nurs-ology

Working my way through nursing school one clinical at a time.

[nurs-ology]

Catching Up and Getting Real: Life As A New Grad RN

Hey guys! 

Sorry it has been forever since I posted on here. Nursing school and NCLEX studying got hectic and I was unable to keep up with everything at once. So what have I been up too since you all heard from me last? Grab a snack and get ready to get real as I tell you in this long post about my first month as a new grad RN and all the things that go with this. 

So, a little background on what has been going on with me! In May I graduated with my BSN. I did it guys, I finally reached the light at the end of a very long tunnel. While it felt like a major weight and stress has been lifted off of my shoulders, a new stress was looming. The dreaded NCLEX. 

I had applied for my state nursing license several weeks before graduation. About two and half weeks later I received my authorization to test in my email and scheduled to sit for my test about two and half weeks after that. I knew that if I waited forever to schedule my exam, I wouldn’t study as much as I needed to and would dread it even more. 

Fast forward to test day and I wanted to throw up before taking my test. My dad (who is also a nurse) drove me to my test and was waiting in the car for me while I was in the testing center. When my test didn’t shut off at 75 questions, I wanted to throw up and have a heart attack. When my test shut off at 83 or 84 questions, I wanted to throw up and have a heart attack. I quickly got my things from the locker, ran to the car, and my dad and I did the Pearson Vue trick a few times. The next day, on June 1, 2017 I received my license from the state and was officially a nurse!

I had a good two months break to de-stress and relax from nursing school and the NCLEX before I began my new job. So what did I accept in a position in? I accepted a new grad RN resident position in a 59 bed emergency department that is a certified stroke center and chest pain center that is located near where my boyfriend is from and is  3 hours from where I went to school and 3 hours from where my parents live. 

I moved into my new apartment around the end of July, so about 6 weeks ago. Moving in around this time gave me a week to get settled and spend some time with my boyfriend while he was still in town finishing his third co-op rotation before going back to school to finish his last year of engineering school. 

The following week I began work, which was orientation week. Monday was an all day long general new employee orientation. Tuesday I had EPIC training for the ED nurses at one of our sister facilities almost two hours away. Wednesday was half a day about empowerment. Thursday was ED residency orientation where I found out who my preceptor was and that I’d be on nightshift. Friday was half a day of random things. While the week was overwhelming with information and I was pretty exhausted, I was excited about work and getting started!

That Tuesday we were able to access our schedules online at EPIC training. For my residency, we work our preceptor’s schedule that the scheduled (our facility self-schedules) and then if we want to work shifts that they pick up, we can but aren’t required to. Needless to say, I wasn’t too excited about my schedule because my preceptor was scheduled to work 6 night shifts in a seven day period before getting a week off. I have never worked night shift or more than three shifts in a row so I knew I was in for a challenge. I spent the next three nights flipping my sleep schedule to get ready for work. 

My first shift came and I was nervous about starting. I felt like throwing up a little on my way in, but after getting in and getting settled, I became overwhelmed with all the new information that I made it through my shift. This same routine continued for the next couple of shifts and around the fourth or fifth shift, I had my own room and own patient. Which was terrifying, but having them be at an acuity level of a soft level 3 or level 4, I was feeling pretty okay with the patients after flipping the rooms a couple of times. For the past four shifts, I’ve had my own room and cared for those patients. Having one patient allows me to also focus on medications that I’m giving since meds are my weakness.

One night I had a patient who was upset about wait times and unable to eat until after they had seen the doctor, which was interesting for me to handle. I definitely have an introvert personality but come out of my shell at work. However, in these situations, I’m unsure of how to handle those. So if anyone has any tips on how to handle patients that are upset, let me know. 

I handled to week pretty well with a normal level of anxiety for starting a new job and handling my first night shifts pretty well. However, on night five I was so exhausted from the past five nights, not sleeping well the night before, and letting a comment my preceptor made about me being “bad luck” for her IV sticks and missing them lately get to me too much, I had a nice emotional ugly cry in the bathtub while I questioned my life decisions before going to bed. The next day was much better and we had a heart to heart about when I’m off orientation. 

My week off finally came and I quickly headed home to spend some time with my parents and dogs after taking two days to recover from the craziness of the week before. 

