ADULT HEALTH II CLINICAL ROTATION // LETIFFANYSHOW

hellothere

Welcome back to my blog!

Adult health II clinicals is finally over and I could not be any more excited. I’m just tired lol and it felt super long. It was four weeks of endless paperwork and 12-hour shifts. I struggled taking care of myself during this rotation because I was drowning in paperwork and trying to get enough sleep. Bad tiffany! One thing I like to remind people (which I need to remind myself) is, take care of yourself because you can’t take care of others if you’re unwell.

Today I thought I’d talk about my overall experience in this clinical rotation. I was super nervous going into this rotation because I’ve heard that we were expected to do way more things. I suddenly felt so blank about my nursing skills and abilities.

In this rotation, we had a lot more expectations because our professor was more strict. She ran clinicals her way and sometimes her expectations didn’t match up with our past experiences. We were expected to do much more real nursing stuff but unfortunately due to past clinical experiences, we weren’t as equipped as she expected us to be. Therefore, her rules and regulations were very intimidating to me but as days went by, I got used to it and got through the days just fine. She emphasized time management and the importance of assessing your patients. It may have seemed repetitive at the time but a big chunk of this profession IS time management and assessing your patients. Getting your morning assessment done in time is important because it gives you a baseline and clinical picture of your patient. So if anything happens throughout the day, you would know its not normal. Makes sense, right? We also charted on our patients and it was a lot of clicking. One of the hardest parts was finding time to sit down to chart on our patients and I found that difficult for a lot of nurses as well.

At the beginning, we were assigned 1 patient each. This patient was our responsibility and we were expected to know everything about this patient. Therefore, we picked a patient the night before and did a bunch of paperwork regarding this patient. It required us to learn how to dig through their chart to find out the history and physical, the reason why they’re at the hospital, any relevant labs or diagnostics, and medications they’re taking. The paperwork was lengthy, especially after a 12 hour shift, but I found it really helpful because I liked being able to know what my patient’s situation was before I walked into their hospital room. So I spent a lot of time prepping to make sure I didn’t miss anything significant.

Even though in real nursing life I wouldn’t be able to do that, from all this paperwork experience, I learned how to efficiently find the relevant information I needed to properly take care of my patient. I would rather not do paperwork but hey, I learned new things. The section that took the most time was the medication list. Some patients have 3 medications, some patients have 20. Just imagine researching 20 medications for their recommended dosages, side effects, and nursing interventions. There were some medications that were repeated between patients so I kind of wish I created a database where I could just copy and paste the information but I think I learned it better by manually researching it every single time.

Eventually by week 3, I was upgraded to 2 patients and it was nerve wracking. The paperwork got heavier but by time I got 2 patients, I had learned how to efficiently find the important information the night before. As long as I had the important information, I could fill in the blanks later when I had some “downtime”. The information I needed was the information that told me what I would be looking for during my initial assessment. I did mostly focused assessments meaning I would just focus on the body system that’s affected by the reason why they’re at the hospital. For example, if they’re in for pancreatitis, I would focus on the heart, lungs, abdomen and their comfort levels.

Before this rotation, I set three goals to make the best out of my clinical experience. Here are these goals and whether I succeeded or not:

  1. Improve my communication skills.

I suck at talking to people. I envy those who can make conversation with anything and everything. Like how do you do it? Teach me yo ways!!  I’m just shy and with ill patients, I’m afraid to speak because I’m scared I’ll say something that will offend them. So I just stand there and smile and let them talk. But this rotation, I improved with talking to the patients. Practice makes almost perfect! I tend to practice while driving. It probably looks crazy but I guess it worked because during my mid-evals, my professor told me I did just fine talking to the patients and nurses! YAY!

2. Be more assertive.

I’m not sure if I accomplished this one. But I asked way more questions and was able to ask for help when I needed it. I don’t know, I was pretty excited when I knew the answers whenever my nurse asked me something. That means I’m learning something!!

3. Take opportunities.

I definitely accomplished this one. I was presented with the opportunity to go to the ICU and ED and I initially did not want to go but I decided to take the opportunity and there were no regrets at all! It opened my eyes to other departments and challenged me to think about how I could be better.

And that was pretty much what my clinical rotation was like! I had a really good time these four weeks and compared to my first day, my confidence has boosted. I need to remind myself that I am capable and I can do this. It just takes time.

