TRAUMATIZED BY SIM LAB (lol) // LETIFFANYSHOW

Hello friends 3

SIM lab is a place where all dreams go to die. Kidding. But I may or may not be traumatized by my SIM lab experience.

Welcome back to my blog! I participated in a SIM lab and I thought I’d write about my experiences and reflect on what I would have done different. Grab a snack because this is going to be a long one…

Background

Simulation lab (SIM lab for short) is an activity we have in nursing school where we’re put in a room that mimics a hospital room with a SIM mannequin that mimics a human. It’s pretty cool cause the mannequin has respirations, has a pulse, and it talks! Well, the professor and the IT master control the mannequin in the control room but it’s amazing how much technology we have these days. So basically, the professor gives us a scenario, picks 2 student nurses to go in the room to do the simulation while the rest of the group sits in a different room and watch them do their thang on a big screen tv. I’ve done this before but this time, it was bad…

For some reason, I had a feeling my professor was going to pick me so I studied up on the topic. We knew it was going to be on Pulmonary Embolism (PE) so I focused on PE the night before when I was studying for my exam and reviewed before the lab. That way, if she picked me, I wouldn’t be completely clueless on the nursing interventions and what to do when your patient is having a difficult time.When she picked me, I was super nervous but I was like, ok I got this, lets do this. I have nothing to lose but some dignity (LOL)…

And… I don’t got it.

You see, the thing about these simulation labs is that you think you know what you’re going to do but the moment you go into the room, its like you forget everything nursing. Not only you have pressure of saving the SIM patient but also in the back of your mind, you have at least 8 pairs of eyes watching you. It’s a lot of pressure! So the moment my patient said, I CAN’T BREATHE and I’M IN PAIN, my mind completely blanked. And as we assessed the patient even further, his HR kept going up and his oxygen saturation kept going down. He was crashing and I blanked even more. The worst part was, the SIM patient said he was in pain and I administered morphine without checking the computer for orders or calling the provider. *facepalm* In the moment, I was thinking, “okay he’s in pain, pain is a priority, I should relieve his pain.” But in reality, WHY DID I DO THAT?! I KNOW BETTER. -.-  I guess on the bright side, I did hand hygiene and wore gloves lol … i guess. *facepalm* why…

I knew the end product was the patient had a Pulmonary Embolism because it said on the schedule but the point of this simulation was to get from point A to the end product. It’s like this large puzzle and you have to somehow put together their symptoms (the puzzle pieces) and then notify the doctor and try to relieve the problem. This is exactly what nurses do in real life! So when I failed, I felt really bad about it and guilty. Like why couldn’t I do it? and WHY DID I GIVE MORPHINE WITHOUT CHECKING FOR ORDERS?! GOODNESS. *more facepalm*

I think the hardest part was hearing all the “you should have, could have” done _____ from my peers. It is a learning experience but honestly, all i wanted to say to them was, “you don’t know what it was like until you’re in there”. I’ve definitely been in the viewing room and in my head I’m shouting like omg you should be doing this why are you doing that? like its a TV show but when you’re in there, it’s completely different. I was low key crying during the whole debrief because 1) I’m emotional 2) I was beating myself up for the dumb things I did in there. I know better and I know I could have done better but it is what it is and on the bright side, it’s a mannequin and he’s fine…I think…

What I would do differently is call the provider as soon as his vital signs started to deteriorate. The sooner I get the doctor’s orders, the sooner I can implement them and help the patient relieve the symptoms and prevent his condition from worsening.

I can literally write a book called “things you shouldn’t do as a nurse” based on my actions in the SIM lab that haha it was horrible. But again, I learned from my lesson and I hope my peers did too lol “this is what you shouldn’t do in a situation like this” 🙂 AND thank goodness they didn’t make me watch myself fail. That would have been even more traumatizing LOL I laugh about it now but man, during and after the simulation lab, I was a mess. sigh…

Anyways, that’s pretty much it for this blog post. If you guys have any stories from nursing school or even as a real nurse, comment them down below and we can laugh or cry about it together!

Thank you for stopping by and hanging out with me! If you liked this blog post, give it a biggggg thumbs up! And subscribe to my blog for future notifications of when I post! Also check out my youtube channel where I upload my vlogs!

Signing off from this blog post… I hope you have a beautiful day and don’t forget to shine bright, you’re beautiful. Thanks for reading!

 

Peace out.✌

❤ , TIFF

Real Nurse (R.N.) in the making.

 

psst… check out my last post here!

psst… I’m exhausted.

