Friday, October 27, 2017

Nursing Chronicles: An Ode to Nursing School


When I was still thinking about nursing school but not actually in it yet I used to wonder what being in nursing school was really like. Based solely off of what google told me I came to the conclusion that it was difficult and anxiety-inducing. Notoriously so.

Then the time came where I went to the very first day of nursing school, and it seemed in the moment that all that I had read was true! All 30 people in my class were shaking in their chairs, worried if they made one wrong move they'd be booted out of the program forever.

I wish I could say I was exaggerating a little bit, but seriously I'm not! For some weird reason nursing schools like to scare the crap out of you and they tell you that if you're 5 minutes late for class or you don't bring your badge to school or if you paint your nails that you will be fired from nursing school.

I'm serious too, all of those are like, legitimate rules.

Despite the intolerance for painted fingernails and tardiness, any grade below 80% is a considered a FAIL. That gives you a very narrow margin for passing.

I suppose I can see the reasoning behind the strict rules however, you don't want perpetually late, unreliable people who don't understand the material taught to become licensed nurses who are supposed to be taking care of people.

So thus it is.

If you are considering nursing school as an option for yourself I must give you a warning. For those two years it will completely and utterly overwhelm your life and schedule. If you are not thoroughly dedicated to the task of becoming a nurse and committed to school as your top priority you probably won't pass and if you do by some miracle scrape by and pass you definitely won't be a good nurse.

However if you're committed and dedicated you will find that nursing can be an extremely rewarding career. As difficult, crazy, merciless and anxiety inducing as it has been, I am grateful each and everyday for my experiences. I get the low of the lows but also the high of the highs and that is worth it I think.

Besides riding a roller coaster of emotions and experiences, what else is nursing school like?

A nursing program consists of four semesters. You first two semesters are considered your LPN year. This is the time you learn all the basics of nursing. You learn skills such as placing a foley, giving injections, passing medications, dressing wounds, doing basic assessments, etc. You usually have a couple days of lecture each week, one day where you go to 'lab' (this is where you learn and practice your skills) and one day of 'clinical'.

I feel like most people have no clue what a 'clinical' is so I'll explain that a little more! Clinical day is where you go with a small group from your class to different areas where nurses work. Obvious places like hospitals of course, but also you may go with a home health nurse for a day, pediatric long term care facilities, clinics, psychiatric/developmental facilities, Rehab facilities and nursing homes, etc. Clinical is an opportunity to expose nursing students to the real world of nursing, to see what happens down in the trenches! It's also an opportunity to practice your skills on real life people, instead of just mannequins.

I will never forget the first time I ever gave a real, breathing patient a shot at clinical. My hands were shaking so bad, my brow dripping sweat. I was praying that the patient didn't notice how nervous I was! Luckily since that time I have gained a lot more confidence in my shot-giving abilities.

After your first two semesters you can take the NCLEX-PN and obtain your practical nursing license. This allows you to go to work as a licensed nurse and you become an LPN. In the last 15 or so years however LPNs have started to become phased out and you really won't see very many of them anymore. There are still a few places that hire LPNs but it seems to be becoming a lot more rare!

Third and fourth semester are considered the 'RN' year. Which essentially you are building off of the foundations you built your first year of nursing school. You're learning more focused assessments, learning how to take care of more critical patients, learning about scarier drugs, etc.

LPN year is kind of like hell on earth and then you get to RN year and you feel a lot better about your life, haha. At that point I think you've kind of figured out how to be a nursing student and *hopefully* have developed better coping mechanisms for stress.

Third semester you do all that you did your first two semesters, lecture, lab, clinical, etc. Then your fourth semester you get to do what is called a Preceptorship! In your third semester you apply for an area that you would like to learn more about/perhaps someday work in. You have to turn in a letter of recommendation as well. Your instructors then send in your applications to different hospitals and try to get you a spot for your preceptorship. Once you've figured out where you will be precepting you are assigned a nurse and for a set amount of hours (usually around 130 or so) you follow that nurse in that unit around. It is an opportunity for you to practice your skills and learn what it is like to really be a nurse a little more independently (but also with supervision).