This past week I only had two and a half shifts. On Friday, I had a 5.5 hour stroke class during the day then had to work for 6 hours that night. Luckily I only shadowed three different roles today so I wasn’t dying of exhaustion too much. During this week, my preceptor made comments about being guilted into taking a new grad and saying she was going to get me off orientation as soon as possible. Normally, this stuff doesn’t get to me. But for some reason, this got to me again and caused me to have a full blown ugly cry anxiety attack when I got home. This anxiety caused me to have a week long headache and start to dread to go to work the next shift because I was so nervous and getting in my head and harping on all the negative “what ifs”. 

I’ve never really dealt with anxiety like this before so it was frustrating for me about why I was feeling like this. These feelings lead to more questioning my life’s decisions and questioning my future in nursing, which was frustrating because I’ve never had something like this happen to me before. However, tonight I had a sit-down and self-reflection about the entire thing. I realized that most of this anxiety is stemming from being homesick. 

I moved over 130 miles from home to a place where the only people I know are my boyfriend and his family. While I love this place where I live now, I have yet to make many friends here because of my crazy schedule and working night shift. When I’m not at work, I’m at home sleeping during the day to get ready to work that night or to flip my sleep schedule for the work week. When I’m awake, it’s in the middle of the night when nobody else is up. My parents and I are very close and my boyfriend and I are very close, so I’m always talking to them when I’m bored and doing other things like browsing Pinterest, watching YouTube videos, catching up on shows in Netflix, or some of my other hobbies. However, when I’m up, they aren’t up so I have nobody to talk to. My hectic schedule has also prevented me from going to visit my parents more or going to visit my boyfriend often, so the routine of going to work and coming home and repeating has really gotten to me and put me in a major funk and being really homesick because I haven’t gotten to talk to them or see them as much as I’m used too. I also don’t have school work to fill up my spare time so my nights have been hard to fill up and extremely lonely.

Having such a hectic schedule and weird sleep pattern has also thrown off my meal times, meaning that often times I don’t eat more than two meals a day (if we can some of them that). Add this to being homesick, exhausted, and overwhelmed with being a new grad, I’ve had a lot of ugly cry moments that have made me take some serious self-reflection and realize what is going on and how I can get myself out of the funk because it is not a fun place to be. 

It took a lot for me to realize this and the importance of talking to everyone in my support system about it, because I am the type of person to bottle things up, say everything is okay, then have a total meltdown when it gets too much to handle for me. However, I felt so much better after sitting down and writing a little journal entry about how I was feeling and looking at what the root of my anxiety and doubt was. I’m a strong person and if I got through nursing school, I can get through the new nurse period. But I’m also human so it’s totally okay for me to have feelings like this. 

I also wanted to post this not to update you guys, but to also let anyone else who is new to understand that it is normal to feel this way. I tried to casually bring it up to the others in my residency group on how I was anxious and felt like I had no confidence about what I was doing, but nobody was able to really relate, which made me feel worst. This then lead to a lot of scouring the internet for other stories like mine, and reading that other people also experienced anxiety like this made me feel a lot better. 

How do you guys prepare for night shift? Do you notice it has an effect on your mental health? How do you deal with the effects? Let me know because I’m super curious now how others handle it!

Until next time!

[nurs-ology]

Nursing School 101: Top 5 Essentials of Nursing School

After a hectic end of the semester, I am finally back to be able to work on my Nursing School series! Have any nursing school questions or topics you want covered? Feel free to send me some ideas!

You’ve put in the hard work, you’ve sent in your application, you’ve anxiously waited for the decision about your future career, and finally gotten your acceptance letter! Now that you’re in nursing school, shopping for your next semester is even more exciting! That is until you realize you don’t actually know what you do and don’t need for nursing school. Don’t worry, we all feel that way. Hopefully, this post will help with the anxiety of getting ready for nursing school!

* Please note that this list is based off my experience in my program and that this is my personal opinion, so adjust the list based on what you believe your needs are/what your program requires! *

Essential #1 - Scrubs/Uniforms

The most important thing you will need in nursing school are scrubs. You’ll need them for clinicals, skills labs, and many other nursing school functions. While you don’t get to wear cute scrubs like those in the picture (if only), you still need scrubs. More than likely, you will have to get whites. All white everything. White pants, white top, white shoes. Yes, it is awful. Yes, it’s a stupid color choice. Yes, you will get mystery stains on them. Nobody is truly happy about wearing the “ice cream man” uniform, but it’s short term and then you can burn them. My program has a specific style of tops and pants that we had to buy from one scrub store because they would sew on our nursing school patch on to the tops, so be sure to check information on the uniform/dress code that you got at clinicals or in the class that you have your first clinical in. As a side note, we also have a “community” uniform for some clinical experiences that consists of a school of nursing polo and khaki pants that we also had to get along with a lab coat, so be sure to also check for any other uniforms/articles of clothing that your program requires. 

