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.

TRAUMATIZED BY SIM LAB (lol) // LETIFFANYSHOW

Hello friends 3

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

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

Background

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

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

And… I don’t got it.

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

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

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

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

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

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

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

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

 

Peace out.✌

❤ , TIFF

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

 

psst… check out my last post here!

psst… I’m exhausted.

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!

 


Where to find meh  :

Youtube: @letiffanyshow

Pinterest:@letiffanyshow

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Twitter: @letifffanyshow

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

hello friends 12

Welcome back to my blog!

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

So, remediation. Let’s talk about it.

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

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

IMG_9869

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

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

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

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

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

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

hehe welp, I will resume to vlogging tomorrow once I’m well rested. We start cardio and it sounds difficult. I also have my video assessment on Thursday for medication administration, which if you’ve seen my vlogs, I’m pretty nervous but okay about it. Wish me luck! But for now, I’m off to bed. Signing off from this blog post, I hope you have a beautiful day and don’t forget to shine bright, you’re beautiful! Thanks for reading! 

 

Peace out.✌

❤ , TIFF

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

 

psst… check out my last post here!

psst…I just cried my eyes out watching Me Before You! That movie always gets me 😦

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


Where to find meh  :

Youtube: @letiffanyshow

Pinterest:@letiffanyshow

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Twitter: @letifffanyshow

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

hello there

Welcome back to my blog!

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

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

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

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

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

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

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

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

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

I have the weekend to keep studying and Monday morning, here we go again. It’s going to be one of the scariest things of my life but best believe, we’ll be just fine. #seeyouatremediation But for now, back to studying and signing off from this blog post… I hope you have a beautiful day and don’t forget to shine bright, you’re beautiful.

 

Peace out.✌

❤ , TIFF

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

 

psst… check out my last post here!

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

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


Where to find meh  :

Youtube: @letiffanyshow

Pinterest:@letiffanyshow

Tumblr: http://teafaakneeshow.tumblr.com

Twitter: @letifffanyshow

 

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

hello friends 14

Welcome back to my blog!

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

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

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

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

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

 

 

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

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

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

Is this still something I want to do?

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

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

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

 

Peace out.✌

 

 , TIFF

 

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

 

psst… check out my last post here!

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


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THE ROAD TO R.N. // Q-TIPS WILL BE THE DEATH OF ME // LETIFFANYSHOW✨

Hello friends 10

Welcome back to my blog! ❤

Week… idk I lost count. (Dec. 04 – Dec. 15)

Welp. These past 2 weeks have been hectic but it’s finally winter break. This is literally what my calendar looked like:

Screen Shot 2017-12-15 at 10.58.26 PM.png

It was assignment after assignment along with lab stuff weaved in between endless reading assignments. So while I was worrying about the lab sterile technique video assessment, I was also tryna keep up with the module readings. But honestly module readings were future Tiffany’s problem. Let’s get through the video assessment first and then catch up on the rest. I’m not sure if that was a great idea but I really needed to practice my sterile lab techniques.

Lab check off day was not as bad as I thought. We had to go into lab at an assigned time and demonstrate a lab technique. This time, we were instructed to collect an urine sample and take out the catheter from the mannequin. I got an easy professor so I only had to talk my way through it and fake it. And that was pretty much it! Technically we had to talk about the documentation for the procedure but he signed it off and I was good for that.

The next day was dooms day pt. 2! It was video assessment day! I briefly explained in one of my past blog posts but basically we had to pick out a lab sterile technique out of a hat (foley catheter insertion or wound care). I felt iffy about both techniques but I went in with the mindset of “do whatever you think is right and don’t over think” because whenever I overthink, I usually end up being wrong. I think the trickiest part about these sterile techniques isn’t the actual procedure but more of trying to not cross the “sterile field”. During the video, if you cross the sterile field, meaning if you contaminate, you automatically fail. No pressure, right? And with 4 open labs and 1.5 hours each, I did not feel prepared. But I tried to practice outside of lab. Instead of reading for the modules, I spent many nights practicing on my imaginary patients. I stood at the island counter in the kitchen since it was the only place in the house where I can stand and do the procedure like in a hospital setting and I did the whole thing from beginning to end…over and over again. My older brother jokes that I run a hospital for ghosts in his house. Maybe this is why my brother’s dog keeps barking at the wall. My hospital is popular!! Dooms day pt. 2 came and ruh roh…

We were assigned into groups of 3 and I decided to go last. At this point, I was like, “I’m ready, let’s do this.”

Narrator: She was not ready…

I got wound care and that required way more hand hygiene practices than catheter insertion because every time you took off your gloves, you had to perform hand hygiene. For some reason, I kept forgetting. Luckily, if you notice you forgot something/did something wrong, you can say “call light, reset the moment” but nervously anxious Tiffany kept saying, “reset the call light” umm…what? As if things were already going downhill, my cameraman forgot to get the q-tips and I didn’t notice before the camera turned on.

Backstory: for our wound care kits, there’s supposed to be Q-tips for the procedure but for some reason, it’s not in the kit so during the video, we ask our camera man for the q-tip and verbalize, “these are usually in the wound care kit but in this case, they’re not. These are sterile and I am now putting it in my sterile field.” …or something like that.

Ok back to story time. So she forgot the Q-tips and I didn’t realize she didn’t have them so when I said that, there were no Q-tips in sight. I froze. Literally if you see the video, I have this dead look on my face cause I NEED THOSE Q TIPS. So my camera man was looking for the q-tips behind her and I was thinking, oh my goodness i’m going to fail because of these stupid q-tips. #seeyouatremediation By the way, the Q-tips were located at the front of the classroom and I was in the back of the classroom. So I ended up raising my hand and saying “call light!” and the professor came and gave me the two Q-tips I needed and I continued with the video. Deep breaths Tiffany. Deep breaths. Everything will be fine, just continue. I got through the video and I was just glad it was over.

After, I had to write a documentation note about the procedure and then self-grade my video. While watching my video, I was half cracking up and half silently crying because of the Q-tips and the fact that I kept forgetting hand hygiene. Darn Q-tips. I went home feeling meh but I tried haha the worst thing that could happen is remediation. It took a while for us to get our video grades back but somehow I got a perfect score. I was shocked but I’ll take it! Thanks professor! But I lowkey wish I saw the professor’s face when he/she saw my dead ass face during the Q-tip incident. I thought it was pretty funny.

The last thing keeping me from winter break was assessment 2. Winter break was so close yet so far… But 👏 let 👏 me 👏 tell 👏 you. I had no motivation to study for this exam. I was behind on readings and my brain was on winter break mode but thank goodness for that study guide. This time, the study guide was 31 pages. YEP. you read that right, 31 long pages. Mother nature hates me. I’m not sure if the study guide was helpful but it was a nice guide to what readings I should do. I ended up looking at the study guide, reading the book for topics I needed more clarifications on and slightly taking notes on the margins of the study guide.

Dooms day pt. 3 came and I felt unprepared again. But this time, I didn’t feel like I was gonna have a break down during the exam. Somehow, I was calm. During the team assessment, I started counting how many I got wrong and I lost count. The whole exam was a blurrrr and I couldn’t remember what I put. I guess if I have to remediate then…thank goodness for that second chance. But luckily, everybody passed! Passing is 90% and above and I got a 98.33%. It’s a miracle! but YAY! FREEDOM!!!

Now that I’m on break, it feels weird. For the past few days, I’ve woken up freaking out thinking I have to do nursing school stuff but nope, my days consist of eating and watching netflix/hulu. Oh and lots and lots of sleep. I might have to be an overachiever and review for clinicals and block four, pharmacology. I heard pharmacology is gonna be hell so I wanna prepare myself for that. I’m not sure how I’m going to start studying for it but I’ll probably just gonna read that drug handbook they gave us at orientation and make flashcards or something. …just watch, none of that is gonna happen cause netflix/hulu and eating are priority.

I will be driving back to LA on Monday or Tuesday to avoid tourist traffic but for now, this girl is signing off. Tiffany out✌

As always, thank you so much for stopping by and sighing with me. It’s been a long but fast two weeks but I’m glad it’s break. Do you have any questions? Let me know! I hope you have a happy happy holiday☃️🎄and don’t forget the shine bright, you’re beautiful ❤

Peace out.✌

❤ , TIFF

psst… check out my last post about my hair transformation here!

psst…Let’s get to know each other! Today’s question is…What are your holiday traditions? Personally, I don’t have any. My family never did anything exciting. We stopped putting up a Christmas tree after my brother moved out because my parents got lazy. I’d love to start new traditions when I have my own family though! It looks fun. ☃️


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THE ROAD TO R.N.// LOUD SIGHS AND SILENT CRIES// LETIFFANYSHOW✨

Hello friends!

