PSYCHIATRIC-MENTAL HEALTH NURSING+ HOW I STUDIED// LETIFFANYSHOW✨

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Welcome back to my blog!

The first part of Block 11, Psychiatric-Mental Health nursing, has ended  and my oh my, where has time gone?

One of the hardest things about this block was getting back into study mode. The two blocks before this block were a lot more relaxed so trying to get back into the “grind” mindset was very difficult. I also got really sick during this block, so that didn’t help!

WHY IMMUNE SYSTEM, WHY?!

Having a passion for psychiatric-mental health nursing was a big factor in my ability to focus and learn the material. Mental health has always been something that I felt was important to be aware of so learning the material wasn’t so bad.  It also helped knowing that it was something I might want to go into one day. I guess we’ll find out in clinical rotations!

How I studied: I studied this block using the same methods as before. I downloaded the content outlines from each module and filled them out as I read. That definitely helped me stay focused. I also printed all of the content summaries and highlighted the important parts. Actually, everything was important so I almost highlighted the whole page… *guilty* For the pharmacology portion, the professor posted various games that helped me remember important facts about each drug. Repetition really does work you guys! I also wrote out on a piece of paper the prototypes of the drugs and its classification. One thing I realized that was pretty helpful was to write out all of the side effects. We often see medications with side effects like “CNS depression” or “extrapyramidal symptoms” and then followed by a crap ton of symptoms! So I found it helpful to have a page that listed all of the general side effects and what happens if/when it occurs. It definitely helps to clarify things and makes it easier. Mnemonics were also my best friend for this. For example, I used ADAPT for extrapyramidal symptoms!

Acute Dystonia Akathasia Pseudoparkinsonism Tardive dyskinesia

Pretty cool right? Definitely useful when theres so many side effects and symptoms to remember!

Therapeutic relationship and communication were the main themes of mental health. Sure, there are medications to calm the patient or alleviate the problems but you need to be able to effectively communicate to assess the situation and go from there! A lot of our exam questions were related to how to speak to patients. There were questions that asked which response was most appropriate and you would have to pick a quote. Some of the answers were really obvious like why would I say that to someone? However, I stared at the remaining answer choices like uh.. I don’t know? haha and these questions are very difficult to EBR (evidence base review) because there is no direct quote in the book that tells you the right answer so there is no way to prove that any of the answer choices would be correct.

Evidence Based Review: the fourth stage of our exam process where we are able to “argue” against our professors on each question and use the textbook as proof to either get it nullified or get our answer choice to count.

Speaking of the exam, MY COMPUTER CRASHED/RESTARTED/SHUTDOWN IN THE MIDDLE OF THE EXAM! OOF that was loud. But yes, that did happen. During the exam, I was on number 35 and my computer went to a black screen and then back to the login screen of my computer. My heart literally stopped, like why now? It went to an orange screen where I had to ask my professor for a resume code and I got to go back to where I left off. I almost cried and it definitely threw me off! But eventually, I finished my exam and I felt pretty good.

But boy was I wrong… (and this is why I’m never super confident) Since this exam had 60 questions and my team got the 90% or higher on the team assessment, I was allowed to miss 9 questions. I ended up missing 12 and that was pretty devastating because I actually thought I got this one. I also really did not want to take this exam again. No one does.. So I was depending on EBR to pass. *fingers crossed* All I needed was 3 questions but it looks like they threw out a bunch!  They were really generous and I was very thankful for that! We all passed and I passed with a 95%. <—miracle right there!

It was a little soul crushing knowing that I could have failed because this was something I wanted to do! How embarrassing.. haha but that’s not going to stop me. Maybe clinical rotations will… it really is a great feeling to pass considering how difficult the past week has been. So you know what? You live and you learn! I’m thankful to be here and I’m doing my best to become the best [insert specialty here] nurse I can be.

But that’s pretty much what the first part of block 11 was like!  I vlogged a part of it so check it out aboveeee! The second portion is called Community Health /Public Health nursing and it’s not too bad so far. There’s this group project that leads us into the community health clinical rotation so it’s important we do well. Look out for a future post where I’ll talk more about the project! 🙂

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… hi! so if you guys were wondering… for some reason, the blocks are numbered out of order and I have no idea why. I went from block 7 to block 11 and next is block 10, I believe. Weird, right?

