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This is a very inspiring video for all those struggling in nursing school !!

WEDNESDAY JANUARY 11TH 2012 

Today is the start of something AMAZING. I had a great day first day of immersion on the med surg unit at Ronald Reagan. My preceptor is so sweet and a great teacher! The other staff on the floor is incredibly nice and funny AND today spirtual care came by and brought us diddy riese cookies and tea! It was called tea for the soul haha. 

I’m gonna have to work nights soon too but I’m ready for the challenge. Also, two other past immersion students got hired onto that unit. I hope and pray that could be me one day!! I think this will be a great experience and I might already have an idea on what to do for my big capstone project! :) 

ashisbonafide said:

Yes I mean working. I hear it's recommended to start in med surg to gain overall experience before specializing.

Hey ash! Sorry it took so long for me to get back to you! I haven’t heard that before, but that doesn’t mean that that path wouldn’t be right for you.

If you’re not interested in med surg, don’t bother. If you passion lies in a totally unrelated speciality, like mental health or paediatrics I don’t think it would be an issue. If it is an aspect of med surg that you want to specialize in like, cardio, then it might be a good idea to get some experience on a general surgery floor. 

BUT! If there is an opportunity to work in your dream field don’t pass it up due to lack of general surgery knowledge. You are a new nurse, therefore you are expected to learn every shift (and after your shift hehe). If you know the basics of med surg from your schooling it shouldn’t be a problem because specialities are just that — specialized! 

My main advice, do what you are passionate about! Don’t follow the “recommended” path if you can jump right into your dream job! 

cardiacattack said:

What do you think so far of floor nursing vs ICU?

Finally getting to my questions after two months of scrambling and getting my life back together after I moved. Please forgive me! :)

Oh gosh, the ICU… I’m in my last weeks of orientation and I’m learning sooo sooo soooooo much every shift. The ICU is extremely hectic at times and can be boring at times—mostly hectic. The time management is COMPLETELY different in regards to med/surg nursing. They’re both pretty busy, but busy in their own aspects. In med/surg nursing, the patients are less complicated, and can walk pretty far distance. Medications are given close to two times a day, and some patients you only give medications once a day with random IV antibiotics throughout the shift. In the ICU, you’re giving medications close to 6 times a shift with random antibiotics, time sensitive drips/gtts, cardiac gtts, etc. 

The ICU is built on the little things, if you miss something, you’re gunna eff up.. and that’s happened to me MANY times. I’ve fucked up many times. Well mostly non-life threatening. 

Gosh… one time… I sucked my levophed/norepinephrine IV bag dry on a patient who was super dependent on it. I was scrambling trying to find the next bag, BUT of course, pharmacy didn’t have it up! So called down in a panic for a stat levophed drip. 

I was shitting my pants as I watched my patient’s BP tank. 5 minutes without the drip and his systolic was in the 80s, and his maps were in the 40s. T_T Mind you he was on this drip at 8 mcg/min. FINALLY 7 minutes later, his IV bag gets sent up. I start his drip and bolus him at a rate of 20 mcg/min. His pressure comes up 3 minutes later to systolic of 110, and a map of 80. THANK GOD. At the same time, my other patient was getting restless and had an increase work of breathing. We were gunna tube her—intubate her.

Gosh… there’s a new level of adrenaline that I need to get used to…. shit. I take my blood pressure before and after work each day, and that day, my bp was 145/94. HA! Give me 6 stable patients to take care of and coordinate care, and I’ll be ready for that. Two unstable patients, and I’ll poopy me panties. 

The icu is fun, but extremely stressful at times. T_T I’m also still getting used to bed baths and constant bed changes. Not very good at that yet. hahahaa

Sorry cardiacattack for getting back to you soo late!! <3

Clinicals

Sooo I finally started nursing Clinicals this semester and they are going great! first half of the semester I had Mental Health and right now I’m currently in Med/Surg. It is no easy work but I love it! There’s something about helping and working with patients that just makes me happy and proud. Sure when I get home I’m completely exhausted (even though it’s only once a week), but I’m starting to get used to it and learning a LOT. Soon I will be able to apply to be a CNA and hopefully start working in some kind of hospital setting to get gain more experience =) 

The. Worst. Case. Scenario.

I can’t be alone in this.  I can’t be the only nurse who wonders sometimes what makes a good nurse.  I can’t be the only one who wonders why you can take an excellent ICU nurse to a step-down unit and see them fall apart.  I can’t be the only one who wonders why you see the panic on the face of a step-down nurse when they start on an ICU floor. I can’t be the only one who is baffled at the resiliency of med-surg nurses who deal with so many patients with such patience.  

I have been contemplating a change and yet, when I do, I feel almost panicked when I think about not being in the ICU.   I don’t really consider myself a great nurse, but I work hard and I am good at my job.  I was thinking about why I thrive in the ICU as I drove home from work the other day.  Patient after patient had gone bad that shift and I could so vividly see the deterioration as it was starting.  

I realized as I thought through the day…ICU appeals to me because I am a worst-case-scenario person.  I look at sick patients and imagine the absolute worst and work to avoid it.  I think about the worst complications and issues that are related to the symptoms and jump to that conclusion and work my way back.

Your patient is hypotensive?

I assume a bleed.

Your patient is acutely confused?

I assume a stroke.

Your patient is short of breath?

I assume a PE.

Your patient has a hematoma from a line pull?

I assume they will visit the OR.

Your patient is ‘just not acting right’?

I assume they will code.

It’s pessimistic.  It’s negative.  It’s dark.

And, it has saved countless lives.

In everyday life… no one wants to be around someone like me.

People want sparkles and cheer.

I am not completely negative all the time but, it’s interesting that a part of my personality that I never really liked… is the part that makes me very good at my job.

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