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.

 


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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!!


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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.

Screen Shot 2018-02-02 at 12.15.03 PM.png

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.

Screen Shot 2018-02-02 at 12.26.47 PM.png

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.

Screen Shot 2018-02-02 at 12.25.56 PM.png

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.

Screen Shot 2018-02-02 at 12.15.26 PM.png

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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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? 😀


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HELLO 2018 // LETIFFANYSHOW✨

happy 2018.jpg

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


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THE ROAD TO R.N. // THANKSGIVING AND CATHETERS// LETIFFANYSHOW✨

Hello friends 3

Welcome back to my blog!

letiffanyshow got a makeover and is now letiffanyshow.com! oooh, so official. I’m still working on the little things but I’m loving the layout right now!

Happy black Friday shopping! I hope you all stuffed yo faces with foodz and emptied out your wallets at black Friday sales! I definitely did. This year, I didn’t go home for Thanksgiving but I am super thankful to have friends who allow me to join their family for Thanksgiving! (shout out to the Lee family <3)

Today is all about foley catheters. Yep, that thing that helps a patient void (urinate).

So, lets taco bout it.

A foley catheter is a flexible tube that is inserted through the urethra to the bladder to drain urine. Everything about the foley catheter insertion is sterile. STERILE TECHNIQUES ARE IMPORTANT which is scary because once you cross that sterile field, you’re out. Yikes. The general foley catheter insertion isn’t as complicated as the prepping part. It just looks painful af for the patient and now I’m starting to understand what the professors mean by the patients “losing control”. I can’t even begin to imagine what it’s like for them. And you know, if i have to do this at clinicals, I don’t know how I’m going to compose myself because in the back of my head, I know it’s going to be uncomfortable for the patient and GAH. I gotta keep myself from apologizing every 5 seconds…

foleycatheter.jpg

Foley catheter (male or female) and wound care are going to be part of the video assessment. So on video assessment day, we have to pick a piece of paper out of a hat and we can either get foley catheter or wound care. But if we get foley catheter, we won’t know if we get female or male until we uncover the sheets. Yep, we’re gonna have to think fast! The (sorta) great thing about this video assessment is that if you realize you messed up, you can say “reset” or something like that, and reset the moment. So let’s just say I’m doing the sterile techniques and I accidentally reach over the sterile field and “contaminate”. If I notice, I’m allowed to say “Call light. Reset the moment.” and start over. I hope I never have to say that because I don’t want to start all over. I just want to go from beginning to end just like that and be done with it.

Unlike the health assessment, it’s really difficult to practice outside of lab for these techniques. For health assessment, I can literally practice on anyone and anything with taking vitals and listening to heart/lung/abdomen sounds. For these insertion techniques however, it’s probably best to practice on mannequins. Therefore, we have 4 open labs to practice our techniques.

Open labs are specific days where we have the opportunity to practice the techniques we want. We don’t have to stay the whole time but I think it’s important to take advantage of the time and practice practice practice.

On Wednesday (11.22.2017), my whole cohort (~56 people) gathered at one of the lecture halls and it was literally like Walmart black Friday voodoo. We all crowded the sign up sheets to get the best times and days for open lab. I personally didn’t mind what time I got but I wanted to get open lab with one of my friends so at least we’d have each other. With only 4 days to perfectly master this, I have to have a game plan on how I’m going to tackle this shiz. I think I’m going to do one technique per day (there’s three: female/male foley catheter and wound care) and then on the last day, do a whole review. HA welp, here goes nothing! Wish me luck!

Thank you for stopping by and reading my mini rant about catheters.. If you wanna know anything and everything about nursing school, let me know and I’ll get back to you on that. I hope you have a beautiful day. and don’t forget the shine bright, you’re beautiful ❤

Peace out.✌

❤ , TIFF

psst… check out my last post here!

psst…Let’s get to know each other! Today’s question is…Are you usually early or late? Let me know in the comment section! I’m usually fashionably late unless it’s something important like school or work. Maybe I’ll even be late to a date. LOL the world may never know!


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Twitter: @letifffanyshow

Youtube: @letiffanyshow

 

 

Image credits: here!

THE ROAD TO R.N.// WEEKS 3-5 // LETIFFANYSHOW ✨

Hello friends!