 

24 Things I Learned in 24 Years 🎉 | LETIFFANYSHOW✨

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Welcome back to my blog❤︎ 

I’m turning 24 today.

24?! You look 16.

Ikr? I got carded at the Wynn last weekend but oh my goodness, I love being carded. It makes me feel young! 🙂

Security: Hi ladies, I have to check your IDs please.

Christina & I: oh yes please do so. *handing her our IDs*

Security: Sorry, it’s just my job.

Christina & I: oh no, the day you guys stop asking for my ID will be a very sad day because that means we’re getting old.

…twenty…four…

Yikes. It’s such a weird age. lol and I thought 23 was an awkward number. But I feel like after turning 21, there’s nothing to look forward to anymore. At least at 25, I can rent a car. Sigh. anyways, today I thought I would share some things I’ve learned so far.

24

  1. Mama knows best. She’s usually right.
  2. It’s okay to not know what you’re doing. Chances are, no one does.
  3. Let go of toxic people. Bye!
  4. Do things for you. Do what makes you happy, not other people.
  5. It’s not the end of the world. Seriously, stop overreacting.
  6. Capture the moment. You’ll want to look back at it one day.
  7. People come and go. Let them leave as they please.
  8. But the ones that stay are the most important ones. Especially the ones you don’t talk to everyday but when you’re together, its like you never left.
  9. Things change. But people don’t.
  10. It’s okay to fail. Second times the charm!
  11. Avocado toast is delicious. Sorry, I had to say it.
  12. Life keeps going. Stop living in the past.
  13. Trust yourself. It’s just you and me, pal.
  14. Go workout or something. So you can eat more later.
  15. But listen to your body. Stop pushing yourself so hard.
  16. Crying helps. C’mon we all do it at some point…
  17. Sh*t happens. It really does. But you know what? You’ll get over it.
  18. It’s okay to say no to things! Seriously.
  19. Don’t listen to social media. IG, Snapchat, and everything around you only gives the glamorous snapshot of their lives. Don’t be fooled.
  20. Read/listen to the news. Understanding what’s going around you and beyond makes you smarter.
  21. Communication is key. Not to patients, not to your friends…but to yourself. Know what you want.
  22. Everything will set into place. One day, you’ll wake up and say, “I made it.” Work hard and that day will come soon.
  23. Be yourself. And nobody else. (that was cheesy). 14 year old Tiffany would be proud.
  24. Breathe, child. 

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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

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! 🙂

IT’S ALL GOING TO BE OKAY..remediation at its finest // LETIFFANYSHOW ✨

hello friends 12

Welcome back to my blog!

Before I begin, I’d like to thank everyone who sent me positive vibes and encouraged me through this process. It made me really happy and your support definitely got me through this! Thank you so much! You guys are the best! ❤

So, remediation. Let’s talk about it.

For those who are new to my blog, hello! my name is Tiffany and I’m so glad you’re here! My program requires us to get a 90% or higher on everything which includes exams, assignments, projects, etc! If we do not get a 90% or higher on our exams, we go into remediation. It’s kind of a second chance for us to get that 90% of higher except during remediation, you don’t get team points. We have to get that 90%+ on our own and through evidence based review. Scary right? If you don’t pass remediation, then you go into block remediation. If you don’t pass that, then you get held back to the following cohort. It’s a lot of pressure! *hyperventilates*

So last night, I couldn’t sleep. I just felt like I didn’t study enough and I felt very anxious about it all. During the weekend, I tried to brush up on the terms and information I wasn’t confident on and wished for the best. It was also REALLY windy outside, which made it even harder to sleep. Sigh..

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Morning came and I was so tired. I had no energy to do anything but I had to do what I had to do! I dragged my sleepy butt to school extra early so I could review a little bit more before the exam (and chow down my Mcdonalds lol). Remediation took place in a really small room next to the lecture hall we take exams in. It was stuffy, warm, and I’m pretty sure I was inhaling everyone else’s CO2. HELP. There was 10 of us who remediated and that room definitely was not made for 10 nervous people. yikes..