Then you graduate and take your NCLEX-RN and if you pass, you get your RN license and you go to work!


Of course there are more options for advancement after that, you can go on to get a BSN which is a bachelor's degree in nursing and from there you can go on to become a nurse practitioner or a nursing professor or even get a doctorate in nursing.

That's one of the things I love most about nursing is there is always a push to learn more and become more. Your education should never stagnate, even (and especially) when you are practicing as a licensed nurse. Medicine and the way we practice nursing is constantly changing and evolving with the more we learn about the human body and how it works. You need to constantly keep yourself up to date so you can take better care of your patients.

One nurse I worked with had been a nurse for like 40+ years and she would tell me about how when she began practicing they used to REUSE their needles/syringes!! Of course they would sterilize them in between patients but STILL!! I mean can you imagine having someone give you an injection with a needle they used on some Joe Shmo from who knows where??? Nowadays we discard every single needle after use.

The point is, things change, and you need to stay up to date with those changes.

This post is now getting to be extraordinarily long so I will conclude. But there is a small snippet of what nursing school is like. If you have any questions please ask and I will try to answer!

Maybe this topic doesn't even interest any of you guys in the slightest... but I always like to learn about other careers and how people came to be what they are! So ask away if you have questions :)

Wednesday, October 4, 2017

Nursing Chronicles: A Day in the Life of a Rehab Nurse

I've decided to start a series (and an inconsistent one, I'm making no promises as to how often I'll actually post) about what it's like to be a nurse/nursing student, and to share some of the knowledge I've gained and the experiences I've had.

I've always felt like it's fun to hear about what others do for their careers and how it has shaped them as a person. We spend so much of our time at work, and it really does become a huge part of who we are. That's why it is so important to do work that you feel passionate about, and I feel passionate about nursing, and I want to share that with my 1, maybe 2 readers (Hi, mom!).


Let's start with a little background. Hi my name is Hannah and I've been a licensed practical nurse since February 2016, I'm currently an RN student set to graduate next spring. Since obtaining my nursing license I've worked as a floor nurse at a skilled rehab and nursing facility.

OK so what is a skilled rehab and nursing facility?? Basically my patients are individuals (mostly old people) who are too ill or too weak to go home after a hospital stay. Maybe the had surgery, maybe the had a severe illness, in either case they are not well enough to take care of themselves yet, but the hospital doesn't want to keep them anymore. So they send them to us! I have a love/hate relationship with my job. I LOVE it because of the great variety of patients and diagnoses that I get to see, and I get to use a lot of different nursing skills. My patients vary from those who had some type of orthopedic surgery (knees, hips) who don't need a whole lot of nursing care, but are there more for the rehab/therapy (those are my easy patients!), to some patients who are still pretty ill and require round the clock IV antibiotics, nasogastric tube feedings, wound dressing changes, etc. etc.

My day starts at 0600 in the morning when I sit down for report with the NOC shift nurse. We go down a list of all our patients, discussing needs, changes, orders, etc. It is the time for the previous nurse to hand off the patients to me so I can take over their care for the day.

I'm then given the keys to the nursing cart and at that point I'm the one responsible! A typical patient load for me on a given day varies from 12-16 people. That's 12-16 people I have to administer all their medications to, follow up on labs that are drawn, coordinate their care with any specialists they may go see that day, do their wound care/treatments, complete head to toe assessments on and follow up on any new needs, orders or issues that may come up that day. Not to mention any skin assessments I have to do, or admissions that may come in, and of course all the charting! Oh the charting! I'm not going to lie, that amount of work for that amount of patients is extremely overwhelming. I think I can count like 2 shifts total out of my almost two years working that I have actually left work ON TIME.

Here's more of an hourly breakdown.