Welcome back to my blog ❤

Weeks 3-5 (Oct. 24 – Nov. 10)

I’m on a new level of exhaustion like I never thought I’d be this tired. But block 2 ended today (Friday, November 10) and I’m happy to say, I passed this block! This block is called Health Assessment and we learned how to assess a normal adult. “Normal” is the key word because we only focused on the normal range values. We learned a lot of new techniques like taking vitals (temp, manual blood pressure, O2 saturation), feeling for pulses, listening to heart/lung/abdomen sounds and more! It felt nice to be learning “real nursing” things. For today’s post, I thought I’d highlight some of the things that happened this block.

Something new about this block was lab! I had lab every morning from 8 AM til 11 AM where we learned those new techniques I mentioned above. The first day of lab, we learned how to do vitals and one of the new techniques I learned was taking blood pressure manually. That was one of the most stressful things for me because I couldn’t get it right. I couldn’t hear the “sounds” you were supposed to hear and I was afraid that I couldn’t get it right. Luckily, google has some snazzy online simulations that you can practice with. I played around with the simulations and the next day, I walked into lab feeling more confident knowing what I was supposed to hear. The professors were also really helpful and encouraging! They reassured us that we’d improve over time and they were right. I never thought I’d be able to take blood pressure manually. It’s a great feeling, ya feel?

We also had to do presentations in lab. We were assigned partners/topics and each day a different group would present the assigned technique. My partner and I were assigned cardiac assessment, respiratory assessment, and peripheral vascular system assessment. We were required to make a handout and present how to do the assessment on a normal adult to our classmates. Our presentation included inspecting (looking), palpating (touching) and auscultating (listening) to each of the systems. We also borrowed one of our classmates and placed stickers on him to demonstrate where to put the stethoscope. It was terrifying! Public speaking and I are not on a speaking terms at the moment. Just imagine learning something two days prior and then trying to teach it to a bunch of students who are just as lost as you.. OOF. that was nerve wrecking.

I also experienced my first Simulation lab. It was on the last week of block 2 and I feel like it was a big “wrap up” of everything we’ve learned in lab. I think the most fun part about simulation lab was how realistic it felt. While I was in the room with the mannequin, I was so nervous but once I started talking, I got less nervous. Hopefully one day, there won’t be 52 pairs of eyes watching me do the procedure…maybe just 6 pairs of eyes but anyways, it was a great experience. It wasn’t graded so that was relieving. I just walked into the room, did what I thought was right, and walked out. I still don’t know if I did it right but let’s just hope so. One thing I learned is, if you’re wearing scrubs and you say things in a confident tone, people will believe you. LOL it’s true. ALSO, those simulation mannequins are so high tech these days. He had a pulse, a blood pressure, you could see him breathing, AND he was blinking. Not going to lie, it was a bit creepy but I got through it and it was one of the highlights of this block.

The scariest part about this block was the video assessment. A video assessment is basically a person filming you while you perform the techniques outlined in the rubric provided. For this block, we were required to do an assessment on a healthy adult. My mentor emailed us her script for the video assessment so I definitely used that to my advantage but changed things up to my liking. We practiced almost everyday and I attended every open lab to practice practice practice. I also practiced in the car out loud and talked to myself like a crazy person. But it definitely paid off because on assessment day, I wasn’t really nervous. I was mostly nervous before the camera turned on but once the camera turned on and I started talking, all the nervousness went away and I knew what I was doing. I kind of just shut the camera out and focused on the patient in front of me. We had to watch our video and grade it ourselves. And let me tell you, I WAS SO ANNOYED WITH MY DERPY SELF. AND MY VOICE LIKE OHMERGERD TIFFANY YOU’RE SO ANNOYING. haha But in the end, I accidentally left out two things but it’s okay, I still passed the video assessment! 🙂

AND finally… the big final written assessment. Our assessment was at 7:30 in the morning and it was pretty stressful. Block 2 was a lot of information. It included a lot of techniques but it also outlined some diseases and abnormalities. Now, the exam focused on “normals” but there is A LOT of normals in this block. So what exactly are we supposed to know? The professors put on a lot of webinars/live reviews but a lot of them touched on the basics like vital signs and the nursing process. So, what do we focus on? I mean in reality, we have to know everything to be an outstanding nurse but for this exam’s sake…and our ability to stay in this program, we all really wanted to know what we were going to be tested on. OOF, the night before the exam was a very stressful one. Exam morning came and it was pretty much a “here goes nothing”.

