These past 2 days I have given a total of 20 IV push medications. Before starting my preceptor quarter I only gave 2 out of my whole student nurse career.
All on the SAME PATIENT, and they were all either MORPHINE and/or REGLAN. I think a psych consult is in order.
And can we please make the Morphine every 4 hours instead of 2, that will give me time to chart, document and give meds on my other 2 patients without feeling rushed. I know morphine does not stay in the body long and we can give it sooner but she is clearly addicted to narcotics.
You favorite nursing student
MONDAY: So my first day of my preceptorship went well. I was given 2 patients right away but my preceptor said that I could assess and give meds at 4pm, that way I get an idea of how the day will go in the morning but there were so few patients on the floor and too many nurses that they sent my preceptor home and along with her, me as well, so I didnt get a chance to give meds or assess the patients I chose to take care of that day. I ended up working an 8 hour shift instead of a 12 hour shift that day which messed my schedule up a little because I have to go to clinical tomorrow (Saturday) now to meet the minimum hours per week of preceptorship.
TUESDAY: My 2nd day was more exciting than Monday. We were able to stay the whole 12 hours and I got to assess and give medications to my patients but they went home in the early afternoon so for the final 4 hours of the shift I had 2 new patients that I had to do my assessments on. But the night shift was so much easier and I think that is because of the patients I had available to me. One was a transfer who came out of surgery who was relatively stable and the doctors had not put in the medications that was to be given. By the time the doctor put them in, it was to be given during the next shift. He also couldnt speak English well, so I got to use the translator line on the iPad so that I could educated my patients on the meds. But according to the wife, she wanted to wait for her daughter, who could understand and speak English, before we do so and she had not arrived until it was the end of my shift. The 2nd patient didnt have any medications in the afternoon and was to be discharged the next day after getting blood.
FRIDAY: The first theory class went by insanely fast. Partly because we spent 10 minutes waiting for people who were having their fingerprinting done to be finished. Once everyone had came to class we went over the assignment and that was pretty much it for the day.
Saturday (Tomorrow): I am partly hoping I work only an 8 hour shift tomorrow and another part of my is hoping I work the full 12. I really dont want to be there on a Saturday but I guess that will be part of the job, so I might as well get used to it right?
I dont know how to describe it. Like I feel like….I have no clue how to describe it. I want to say flustered but I dont think thats the correct word to use. Maybe it will help if I describe the situation leading up to it.
So today, I was helping the new nursing students how to transfer from a bed to the chair when a quarter 2 student came in and asked for help on some math problems. I went in to help and I saw him that cute guy. He was laying on the table with his eyes closed and just chilling overall, like he wasent too concerned about what is going on.
Anyway, I go and help them but I couldnt focus on the math problems, my mind kept wondering and thinking about him and I wanted to look at him. Eventually my mind settled but not to its usual capacity and I was able to solve 2 of the 3 problems they needed help with but throughout the whole time I kept mixing up my words and my palms where clammy. I also kept fidgeting with the paper or whatever I was holding.
I actually got to talk with him more than I ever had and I found out that he takes Nyquil or melatonin to help him sleep before clinical but said he will try Benadryl since that would be safer after I told him that what I take. He also wakes up at 12pm whenever there is no school and stays up really late. He also knows a lot about computers.
Its just ugh, so fucking cute and adorable, cutely intimidating, and a goofy guy overall.
AND HE HASENT WATCH FROZEN! Do I hear a Frozen movie night with him?
But why do I get so….flustered? Help me out here Tumblr. What is it that I am feeling? I never felt like this before…..
Wednesday: I got an email from the night before that someone was needed to help sell supplies to quarter one and that a president needed to be present. I said yes since I had time and it was fun.
I also got to meet my preceptor and tour the unit for the first time and so far I am liking the unit and my preceptor. Her humor and delivery of how things should be done on the unit and how they actually are done is similar to how I would do it. Like when she showed my the form the ED and the unit I am on uses, she said in a hushed voice of how it was actually done. She curses and is funny overall. She said that on Monday, i will start off with 2 patients. I was a bit horrified on the inside when she said that and I asked her if I could have a shadow day but she said since I only have 14 shifts compared to my other classmates who have 20, I sort of need a fast track in my learning. Which is fine for me it only takes me a shift or two to establish a routine.
Friday: I had my first theory course and it was mainly meeting the 2 instructors and getting their cell phone number in case of emergencies. We talked about what is expected of us and some of the do’s and don’ts of preceptorship. She also collected all the paper work that needed to be turned in, so nothing exciting happened there.
Monday and Tuesday: First week on the unit with 2 patients
Wednesday: Helping the nursing newbies and teach them how to transfer me from the bed to the chair without dropping me. This will be fun. I havent been dropped yet but there is a first time for everything. hehehe
Friday: Theory and fingerprinting.
Guy #1: He is a quarter 2 student who participates in MMA. He is very goofy and appears to be technologically orientated as evidence by his gaming laptop. He even told one of his classmates to be careful with the laptop while she was tracing something on the screen, very cute. His legs looks nice and that beard is just ugh. In the homosexual community you can say he is an otter. He actually looks like a cute little otter. haha I noticed him back in quarter 1 but due to my hectic schedule back then I didn’t get to interact with him as much.
