cents, mostly in pennies and nickels. And I found it at the beginning of our walk, which means I held onto a dirty handful of change for 30 minutes while we walked around the neighborhood. It was gross, but I was not giving up my free 56 cents.
Don't laugh. It all adds up, you know. I've calculated that if I find just two cents every day, I can pay off my tuition loans in about a million years...that's faster than the billion years I'm looking at without that free change!
June 12, 2008
Lab Specimen
Interesting day at school today. I was not really prepared to take my shirt off in front of everyone in my nursing lab.
We were practicing musculoskeletal assessments today, so we were doing all kinds of range of motion exercises with our partners, assessing gait and looking for any kind of abnormalities. You can only practice range of motion for so long, so to kill the extra time, my partner suggested practicing checking for scoliosis. No problem there...I have great posture and have no problem being a model non-scoliosis patient. So we went behind the little curtain thing and I whipped off my shirt so she could look at my spine. When I bent over, she said, "Hmm...this side looks higher than this side. And your rib cage looks uneven." I totally thought she was joking.
Right about then one of the instructors walks in and says, "Oh, my..." I'm thinking, "Oh, crap." She palpates around and calls another instructor over and they poke around together. Before you know it, the curtain is gone, and the instructor is pointing out my problems to everyone in the class. Everyone is looking at my back, gasping and leaning forward, trying to palpate my back muscles and get an idea of what an abnormal musculoskeletal finding looks like. That was kind of an awkward moment, to which I responded by exhibiting diaphoresis (excessive sweating), making palpating me that much more fun...and by that I mean embarrassing.
In the end, the instructors diagnosed me as having one leg shorter than the other (which I suspected after doing inversions in yoga...my legs always looked uneven to me). Apparently this has caused my hips to be unequal in height, my back muscles to develop differently in order to compensate, leading to a slight side curvature in the thoracic spine and an elevated right shoulder. Great. So funny that something like this can go on and I have no idea about it. Not even an inkling. I don't walk strangely, I don't have back pain, I really do have great posture...apparently things just aren't so perfect on the inside. I'm actually kind of impressed at the body's adaptation skills.
For the rest of the day my partner, Dy, and I kept making jokes about peoples' reactions to my "deformity," we called it. People kept asking me if it hurt to walk, if I'd broken my back, if I wore special shoes, etc., like it was even a miracle to them I'd made it this far in life. We were just cracking up. We wondered if maybe I could get a handicapped parking pass out of the deal, which would be stellar because those are about the only open parking spots on campus. :)
We were practicing musculoskeletal assessments today, so we were doing all kinds of range of motion exercises with our partners, assessing gait and looking for any kind of abnormalities. You can only practice range of motion for so long, so to kill the extra time, my partner suggested practicing checking for scoliosis. No problem there...I have great posture and have no problem being a model non-scoliosis patient. So we went behind the little curtain thing and I whipped off my shirt so she could look at my spine. When I bent over, she said, "Hmm...this side looks higher than this side. And your rib cage looks uneven." I totally thought she was joking.
Right about then one of the instructors walks in and says, "Oh, my..." I'm thinking, "Oh, crap." She palpates around and calls another instructor over and they poke around together. Before you know it, the curtain is gone, and the instructor is pointing out my problems to everyone in the class. Everyone is looking at my back, gasping and leaning forward, trying to palpate my back muscles and get an idea of what an abnormal musculoskeletal finding looks like. That was kind of an awkward moment, to which I responded by exhibiting diaphoresis (excessive sweating), making palpating me that much more fun...and by that I mean embarrassing.
In the end, the instructors diagnosed me as having one leg shorter than the other (which I suspected after doing inversions in yoga...my legs always looked uneven to me). Apparently this has caused my hips to be unequal in height, my back muscles to develop differently in order to compensate, leading to a slight side curvature in the thoracic spine and an elevated right shoulder. Great. So funny that something like this can go on and I have no idea about it. Not even an inkling. I don't walk strangely, I don't have back pain, I really do have great posture...apparently things just aren't so perfect on the inside. I'm actually kind of impressed at the body's adaptation skills.
For the rest of the day my partner, Dy, and I kept making jokes about peoples' reactions to my "deformity," we called it. People kept asking me if it hurt to walk, if I'd broken my back, if I wore special shoes, etc., like it was even a miracle to them I'd made it this far in life. We were just cracking up. We wondered if maybe I could get a handicapped parking pass out of the deal, which would be stellar because those are about the only open parking spots on campus. :)
June 08, 2008
A New Brother!!!
Last weekend we flew home to Chicago for my sister's wedding...absolutely fantastic. The ceremony was beautiful and the reception--my favorite part--was just the kind of thing she had talked about having when we were kids. Somehow she landed on this farm that rents out their two barns for huge social functions, just minutes away from the church. The farm was on this huge spread of land covered in the greenest grass I have ever seen, bordered by a creek with a golf course just on the other side. The weather could not have been more perfect for that kind of occasion--everyone was completely comfortable milling around between the two barns in dresses and tuxes. We really had a wonderful time, and it was hard to come back to Texas, land of hot. There has been talk that we'll head that way when I finish nursing school next summer, but then again there has been talk about heading in 40 different directions when I finish school, so who knows where we'll end up. :)
Speaking of nursing school, I finished my first semester just before we left for Chicago. It was a mini-mester, which means we packed a whole normal semester of Pharmacology into three weeks. I can honestly say I have never worked harder at school in my entire life, and I don't say that to brag at all. School has always come easily for me with not a whole lot of effort...this time around, I am really having to push myself. Nate jokes that I was more in love with my Pharm textbook than with him those three weeks, which could possibly be true, if you look at the amount of time spent with each. ;) Anyway, I am now one week into the summer semester, in which we'll cover fundamentals and history of nursing, plus I get my first round of clinical experiences, starting tomorrow. I am so excited!! I have been assigned to a terrific hospital about 10 minutes from our new house and am really ready to jump in and soak up the experience. I am hoping I get to spend a few days in the oncology unit, which I think is where I want to end up, but last I checked that was still up for debate. We'll see.
Other than that, things are just moving right along for us. We've been trying to take advantage of fun things to do that are close by, so we've taken in a few Rangers games and have plans to go to Hurricane Harbor in a few weeks. The Rangers games are pretty cool...we like to grab drinks and just hang out in the cheap seats, enjoying the outdoors during the only time of day that Texas heat is bearable. Makes you feel like a real American, especially if you get a few $5 hot dogs to go with your $5 soda. :) Going to the games reminds me of two favorite pastimes back home: when I was little, my dad used to take me to the dog races in St. Croix, and we always got $5 sodas to drink while we (he) bet on the dogs. We called them bladder busters, which back then, they really were. I'm also reminded of the Eau Claire Express baseball games I went to with Dad before I got married...what's crazy is that it was $6 a ticket for those games, which were definitely not major league games, and down here we are paying $6 a ticket for games that definitely are major league games. There are definitely advantages to city living. :)
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