nursing-101

seventeen as people i met at the maternity ward

thanks to twinsie @yoon-hong for helping me with this.

S.coups : that one dad that read every single maternity book out there, intense about everything. has came to the nurse station 45 times in an hour asking about the smallest stuff.

Jeonghan: THAT ONE DAD THAT JUST SAT NEXT TO HIS WIFE SNEAKILY EATING ALL THE FOOD THEY BROUGHT FOR THE GUESTS AND GRUNTED EVERYTIME I ASKED HIM TO LEAVE THE ROOM.

Joshua : THAT ONE MOM THAT I HAD TO CHECK UP BUT HAD HER HUSBAND SLEEPING NEXT TO HER AND SHE DIDNT WANT TO WAKE HIM UP SO WE JUST KINDA TRIED TO DO IT AS CAREFUL AS POSSIBLE.

Hoshi : THAT ONE MOM THAT BEFRIENDED ME ABOUT A TAMPON JOKE AND PUNS.

Jun : “what should i name my child, do you have any ideas?” /shows name badge/ “ i think if you are looking for a nice name you should call her after me”

Wonwoo : THAT ONE GOOD LOOKING FATHER THAT WAS REALLY CLUELESS AND WAS JUST A SHY POTATO MOST OF THE TIME AND EVERYTIME I EVEN HELPED THEM A SLIGHT BIT  HE WOULD JUST SAY THANK YOU.

Woozi : that one cute yet grumpy looking mother after a c-section. acted so bad ass but was really soft. 

Dokyum : THAT ONE FATHER THAT BROUGHT HALF A BAKERY TO THE STAFF CAUSE HE WAS EXCITED ABOUT HIS WIFE GIVING BIRTH

Mingyu : that father when asked to bring something sweet for his wife bought 3 soft drinks, 2 candy bags, one sandwich and 5 gummy bears bags because he couldnt decide on what to bring.

The8 : THAT PATIENT THAT ALL THE STAFF LOVED SHE DIDNT TALK MUCH TO US. BUT SHE WAS THE CUTEST AND THE NICEST PERSON I MET.

Seungkwan : THIS ONE MOM THAT EVERYTIME I WENT TO CHECK UP ON HER WOULDNT SHUT UP FOR LIKE 30 MINUTES. EVERY SINGLE FUCKING TIME.

Vernon : THAT ONE FATHER THAT TOLD ME HE FOUND HIS SON LOOKING LIKE PEPE THE MEME.

Dino: All the babies in the ward .

Nursing Studies (Peter Parker x Reader)

A/N: idk i really liked the idea of this cause im going into nursing like a cute little idea where the reader is going into the field of nursing and helps patch up peter and knows what she’s doing because of her study field

word count: 560

It all started when you planned to study with Peter one night, Ned had advised you not to sneak in on his room when he wasn’t there but you didn’t listen. 

You made your way into his room and noticed how two hours had passed by and Peter was still not home. Before you could gather your things you heard the window open. As you turned your head to look at it, there was no one there. 

Seconds later you turned your head quickly and met your eyes with the crime fighting superhero you had crushed on, Spider-Man.

“Y..You you’re oh my-” you stuttered, stumbling back.

Your balance failed you as you began to fall forward before Peter caught you in his arms. 

As you woke up fifteen minutes later, you noticed Peter at his desk in his Spider-Man suit with his mask off. You never really noticed his muscles until now. 

“P-Peter?” you stuttered out and noticed Peter’s eyes widen before he scurried over to you quickly. 

“Y/N, you’re okay, right?” He spoke quickly, apparently oblivious to the skin tight suit on his body. 

“Yes.. a-are you Spider-Man?” You spoke out and watched as he nodded his head seconds later. 

Before he could speak up, you noticed a red stain on the lower right spot of his chest. You snapped your fingers at him and told him to take off the suit quickly. 

As you ran to your backpack, you pulled out a textbook on your college prep course, Nursing 101. They had offered the advance course online for high-schoolers occasionally. 

You flipped your textbook to the dangers of broken skin on the body and ordered for Peter to find cotton balls, peroxide, disinfectant, some rubbing alcohol, and some bandaid padding with tape. 

As Peter began to rise off the bed, you noticed the wound tear more and forced him to sit back down as you found the supplies yourself very quickly. 