I personally have four sets of scrubs. Overkill? Maybe. Yes, it cost me like $250 to purchase them all, but it has helped me so much when I have several days of clinicals in a row and don’t want to do laundry/iron a new set when I get home. It’s also good to have a back up pair(s) in case yours get ruined or dingy after a year of being worn. The amount of sets you purchase is up to you, but I highly recommend at least one back up pair. I also recommend buying a set in your normal size and a set a size bigger because the nursing school 20 pound weight gain is a real thing that nobody wants to talk about. 

Source: https://www.instagram.com/p/BGUaSqThOAT/

Essential #2: Stethoscope

Stethoscopes are another clinical essential to have. You will need this for blood pressures, assessment labs, and doing assessments on patients at clinical. The price on stethoscopes can very widely from $20 to $400. There are several brands of stethoscopes, but everyone in my cohort has a Littman. I personally have a black Littman Cardiology 3 with a matte black (all black everything is my life) that was a gift from my parents and am in love with it. I am able to hear heart and lung sounds so clearly. The most common in my cohort by far is the Littman Classic 2 or 3. I have borrowed several of friends’ stethoscopes that are this type and they work pretty well. It is up to you on how much you want to spend on a stethoscope, but be sure to think about the quality of the scope when deciding, as you will want it to last you at least through nursing school. This is also one of the few “accessories” that you can have that doesn’t have a certain color it needs to be, so have fun choosing a color that you like!

Whatever scope you get, be sure to have a name tag on it or have the chest piece engraved. At some point in nursing school, you will leave your stethoscope someone or someone will borrow it and forget to return it, so having your name on it will make it easier to find when it goes missing. 

Source: http://www.allheart.com/littmann-cardiology-iii-27-inch-black-edition-stethoscope/p/littc33131/

Essential #3: Blood Pressure Cuff

While this is less exciting, you will also need a blood pressure cuff. While you don’t really use manual cuffs in the hospital, my program does A LOT of blood pressure booths and I have used it in my home health clinical and various lab classes, so it’s a must have. I don’t know how the different brands of cuffs differ, but I just have a simple black one (see the theme here?). This is another “accessory” that you can choose the color of, so have fun with it!

Source: http://www.southernutcna.com/shop/product/cna-blood-pressure-cuff/

Essential #4: Watch

A watch is essential in nursing. Often the clocks in patient rooms don’t work and you’ll need it when counting respirations and apical pulse and how many hours you have left in the clinical day. For this, the cheaper the watch, the better. Mine is the same Prestige Medical watch that is pictured (I know, I’m shocked it’s not black too). I have only had to replace the battery once in it. I like the rubber band because it’s easy to clean/disinfect after I have a patient on isolation precautions. Plus, you never know what could get on it during your shift, so I’m okay with dousing it in alchol when I get home. If you wear a nice Michael Kors watch with stones around the face of the watch and got some bodily fluid on it, it would be a lot harder to disinfect. The face of the watch should also not have any sharp edges, as they could scrape/cut a patient on accident. 

I also don’t recommend an Apple watch/smart watch while in nursing school because many professors don’t allow them during clinicals and exams. You also can’t wear them during the NCLEX, so it’s best to wait until after you graduate to get a smart watch. 

Source: https://www.amazon.com/dp/B0081G14NC/ref=twister_B01ISG2A50?_encoding=UTF8&th=1

Essential #5: Planner/Calendar

This probably should have been the first thing on this list, because if I didn’t have a planner, I don’t know how I would’ve kept track of all of my assignments. Whether you use a binder system planner like a Kikki K, a ring bound planner like an Erin Condren or Lilly Agenda, a desk calendar, or an app on your phone, it is a good idea to have some place where you can easily and quickly look at what is due each day. 