Building My Nursing Philosophy pt. 1 // LETIFFANYSHOW✨

hellothere

Welcome Back to My Blog!

Today marks the end-ish of Block 6: Nursing Theories, Practice, and Issues. I turned in my philosophy paper last week and it was such a struggle. I literally forgot how to write a paper. All those writing classes I took in college has gone to the “nice to know” region of my brain and recently moved to the brain grave.

This class is all online and the assignments consist of discussions, one philosophy paper, and one group presentation about a philosopher. The discussion posts were always a hassle because in the past blocks, they were mostly done with group members. That meant we had to coordinate with each other and it took a lot of time. But for this block, they were all individual responses.  However, one requirement is to respond to two of your colleagues post but those weren’t time consuming. You pretty much compliment on their post, say whether you agree/disagree or add your input!

For the presentation, we had to choose a philosopher. Good thing my group member was on top of it because I was completely out of the loop. We chose Jean Watson and we just followed the rubric/guideline. If you guys were wondering how 8 people worked on a presentation, we used google presentation! It’s great because we can work from our comfort and watch it being put together.

The only downside is if you convert the google presentation to an actual ppt, the fonts may not transfer and the images may be distorted so definitely double check before uploading!

I may or may not have slacked a little and ended up having to come up with a clinical scenario. And let. me. tell. you… that was..wow. hella difficult! I hope it was acceptable because I had the worst time trying to come up with one. Fingers crossed? :<

This block as a whole was pretty relaxing. Maybe…a little too relaxing but I’m not complaining. Since it was mostly discussions and that paper, I decided to do all of my discussions ahead of time so I could focus on my paper. The paper was so difficult for me to start/write that I began to write it like a blog post! I guess these blog posts are paying off because that def made it easier. I like to tell people my paper was a blog post without the bad grammar and the lols 🙂 I ended up doing well so that was definitely a big relief! I really don’t like papers…

Next is Nursing Research and I don’t really know what to expect. Perhaps…nursing..,research? Who knows! haha anyways, that’s what block 6 was like! I didn’t really vlog about it because there was nothing to vlog. I literally just sat there and stared at my computer for 15 mins per day and that’s it. I did vlog my first cycling class experience and getting my ears pierced so I’ll leave that right here!

Thank you for stopping by and hanging out with me! If you liked this blog post, give it a biggggg thumbs up! And subscribe to my blog for future notifications of when I post! Also check out my youtube channel where I vlog about nursing school!

Signing off from this blog post… I hope you have a beautiful day and don’t forget to shine bright, you’re beautiful. Thanks for reading!

 

Peace out.✌

❤ , TIFF

Real Nurse (R.N.) in the making.

 

psst… check out my last post here!

psst…Oh and what’s my nursing philosophy? Find out in the next blog post! 🙂

THAT MEDICATION DOES WHAT?! + HOW I STUDIED FOR PHARMACOLOGY// LETIFFANYSHOW ✨

hello friends 12

Welcome back to my blog 

It’s one of those days where I’m having a writers block and I don’t remember how to start a blog post. And then I refer back to my old blog posts and… I’m still stuck. So hi, how are you doing? I hope you are all doing super well. Last week, I successfully made it through pharmacology without remediating and it was the best feeling ever. It was a lot of loud sighing and silent crying but hey, I’m done with that now! I vlogged during the week of the exam 🙂 Check it out below! 👇

Today, I thought I’d talk about how I studied for pharmacology. I was going to make a video about it but I can’t seem to get pass the insecurities and formalities of a sit down video so I thought I’d at least write about. 🙂 But before we get into the fun stuff, let me break down what pharmacology was like for me!

Since I am in an accelerated program, pharmacology is only 2 weeks. Wait what? 2 weeks? Yep, you read that right. Don’t worry, I thought the designer of this program was crazy too. I had about 8/10 days to learn/study/memorize a lot of drugs. It was a struggle. I think I studied about 18 hours a day… now if you told high school Tiffany that I’d be doing that, she’d laugh in your face. It was non-stop learning, reviewing, and memorizing.ati.png

There were no actual textbooks for this block. Most of the learning materials were on ATI. It’s an online tutorial website that my school uses as supplemental instruction. It’s also the company that makes the TEAs exam. Each day, we were assigned certain modules to watch and that’s what we used to learn our drug information. The professors provided drug charts from the ATIs and I mainly used those to study for the exam.

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At first, I went through every assigned section of the ATIs but that took up 4+ hours of my day. I personally felt like I was wasting time so instead, I decided to focus on the drug charts. I used the ATIs to look at the “expected drug action” and took some notes. Since I have really bad memory, the best way for me to memorize drugs is by understanding how they work.