Your hand laid on Peter’s chest, dabbing the wound with multiple items to clean the wound. Seconds later you placed a band-aid pad onto the wound and used medical tape to secure it on. 

Peter cleared his throat and you darted your eyes to his, seconds later. 

“Thank you, Y/N,” Peter looked you in the eyes with rosy cheeks. 

“Of course, Peter,” you spoke out with a soft giggle before noticing one last cut on his cheek. 

You leaned forward, dabbing the small cut with a cotton ball coated with peroxide and smiled at his doe-like eyes as they watched your movements. 

Seconds later after pulling away, you noticed Peter looking at your lips and you smiled softly at him before leaning in. 

Peter took this as a sign and began to lean in as well, stopping himself as he felt your hands on his chest. 

“Ah-ah, you’ve got some blood on your lip,” you spoke as you took your thumb and carefully brushed it off his lower lip. 

“Oh Y/N just kiss me already,” Peter rolled his eyes before pressing his lips to yours in a fast motion. 

You immediately kissed back as your cheeks flushed pink. Seconds afterwards, you both pulled apart with rosy cheeks and you broke the silence shortly later. 

“I think I like nursing,” you quipped with a soft giggle. 

Peter rolled his eyes at you and kissed you all night long. 

anonymous asked:

Fo3 companions react to the lone wanderer being really, really sick?

Butch- He’s prepared himself from a young age to deal with loss. He lived with the loss of his father, and prepared himself for the loss of his mother. He knew, even as a child, that one day the drinking would catch up to her, and he would be left without her. But this is different. They were still just kids, kids weren’t supposed to lose their best friends, not until they were crotchety and old. And he doesn’t know what the hell to do about it either. Doc Church tells him to be patient, and that’s all there is for him to do. But he’s never been patient, and he can’t really be expected to sit with a thumb up his ass while Lone might be slipping away. Wadsworth tells him on the third day of their record high fever to get some rest downstairs, that, “There’s nothing you can do for them.” He’s so damn tired of hearing that phrase, he’s so sick of feeling useless, in his frustration and exhaustion, he goes into the living room only to flip over the coffee table. The last of his energy spent, he sinks into a chair with his head in his hands.

Sarge- 101 has the misfortune to fall ill when they’re miles away from any settlement, their supplies all but gone. But RL-3 isn’t about to let his comrade fall to something as mundane as sickness. With some effort he manages to heave them up onto his slick metal body and makes for the nearest town. The trip takes nearly two days, he’s not built for speed after all. They reach their destination eventually. The sergeant hovers at 101’s bedside like a guard dog, and barks orders (sometimes barks literally) at anyone that comes near them without a white coat on.

Charon- He manages to get them to Underworld, to Doc Barrows, yet he doesn’t let the other ghoul take them out of his arms at first. “If you can’t help them…” He doesn’t know what he’ll do. He sincerely doesn’t. His contract binds him to them, but unlike Ahzrukhal, unlike every other bastard that has held his leash, he wants this one to stay. Even if it’s only for another year. “If you can’t help them,” he says again, his teeth grit softly. He lets the gravelly threat in his voice speak for itself, and only then does he let the good doctor and his nurse move 101 to a table. His eyes burn into the back of their heads the entire time they work.

Paladin Cross- Lone is the last of James’ family. Catherine is gone, James is gone, and if this illness progresses any further, there will be no one left to carry on the legacy of the extraordinary family she knew. She won’t let that happen. If they have to strip the cybernetics out of her still beating heart, scrap her for parts, she won’t let them succumb to this. She tells the Brotherhood, no matter the cost, Lone must beat this. Whatever it was. In the quiet moments, when there’s nothing but the steady blip of the heart monitor to fill the room, she holds their hand and recites something she heard a thousand times from Catherine and James when Project Purity was struggling through its infancy. Revelation 21:6.

Fawkes- What knowledge he has of medicine is rudimentary at best, most of it probably outdated a few hundred years, but he uses what he knows to help however he can. 101 saved his life, he owes them this much. His hands are too large and clumsy for most of the delicate work necessary to take care of them, but thankfully the doctor in a nearby settlement is willing to do most of the work once he carries the vault dweller’s wilted body there. There’s not nearly enough room for him inside, so he’s banished to sit outside of the doctor’s office while they did God knows what to the poor child. They’re still just a child, he thinks, the whole thing seems bitterly unfair.

