Posts Tagged ‘ student nurse

Home At Last

I had an amazing clinical today. I got to be in the PICU [at a different hospital than the one where I work] and I absolutely loved it. It reiterated that I could be a PICU nurse quite happily.

There are a few things about where I work that I definitely don’t like and that had kind of turned me off the PICU idea for awhile. But here, at this other hospital, it was great! I asked questions about how they ran certain aspects and it fit me perfectly. I clicked well with the staff and the charge  nurse liked me so much she introduced me to the nurse manager AND gave me her number and email saying I could use her as a reference anytime.

I’m super stoked.

Hopefully, I’ll get my summer externship there and will have a leg-up on getting one of the new grad positions there.

=D

Overjoyed. Today was an amazing clinical day. I felt the spark reignite. The same one that had been dull and waning for awhile. Woo-hoo!

Love,

Laney

Interview

Yup, I’ve got an interview tomorrow for a float pool NA II position. The budget is only allowing for FIVE new spots, so I’m hoping to get one so I can ‘get my foot in the door’ as they say. It’s only perdiem meaning I’d only have to work 24 hours a month to maintain my job.

Considering how competitive it is right now to get jobs, especially in this area with not hiring too many new grads…I’m trying to do everything possible so I can get on a good floor when I graduate.

Cross your fingers for me!

Love,

Laney

Working in Nursing School

I got another question via email.

“I’m getting ready to start nursing school and wonder if I should work while I’m there. I don’t have to work technically, but I don’t like relying on my parents to pay for everything even though they said it is fine. What do you think? I know you work on the weekends…”

Well, to be perfectly honest- if I didn’t have to work, I wouldn’t. First semester I worked 36 hours a week plus school and clinicals….and nearly burnt out.

Last semester and this semester, I go to school Monday through Thursday and then work 8am-8pm Fridays and Saturdays. Last semester wasn’t so bad, but I’m already burning out this semester and its only midterms!

They always told us in the first week of school, “Don’t work in nursing school!”, but when you’ve got a mortgage, that really isn’t an option. If you don’t HAVE to work, but maybe want a little extra cash to help out or for spending, I’d suggest getting a perdiem NA position at the hospital you’re interested in working at once you get your RN. Per-diem only requires something like 24 hours a month which is very doable. If you haven’t got your NA yet, there’s always the HUC position.

I’ve come to find that the topic of working while in this level of schooling is a very personal question and sometimes real touchy. I’ve seen divides in first semester from those who had to work and those who didn’t have to work. It was like those who had to work scoffed at those who didn’t have to work complaining about how they didn’t have any time to study.  I know I thought that in like the first month, but you know, everyone’s got their own issues- working and otherwise.

Anyhoo, that was kind of rambling at the end. Sorry about that. Best of luck to you!

How about you guys? Any thoughts on this? Do any of you have to work or do you do it because you want to?

Love,

Laney

PS- Keep the questions/emails coming! You can see other questions answered including those about how many hours to study in nursing school and the worst [and best] parts of nursing school.

I Shot Her…

…in the deltoid with a 5/8″ needle.
 
Thursday was a better clinical day. I got to go to one of the local community centers in the downtown area and practice immunizations on the pediatric patient. I also watched some physicals and helped with the hearing/vision tests. I started talking with this one 12 year old after her tests and instantly connected to her. She reminded me a lot of my sister.
Then I went back to the immunization room. I was nervous about the idea of giving a shot to a squirming baby. My classmate went and gave four shots on a 6 month old. She cried and pushed our hands away when we gave her the bandaids, but after a few minutes she was smiling and playing again.
I waited for my assignment wanting to bite my fingernails (but I restrained!). Lo and behold, my assignment was the 12 year old from earlier. How awesome! She was a trooper and only made a small face. She sat still and all was right with the world. One heart band-aid for you 12 year old! 
 
It was a good day.
Any thoughts? You guys remember your first peds injections?
 
Love,
Laney
PS- Need other firsts? You can also flashback to struggling nursing students for the first time, first birth, and first client.

Pap Smears

[cred]

Oh yes. Pap smears.
I went to an OB-GYN clinic today. The morning started off painfully boring because I wasn’t allowed to do anything but observe. I was bored to tears.
But then, in the afternoon, it got busier and I was actually allowed to do everything from taking patients back to assisting the doctor with his appointments.

And they were all pap smears.

The first couple, I was thinking ‘Alright, seeing something new. Getting to participate. Woo-hoo!’
The next couple were like, ‘Hmm. Well, see one, you see them all, right? Not my thing for an everyday career personally, but that’s okay…’

By the end of the day, it was, ‘If I see another pap smear again, it will be too soon!!’

That was pretty much my day.

Love,
Laney

PS- Here’s some help with beating those nursing smells…learned in first semester

Mid-Semester Slump

I feel it coming on. The mid-semester slump. My house is messy, my books less organized, my mind is foggy. It’s awful. Spring break is [thankfully] only a week and a half away.

And then, I can pull my life together I hope.

How about you guys? When you’re about halfway in, does your energy dip a little?

Any cures? Fixes?

Blahhhh.

