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?

 

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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DIY TESTED: EGG WHITE MASK // LETIFFANYSHOW✨

hello friends 5

Welcome back to my blog!

Happy September!

Today, I’m going to try a DIY egg white mask. When I first heard about this mask, I thought I was being trolled. Like egg whites on your face? Gross. But as crazy as it sounds, there seem to be some awesome benefits. So of course I had to try it out! If you want to know how this mask works, just keep on reading!

BEFORE YOU TRY THIS DIY: If you have sensitive skin, think before you try this DIY. If you’re allergic to eggs, stay away from this DIY. If you’re a vegan or don’t like eggs, uh its up to you! I am not a skin care professional. Just a blogger who loves to try new things! 🙂

egg mask infographic

You will need:

» 1 egg

👆 Yep, you read that right, all you need is one egg!

All you have to do is crack that egg open and separate the yolk and egg white. (add another egg to that yolk and you can have an omelette. yum!) Then use a fork to froth up the egg whites. It takes a little bit of work but oof that was a workout! 💪 Finally, use your fingers and apply a layer to your face. Let it dry for about 10-15 minutes and wash off with warm water.

This mask is said to temporarily tighten your skin, giving you a short term face lift (lol). I don’t think my face looked lifted but okay. It is also supposed to give you this beautiful glow. Did I have a glow? Yes! My skin felt so much smoother than before. Gotta have that flawless base before slapping on some makeup, am i right?

My main skin concern were the pores on my face. They were so visible and the mask supposedly shrinks your pores. I did notice my pores shrink a little so I think it will definitely help once I get onto a routine.

So did it work? 

YES! It did work but in my opinion, you’ll have to do it regularly to really get the affects. My skin felt softer and tighter plus my pore kind of shrunk.

Would I do it again? 

Honestly, probably not often. It didn’t smell very good and you are putting egg whites on your face. There’s also a concern with bacteria and such.

But if you’re curious, definitely give this mask a try! The ingredients are so simple. You can also add a few teaspoons of lemon juice into the egg mask if you want some cleansing effect.

If you think putting egg whites on your face is gross (cause it is..), but want similar effects, check out these options!

» Skin Food Egg White Pore Mask ($10.50) // here

» Skin Food Egg White Pore Hot Steam Pack ($13.00) // here

Let me know what you think of this mask. Gross or no?

As always, thank you so so much for stopping by! Like, comment letting me know what other DIYs I should try! Hit that follow button to be notified when I post and I hope you have a beautiful day. Don’t forget to shine bright, you’re beautiful ❤

 

Shine bright, peace out.✌

 

❤ , TIFF

 

psst… check out my last post here!

psst… more info about the benefits of this mask here!

 

Disclaimer: I am definitely not a skin care professional. Please try this DIY at your own discretion. As always, all opinions are my own. Not sponsored. Just a blogger who loves to try new things!

 


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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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UPDATE: Reflecting on this college stuff

Hello friends! I’mmmm baaacccckkkk!!! Sorry for being MIA but ya girl has graduated from cawledge! ERRR back it up a bit, I graduated in December 2016, but I finally got to walk across the grand stage this past weekend. I was trying so hard to not trip..

IMG_1388
Graduated UC Merced with a Bachelor of Science in Human Biology!

College was definitely an experience but I grew the most during those past 4.5 years. Merced is one of those towns in the middle of nowhere that no one talks about. I, myself, had no idea what Merced was until I got into the school. When I first got there as a freshman, I was definitely confused. There were cows everywhere.. agriculture everywhere.. there was even a farm with camels down the street from my school. CAMELS. like what?! And there was literally nothing to do in Merced. I wanted to go home. But I’m glad I didn’t. I met my best friends there, I learned to be more appreciative of the things I had because there were people who didn’t have much, I learned what a heartbreak felt like, and I experienced what it felt like to have people leave you when you needed them the most. But it all made me who I am today because I am stronger.

The hardest part about college was failing. It was the feeling of hopelessness when you spent hours studying for an exam and yet, you fail. Those days were the worst. I’m very open about my failures so yes, I failed 3 classes in college and withdrew from one. Withdrawing from a class made me graduate late, which was a bummer cause I didn’t get to graduate with my best friends. But the point is, I never gave up. Yes, I cried about it and completely felt like shit about it. But I got back up on my feet and tried again. I kept trying and here I am with this snazzy diploma that will bring me to my next destination. So what I’m trying to say is, don’t give up. Keep your eye on the prize and keep going. I never even considered changing my emphasis or my major. I was determined to graduate with the major I entered college in because ultimately, that was the direction I wanted to go.

…I miss college… cherish these four years or however long it will take you because you’ll only be 18-22 years old once. I miss my best friends and dreading class everyday. Now I just dread work haha!

You can do it! Believe in yourself. Remember to tell yourself that and to the ones you love. Stay positive and everything will be okay! 🙂 ❤

Shine bright, peace out.

❤ , TIFF

PS. I’m going to try to keep posting stuff on here but ya girl sucks at this blogging thing so.. heh ❤ And if you have questions about being a bio major or college in general, I’m yo gal!


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