Jericho- The doctor urges him not to smoke around the kid, but what the hell does he know? There’s a good chance he won’t be able to fix them, so what does it matter? It’s not Jericho’s fault they’re laid up like this. Their sorry state does sadden the hardened merc a little. They’re still young, they’ve got a lot ahead of them, and though he might harp on them occasionally, he knows they deserve better than this. So he sits at their bedside, day in and out, smoking like a chimney stack despite the doctor’s repeated warnings. He keeps his gun in his lap. Everyday they degrade, he readies himself to put the kid out of their misery. He doubts that is what they really would want, but it’s a hell of a lot better than the slow rot that awaits them at this rate.

Clover- She holds their hair back to keep them from vomiting in it as they’re hunched over on the side of the bed, hurling their guts out. She rubs their back and tries to soothe them however she can. It isn’t enough. Soon, her lover is bound to their bed, barely conscious half the time, and their hands are limp and clammy when she tries to hold one to her cheek. Clover can’t stop herself from crying. She doesn’t care what illness is trying to take them away from her, she won’t let them go without a fight. She spends many of her nights curled up in their sickbed next, just so they know she’s there, she’s with them, and she isn’t going anywhere.

Dogmeat- He nudges his master’s hand, but they don’t respond. Their breathing pattern is different, in a way he knows is bad. He can smell the sickness inside them. He paces around the campfire that’s long gone cold, whines and noses their head, and only once or twice does he leave to walk up and down a nearby stretch of road. No one comes when he howls out. He returns, sullen. He lays down as close to their body as he can, nudges their arm so it lays over him, and waits.

Nursing Life 101

So bale part lang to ng nursing life ko kung ano nangyari samin last Friday. TGIF ika nga nila but for us, it will always be a “Thank you so much Lord for this day”. That was the day that our CIs declared that we all passed.actually, bagsak naman yung iba but because of other’s perseverance eh kinausap tlga nila yung mga cis and even our dean and they got the chance to take the removal. Yes pota nakapasa sila hhu they really gave their best to take hold of that chance. We literally cried sa CON biglang nag ingayan e kasi nga pasado rin sila. Sobrang overwhelming nakakaproud. Kaya if you’re going to take nursing, take it SERIOUSLY. Help your colleagues whenever you see them na nahihirapan sila. Masakit sa puso pag may mawala sa batch/class nyo. I do treasure them sobra.

Barium Enema

Barium enema, otherwise called Lower Gastrointestinal Series (LGIS), is a diagnostic test wherein a solution (contrast) which is called BARIUM is put inside the colon (large intestines) of the patient and then an x-ray is taken.

There are two types of barium enema: single contrast and double contrast. In single contrast, only the barium is injected. With double contrast, barium and air in injected into the colon.

Purpose:

  • Barium enema is done when the case of the patient asks for a possible pathologic condition in the lower gastrointestinal tract and a view of the anatomy of the lower GI of the patient is needed. This guides physicians into diagnosing the possible or even the real cause of the signs seen in the patient and the symptoms s/he is experiencing.
  • There could be a lot of cases where barium enema is ordered. Some signs and symptoms that could prompt a doctor are GI bleeding, abdominal pain and absence of bowel movement. History taking is very important because it has to be made sure first that the condition of the patient really needs a view of the anatomy of the GI’s patient.
Some conditions that may need barium enema:
  • Appendicitis 
  • Celiac sprue 
  • Colorectal adenoma (harmless tumors) 
  • Colonic diverticula (pouches or sacs in the colon) 
  • Colonic polyps 
  • Crohn disease 
  • Diarrhea 
  • Diverticulitis of the colon 
  • Chronic intestinal pseudo-obstruction 
  • Lower gastrointestinal bleeding 
  • Ulcerative colitis\
  • Colorectal cancer

Preparations:

  • The patient has to undergo fasting which means s/he should no longer eat by 12 midnight before the examination.
  • Sometimes, physicians orders the patient to take castor oil or dulcolax. These are used to make the bowel clean or to make the colon free of fecal material.
  • If there is a condition that the patient needs continuous nutrition, the patient maybe given an IV fluid to make sure the patient doesn’t go into hypoglycemia once s/he starts fasting.