The exam started and oh my goodness I was like, wtf is this? I definitely planned to use the whole 90 minutes even if I finished early. I didn’t want to do bad later and regret not using the given time. Question after question, I felt half good and half bad. Towards the end of the exam, I started having a panic attack. I’m not sure if it was my fear of “failing” again or the fact that the room had 10 people in it and I was suffocating. But I made it through the exam and I just let the timer run til the end.

Next came the evidence based review. There were a couple students who were borderline “failing” so we definitely had to EBR as many questions as possible.

Evidence based review is where we try to argue against questions that we feel could be worded better or have another answer and we find evidence to prove it. This could be from textbooks, the ATI books, or the module summaries the prof gave us.

I actually passed without the EBR and it was a relief! I missed 4 out of 60 which might be the best score I’ve ever gotten without team points. But it made me think about how I probably could have done this the first time if I knew how to study for assessment 1. We all agreed that the remediation exam was harder than the official exam. For a lot of the questions, I stared at it like ..um..am I supposed to know this? For example, diabetic neuropathy. I didn’t even read that section but luckily, I was able to use critical thinking and think my way through it. GAH that assessment is DONEZO.

For some reason, I always get a headache after being at school for too long. I’m not sure if it’s the air or just the environment but damn, I always need to have my backpack ibuprofen with me. What? You have your backpack chapstick and I have my backpack ibuprofen! 🙂

hehe welp, I will resume to vlogging tomorrow once I’m well rested. We start cardio and it sounds difficult. I also have my video assessment on Thursday for medication administration, which if you’ve seen my vlogs, I’m pretty nervous but okay about it. Wish me luck! But for now, I’m off to bed. 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 just cried my eyes out watching Me Before You! That movie always gets me 😦

I never want to remediate again. Pls no. YIKES.


Where to find meh  :

Youtube: @letiffanyshow

Pinterest:@letiffanyshow

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Twitter: @letifffanyshow

FAILING MY FIRST NURSING EXAM- an update on life // LETIFFANYSHOW ✨

hello there

Welcome back to my blog!

I almost typed vlog there because I’ve been vlogging more than I’ve been posting here. MY BAD!

I’m tired. I’m like beyond tired. I’m brutally exhausted and I’m not sure why. This week I decided not to vlog because I just felt tired. Not tired of vlogging but I just felt mentally exhausted from school that I didn’t feel like talking.

Today, I failed my first nursing school exam and it didn’t feel good.

If this is your first time here, hi my name is Tiffany and it’s nice to meet you! My program requires us to get a 90% or higher on everything. That includes exams, video assessments, projects, discussion posts…everything!

I’ve been doing well and passing things on my first try (even when it’s barely 90%) but today, I didn’t get a 90. I got a 85%. I missed by 2.. 😦 Yikes. Now in the real world, I would be thrilled to get a 85% on any exam but in nursing school land, that is unacceptable.

This exam was on adult health I. It was 60 questions, 90 minutes and a whole lot of “what the heck is happening?” A lot of these questions required critical thinking. It was half knowing the material and the other half was deciding what your priority action would be. For example, if a pt was in pain, what would you do first? That kind of stuff. Of course stressed out Tiffany was thinking of other things and forgot that we should always make sure the pt is comfortable first. 😐 But hey, at least now I know.

This block is/was extra difficult for me because we came straight from pharmacology which was straight up memorization. The pharmacology exam had some critical thinking but most of it was just facts. For this exam, it was a lot of ” what would you do as a nurse?” and when I was reading the question, I wasn’t picturing the situation. I mean in real life, if my patient was in pain, I would of course take care of their pain first and then everything else comes next. But during the exam, all I was thinking was, ok this patient has this disease..must deal with disease. sigh..

It just sucks because I knew the stuff. I just did stupid things or didn’t think about it clearly. And now I’m sitting in a pile of regrets like “I should have read it more clearer…” or “I should have looked at that page again” It’s a really bad feeling. But honestly I’m not sad that I have to remediate because it’s really just a learning experience. Learn from your mistakes and excel from there. There is nothing wrong with remediating. It’s just scary because that is your second to last chance to get it right. Your score is your score. There is no team points and barely any evidence based review (EBR) so, I’m going to have to get that 90% all on my own. WHYY MEE.

I keep telling myself and my fellow “remediation colleagues” that it’s okay and shit happens. Because its true. Shit happens. We knew the stuff, things went over our head. I’m trying to take this and make it into a learning experience so I can change up my study methods, learning methods, and study habits. It’s all a learning process.