Say it with me. You are capable and you can do it! It doesn’t matter how long it takes as long as you don’t give up. 🙂

Thank you so much for stopping by and reading this blog post! If you liked this post, please like and follow my blog!

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 started maternal newborn and ugh save me. lol I forgot how to study.

 


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Youtube: @letiffanyshow

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Twitter: @letifffanyshow

Experiencing My First Code in the ER // LETIFFANYSHOW

hello friends 14

Welcome back to my blog!

I apologize for the lack of vlogs and blog posts. This has been the most rewarding but also the most emotionally draining rotation I’ve had so far in nursing school.

Today, I wanted to talk about my ED experience. It’s been about three weeks since I’ve experienced this but I wanted to make sure I had all the details written in this post. I went to the ED and it was great. I got to do compressions but I also faced my first death. Welcome to one of the hardest blog posts I’ve written so far.

Like the ICU, I was afraid of going to the ED. Something about the department just made me feel uneasy. But like the ICU, I decided to take the opportunity because when will I ever get to go to the ED as a nursing student ever again? (probably never)

My biggest fear going into the hospital is Code Blue and CPR because the patient’s life is LITERALLY in your hands and I knew that if one were to happen, they would put the student (me) to work! So after lunch, I was standing around and suddenly the overhead goes ATTENTION PLEASE ATTENTION PLEASE CODE BLUE RM 12 ETA 5 MINS and my dumb tired butt was like, “how do they time code blue?” -.- silly me. but I sped walk (because you never run) to room 12 and tried to dodge everyone that was coming in and out of that room to gather supplies for the code.

As we were standing in the room waiting, my heart was beating out of my chest. I was so nervous for what was about to happen.

What’s going to happen? What does he look like? What was this person like? How do I do compressions again?

All of these thoughts danced in my mind until EMS showed up with the patient and everything just happened so fast. The moment the patient arrived, everyone got to work and I honestly don’t remember much about it. I just remember hiding behind a tall doctor next to the sharps container, trying to be as invisible as possible. I was just taking in everything.

They quickly switched off people during compressions if they were tired and I was next in line. There was no time to panic and as I was stepping up to the plate, one of the nurses was like “just sing the song” and I’m thinking, “what song?!” then she started to sing it and it was Stayin alive by Bee Gees, which sounded like the rhythm you had to go when you did compressions. …that song is still stuck in my head..

If there was one major thing I learned that day, it was that I have to work harder at the gym aha

But jokes aside, I was literally putting my entire weight on this patient but it was SO ineffective that the defibrillator was like, “press harder” oh boy… After a minute which felt like an hour, someone switched with me so I could rest and after a couple rounds later, I jumped back in. I know, I was surprised that I decided to jump in again too. But the ER staff was so supportive that I felt like I was capable of doing compressions so I decided to get back in!

The patient ended up not making it and it took a while for me to process. The whole time I was in there, I tried to stay away from my emotions and focus on what was happening in front of me. I kept it together for as long as I could but after the doctor called the time of death, a nurse pulled me into the storage room and asked me if it was my first time seeing that. I said yes. She reassured me that we did everything we could and there wasn’t much left that we could have done. She also told me it was okay to cry and let me cry. I let it all out, wiped my tears, and went back to work. I wish I could thank her for that because it was really thoughtful and it helped me mentally handle the situation.

Although it took me a while to process what happened, it kept me thinking. Just seeing the family members and the thought of a lifeless person laying there, it was a lot to take in. But I’m thankful that I got to experience this during my clinical rotation and I’m not afraid of CPR anymore! whooooooooo but I really do have go back to the gym. Damn it muscle strength of -1.

But that was my experience of doing compressions for the first time. Some notable things I noticed during the code was that the doctor was super calm and collected. While everyone was trying to save the patient’s life, he took the time to talk to the family and update them on what was happening. Towards the end of the code, he also reviewed everything they’ve done so far and asked if anyone had any other ideas. I thought that was great because someone could have thought of something that no one else had thought of. Inclusion was a theme in this code.

This is something I will never forget and I’m thankful I got to experience it during my clinical rotation.

Thank you so much for stopping by and reading this blog post! I hope this all made sense and wasn’t difficult to read. I’m not sure why I had such a hard time writing this one but it was an experience I really wanted to share with you all. If you liked this post, please like and follow my blog!