My J1 and J2 semester I used a jumbo Lilly agenda. For J1 I felt like it didn’t have enough space and for J2 I felt like I had too much space, but overall it is . This semester I am using a vertical Erin Condren Life Planner since I discovered the world of glam planning and the picture shows how I use my planner. For the most part, I like it and it fits my needs well. I will make a post later on about organization/time management in nursing school later on since this is an important aspect of nursing school. 

Honorable Mentions:

Pen Light - While I honestly haven’t used my penlight since my first year in nursing school, I still carry one with me because this is still a must have because it will be much needed in your health assessment class and you never know when you will need it in clincial. 

Good Shoes - These are also a must. Depending on the clinical site and clinical instructor, there may not be enough places for nursing students to sit or your instructor may not let you sit down during the shift (yes, I have had instructors like this), so good shoes will save your feet from a lot of pain.

Clip Board - Having a clipboard is a great way to keep all of your clinical paperwork, handouts, nurses notes, and patient information on while at clinical. Plus when you need a hard surface to write on but there is no room for you to sit and write, you will always have something to use. 

Compression Gear - Building off of the above mention, compression gear will help with the fatigue and aching you will feel after a shift. I personally wear Nike compression socks and Under Armor compression capris and they are a must for me to feel less aching in my legs and feet after clinicals. Also, compression gear will help prevent varicose veins in the future so this is a huge plus also.

[fsu-teddybear-deactivated202104]

[nurs-ology]

Things you might overhear in the nursing station

Nurse 1: Hey, can you start an IV in 4? I've tried twice, but no luck.

Nurse 2: Sure thing. What happened to his old ones?

Nurse 1: He ripped them out because I didn't get his orange juice fast enough and then called me a "stupid b****".

Nurse 2: 16 gauge it is then

[whatsyouremergency]

Seriously though.

[rmac13]

Can we PLEASE hang this in our ED?!?!

[mother-trillest-deactivated2019]

That blood you donated could be in someone’s boner right now.

(via rad-anatomy)

😂😂😂

[nursblr-nursingproblems]

When your combative patient breaks out of restraints

[copingnurse-deactivated20240217]

Trying to comfort my patient...

[nurs-ology]

How I feel on peds 😂

[ourloveandtrials]

I'm a nursing student, Reblog if you are to😘🏥

[ourloveandtrials]

Re-post this if you are a Nurblr or Medblr! How many of us are there???

[nurs-ology]

The next Nursing School 101 post should be up tomorrow hopefully! I was going to finish it up tonight but I was exhausted after I got back from clinicals. My shift for this rotation is 12pm to 8pm, so I shouldn't be tired, especially when all I did today was take one set of vital and push IV Phenergan, but it still takes a lot out of me. Does anyone else feel exhausted after clinicals?

[nursingdiary]

Who agrees? 🙋🏼

[tastefullyoffensive]

(via tanksinatra)

[badassbitchachas-deactivated201]

A Letter to the Baby Nurses

Right now, there is a baby nurse who is searching online and deep inside for an answer.  There is a brand new member of the profession who is questioning her calling.  There is a newly-minted graduate who wonders how school seemed to teach her everything and nothing all at the same time.  There is a greener-than-grass new hire who is praying that she doesn’t kill somebody at work tomorrow, and wonders if she already did yesterday.

Dearest baby nurse, don’t let this scary new world drag you down.  You’re going to have moments when you are sitting on a toilet seat for far too long, probably for the first time in your entire shift, and question why you even decided to become a nurse in the first place.   That’s okay.

You’re going to have days – many of them – when you plop down in your car after leaving work two hours later than anticipated; and you’re going to turn off the radio; and you’re going to roll down the windows; and you’re going to cry the most painful and ugly cry.  That’s okay.

You’re going to have shifts where your head is spinning and your hands are shaking and your brain is thinking faster than your fingers can type.  That’s okay.

You’re going to have moments when you clean more bodily fluids in one 12-hour day than an average person might in a lifetime.  You’re going to feel that – sometimes – you’re the only person on the entire unit, because everyone around you is just as busy as you are.  That’s okay.  

You’re going to have times when patients yell at you for something you didn’t know (that perhaps you should have).  They will complain about you to anyone that might listen.  They may even become so frustrated with their care that they threaten to leave.   And this is going to bother the hell out of you.  That’s okay.

You’re gonna listen for 20 minutes and still not hear a damn murmur.  That’s okay.  