0600-0630: Report, count narcotics.
0630-0700: Look up labs to be drawn that day, treatments, and appointments with any specialists my patients have.
0700-1030: Review vital signs, morning med pass (my LEAST favorite part of the day!!) If I'm really on top of it I will get my head-to-toe assessments done during my med pass, but that's only if all the stars align, which they typically don't. 
1030-1200: Charting, following up on new issues and problems with patients. More assessments. Treatments. Lunch time insulin.
1200-1400: Rounding with physician, NPs, inputting new orders from rounds or from outside specialist appointments. Treatments, charting.
1400-1600: Treatments! Charting, afternoon medpass.
1600-1800: Dinnertime medpass. Treatments, charting.
1800-1830: Report
That would be a perfect ideal day.
A REAL day would also have this added...
1800-????? Catching up on charting, inputting orders, finishing admissions, completing anything else I may not have had time for earlier in the day.

That my friends, is a very simple breakdown of what a typical day looks like as a rehab nurse! I wish it truly were that simple, haha.

Hopefully that wasn't the most boring post of all time for you guys, I promise I will post more exciting things about disease processes and stuff for future installments.

My goal for this series is to educate and inform people about what a nurse is and what they do, and also to share cool stories (while being HIPAA compliant, of course) and to share interesting information about disease processes and the human body!

Let me know if there are any questions you guys have too and I will try to answer them as best I can :)

Tuesday, September 26, 2017

My Awesome Siblings

While me and Melon were out on our morning walk I was thinking about how fortunate I am to have such a wonderful family. I had an experience at the hospital on saturday and my patient passed away, as I watched his siblings enter his room and see the grief overcome them at the passing of their brother I couldn't help but think of my own siblings.

We argue with and tease each other, and we are different in a lot of ways but I will always love and be proud of my siblings.

So let me introduce you to them.


My little brothers - Milo and Boone.



100% chance I'd be murdered if Boone knew I posted this picture.

Milo is creative, funny and could seriously get along with anyone from any walk of life. People look up to him. He's a loyal friend and has always looked out for the 'little guy' and sticks up for them. He has lots of hobbies and currently his obsession is his car. He wants to grow up to be a surfer beach bum though.

Boone has always had a million friends, ever since he was a little kid. People just gravitate towards him because he is so friendly. He's an incredibly talented athlete, and is the quarterback for the football team and the pitcher for his baseball team. As long as he's with his friends he's happy.


My little sister Maggie.



Maggie is very smart and such a hard worker. She owned her own car and condo by the time she was like 20 years old. She's way ahead of the rest of us! She's always been responsible and ambitious and knows how to get work done. She will definitely go far in life. And she is beautiful!






Siblings are truly the best.

Wednesday, September 6, 2017

Another Trip to the Happiest Place on Earth


It has become a bit of a tradition to go to Disneyland at the end of the summer for a girls only trip! We've done it the last 5 or so years, and I always look forward to it. I'll take ANY excuse to go to Disneyland, let's be honest, haha.

My life is a bit of a paradox, because I constantly talk about how I'm 100 years old inside, but I also feel like I'm a kid at heart who will never really 'grow up'. Figure that one out.




We started the day out in Cars Land! Pretty much everyone's favorite ride is the Racer's so we naturally had to head straight to that.


Then we were off to one of the best rides EVER Luigi's Rollickin' Roadsters.


Me and my cute mom :)


OK PEOPLE. Let's talk about the new Guardians of the Galaxy ride. Let me preface this by saying I am a HUGE Tower of Terror fan and was extremely angered at the prospect of it getting replaced. With that said I am also a huge Guardians of the Galaxy fan, so I was trying to be as optimistic as possible going into this ride for the first time.

And let me just say IT WAS AWESOME! I loved it.

Yes, I miss Tower of Terror.

Yes I wish they had never replaced it.

However Guardians of the Galaxy is a fun new twist and they did a REALLY good job. I quite enjoyed it and we were able to ride it three times! I thought for sure the lines would be forever long, but honestly we probably only waited 45 minutes each time. There are six songs possible for each ride and depending on what song you get it is a different ride experience - pretty neat!



