Last week upcoming..............

Well, it's offical.....this is the last week of class! I still have assorted finals, NCLEX application day, and capstone to do...but I no longer have to do the theory notes and study powerpoints! It's been a while folks, it's just been busy......
So, what's going on? Well, I had my last week of clinical.....and I was the "charge" student for 2 others.....and I just don't get it....this dude was taking forever to give meds, and I ended up having to give one of his patients meds....when he had 2 hours to give all 5(yeah, only 5) patients meds.....I had 3 of my own, and done with 15 mins to spare.......then the instructor came to find me, because he put heel protectors on wrong....oh, and he's a CNA...should you know what you're doing, or know you need help by the last week?
I had my interview at the hospital I work at....and it went really well....I had to go back to work 2 hours after the interview, so when I went in, my manager told me that it went really well and I gave really "professional" answers....and looked good....So I think that if they offer me my "home" floor, I'll take it. I enjoy the nurses I work with, I feel comfortable with the patients, and I think I'll learn quickly. And I know who I can trust with the other CNAs.....
Hmmmm...what else? Oh yeah, Pinning! I have a TON of family coming in for pinning, which I was not expecting....but it'll be good to see everyone. also, I need ideas on what a guy can wear for pinning that's all white? it's tough to think of the bottom parts!
Overall, school and work....that's life at the moment. But I'm blessed, knowing that I don't have to afford another semester of school.....my fellow blogger Dawn at Overactive Imagination needs some help to afford another semester before aid kicks in....give what you can, and karma comes around.

Save the date....seriously!!!

Ok, folks....like life wasn't stressful enough with work, projects, tests.....now I have about oh....17 out of 30 dates to remember.....I wouldn't dream of listing them all here, but things such as the following are now in NEON flashing in my brain...(I wouldn't be suprised if the arteries rearrange themselves into letters to be a subconcious reminder...)
Capstone work dates (22,23,24 on 12 hr day shifts on a tele floor at the hospital I work at.), exit testing (25th....hopefully the only date for that I need to remember), psych test (21st), m/s theory test and nclex application filling out(15th....and I need 286 bucks for that day....ouch.) , etc.....and of course pinning (May 16th!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!.....not like I'm excited or anything!)
Also, knowing that I have few readers at the moment, it's good to see those of you that comment.....please know I appreciate it...even if I don't have time to comment back.

Do not stand at my grave and weep........

That line comes from a song I used to sing in High school."In Memoriam"..and it comes to mind every so often when I'm doing what I do.

Just a reflection....I spent today taking care of a resident who is approaching end of life. And upon my arrival to assess her, I found myself encountering a hospice aide. Wow...I thought I was a good CNA. this aide was there for about 2 hours in a shift, cruising through, did AM care, helped me think of ways to break her 102 degree fever(aside from the g-tube tylenol)...we did cold compressess, mouthcare, fan on back....the aide helped me turn her, helped me find another pressure sore developing on a foot, helped me assess areas that I would have had a tough time doing by myself.
She also talked to the family, helped me finish things up. Then the hospice nurse arrived....wow, she was focused....when we started talking, I mentioned that she already had a order for meds to help congestion, meds for pain sublingual, and was on top of each thing the nurse asked....
Then the family and I talked while I helped turn her, and gave her mouthcare, etc. I'm reminded that, when I'm in the situation at the end of my life, give me my dignity. A drop of water, medication to keep me comfortable, treat my symptoms, but let me die gracefully.

Like a flower slow to open,
this life will soon be done.
my spirit will be soaring,
for the race I finally have won.

I'm headed home to eden,
No pain can find me now.
Sunshine always upon me,
without a single dark cloud.

I will be with you in the dew,
the life I've left behind.
Never forget who I am,
and I'll always be alive in your mind.

Hug your loved ones tighter today....and give kind care to whoever you encounter....and to my fellow student nurses(never forget that the care you give is watched by EVERYONE related to the patient!)

The care you get.....