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 need a nap.

MY ICU CLINICAL EXPERIENCE // LETIFFANYSHOW✨

hello friends 12Welcome back to my blog!

I usually vlog my clinical experiences but unfortunately, I caught a cold and it’s been really difficult to speak without coughing so I apologize for that! I also have a lot of phlegm and…that’s too much info. So today, I thought I would talk about my ICU experience!

I am currently in my adult health II clinical rotation. This rotation is mainly on the medical surgical floor but my professor assigns us to different departments like the intensive care unit (ICU) or the emergency department (ED) on some days. The thought of going to the ICU made me super uneasy so I didn’t plan on going but after a small pep-talk, I decided to try it out. I mean, when will I ever have a chance to go to the ICU as a nursing student? Today’s blog post is about what I learned from the ICU and a collection of thoughts about working in the ICU.

Disclaimer: I’m not very knowledgable about different departments so I’m practically clueless whether all ICUs are similar or not lol but this is what I saw that particular day.

Coming from 4 days at the med surg floor, the ICU was very quiet. Everyone was critically ill and I wasn’t used to it. I felt really sad/concerned for the patients and I wanted to get out of there. But I knew I had to stick it through so I followed my nurse around and helped her with anything she needed. At one point, I just stayed in the room with the patient’s family member cause we knew she just wanted someone to talk to. It was nice that even though I couldn’t physically help her, just by simply listening to her was therapeutic (or at least I hope so)!

It was really interesting to see how ICU nurses work vs. med-surg nurses. In this particular ICU, the nurses only have two patients but it is all total-care, meaning there is no CNA assisting you. It’s just you and your two patients. In med-surg, you have 5-7 patients but you have a CNA helping you out with vitals and helping the patients go to the bathroom or bathing them. Two patients sounds nice but you have to remember they are critically ill patients so I learned that it’s important to have amazing time management. My ICU nurse didn’t really have much time to sit down as she was walking back and forth between rooms to check on vitals, replacing IV lines, replenishing IV fluids/medications, administering medications and providing patient care. In between all of that, she was also comforting family members and keeping the rooms organized and clean. It’s amazing what she does! And this is random but I can’t stop wondering why my nurse’s rooms weren’t right next to each other. She had to walk across the hall to get from one room to another…

One thing I noticed is that the ICU nurses really help each other out. There was an emergency in one of the rooms across the department and my nurse disappeared. I had no idea what was going on but it turned out that the patient was going into hypovolemic shock. He was bleeding internally and was in need of replacing a lot of things like fluids and blood products! Everyone swarmed in and out of the room to help the nurse caring for this patient. People were coming from left and right to grab supplies for the emergency and the doctor popped out of nowhere started to insert a central line. I felt bad because I was kinda just standing there being in the way so I tried to make myself available for anything they needed! The charge nurse had me hold pressure on the wound so I was standing in the center of all of the chaos. I watched the doctor up close insert that central line and it was a lot of to take in. But it was amazing to watch everybody come together as a team. Even when there wasn’t an emergency, I saw the nurses helping each other out. Like if another nurse saw something about one of my nurse’s patients, she would come and let her know and vice versa.

In the end, I thought the ICU was great and I really liked it. It was really hard to be surrounded by critically ill patients but they say you get used to it. After all, the healthcare team is working very hard to help them recover and be more comfortable. After observing my nurse’s skills and abilities, I don’t think I’m there yet but maybe one day! Who knows!

And that is what my ICU experience was like! This week, I’m going to the ER and I’m super nervous about it. It’s another department that I get nervous when thinking about it. But again, when will I ever get to go there as a student? Wish me luck!

Thank you so much for stopping by and reading this blog post! If you liked this post, please like and follow my blog! Hopefully I’ll get to vlog again now that I’m recovering from my cold. It came at the worst time possible -.- POR QUEEEEEEEEE?!!??!?!?!?

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 need a nap.

 


Where to find meh  :

Youtube: @letiffanyshow

Pinterest:@letiffanyshow

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Twitter: @letifffanyshow

RECAP: Adult Health Clinical Rotation// LETIFFANYSHOW✨

hellofriends15

Wow! It’s been a hot minute since I’ve written a blog post. I’ve been neglecting this website and focusing on my vlog channel. I know i know, all you’re hearing are excuses.

