Saturday, July 14, 2012

Nurse Mama

It's been a huge week and I'm not sorry that it's over. I'm beginning to feel ready to take on more responsibility with my placement. I'll ask if I can have three patients next week. It's a fine line between having patients who are just 'routine' to look after and those whose condition worsens during your shift. Naturally they need all your time and there's nothing left for the other patients who I'm sure feel neglected. And yet when I've had two who are either refusing treatment or are happy just resting, there's not much to do. At least now I've seen that it's not always crazy busy because up until the last two days the ward has been flat chat. I know too, that as I become more proficient then everything I do will take less time. I'm so glad though that I haven't felt rushed at all. That was a big fear of mine and when all my learning is still so new, if placed under pressure what little knowledge and skills I have, would simply desert me. All the RNs I've worked with have not rushed me or made me feel inadequate which has been great for my learning. This means I'm not nervous whenever I try something new. I feel comfortable giving injections now. I'd like more experience with setting up IVs.

Last night I finished and Leanne and I ducked into Maccas for a quick bite before we headed home. I'm always so hot and sweaty after my shift and sitting outside was lovely. It's unseasonably warm at the moment. I'm currently in shirt sleeves and the ceiling fan is on. The Sunshine Coast has forgotten that it's actually winter.
I came home, showered and enjoyed a cup of tea. It was about 12.30am when I went to bed. I was weary and looking forward to a sleep in. About an hour later, Mickey came into my room and said he wasn't feeling well. So the night was filled with comforting him whilst his head was in a bucket and his bottom over the toilet. We had a broken night and when I got up before 11am I felt so hungover as if I'd been to a party and drunk too much.
I cut all their hair today, something which has been desperately needed for ages. I'm rapt that the boys like it when I cut their hair myself. It surprises me they they do actually. Sammy's is so hard to cut though, as he likes it over his ears and they stick out s little. His was soooo long we could have tied it up. Slack Mama. Not really. Very busy Mama.
I want to read up in my new Magic Lantern book about my Canon 60D but am getting sleepier by the second. I may lie down a bit and come back to it.
- Posted using BlogPress from my iPad 3

Wednesday, July 11, 2012

A day of respite

Today I had a day off from the hospital.

Just prior to prac, I checked my BP again and I wasn't impressed as it's still too high. So my GP changed my blood pressure medication from a calcium channel blocker to an angiotensin receptor blocker. I've not seen any change at all. Yesterday I got Paul to check it for me and it was almost 150/95 and my pulse was over 100. Admittedly I was incredibly busy, but still!! It was at that level when I'd checked it in the morning too, and I was only sitting quietly then.

I've hit a wall, I think too. I went to my GP today and stayed home. I spent most of today in bed. I ate breakfast and cooked and ate dinner and just snoozed. I feel much better for it this evening. My BP is still too high though. My kidney function is okay, as I checked on my latest blood tests while I was there

I've given myself permission to just take it easy today. My placement is going really really well. I've gained the respect of the RNs on the ward and this has given a much needed boost of confidence. My facilitator, Paul says I'm too hard on myself. I don't think I am because I know what I'm capable of when I put my mind to something. The new strategy I employed at the beginning of the last semester held me in good stead as my marks were really good. The semester was tough, and my lowest mark was a Distinction for Pathophysiology!! I got High Distinctions for my other subjects. I'm so happy with that. All the hard work paid off. No weekend was without study and while I was hoping to inspire my kids into university, all I did was shy them away from the thought of further study as they felt I was working far too hard. Oh well, hopefully when I graduate they'll see the reward I get, plus the fact that I love what I do.

The last seven months or so, haven't been easy. I've not 'dropped my bundle' at all.......and as I know myself well, today I just needed to stop.

This was taken on Saturday. We had a fundraising dinner for our Tanzania trip, which I helped organise and run. It was a fun night.

This is from orientation day. Libby, myself and Mariana. Should have taken more pics as this one is lousy from my iPhone. 

Oooh, almost forgot on the weekend, I picked up my new camera. I bought the Canon 60D. My 'everyday' lens on my 450D is broken, and while I didn't want to buy a replacement kit lens, I added more $$$$ and bought a new entire camera. Can't wait to learn more about using it. I ordered a Magic Lantern book about it. I'd like to use it a fair bit before I go away.

Tuesday, July 10, 2012

So much to write, and not enough time.....

I'm in my third week of placement in a cardiac/renal ward. It's an amazing experience and I'm learning so very much. I don't even know where to begin.

  • I've been allocated two patients per shift and they're my full responsibility. Strangely enough, I've always managed to get quite ill ones, who aren't just straight forward. 
  • I'm amazed how sick our patients are. And how old they are.
  • Comorbidities abound.
  • Still grappling with writing observation notes, although the skill is developing 
  • Becoming more efficient at taking obs
  • Love the nurse/patient interaction
  • I don't ever feel stressed or flustered
  • Have no idea how I'm going to look after six patients 
  • Love watching procedures
  • Am amazed at how well my feet and back cope. I find it easier walking and being on my feet for an entire shift than I do sitting and studying.
  • Feel like a part of the nursing team and my work is acknowledged which is awesome
  • The late shifts are more demanding, but also more interesting
  • Both shifts go so incredibly quickly
  • I've watched an angiogram, dialysis, insertion of a vas cath, have inserted a catheter, have given numerous injections, have given IV push antibiotics, have set up a fluid IV, have administered oxygen, I've preempted a patient crashing twice, and then been there to stabilise him. 
  • I find working on the ward very hot. The shirt is hot and my pants are hot too. 
  • The long walk to and from my car is doing me good. 
  • I have to remember to drink a lot of water.
  • I feel privileged to look after these sick people.
A lousy post I know, but it was better than nothing.....


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