The Sixth Week

This week went pretty well . . . all things considered. I’d planned to sign the RN intent form and mail it in with the whopping $100, but the email with the form that was supposed to come on Tuesday never came. Oh well. Our intent is due on March 1, so I’ve still got some time.

Next year, I think I’m going to switch to online instead of the ITV classes that I’m in. I’ve heard absolutely wonderful things about the notes for the online RN section, and the class still gets together for a day of labs and a day of clinicals. I’ll probably keep in really close contact with some of my classmates and get some studying done with them.

The final on Wednesday could have gone better, quite frankly, but I’m pretty much positive I passed with at least a C. I hate to admit that the phrase “C’s get Degrees” is feeling like a reality. I’m getting happy if I can get a B- on an Adult II test. Things are getting harder, and I’m working my tail off to try to maintain at least a 3.2 GPA. But it’s getting difficult when you take a test that has questions you never once read in your text or notes material. There are a lot more of those “common sense” questions showing up, but those are usually pretty easy.

Clinicals this week went wonderfully. I was paired up with another student, and together we had everything covered for two patients. Our primary patient was a hospice patient with end-stage COPD. And when I say “end-stage”, I mean towards the end of the end. Though the patient appeared perfectly healthy when sitting still and/or resting, it didn’t change the high-flow nasal canula of oxygen that was needed at every second of every day. There were multiple nebulizer treatments and inhalers. We really enjoyed working with this patient, for someone who is living an extremely difficult and uncomfortable life, quietness and sweetness seemed to fill the room without even talking with the patient. We had difficult (to be completely honest, scary) moments of monitoring oxygen saturation, bumping up the flow rate when slight cyanosis with a sat of 80% came out of nowhere. Pulling through and keeping the patient as comfortable was all we could do, and I feel that we both did a very good job. This is, of course, thanks to our teachers, upbringing and previous work experience.

Another patient that we both spent a lot of time with was very young in comparison to our other patient (close to my brother’s age). The influenza’s been making its way around Minnesota, and this little spot is no exception. Isolation was key (though I’ve had my immunization, so I was safe), and the poor guy eventually looked like he was tired of seeing nurses. I had the opportunity of taking care of his IV, cleaning his room, providing patient education to him and his mother, and getting him to smile. As I’d not been able to participate in any patient discharge as of yet, the nurse allowed me to complete the whole process, and let me tell you, as an aide, family doesn’t ask you questions that they do when you’re the nurse (a very good thing). I’m just glad that I was asked questions that I knew the answers to. That doesn’t happen very often, and I was glad that I was able to give that confidence to the concerned family members and that the primary nurse trusted me enough to complete this on my own.

Now comes the case study . . .

I was looking at another student nurse’s blog and came across a link for Nursing Study Stack. This is something that I’ll probably wind up killing a whole forest of trees printing. :)

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