I have the weekend to keep studying and Monday morning, here we go again. It’s going to be one of the scariest things of my life but best believe, we’ll be just fine. #seeyouatremediation But for now, back to studying and signing off from this blog post… 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… check out my last post here!

psst…Let’s get to know each other! Today’s question is… Netflix or Hulu? This is a hard one for me but I’d have to say Hulu. I don’t have real TV anymore so to keep up with my favorite shows, I watch them on Hulu!

bonus question: what’s your favorite tv show on right now?  Mine would be The Resident on FOX. Even though it’s a show about doctors, I love that the nurse has a vital position in the show and she’s pretty badass. Love her!!


Where to find meh  :

Youtube: @letiffanyshow

Pinterest:@letiffanyshow

Tumblr: http://teafaakneeshow.tumblr.com

Twitter: @letifffanyshow

 

IS THIS STILL SOMETHING I WANT TO DO? // LETIFFANYSHOW✨

hello friends 14

Welcome back to my blog!

Long time no blog post! I sincerely apologize for that. After Clinicals ended, pharmacology began and it’s been kicking my butt. No joke. All the meds sound the same and I can’t pronounce half of them. Oh boy… Anyways, today I thought I’d write about my first clinical experience. I vlogged it but I wanted to write about some things I didn’t talk about in the vlog!

Clinical rotations are like reality checks. You’ve learned everything there is to know about fundamentals but once you step onto that hospital floor, it’s something else. That is exactly what it was like for me.

This past week, I completed my first round of clinical rotations! This rotation focused on the things we learned in Block 3: Fundamentals of Nursing. My rotation was two weeks long with 3 consecutive 12-hour shifts in each week. So my group’s shifts were Thursday, Friday, and Saturday. I’ve never had to work the weekend before so it was a different experience. My Thursday–Saturday turned into my usual Tuesday–Thursday where my Friday was the dreadful day. Weird right? It really messed up my days. But after getting used to it, I stopped noticing.

12 hours…720 minutes..43200 seconds… 12 hours doesn’t sound so bad until you’re working it. The first day of clinicals went by really slow. Every time I looked up at the clock, only a few minutes passed by. It was such a drag. But then the next day, time went by a little faster. And by the final third day, time went by fast BUT all the exhaustion from the past few days accumulated and hit me in one day. Saturdays were my most tiring day.

Overall, I had fun and I loved it. It got me excited to go back to learning and graduate so i can be a Real Nurse. Anyways, I’m going to let my vlogs do the rest of the talking! I hope you enjoy!

 

 

OH but one thing I didn’t talk about was what happened during my evaluation. During evaluation, we sat down individually with our clinical instructor and she went over our performance with us. At one point, my clinical instructor asked me, “is this still something you want to do?” and that put me in a really weird place. As you can tell, I wasn’t doing so well. But it made me ask myself, “is this what I want to do?” In my professor’s opinion, I am a shy person who needs to spread her wings. TRUE. But when she asked me that, I felt lost again. Remember a few posts back, I talked about how I got to nursing?

Let’s review, TLDR; I didn’t know what to do with my life until I fell in love with nursing.

Well basically, I was back in that place. I love studying about nursing. I got through these past three blocks because I had a passion for nursing. But when I got onto the hospital floor, it was like another world to me. Suddenly everything I learned turned into black and white and there I was on the first day of clinicals, standing in a patient’s room not knowing what to say or what to do. I froze. When I was shadowing a nurse, I froze. I didn’t know what to ask, I didn’t know what to say, WHAT IS WRONG WITH ME? But as time went on, I got comfortable in the hospital where I was able to talk to patients and help them with whatever they needed. But when she asked me that, there was the only thing rushing through my head.

Is this still something I want to do?

Damn, who knew eight words could mess me up. Not gonna lie, I went to the bathroom afterwards and cried it out and then went back to work. I hope it wasn’t obvious. Then after my shift, I went home and I cried some more. I don’t know if I ever mentioned this but one of my biggest fears is losing interest in my career/wasting time. I felt very meh about the whole situation. But my friends pep talked me back into my senses and the next day, I walked back into that hospital one last time. Still with some self-doubt, I tried my best to give it my all on my last day of clinicals. I think it was one of the best clinical days yet! I had a great nurse who taught me so much and I feel like I opened up a bit.