Hope you’re having a happy Tuesday. Clinicals tomorrow = fun stories to come.

Love,

Laney

PS- Looking back at old posts, I found this- which leads me to conclude that dealing with medicine makes for a tired nursing student/HUC/NA. Le sigh.

PNA program

I’m waiting to hear if my application was accepted for the PNA program. I applied to two hospitals and it is extremely competitive. Basically, the program runs for about 8 weeks and it is a paid externship. You get to work hands on with a nurse, like in clinicals, on an assigned floor and get paid to do it. How awesome, right?
At one hospital, there are about 80 positions. At the other hospital, they aren’t sure yet. But last year, there were close to 200 people applying for less than 70 spots. Ahhh.
You got to rank your preferred floors although it is never guaranteed where you’ll be. I chose PICU, PACU, Peds PACU, ER, ICU
[After this last rotation, I wished there was an L&D option too...doh!]
The waiting game is the worst part I think.
Love,
Laney
ARBQVVE96825

Financial Aid- Or Lack Thereof

I just filed my taxes and did my Fafsa. And I’m broke. I’m a married college student living paycheck to paycheck…and the calculators for the federal government on the other end of FAFSA are telling me that my estimated family contribution for next semester is over $9,000.
Tuition for the semester is only a little under $7,000. Doesn’t it seem weird that I’m applying for help and they say I should expect to pay MORE than the tuition itself?!?
 
How do they get these numbers? I don’t understand!
Yes, we made, X amount of dollars last year. But between house payments, car repairs, and general bills there isn’t a lot left to spare for tuition. And certainly not nine grand left to spare.
 
Flabbergasted.
 
Love,
Laney

Who Knew I Would Like L&D??

Well, my L&D rotation is over.

I have to say, I really enjoyed it! Who knew?! I was not expecting that. It got slow at times, but once the pushing got started, it was a fast-paced environment, good turnaround of the patients, AND you got to build a rapport with them. Everything I love!

I hadn’t realized how much the bedside nurse does. The MD or midwife really only came in after the head was on its way out. They were there to pop the baby out, deliver the placenta, and repair the perineum. That’s it. All the baby care, the comfort, the assistance with labor, being a labor coach, doing the vaginal checks, being there for the pushing which ranges from 10 minutes to 3 hours (a patient yesterday pushed for 2.5 hours!)…that’s  all done by the nurse.

I really liked the continuous monitoring (q30min for baby, q1h vitals for mom) and the fact that there is so much to keep track of. Plus, there is a mini-OR on the unit for the C-sections. How cool is that! One of the nurses today was bedside all morning and then went and was the scrub nurse for the C-section. Very cool.

And it’s exciting. Everyone has a different story and a different history. Bringing new life into the world is always exciting. It’s an infectiously happy environment. AND I liked the nurses there. They are good at what they do and they were willing to teach, which is important. It was so awesome!

Granted, I had an intimidating instructor, but it was still a great experience overall.

Maybe I’ll be in purple scrubs after this??

Evaluations

It’s that time again. Evaluations at work AND at school.

I’m not against evaluations…they lead to my pay raise. It’s just that there is such a long process before I get to my evaluations. In the hospital setting, you have to do all of the annual modules on the computer for compliance showing that you’ve read the policy for things like proper hand washing, or Accucheck policies. I was talking with some nurses at work and it seems as though the self-evaluation; thing never ends! You’ve gotta do annual ones and sometimes there are more as a new grad depending on your facility (i.e.- 30, 60, 90 days). So draining!

At school, it’s a little different. My clinical instructor from Postpartum is big on evaluations though- she used to be a nurse manager. Every week after clinical, we have to do a self-evaluation in clinical to talk about our strengths and weaknesses. I guess they’re trying to prep us now. But, I’m starting to find this semester while doing my own weekly evaluations the growth that is really taking place. I found this nifty article on why self-evaluations are so important, something I hadn’t really considered before this semester. When I compared them with my evaluations from first and second semester…it’s amazing to see how much I’ve crammed into my head in the last year and a half.

Examples:

First semester:

Strengths- Good communication, improved basic assessment

Weaknesses/Improvements- Will work on doing quicker, focused assessments.

Second semester:

Strengths- Medication administration, quick and focused assessments, tying in the Pathophysiology with the care, dosage calculations

Weakness/Improvements- Will work on time management and handling multiple patient load (two patients max), keep learning pathophysiology

Third semester:

Strengths- Improved patient education, handling more patients, more pathophysiology

Weakness/Improvements- Quicker analysis, build more confidence b/c we’re doing different aspects of patient care now (i.e- patient education and discharge) and are responsible for just about everything, and of course- more pathophysiology

What about you guys? Do you have to do self-evaluations for your clinical or for each instructor?

Sidenote: I hate doing evaluations at my work. It’s this long laundry list of the same questions that are worded differently and it kills a bunch of trees. After reading the other article I mentioned earlier, there was a link talking about this nifty online evaluations program. If you’re reading this nurse-manager-at-the-hospital-I-work-at, I wish you would get with the program because this would make my life a lot easier every year. Thanks.

Love,

Laney

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