Sometimes I'm reminded of the old beatles song....the care you get is equal to the care you give. I think that even though patients are sick, in pain, having to deal with dx's, etc....most are willing to treat the staff well, and understand that if they need something that is not pressing...they follow up with "when you have time."
I personally have a issue with taking that to mean "when you get around to it." I provide EXCELLENT service, (as far as I know), and would rather go get what someone needs right away, versus having to remember to come back in 20 mins....besides, I'm a little slow to begin with.
Remember the reason that we are there, folks. We nurse because we care. If we didn't, why are we here? I will rue the day that I'm a patient, and I know the kind of service that I would expect....however, if I can still get up with a walker and go get some water....I'll probably do that myself, to relieve the burden.
off to work.....and spend the night listening to moonbeam conversations, and women who want breakfast at 2AM....

Days counting down....

So with two tests left in psych and theory....3 clinicals left for med/surg and psych, and 2 weeks of capstone to go.....It's REALLY starting to hit home that I'm almost done with school, and will be expected to be taking care of patients nursing wise in about 3 months....WOW. The most telling factor was today, when I was working on finishing my demos in the skills lab(which are NOW all done.), and my clinical instructor also gave me back my careplan.....the big 14 page one, that I had been dreading for 2 weeks, worried I was going to get it back, and have to revise over a week....nope. Got it back with comments, but overall it was good...and she didn't even mark on the last 4 pages! Sweet!
So, then on to the job hunt. I've got an interview at my hospital on the 2nd, and follow-ups on friday down at urbana....so we'll see what happens.

Where to work.....

OK.....so blogger ticked me off and I have to repost the entire thing.....arrgghh...

Am I just fooling myself? Am I going to end up working on the floor I work on now? I know I'll learn a lot of skills...and have patients from total self care, to the nursing home completely dependent patients....We get patients with all sorts of tubes, lots of ICU transfers, etc. We have the rep of being the toughest floor on the hospital. Would I just get in a lot of skills, and then go on to another department in a year or two? Plus, I know i could count on the aides(those I trust), my fellow nurses, my night crew...etc. know the docs, know the protcols, know what to do for the majority of the patients....
Or do I really want ER, ICU, tele? ER- not so much right out of school....I feel like I need to establish my baseline, and get good skills down...then do them again. Plus, I dunno if I can handle the senseless deaths.....ICU- again, not right away...every time I tech up there, I'm total teching...and running...and there's so many things to do with very borderline patients.....
tele? Maybe, once I get those chest stickies down....again though, they are just stable enough for the floor somedays, and then have lots of codes/emergencies happen....to anyone that remembers what it's like to be the fresh RN...how do you decide?
also I have follow-up interviews at another hospital...2nd choice. I really want to follow through, just to ensure that I have job offers if my own hospital(for whatever reason) doesn't offer me a job, or one that I feel I want. Tele up there and they pay for ACLS, and tele cert.....I'd rather just go out of pocket if my own hospital won't pay for it, since it wouldn't be part of my job on neuro/ortho. good idea?

spring break...and recruitment dinners

So, what have I done with the first few days of break? Slept, did laundry, shopped a little, and that's it.....
Looking forward to relaxing, and my big interview tomorrow at the trauma I center for their ICU and their step-down unit. Hopefully, will be worthwhile for the trip. It's an hour away, and if I get it, I'll have to move down there. Would be a neat place to work.
On the other hand, I wound up going to the recruitment dinner at the hospital where I work. It was ok, but quite hokey. they did make some good points about education, magnet journey and so forth. However, I heard from other staff that my own manager tried telling people that the ratio was 1:5....plenty of nights the nurses are running at 7-8:1 and have admits or transfers coming. If I do end up working there, I want to work in the ICU or on my own unit...it's such a challenge to figure it out. just a thought....if I worked on my own unit, would the aides respect me, or figure that I should do their work as well as mine? As opposed to ICU where I'm doing all total care without aides? Just another challenge to figure out...