So let me catch you up on what’s been happening! On the last post, I talked about remediating and the pains of it. NEVER AGAIN. And my wish came true! I passed assessment two by only missing 4! It was a miracle! After the exam was over, we were given a week off from school. Technically, that was the week for “block remediation” but if you didn’t have to block remediate, then you could relax. I honestly had no idea we even had a week off or else I would have planned to go somewhere or would have gone home. Oops! After that week, we started clinical rotations! And that is what today’s blog post is about. So.. lets taco about it! I vlogged about it so here’s the first two weeks of vlogs! 👇

This clinical rotation was 3 weeks long. My assigned days were Monday, Tuesday, Wednesday and it was 7am-7pm. Time went by so much faster this rotation. It’s probably because we were able to do so much more than just stand there and watch our nurse chart. In this rotation, I was allowed to start IVs, pull IVs, hang IVs, pass out medication, give shots and of course provide all basic patient needs.

I also got to see more things! I got to see a PICC line insertion and that was really cool! The PICC line nurse was so kind and taught us why a PICC line is preferred over an IV for some patients. She also explained to us what she was doing step by step! I also had the opportunity to adventure out into different departments. I got to see the Interventional Radiology department where they do minimally invasive procedures using x-ray imaging. I also got to work in the ER, which was intimidating. It’s really interesting to see the nurses role in different departments. For example, the interventional radiology nurse does mostly paper work and monitors the vitals signs. In the ER, its interesting to see how the nurses prioritize, especially when its hectic and new patients keep rushing in.

I really struggled with IVs. In med surg, there weren’t many opportunities to put in IVs since most patients that were transferred to the floor already had one in. You would be lucky to get one if your nurse happen to have a patient who needed one. I was not one of the lucky ones. It wasn’t until I got to adventure down to the ER where I got IV experience. In the ER, every patient admitted needed one so I got plenty of opportunities. Let. me. tell. you. How they teach you in skills lab is so different from real life. The skin/veins on the fake arm is so much more firm whereas real skin is more soft and I guess…jiggly. OH and I guess the fake arm doesn’t scream either… so… sticking in the needle feels different and of course each patient has different skin texture. I got to attempt an IV on four different patients. It’s funny because they teach you to not tell them it’s your first time doing an IV.

Patient: Is this your first time?

Me: I’ve done it a hundred times (…in lab..) 🙂

I only got 1 out of 4 IVs in successfully. It got a little discouraging every time I failed but my nurse was very supportive and gave me insight on how to be successful. It’s something I wish I could practice more on but I’m afraid to hurt people or break their veins. Since I only had so many opportunities to do an IV, I hope I don’t forget the skill in the future.

On the bright side, I saw myself improve in patient communication. I remember in my first rotation, my professor stuck me in a patient’s room and I literally had no idea what to do so I just stood there. This rotation, I was able to go into a patient’s room and have a proper conversation with them. I still struggle when a patient starts talking about their feelings or cries. You know, they teach you these things in the ATI modules and the book but like in real life, it feels different. Like I look at those readings and it’s like common sense. But when a patient cries, I suddenly don’t know what to do.  I just stood there and held her hand and listened to her talk/cry.  I tried?

So all in all, this was a pretty good rotation. Time went by so much faster and I didn’t feel the dread of going to the hospital. I guess the only thing I really dreaded was driving to the hospital but that’s the reality of having a job…the drive.. My professor made this so much more worthwhile as well. She was so kind and I could tell she wanted us to succeed. If we didn’t know something, she would have us research about it and report to her at the end of the day. At the time, it probably felt a little embarrassing and intimidating but in the long run, I think it’s worth it. I find that researching the topic sticks to my brain longer than someone just telling me. It just goes from one ear to the next haha.

Anyways, that was pretty much what my adult health clinical rotation was like! I vlogged about it here and there and went more into depth about what happened each day so check them out above! For the next two blocks, it’s all didatic (online) so a lot of my colleagues are going home. But for me, I’m just going to stay here because I can’t study at home. Thank you so much for stopping by and I hope you enjoyed this recap of my clinical rotation!

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…So you know how in my last post I said I loved the resident? I found this video of a real doctor watching the resident and it’s the funniest thing ever. I wanted to share it with you here!

 


Where to find meh  :

Youtube: @letiffanyshow

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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  :

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Twitter: @letifffanyshow

Youtube: @letiffanyshow