60 questions..90 minutes.. lets do this.

I’ve never been so unsure of anything in my life. I was so focused on the exam that I couldn’t even recall half the questions after the exam. So we did the whole exam process my school does and at the end, the professor announced that we all passed the exam. We literally all stared at her with a confused face. I personally thought she was kidding. But nope, she wasn’t. We really did all pass so… BYE FELICIA!

But overall, I really enjoyed this block. It was definitely more hardcore than block 1 and I am overly exhausted to the point where I take deep-sleep naps and wake up not knowing what day it is or where I am. (Tiffany is oriented x0). I feel like every time I finish and pass a block, it’s like jumping over a hurdle. Hopefully, all the way to graduation and passing the NCLEX.

Now that I’m looking back, this block was doable and I’m still here..now proceeding into block 3: fundamentals of nursing. This should be a good one. It’s funny cause every time the professor sends out a new calendar, I print it out and stare at it cause everything is so freaking confusing. But once the course gets going, it starts making sense. And then the panic starts happening….

Anyways, I hope you enjoyed my block 2 reflection and learned a little bit about what my nursing program is like. A little reminder that this nursing program is accelerated so it’s sped up like crazy but as you can see, if this dysfunctional girl (me) can handle it, you can too. It’s only going to get harder from here but I think if we take it one step at a time, everything will be okay.

Thank you so much for stopping by! Please like, comment, and follow this blog if you’d like to be notified every time I post! More nursing school posts to come and even some beauty stuffs!

I hope you have a beautiful day and don’t forget the shine bright, you’re beautiful ❤

Peace out.✌

❤ , TIFF

psst… check out my last post here!

psst…Today’s question is.. What is your favorite food? Leave a comment below cause I’m curious! My favorite food is McDonald’s Chicken Nuggets. LOL I know they’re bad for you but it’s literally my favorite thing ever.


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STORY TIME: HOW I GOT INTO NURSING SCHOOL // LETIFFANYSHOW✨

Hello friends 2

Welcome back to my blog ❤

OOF it’s been a crazy two weeks! Nursing school is getting harder and harder and I don’t even want to think about what’s coming up next. But now that I’m reaching the end of “block 2” of my program, I thought I’d talk about how I got into nursing school. You know, before i forget the details and stuff… so let’s get started!

Once I decided that nursing was the right career for me, I started looking into nursing schools. I didn’t even know where to start so I googled “nursing programs” and a bunch of results came out and I was just overwhelmed. A colleague of mine advised me to go out of state for nursing school. (If ya’ll didn’t know, I’m from California). She said that the programs in California are super impacted and she was right. The wait lists were like 2 years long! No thanks, I want to get to nursing school ASAP! So I started thinking of places I would love to go and I thought of Nevada. It’s right next to California and not too far from Los Angeles. Like 5 hours?

Type click search and BAM.

I found a school that I wasn’t even sure was legit. I mean sometimes I come across websites/schools that aren’t really a real school. But I decided to do a little bit more research and I discovered that it was indeed a real school and they had an accelerated BSN program.

Accelerated Bachelor of Science in Nursing program: aka second degree nursing program is for those who have completed a undergraduate degree and the required prereqs before enrolling.

I looked around the website to see if it was a program for me and eventually decided to put in my information for “more info”. About a few days later, I got a phone call and lowkey I let it ring. It was an admissions advisor from the school and she ended up leaving me an email telling me that I could call her and if anything, she would try again in a few days. I was nervous and didn’t know what to say. Heck, I didn’t even know if that was the school I wanted to attend. The next time she called, I picked up and I felt so nervous. But the admissions advisor was so easy to talk to! She asked me some questions and got some background about me. She told me everything I wanted to know and answered every question I had about the program. Even though all the information she told me was on the website, it was nice to be informed with information catered to my situation.