Guy #2: He just started the program and I havent gotten much information about him. He is new to De Anza in general and that is due to the fact that he took all his prerequisites at SJSU and applied to every nursing program he could. Due to the way SJSU picks nursing students he wasent selected and eventually his turn on the De Anza wait list came up and he still wasent in the SJSU nursing program. Very meek and calm. He looks very young, maybe even younger than I am. I met him on the very first day of the quarter because he came into the nursing building looking for someone to turn in the paperwork and didnt know he had to go to the cafeteria. I escorted him to the place where he had to turn in the paperwork and on our way there we chatted for a bit.
Why Universe/God you give me to guys that I am really interested in at the near the end of my time in the nursing program.
If you need a reminder of who this guy is or just tuning in please read the follow tag here
OMG, So it seems like my cousins friend is coming back to the front burner. I havent talked, seen or had any kind of interaction with him since the last boxing match and now my nursing class needs a photographer for our graduation and we are having trouble finding one so I brought up my cousins friend (who I thought was a homosexual and I have a tiny crush on). I am just waiting for them to get the ok before I ask him if he wants to do it. He is an amateur photographer and my class may want a professional.
So I asked my cousins for his number and she gave it to me! Ahhhhhh. I have his cell number and I can text him tomorrow. Eeep. Gotta play it cool Jay. Of course this is going to be a business relationship only and besides he is straight.
Ahhh. I am really really nervous. My friends who were on that unit before said she has a dry sense of humor. OMG I am so scared. What if we dont get along? What if she hate me?
But what if we get along? What if she loves me and never wants me to leave?
Argh, I just have to take it a day at a time and see what happens.
We were really organized and actually ended 15 minutes earlier than we were suppose to.
Here are some of the things I have said during the assembly.
1) *Trying to make the 7,8,9 joke*
Someone: You mean 7….8…9?
Me: Aww crap. The vodquilla is still hitting me hard from break.
2) *Regarding applying for scholarships*
Me: Apply for scholarships even if you dont think you qualify. If the scholarship says you have to be a pregnant female and you are a male, apply anyway.
3) *When the meeting was done early*
Me: Alright everyone I will give you 2 choices. You can either chill and talk to each other or you can give each other advice. Who wants to just chill.
*My own classes votes for just chilling along with majority*
Me: Gee Thanks traitors! And who wants to give advice?
*All of quarter one wants advice and some other*
Me: Alright since quarter 1 wants advice we will go with what they want since they are the newbies.
4) *Giving advice to the other quarters*
Me: And make sure you wear white underwear under your clinical pants because they will check *Narrow eyes*
5) *Handing the mic to the DON*
Me: And that concludes the meeting. And now the faculty is going take over and I now present to you our DON Judith.
I have asked my class to include what else I have said so this list might grow.
I am co-running the SNO meeting tomorrow and I have ensured that it will be a lot more organized this time compared to last quarter.
If you are going to be at De Anza tomorrow you are more than welcome to come to the meeting and get a feel for the nursing program if you so desire.
Meeting is either at 1:00 or 1:30, I can never remember what time it is. But you are more than welcome to come in and sit in on the meeting if you can find the room its in. Ill give you a hint, its in the cafeteria.
But if you really want to know message me. Ill be more than happy to give it to you.
He said he thinks I am trustworthy enough that I wont torrent porn using their crazy fast internet. He was partially right.
I am not downloading porn but I am downloading Frozen. The full Blu-Ray including deleted scenes in its full 1080p goodness.
Asked by Anonymous
Haha Its ok. No one starts off knowing everything about nursing. Congrats on getting into nursing school BTW.
To answer your question:
Certain medications you give, should always be followed up on, that way you know if it works or not or if your patients could be in danger.
For example a common med given are antihypertensive meds. BEFORE you give it, you should know their blood pressure just in case you might need to hold it. Sometimes the doctors will put in parameters otherwise the general nursing rule, that I was taught anyway, is to hold it if the Systolic is less than 110 or the diastolic is less than 60. For beta blockers you also have to know the heart rate and you generally hold it if its less than 60. But AFTER you give it you need to know if its working or if they are suffering from hypotension. If its not working you will need to let the doctor know it is not and if they are hypotensive you need to make sure they stay safe, which means you either assist them when they get up and make sure they do not get up on their own.
Another med that needs follow up on is pain medications. You need to know if the pain meds are working and if not you can tell the nurse on the next shift what works and what does not. For opioid pain medications, you need to make sure respiratory depression does not occur and if it does Narcan will need to be administered.
Antiemetics should be followed up upon as well because you will not have a pleasant patient if they are experience nausea.
And the list goes on and on. Dont worry if you have no idea what I am talking about. For my program, they briefly brought up follow up on medications topic in my subacute rotation (1st quarter) but then they go into it even more in the 1st rotation of the med-surg rotation (2nd quarter)
If you are still curious or if you want to get ahead, you can ask me this whole week since I am on spring break or you can ask anyone in the tag listed below.