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At orientation, we were given the Nurse’s drug handbook. It’s basically a dictionary for drugs and it includes pretty much everything in the drug chart plus more. I used the handbook as an extra source to double check my information before memorizing them.

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To help me understand and remember the drug uses, I purchased Mosby’s Pharmacology Memory NoteCards: Visual, Mnemonic, and Memory Aids for Nurses, 4e (here) from amazon prime for about $18. I thought it was really helpful because I am a visual learner so looking at the quirky pictures and mnemonics helped me understand the drug uses. BUT I do think it’s better to primarily use the information that the professor provides because a lot of these extra sources give you way more information than you actually need to know at the moment. …I started panicking a little. Oops, self inflicted pain.

 

TIFF TIP: focus on the information that your professor wants you to focus on. Use the extra resources as a guide but ya know, don’t rely on it.

The best thing about this block was that our professors had a review for each module. There was a review session almost everyday and it helped me a lot. There’s a lot of information to learn and sometimes I don’t know what I’m doing. So the reviews kind of guided me and gave me an idea of what the professor wants us to focus on. I wish all professors did that. Below is an example of notes I took for respiratory drugs.

Screen Shot 2018-02-02 at 12.15.12 PM.pngUsing the information on the drug chart, I made flashcards to drill the information into my brain. I only included the drug name (Brand + generic name), drug classification, drug therapeutic use, and side effects. I assumed that was what the professors wanted to us to focus on. I mean my brain can only handle so much information, right? A lot of the side effects and related nursing interventions were similar so I learned the main ones and were able to apply them without writing them onto my tiny notecard.

TIFF TIP: Minimize the writing on your notecards because a lot of words is just overwhelming and then your brain will be like OHMERGERD WHAT IS HAPPENING?! True story. Happened way too many times.

A lot of these drugs have several side effects so one thing that helped me remember them was putting them into alphabetical order. I also highlighted the crap out of my drug charts and notecards to make the words pop. I used a different color for different purposes. For example, yellow was drug classification, pink was therapeutic use, and mint green was side effects. The colors on the notecards matched the drug chart so it was easier to identify.

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Now, it’s time to memorize them! Ugh the most dreaded part…am i right? I memorize things by writing them over and over again. I have a big white board from Costco for about $20 and I bought the costco pack of dry erase markers. I split up the notecards into small sections. Having too many notecards will become too overwhelming so try to split it up. Baby steps! I go through each notecard and I write EVERYTHING down. I keep repeating the same notecard until I get it right without help. Then I cycled through the small batch of cards until I get it right. This process takes forever but I say it’s worth it.

And that is how I studied for pharmacology! It’s a lot stuff to remember so do not procrastinate. Also, I recommend reviewing what you’ve memorized everyday. I had to do that a lot because again, short term memory… #struggle but if this sad goldfish can do it, you definitely can too!

If you guys saw my vlog (linked above..and here..) you guys would know how I started to freak out before the exam. The exam was 80 questions and we had 2 hours to complete it. This was our first 80 question exam. During the exam, oh boy… First of all, I didn’t know I could sit still for that long. Second of all, I really had to pee during the exam but people kept going so I held it the whole 1.5 hours I had left. #firstworldproblems I’m not going to lie, the exam was like a scary movie and I was the one who wasn’t going to make it out alive. I guessed on so many of them and I lost count of how many I got wrong during Evidence Based Review (EBR). I expected to see myself at remediation but somehow I saved my own butt from remediating.  It was a miracle! ✨ YAY PHARMACOLOGY IS OVER!

The weird part is that my friends and I have been talking about pharmacology since block 1 and here we are, after pharmacology making our way through block 5. Time goes by so fast! We have to remember the information we learned in pharmacology for block 5: adult health. Everything is built off each other and eventually, it will all make sense. I can’t wait until the day where I can go, OHHHH I SEE WHAT THEY MEANT  without having a 2007 Britney Spears moment. But for now, signing off from this blog post.. I hope you learned something or got inspiration for how to study! I hope you have a beautiful day and don’t forget to shine bright, you’re beautiful!

 

Peace out.✌

❤ , TIFF

Real Nurse (R.N.) in the making.

 

psst…it’s already February?!

psst… check out my last post here!

psst…Let’s get to know each other! Today’s question is…Who has impressed you most with what they’ve accomplished? For me, it’s my older brother. He continues to impress me everyday and I love bragging about him! haha

 


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