She had me send in my unofficial transcript to give me an overview of what I needed to do in order to be eligible to apply. She went through my transcript and told me what prereqs I had left. Turns out, I only needed Anatomy but I needed to get an A to have an eligible GPA. Talk about the pressure… She sent me a list of online anatomy courses I could take. Online courses were essential for me because I was working at the time and online classes are way more flexible. I picked one and rolled with it. (Spoiler alert: I got an A (98.7%) I was so excited!)

The next thing on my list was the The Test of Essential Academic Skills (TEAS) exam. It’s an exam used by many schools as an admissions test. I had no idea it existed until my advisor told me to take it. My advisor recommended buying a practice book so I got one from Amazon. Thank goodness for Amazon prime. As soon as it got here, I went ham on that Kaplan book.  I started from the first page and ended with the very last page. (click here for my TEAS tips). I walked into the exam half asleep and 4 hours later, I made it out alive. TBH I forgot how painful it was to sit still for 4 hours in a room with 30 other tired people. Damn.. how did I do it in high school?

Well that was done and the anatomy course was done… what’s next?

The application cycle finally opened up and my advisor sent me the link with a detailed set of instructions. I forgot how draining school applications were. Even with the set of instructions, I was so confused and lost. Eventually all went well and I finally got my application done. One of the applications was through the universal application called NursingCas and the other was a supplemental application through the school. Hit that SUBMIT button and fingers crossed. Wait, no.. I still had to submit my TEAS scores and order official transcripts. That was so confusing as well. I think I was out of the school application system for too long. I don’t know, something about this application was so confusing. Through many nights of loud sighing and silent crying, I finally sent in my TEAS scores and transcripts.

Now it was the waiting game, which was accompanied with many sleepless nights. I think it was about a week later that I received an email saying that I got an interview! LIKE WHAT?! ME? AN INTERVIEW? Now it was loud yelling that gave my mom an heart attack cause I swear she thought I was dying. Sorry mom… But yes! I got an interview and that was probably one of the best days ever along with my other …best day evers… it was a very good day..okay?

I went ham on research on possible nursing school interview questions. I took notes and wrote answers to the most common interview questions. I was not going to let this opportunity go to waste.

Then comes the exciting but dreadful interview. OHH that was one heck of an interview but I’ll save the details for another blog post. This one’s getting a bit long. Thank you so much if you’re still with me. But damn, those questions they asked were wayyy different from the questions I prepared for. When I got out of my interview, I wasn’t sure if I was even going to see that school ever again. I blew it, I messed up. Sad life. Loud sigh…

Don’t you hate it when you leave an interview and you start replaying the questions and then you think of ways you could have answered? I do. And I couldn’t sleep for days because of it. But eventually I had to tell myself that whatever happens, happens and it’s not the end of the world. I was going to find out in about two weeks and if I didn’t get in, I could just try again. There’s always a way!

Two weeks go by and I’m driving to the post office and suddenly I get a text from my friend (who I went to the interview with). “OMG DID YOU CHECK YOUR EMAIL?” I’m sitting there like, holy crap. HOLY CRAP. So I rush home within speed limit because I drive like a responsible grandma. I ran through the door, grabbed my computer and started yelling nervously. My dads looking at me like, I can’t believe I raised this kid. LOL But eventually I said, ADMISSIONS LETTERS ARE OUT. I opened my email and there it was, the school’s decision email. It said, “Congratulations, You have been accepted to blahblahblah” OMG. ME? REALLY? I’m freaking going to nursing school!

And yep, that’s how I got into nursing school. Or I guess the the admissions process. My main point is, if you have the opportunity to talk to an admissions advisor, I highly recommend it, They are there to help you and guide you through the admissions process. It was especially helpful because I had no idea what I was doing. The admission advisors literally hold your hand until the first day of classes and I am so thankful for her. Even after being admitted and committing to the school, she still calls me to check up on my progress. I finally met her at the interviews and it was nerve wrecking. She finally met the weirdo she’s been contacting through email and phone. HEH.

Story time over, here are my TIPS with applying for nursing school!