I have to accept the fact that I will never be as outgoing as some people BUT it does not define what kind of nurse I will be. And it takes practice. I hope by the next clinicals, I’ll be able to “spread my wings” a bit but for now, signing off from this blog post… I hope you have a beautiful day and don’t forget to shine bright, you’re beautiful✨

Oh by the way, the answer to that question: yes, this is still something I want to do. Honestly, my clinical instructor wasn’t always watching me because there’s 8 of us and one of her. Therefore, she wasn’t always around when I was doing stuff. So she missed many opportunities where I interacted with patients and helped them with what they needed. I really enjoyed being around the patients and being able to be there for them. Patient care requires a lot of patience, time, and responsibility. I may not be perfect but who was ever perfect on their first try? Anyways, nowww I’m signing off. Thanks for reading! Ok bye! ❤

 

Peace out.✌

 

 , TIFF

 

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

 

psst… check out my last post here!

psst…Let’s get to know each other! Today’s question is…NACHOS. What would you put on yours? For me, I’d put a crap ton of melted cheese, carne asada, and some green onions. I would probably throw some tator tots in there too cause why not? 😀


Where to find meh  :

Pinterest:@letiffanyshow

Tumblr: http://teafaakneeshow.tumblr.com

Twitter: @letifffanyshow

Youtube: @letiffanyshow

 

HELLO 2018 // LETIFFANYSHOW✨

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I hope you all had a safe and eventful New Years Eve! Cheers to a great year and whatever 2018 brings us! 😍 In my last post, I shared some things that happened in 2017! Today, I’d like to share my new years resolutions with you guys! 👇 newyearsresolutions

  1. Get over the awkwardness and vlog my nursing school experience! When I started nursing school, I wanted to vlog my experience and share it with you all. But once the camera turned on, my mind went blank and after all, my life isn’t that interesting. So I vlogged twice. This year, I’d like to work on getting over that awkwardness and vlog so that you guys can cry with me, sigh with me, and experience nursing school with me!
  2. Should I eat healthier? This seems like a staple new years resolution for everybody. My goal is to incorporate more nutritious foods into my diet. As I get busier with school, I tend to lose track of the food I put into my body and then things get bad. I also stress eat a lot and eat a lot of junk food. 😅
  3. I guess I should work out more… I joined a gym when I moved to Nevada because I had no muscle strength whatsoever and as a nurse, it’s probably an important thing to have. As time went on, I stopped going as often because school happens. This year, I would like to keep a specific schedule of what days I go and what I do on those specific days. This one goes with my eating healthier goal because diet is also a big part of reaching my fitness goal. MACHO TIFFANY IS COMING YO WAY IN 2018!! Just kidding. SOS.
  4. Let’s practice self care. Practicing self care is going to be an important factor in my nursing school career this year. It’s only going to get harder so I need to make sure I’m taking care of myself before I can take care of others. One of the ways I want to practice self care is by making sure I am not overworking myself, I tend to be too hard on myself and stress myself out. Relax Tiffany. Breathe… Take a step back and do something I love like blogging! What suggestions do you have for practicing self care?
  5. Stress less. I tend to stress about things I can’t control and it puts unnecessary stress on me. I want to work on letting go of the unnecessary worries and the things I can’t control. I’ve been working on this in 2017 and so far there’s progress! It’s helping me a lot!

And that’s it for my new years resolutions! It’s doable, right? Seems realistic! Again, I hope you had the happiest of new years and best of luck to whatever it is you’re doing whether it be school, applications, or jobs! If you have any blog post suggestions or questions, please let me know in the comments below! Or if you just wanna say hi, that’s cool too!

Stay inspired and always keep learning ✨ 

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… check out my last post here! We get personal!

psst…Let’s get to know each other! Today’s question is…Do you like summer or winter? I personally love winter! In my opinion, you can be naked in the summer and it’d still feel really hot. But in the winter, when it’s cold, you can just pile on clothes and blankets. Plus, it’s cuddle season!! …with my bed. #foreveralone


Where to find meh  :

Pinterest:@letiffanyshow

Tumblr: http://teafaakneeshow.tumblr.com

Twitter: @letifffanyshow

Youtube: @letiffanyshow