Day 2 my little sister Margaret (real name Maggie) arrived! We all wore our matching 'I Love Minnie' shirts, and went to go see Minnie herself! While waiting in line one of the cast members looked at all of our shirts and said "You guys are definitely in the right place!".

Disneyland is always the right place though, no matter what!


Anyway let's rewind for a second, the beginning of Day 2 we headed straight to good ol' Frontierland for a very special treat!!!


Mickey Mouse pancakes at Rancho del Zocalo!

I feel like Frontierland is a very non-traditional place to eat Mickey Mouse pancakes, particularly at a Mexican restaurant?? But they stopped selling them at the River Belle Terrace for whatever reason, and the Carnation Cafe got turned into a sit down restaurant where you pretty much have to have a reservation to get in.... So we had to make due.




Our Mickey Mouse pancakes got us all hyped up for the Wildest Ride in the Wilderness!!! Big Thunder Mountain railroad.


I just realized I didn't post a pic yet of by Big Thunder Mountain Railroad shirt! I recently starting following a bunch of instagram shops that sell Disneyland t-shirts. They're unique and lots cheaper than anything at the parks. Maybe someday I will link them all here.

When ordering this shirt I was like, peach is such a cute color! Then I put it on and I was all like... oh yeah I'm WHITER THAN WHITE and have red hair. So the color wasn't doing much for my complexion, but I still felt cool anyway.


My two Disneyland faves... Haunted Mansion and a Mint Julep. I was so happy that Haunted Mansion hadn't yet closed down for the transition into the holiday version, because it's my favorite ride, and what's worse than going to Disneyland and finding out your favoritest ride is closed?



We rode Thunder Mountain Railroad so many times, I can't even tell you.


One highlight of the trip was me and Bo got to sit in the very back seat of the Casey Junior Circus Train... which everyone knows that is the most coveted spot and the odds of actually getting it are like 0%. I couldn't believe our good fortune! It's the best seat because you get to sit backwards, and for some reason that makes it more fun.


Hey, it's Guido! Also I broke down and bought an MU hat, guys. I've been resisting for so long because everyone else has them. But I finally got over my hipster problems and bought one because let's face it my life dream is to enroll at Monster's University and I can sing the first two lines of the MU fight song. So that makes me pretty official.


Could not stop riding this ride! It's the best, I tell you.


Last minute before closing ride on the carousel.





Beignets! Highly recommend.


Who knew safety cones made such good backdrops.


Just crazy Aunt Toni in the front wearing a shower cap (Toni, if you're reading this I love you!).


We ended our last day with the World of Color.



Why oh why did it have to end??? Someday I will move to Disneyland and live there forever, just haven't found someone to fund that yet.

Disneyland I miss you already.

Tuesday, August 8, 2017

Embroidered Quilts

If you've ever perused through my bucket list you will notice that item #14 is to make quilts for all my favorite people! That particular item is probably going to take forever to actually check it off because I have a lot of cool people in my life to make quilts for.

With two of my sister in laws being pregnant and having babies this year I decided to start by making quilts for my two little nieces.

I didn't want to make just any old quilts though, I wanted them to be special and personal. So I decided to embroider some of the squares.

Embroidery is such a lost art, and it probably makes me seem like I'm actually 100 years old that I'm embroidering something but I love it!

It's relaxing and a good way to keep my busy brain from worrying about all the crazy things going on in my life. It's therapeutic. Just like baking is for me. It's important to have a hobby that can take your mind off the stresses of every day. But I digress...

Here are some, but not all of the embroidered squares for the quilts.


This one was by far my favorite I've done! Someday when I make my own quilt I'm going to embroider every square with something Disney, haha.


Unicorn.

Speaking of unicorns the Vans store has UNICORN SHOES for little girls and they are SO SO cute. Like if I had a baby right now, I would've bought it. Here's the link. 


 Little sheep.




More Disney references!



Finished quilts!