Welcome back to my blog!

I forgot Zac Efron could sing and now I’m like mind blown lol his voice though…

Today’s post is a collection of thoughts I had for the two days leading up to my exam. Put on yo seatbelts kids, we’re going on a bumpy ride…

Thursday, November 30

LOUD SIGH. Silent cry. I’m stressed out and at the verge of giving up. The first assessment for block 3 is tomorrow and I feel so unprepared. There is so much information to know that I don’t even know what I actually know anymore. It’s so overwhelming… Yesterday the professors had a review webinar but I had low hopes for that. It was so useless tbh …like why give me life stories when we can be reviewing material for the exam? Everything the professors said contradicted each other. They’ll say “focus on the normals” but module 4 (fluid/electrolyte imbalances) was mainly abnormals. There is nothing normal about electrolyte imbalances.

For this first half of the block, the professor gave us outlines and summaries for each module. They also gave us a “study guide” but none of the information added up. Like one of the outlines says something but the summary says something else. And the study guide? Oh don’t even get me started on the study guide.. It is horrifying. It is 19 pages of information that is supposed to stick to my brain by tomorrow. Suddenly, I’m at a Starbucks flipping through three sets of notes because none of it adds up. Like why? I’ve been going through the outlines and I’m thinking, ok, I did my best and did what I could..but what if my best wasn’t good enough? Is that sad? Probably. But I’m going to bed and hoping for the best tomorrow. Fingers crossed.

Friday, December 1

Today was dooms day part 1 and damn, I don’t even know how I felt. I guess I was nervous/scared/i don’t care anymore/whateverhappenshappens/see you at remediation.. But I walked in there this morning and I just sat there joking around with my friends trying to not think about the exam I was about to fail. So the exam begins and I look at the first question. From there, I knew it wasn’t gonna be a good one. As I was going through the 60 questions, I felt like I could have tried harder these past few weeks. It came to the point where maybe if I reread a little more, I would know the definite answer rather than guessing. I literally almost broke down during the exam. It’s funny because yesterday, I was surprised I haven’t broken down yet… WELP, there it is. I almost started crying because I was so overwhelmed by the things I didn’t know and the things I could have known if I read the textbook more efficiently. For some reason, my mind always holds on to the “shoulda couldas.” Towards the end of the exam, I just sat there clicking through the questions and well, it was time to let go. So, I submitted and I did what I could.

When it came to the team assessment, we got a 90% or higher as a team so that meant that we got 3 points added to our individual exam score. But while we were going through the exam, I lost count of how many questions I thought I got wrong. At that point, I kept saying “welp, I’ll see you at remediation”. *nervous laugh*

During the evidence based review, we were able to argue the questions and try to either get points or nullify it. I think I got about 2 points back which was relieving! Still, I wasn’t sure if I passed or not. That anxiety killed me but I tried to stay as positive as possible (aka not think about it). Again, whatever happens happens..

And drumroll pls…EVERYBODY PASSED!! WHOOOO! WHICH MEANS I PASSED!!! All the weight on my shoulders fell to the ground as we let out all the anxiety we’ve been holding in for the past 6 hours. And as I’m writing this, I checked my score and I got a 98%! Like WHAT?! ME? 98%? If you told me a few years ago that I would be getting 90% or higher on exams, I wouldn’t believe you. Before I started this program, I started to doubt myself because I wasn’t sure if I could get a 90% or higher on exams. I mean looking at my history…there weren’t many 90s or higher.

And I know that this is only block 3 and it’s going to get harder but it feels so relieving to know that this is possible. Even though nursing school is so stressful and tiring, I realized that I found my purpose and I’m passionate about it. Who knew?

And that wraps up part 1 of block 3. This was only the first exam and we have another one in about two weeks. I hope I can use my regrets from this half to improve my study habits for the next half. I also hope that the professor is consistent with how they test us but..let’s be real here. Are they ever consistent? Send help and more oreos. Thanks!

As always, thank you for stopping by and possibly sighing with me! Do you have any questions? Let me know! 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 about catheters here!

psst…Let’s get to know each other! Today’s question is…What job would you be terrible at? I think I would be a terrible waitress. 1) I have a muscle strength of -1.. so I would probably drop people’s food and 2) I would probably mess up people’s orders..


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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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