You’re going to have moments when you feel like something “just isn’t right” with the patient in your care.  You won’t have enough experience as a frame of reference for what may be happening, or why.  You’re probably going to feel helpless in these moments – it’s a “tip of the tongue” phenomenon to the highest degree.  That’s okay.

You’re going to feel devastated the first time a veteran nurse yells at you – even more so when their reaction is for something nit-picky and non-essential.  You’re going to mumble something unsavory about them under your breath.  That’s okay.

You’re going to call a doctor to clarify an order, and she’s going to complain.  She’s going to want answers, details, vital signs, and a picture of what is happening with your patient, and you’re going to word-vomit something that probably makes very little sense to an angry cardiologist at 3 a.m.  That’s okay.

You’re going to walk into a room expecting to pass your morning medications and come to find your patient unresponsive.  Maybe she’s stopped breathing.   Perhaps she’s lost a pulse.  Either way, you’re going to bring forward everything you learned in every class, clinical, and scenario – and forget how to do any of it.  You’re going to scream for help.  You’re going to look like a deer in headlights.  And you’re going to wonder, “When the hell am I ever going to be able to be as good as they are?”  That’s okay.  

You’re going to lose that patient, on an unexpected shift, and in an unexpected way.  You’re going to think it was your fault.  You’re going to be riddled with guilt and feel ashamed of how you reacted.  You’re going to replay that scenario in your head over and over again, and every time wonder why you didn’t see it coming.  You can’t always see it coming.  You can’t always be the hero.  And that’s okay.  

Because someday you will be.   Someday you’ll understand the subtleties and nuances that no one can teach you except for time Herself.  

Someday you’ll be able to balance the full-fledged mountain emergencies with the miniature mole-hill ones.  

Someday you’re going to address a patient or family member who is frustrated with a sense of firm yet compassionate care, and will know how to redirect their emotions.  

Someday you will call a doctor, and she will thank you for keeping such a close eye on whatever concern you’ve already handled.  

Someday you’re going to finally take a lunch break, and it will actually be during lunchtime.

Someday you’re going to do chest compressions or inject medications or ventilate a patient, and your paralyzing fear will be replaced by sheer adrenaline.  

Someday, somebody is going to die on your watch – but whether it’s through blood, sweat, and heroics or a quiet and accepted end – you will have made a difference in the journey of that patient and his or her loved ones.  

And while some days you may still feel like a hamster on a wheel, going through the motions just to stay afloat – someday you will realize that you are not the one sinking and needing to be saved.  Rather, you’ve grown into a life raft for another baby nurse, insecure and unaware of all of her untapped potential.  

Someday you will understand that the nursing profession is perhaps the hardest of them all, but in so many different ways, the most rewarding.  

And someday you will stand up for yourself; stand up for your patients; and stand up to the barriers that impact your highest capacity to care – this day will remind you why you trudged through every tear, scream, and exasperated sigh.  

So do not give up, baby nurse: new to the world in which nurses beget nurses; still questioning why nothing ever ends up like the texts books might have said.  No matter how bad it feels – no matter how hard it seems – always turn to the nurses who can teach you that one can have a brilliant mind and a beautiful soul; one can be funny when things feel too serious; one can be tough as nails and still be softened by the circumstances; one can make mistakes and still maintain integrity.  Stand your ground, baby nurse; ask questions; study hard; prioritize what matters; own up when you don’t know; and don’t let anyone beat you down – especially that little voice in your own head.  If you allow yourself to do it, you’ll be amazed by how quickly a baby nurse can grow.  

Lovingly cheering you on, A Former Baby Nurse

[buspir-deactivated20230127]

not getting an “A” doesn’t make you a bad student. getting a “B” on something is completely normal, and is still good.

[nurs-ology]

Nursing School 101: My Journey To Nursing School

To start off my Nursing School 101 series, I thought I would start off by telling my story of how I got to nursing school and giving you guys a look at the girl behind nurs-ology!