  • Research lots and lots of schools! Even though I only applied to one (which now I think about was kind of risky and dumb) I still looked at many programs. There are actually a lot of roads that lead to an R.N. There’s got to be one that fits your needs!
  • Be patient! It takes a lot of patience when researching nursing schools. I was really overwhelmed at time and it got to a point where if I saw another nursing school requirements page, I’d go crazy. One step at a time!
  • Make a table of requirements! Researching schools and their requirements can get really repetitive and tiring. Many schools require different requirements so I recommend making an excel sheet or something to organize the requirements. If I remember correctly, some schools required microbiology lab!
  • Talk to an admissions counselor! If a counselor is available, you should talk to one! Requirements get really confusing at times, especially when the requirement sounds like the class you took but you’re not sure if it is the one they want. Ya feel? As I mentioned before, I sent my counselor my unofficial transcript and she told me what I had left for requirements. Super helpful! Or else, I would have been wasting time trying to take classes I already fulfilled.
  • Standardized test! Check with the school you want to apply to see what kind of standardized tests they want. Some require the TEAS, and some require other exams like the HESI. So check with the school to make sure you’re taking the right exam.

And that is pretty much it! This was a long post but thank you so so much for stopping by. Don’t forget to like, comment and hit the follow button to be notified when I post! Do you have any questions? Let me know down below and I’ll try to answer them to my best ability!

Today’s question is.. What is your dream job? Leave a comment below cause I’m curious! My dream job is a singer-songwriter, an interior designer, or a personal shopper. OR even better, a singer-songwriting interior designing shopper.

I hope you have a beautiful day and don’t forget the shine bright, you’re beautiful ❤

 

Peace out.✌

 

❤ , TIFF

psst… check out my last post here!

psst… Hi! Stay tuned for my next post where I reflect on block 2 of my program!

 

 


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NURSING SCHOOL: THE TEAS EXAM // LETIFFANYSHOW✨

Hello friends 3

The Test of Essential Academic Skills (TEAS) exam is an exam that was created by ATI (Assessment Technologies Institute) to assess whether an applicant is academically ready for health science programs like nursing. It consists of four parts: reading, mathematics, science and english and language usage.

Back story/fun fact/side track story: I had no idea this exam even existed. It wasn’t until I was talking to my admissions advisor that I realized that this test existed and I had to take it pronto. Not only that, there was a certain score I needed to qualify. WOWZERS the pressure was on. She recommended me to buy a test book and set a test date as a goal. I set my test date approximately a month and a half so I had 6 weeks to prepare. Then I ordered the first book with 4.5 stars on Amazon and went HAM as soon as it arrived. Thank you, Amazon prime!

When test day came along, I was so anxious, I didn’t get much sleep the night before, which is kind of bad because I was about to enter a 4 hour exam. Man, I forgot how terrible standardized testing was. How did I get through it before college? During the reading section (the first section), I was so tired and out of it that I read the passages at least 3 times each. The rest is a blurrrrr.. Somehow my test scores came back and they were pretty great. Better than I could ever imagine like who is this girl? It goes to show, if you put quality work into something, you will see a greater outcome.

Here are my tips on how to do well on the TEAS exam:

Buy a test prep book and use that to prepare for the TEAS exam. DO NOT TAKE THE EXAM WITHOUT STUDYING. If you do well, great. If you don’t, well that was a waste of $96… I got the TEAS Strategies, Practice & Review with 2 Practice Tests: Online + Book by Kaplan Test Prep (here). This test prep book wasn’t too bad. It was pretty thorough with explanations. You can register your book and there are more practice questions and exams on the site. I personally thought the review portion was great but the practice questions were way harder than reality. I guess that’s how they prep you for the worst, right? However, there are so many options out there to choose from. Pick one, study hard, and you’ll be on your way!

People also recommend the ATI TEAS exam prep book. I mean why not study the exam using a book written by the people who wrote the exam? Yeah…I wish I thought about that too! It’s $45 but the best way to review is to study off a book written by the test makers. You can also get prep book here!

Practice tests: ATItesting also offers practice tests you can purchase on their website. There are two versions and they are $46 each but if you purchase the package, its $82. Yep, it is definitely pricey but it prepares you with what to expect on the exam. The practice exams mimic the exam with the timing and difficulty plus it gives you your score and tells you what you can improve on. I definitely saw my score improve between practice exam attempts. If those practice tests are not in your budget, there’s a lot of free practice exam questions online. I definitely used those a lot before I dived into the ones I paid for. I will link some below!👇

Free Practice questions:

REEELAXXX: Relax the night before the actual exam. You’ve studied hard for the exam, now it’s time to relax. Do something fun but make sure to sleep reasonably the night before. And avoid looking at practice exams the night before. Let’s face it, if you haven’t studied enough by the night before the exam, then whatever you try to cram the night before isn’t really gonna help. Surrender your test materials!

The morning of the exam: Alright, you’ve studied, you’re ready, you just want to get it over with. I completely understand. But don’t forget to eat a balanced breakfast to get that brain workin. I also recommend bringing a snack for break time because if you get hungry, ya’ll gonna be hearing some whale mating noises. That’s too embarrassing and can distract you from your focus, which should be the exam. So pack a snack and a bottle of water cause hydration is also very important.

One last thing: Arrive to the exam site a bit early to find parking and the exam room. Take a deep breath, you’ll do fine. Now go rock that test! Have a beautiful day and don’t forget to shine bright, you’re beautiful ❤ Good luck!

Any questions? Let me know down below and I will try my best to answer them! I ain’t no pro tho. Let’s be real, I found out about the exam 4 months before my app was due. But this is what I did and here I am, in nursing school… 🙂

Shine bright, peace out.✌

 

❤ , TIFF

 

psst… check out my last post here!

psst… Have any exam taking tips? Comment them below! 👇

 

 


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WHY I CHOSE NURSING AS A CAREER // LETIFFANYSHOW✨

hello there

Welcome back to my blog!

nursnig school

Today’s post is more of a personal one. I guess it’s more of a pre-nursing school reflection. It’ll be fun to look back and reminisce why I chose nursing as a career. So let’s back it up a bit..back to December 2016. That was the date I graduated from college with a bachelor degree in Human Biology. It seemed like everyone around me knew what they wanted to do and were on their way to get there but for me, I was completely lost.

I actually graduated college wanting to go into Public Health. It seemed like the job I wanted to do because ultimately, I wanted to make a difference in the world. But to be completely honest, what I saw of public health was based on two courses in college and after being rejected from an volunteer position from LA County , I realized that maybe public health wasn’t what I thought it was. So, it was back to the drawing board. Back to the healthcare setting that I knew and loved.

After being rejected from the public health volunteer position, I felt really down and confused. I think I was at the mall with my mom when I almost bursted into tears because I felt like a failure. I couldn’t figure out what to do with my life. I knew it had to be something that I’d want to do for the rest of my life because my worst fear is wasting time and money. My mom, being a nurse for over 40 years, was like, “What about nursing?” then she started telling me about all this nursing information and all the different paths you could take with nursing.

I was sold.

I realized that I really loved patient interaction. During my job at the clinic, I got to have a lot of patient interaction. Instead of being in a cubicle, I wanted to be up on my feet and to be able to work with patients to make a positive impact on their lives. Of course, there’s always going to be those unhappy, mean, and rude patients but the nice and appreciative ones always override them.

There is such versatility in the nursing world. There are different work environments a nurse can work in such as, hospitals, nursing homes, adult health care centers, and schools. Nurses are also constantly learning new things throughout their career as new advances and treatments are discovered, which has always been a passion of mine. Being able to educate people on how to improve their quality of life will be a staple of mine and leaving an positive impact on others.

All in all, I hope picked the right path and nursing is something I fell in love with. Program starts at the beginning of October and I’m scared af. But from all the good things I’ve heard, I hope it’ll be a rewarding experience.

Now that I’m walking on my own path, I want to end this blog post with this: Don’t worry too much if your original plans don’t work out. It may seem like the end of the world at that time but look around you. You’ll be inspired with all the things in the world and soon you’ll be on your way. It’s a good feeling, trust me.

As always, thank you so so much for stopping by! I hope you enjoyed this long ass rant of mine. Stay inspired and keep learning. Stay tuned for more nursing school rants and vlogs! I hope you have a beautiful day and don’t forget to shine bright, you’re beautiful ❤

Shine bright, peace out.✌

 

❤ , TIFF

Real Nurse (R.N) in the making.

 

psst… check out my last post here!

Credit// Clip art from here

 


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