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

hellofriends15

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?

 

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!

 


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