Nursing Responsibilities:

  • Before
  1. Instruct the patient about fasting.
  2. Administer medicines as ordered.
  3. Assist in IV insertion.
  4. Regulate IV fluids as prescribed.
  5. Reassure the patient.
  6. Educate the patient about barium enema.
  • During
  1. Read physician’s order.
  2. Confirm bowel preparation if done.
  3. Promote safety by staying with the patient.
  4. Instruct the patient to hold the barium as long as possible.
  5. Provide and promote privacy of the patient.
  6. Assist in position changes that may be ask of the patient to do.
  • After
  1. Instruct the patient to take plenty of fluid to promote excretion of the barium.
  2. Inform the patient that s/he can take laxatives to promote faster excretion as prescribed by the doctor.
  3. Educate the patient that white stools for two to three days is normal.

Possible complications:

  • Complications can occur with patients who have perforation or possible blockage in the intestines.
Patient 3301

This was one of the most unforgettable experience I have so far and one of the most frightening to the fact that I’m dealing with a patient who is dying.  

It was the last day of our second clinical rotation at Bethany Hospital [mid-day shift]. I arrived at the usual time of  2:30 pm at Bethany. As my other group mates arrives, we chatted a bit and I found out that there is this one patient in our area who just came from the Intensive Care Unit. I ask what is her condition. My classmate told me that she have a stage 3 colon cancer and ask if she needs close monitoring… my classmate told me that the order was every-hour vital sign monitoring. I was praying again to God not to be assigned in this toxic patient… but fate has a way of playing a game… I was assigned in this patient. But to consider what my [new] Clinical Instructor gave me [patient assignments] previously in the same rotation , which mostly no one in my group wants to handle, I was not surprised.

When the staff nurse gave us the go signal to read the charts, I immediately read the doctor’s order and the nurses’ progress notes to found out that she has been admitted in Bethany since April of the same year with just a complain of difficulty of breathing and cough for several days. She has an indwelling Foley catheter, in O2 therapy, has anasarca and she has a colostomy etc… I continued reading 

Before going inside the room… i wear my mask… I was reprimanded about this by my Clinical Instructor  about wearing a mask… I told her that the reason I am wearing a mask is for the principle of Reverse Isolation, I was only protecting the client from any infection that I may transfer since Cancer Patients are immunusuppressed because of the corticosteroid therapies that they are receiving. After that she argued no more. [We’ll the real reason why I’m wearing mask was Im a Paranoid Person… a clean freak person]

After knocking at the door, I opened it and before I greeted the patient and the family members a different odor enters my nostril. it was unpleasant and it was a good idea really to wear a mask. As I greeted the patient and the family I took a quick look at my patient, actually my patient and louella’s since there were not much patient in the unit that day so we were teamed up… I observed how pitiful her condition was.. I tried to talk to her but I can not understand he speech. Her husband assisted us in taking her vital signs, in changing positions and others since we can’t hide the fact that our little hands cannot do much things considering the condition of our patient. she can barely move, even her extremities. 

After taking her vital sign and regulating the IVF hooked on her and even her O2 inhalation, draining her urine bag and recording the fluid output… we reported to the staff nurse that she has a fever… it was above 38.5 if my memory serves me right. So the immediate action is to give her PRN med- Aeknil IV so to lower her temperature immediately so it will not reach 40C above to prevent permanent brain tissue damage because of brain cells begins to die if the core body temperature gets too high [according to what I have read in my books]. However she had already received an Aeknil earlier [2:00 pm] and it was only 4 pm so we cannot administer the next dose of Aeknil yet. 

So I implemented my independent nursing intervention for hyperthermia… I if its okay to adjust the air conditioner since it was really hot in the room. I encourage the husband of the patient to let her sip water… we even change her gown since it was soaking in sweat and we did TSB. Tepid Sponge Bath. Louella and I did everything we could to lower her temperature.

As we are busy doing TSB with our patient, another knock was heard, the door opened and it was our clinical instructor checking on us. maybe she was wondering where we were since most of our group mates are lounging at the nurses station doing nothing…maybe writing already their sample charting. She entered and said “Kumusta kayo diyan?” [How are you?] I answered “Okay lang ma'am TSB lang kasi mataas ang temperature ni ma'am at kabibigay lang ng Aeknil sa kanya ma'am kaninang 2:00 pm.” [We are doing fine, we are just providing TSB to lower the temperature of our patient since she was just given Aeknil about 2:00 pm] She said “Okay sige” [Okay, carry on]..

So Louella and I continued providing TSB and constantly checking her temp… a second know was heard and a girl entered… it was the patient’s daughter. I can’t help but eves drop a little. I found out that the daughter is hesitant to come actually in the hospital since she had exams and assignments to think off. she and her father continues to talk and it was like her father requests if she could stay at least since her mother is very sick and might no longer live and stuff… like they want to be complete when her mother dies… and stuff again. and As we continue to provide TSB to our patient another knock was heard it was again the other daughter of our patient.

After I guess 2 hours or maybe 1 and a half hour of providing nursing intervention… her temperature goes down a bit and increases again. we decided to check if it was okay now to give Aeknil but before that we clean up the materials we used…then we left the room. The husband said thank you on us. He always smile at us and thanked us every time we check on our patient.  we rested a bit at the nurses station as we report to our CI and to the Staff. The staff told us that she will be giving Aeknil later. So as we are sitting at the benches near the Nurses’ Station, I was already making my nurses notes so that my CI can check and later I will just write additional nursing interventions I did to my patient.

As Louella and I are browsing the internet via our phones since our Clinical Instructor asked questions regarding some medications and at the same time we are reviewing for our quiz, a number of people are approaching the nurses station… Louella had a hunched that they may be the relatives of our patient since her husband said that some of their relatives will be arriving… One of them approached the nurses station to ask and the nurse pointed room 3301… they all entered… and greeted the patient.

Louella and I looked at our watch and it was already time to get her vital signs. At first we are hesistant to enter since we heard some moans/cries inside… we dont want to disturb them… sow e waited for 15 minutes I guess and entered… after assessing her vital sign she still have hyperthermia so we reported to the staff that she still has fever… so the staff looked at the time, It was already pass 6:00p pm, prepared her medication and administered it. 

At the same time that we are done Dr. [I forgot the surgeon’s name! Oh My!] and told the nurse that he will be changing the patient’s colostomy bag. The staff asked us if we had seen one before and would like to assist  we said we haven’t seen one yet and we would really like to assist. so there we knock at the door, the doctor entered and greeted the patient and the family and I get the tray where the needed equipment and materials are and Louella was with the staff nurse beside the doctor. So a the doctor opened the colostomy sight a foul smelling odor came out and it even penetrates in my mask which has already two layers and I really stared and observed the sight… it was edematous, the color of the surrounding tissue is dark red… and there was no bag placed but instead a diaper is placed and it has fecal matter on it. so the doctor just wiped the site, cleaned it, put some sterile dressing/ gauze and placed a new diaper and secured it with plasters. it was a quick one. Ooh I forgot to tell you, the doctor isn’t wearing any mask at all… maybe he was alraedy used to it.

After we provide colostomy care, the doctor talked to the family inside the patient’s room and the next thing we know is the doctor opened up regarding signing a DNR consent/order. [Do Not Resuscitate] we are sitting at the bench and  heard the doctor say to the husband “Anong magagawa natin? Diyan din naman pupunta” the husband called some family members and went to the corner of the ward and I guess they are discussing about the DNR order/ consent. they they began crying. The sound of their moans and their feeling of anguish echoed and covered the place. Waves of emotions are flow in the place. and I felt extremely depressed and sympathetic. I can’t do anything since that time I don’t no knowledge yet regarding dealing with persons who are experiencing grief and loss. They comforted one another and the doctor went to them and talk to them. I even heard a young boy say “Wala na akong mama?” [I no longer have a mother?] I really felt sad for the young boy…

few minutes later, the family was escorted by the doctor to the nurses’ station and signed the DNR order/consent. Then they all go inside the room… And we are going to check again the patient that time.. we decided not to enter and just wait again for a bit.

We entered our patient room again. asked what the patient needs… re-positioned the patient, offer some fluids, wipe off her perspiration, drained her urine bag, check her O2 inhalation, her IVF, and assessed her vital signs… she still have fever. we leave the room and the husband thanked us again and smiles..

we asked the new staff nurse what can we do the staff nurse told us that in the case of our patient, she is having a terminal fever since she is nearing the last hours of her life. So in the next hours we just provided maximum comfort to our patient… we continued monitoring her every hour, assessing vital signs and etc.

after our clinical duty that day… we had just learned [louella and I] our patient died around 1:00 am, 2 hours after we leave the area… the time that her O2 tank is already empty…

I forgot to mention she was only around 45 years old and she already have a stage three colon cancer

Nursing Improv

I think to be in nursing school or to be a nurse you also need to be somewhat of an actor or actress, For example today a friend of mine we will call her Sally, her patient told her he went the bed. She called me up to help her change him and upon lifting the sheets to our surprise there was an explosion of stool. My thoughts? Holy shit, this is a shit storm…literally. But you can’t show the patient that inside you are throwing up and panicking how are we going to clean up the stool that has seeped through three sheets and is all up the patients back. So you just smile and talk about hobbies as if you actually have a clue how to approach this disaster. I think I have learned the most so far in these mini disasters because I mean you can’t leave the patient you have to do it with joy. So the point of this is, there should probably be an acting class in the nursing program instead of a music class or woman studies class because nursing is a lot of improv and acting. You have to just suck up all the worries and show the patient you are an expert and most of the time thats how you will come out to be. Have confidence in everything you do and smile, showing you are comfortable will make the patient comfortable. Stay calm and nurse on!

Xoxo

A princess in scrubs

Hospital Hell VOL 1

I SLepT 40 minutes. I was anxiously going crazy.

But the one good thing is the INTERNET in the hospital is very fast.

But my dad is a total knuckle head. Sure he’s nervous but he NEVER asks for what he’s supposed to, he’s never his own advocate, he’s always just joking around with the blood takers and stuff.

HE NEEDS TO BE TAKEN FOR A WALK AFTER 4 HRS AFTER HIS CATH.

YOU CANT JUST LEAVE THE PATIENT IN BED THE BLOOD NEEDS TO MOVE AROUND!

AND A NURSE NEED TO SEE YOU GET UP AND/OR HELP YOU. EVEN AT NIGHT!!

HE NEEDS TO KEEP ON THE NURSE OR WHOEVER UNTIL IT IS DONE.

KEEP USING THE CALL BUTTON. UNTIL IT GETS DONE

and before anyone tries to say “that’s not nice cuz the staff are…”. Shut it. My mom’s a RN nurse for almoat 50 yrs. and that’s HER words. She’s a strict nurse. Only because patient care comes first. She balances so much in her own spot. I respect no one higher than her in medicine. Not even any hack doctors.

My mom is a jack of all trades in the hospital work and she’s the pinnacle of anyone.

It’s paramount in her way of working and her philosophy and how she was taught.

Because today everyone is too busy texting. And socializing.

And they’re worried about how their badge picture looks. Their badge must be facing outward at all times. None of this being embarrassed about their shitty picture.

My moms gonna be doling out some lessons to the new school nurses before this whole heart surgery ordeal is done.
Nursing 101, The Georgia Way | Georgia and Dean

It was common knowledge to people in the house, that when you went for sympathy, you went to someone like Cassie or Josie, maybe even Izzy. The last person in the world you go to for friendly caring advice and cuddles, was Georgia. Her idea of nursing people to health was less than kind, and normally ended up in the ill person being traumatized. Last time she’d ever tried to cheer anyone up, they’d ended up drunk and giggly in Paris, with no idea where they were. It worked for her, but not for everyone. In her defense, Georgia had never been the sympathetic sort, it wasn’t in her nature. Mainly because her nature was always, get on and look forward. It was the reason she never held grudges and kept her arguments to the minimum.

Dean was interesting. Mainly because he had a volatile nature about him. He could switch in a minute, and that was exciting. Things weren’t dull with him. People couldn’t be dull around Georgia or she just got bored and wandered off. She moved on the fast lane, no slowing down for anyone. But no, Dean was interesting. Like with Marco, he had a spark, and they got on. Not in the way she did with other girls, though really, much of the time, Georgia was “one of the lads”. Knocking on Dean’s door, Georgia opened it and poked her head around the door. “Nurse Rae reporting for duty” she joked, closing the door behind her