My name is Madison. I go by Madison, Madi, or any other name that starts with M that people at clinicals/work think is my name. I’m flexible with it, really. I’m an overly stressed 20 year old and currently in my third (senior 1, S1, whatever else other programs call it) semester of nursing school. I’m counting the days until I graduate in May. No, I’m not saying what school I go to for safety reasons. Plus, if I did, then I couldn’t tell you about my clinical/work stories. And trust me, I have plenty of crazy ones that are too good not to share! Anyways, nursing wasn’t my original career plan, but I always knew I wanted to go into the medical field because ever since I was little, I was obsessed with watching medical shows on Discovery Health (Discovery Life now). Originally, I wanted to be an orthopedic surgeon. I don’t know why, but the art of surgery was always fascinating to me. Somewhere along the way, (when my parents said they weren’t going to pay for med school) I began to look at different options. Nursing was one of them. My dad ended up going back to school to be a nurse and after hearing his stories, I decided I wanted to go into nursing. My junior year of high school came, I dual enrolled full time in a local college, picked a school with a nursing program that I was interested in attending, and started working on my pre-reqs I needed for that program at 16 years old. Yes, I started early and it seemed crazy to a lot of people, but I had a plan and I was going to stick with it. Plus, I hated my high school so much that I actually preferred being at college. I was able to graduate high school with almost 40 college hours and a sophomore in college. 

As part of my graduation requirements, I had to complete a senior project. Seeing as I was doing all of this work towards getting into nursing school and had never worked in nursing and didn’t know if I would even like it, I decided to shadow a nurse my dad worked with for two shifts as my shadowing hours for my project. My first shift, I worked for 13 hours. And I fell in love with this profession. The moment that made me know I wanted to do nursing school was giving this one patient a popsicle. It sounds stupid, I know. Why would giving a popsicle to a patient make me realize I wanted to spend my entire life taking care of others at their worst time? Well, this patient had had a surgery that left their entire abdomen open down to the abdominal muscle, and fistulas had formed all throughout the wound. While recovering, they had gone into respiratory distress, shipped out to a bigger hospital, shipped back to the hospital I was at, went into cardiac arrest, got shipped out again, and then got shipped back again. Throughout all of this, they hadn’t asked for pain medication once. They also had a tracheostomy and was unable to eat anything. However, the doctor allowed them to have one popsicle per shift. After a painful dressing change, the patient wanted the popsicle and the nurse I was shadowing sent me to get their popsicle. The patient was unable to talk, but the smile and nod and look of gratitude they gave me made me feel so good and like I was making a difference in people’s lives that I knew at that moment I wanted to be a nurse. The nurse I was following told me that it’s not always the medicine that makes the patient feel better, but sometimes it’s the care we give them that can make a bigger difference. It was this statement that I wanted to base my nursing care on. 

Once I graduated high school, I finished my pre-reqs for my university’s nursing program in one year (and it nearly killed me) and was accepted on my first try of applying with a 3.7 GPA and 90 on my HESI A2 entrance exam. Like I said before, I’m currently in my third semester. This semester, we are studying peds, maternity, community health, and have our pharm 3 class. Clinical wise, I have been on a rehab floor, nursing home, telemetry/med surg floor, postpartum/mother-baby unit, nursery, labor and delivery, ER, OR, peds, state mental facility, inpatient addiction treatment, various outpatient addiction treatment center, hospice, and home health. The sites I have yet to go to this semester are one more day on the peds floor, a day in the NICU (neonatal intensive care), and a day in PICU (peds intensive care). I also currently work at a level one trauma center an hour from my school as a PCT (patient care tech) in the float pool, however, I mainly pre-assign myself to work in the day surgery center. My love has always been OR/surgery, but have recently decided that becoming an ER nurse is a better fit for me.  

When I’m not busy at clinicals or doing something related to nursing school, I’m usually online shopping, enjoying a lazy day watching netflix, obsessing over corgis (yes, I’m getting one after I graduate), kickboxing, browsing tumblr, painting, obsessing over my Erin Condren planner, binge watching youtube, obsessing over make-up, watching movies with my non-nursing friends, and trying to figure out what exactly my engineering boyfriend and his friends do (I honestly still don’t know after almost 2 years). I can be sarcastic, bluntly honest, and stubborn, but I’m determined, passionate about what I do, and generally love the medical field and nursing. I also enjoy talking with other nurses/medical professionals, so don’t be afraid to send me any questions you have about nursing or just say hey! 

If you’ve made it this far in my ramble, I congratulate you! 

Next up in my Nursing School 101 series: The Essentials for Nursing School

[scrubbed-out]

Watching a pt pull at a line: