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I GRADUATED- DNP c/o 2018!!

I know I have been MIA for a while now. It was taking a break to finish my Doctorate of Nursing Practice with a specialization in Adult Geriatric Primary Care. I graduated!!! This special tumblr has been with me from the beginning- before I applied to grad school. This community that has followed this blog has been such a blessing. I am forever grateful to each and every one of you guys for the support and love. Onward to studying for boards and hopefully more posts! <3

Nurse on!!!

:)

When your weeks get blurred together because TGIF doesn’t exist

Assessing your assignment when you arrive to work

How you react when the next shift comes in

DIBS!!!!

Discussing your schedule with school, work, and clinicals.

I think it is time to go PRN at work for sanity sake with school. plz send me some good vibes for this paper due later today and my midterm this week.

Love you all xoxo

Nurse on!!!!!!

Dealing with nursing situations:

NEW GRAD:

EXPERIENCED RN:

We learn to not sweat the small stuff. We learn to pick our battles on the things that compromise our patients and our fellow healthcare workers. We learn to choose our words. Be professional. Be kind. Be humble. We learn to adapt and to accept the things we cannot change. We learn that some things cannot be negotiated. For those things, we go up the chain of command. We learn that we are only in charge of the things that we do and we can only hope to influence those around us to do the same. We learn that what is taught to us in school is not always translated into practice- even though it is always what we strive to do. This is what we learn. This is what experience looks like.

When you have to isolate yourself from your friends and family to squeeze in study time

*cough* #teamjavi

The first time you observed a medical procedure

How you know the Go-Lytely has done it’s job:

I get 0 respect as a CNA/GNA. Why? I have 9 years experience and I literally saved a life last weekend. I responded to a car accident where the driver was pinned and lost his right leg below the knee. I was featured on the news and everything and I'm borderline being disrespected and bullied by people at work (nurses) because I am "just a GNA for gods sake." It's really disheartening. I have a face to face interview next week for an ER tech position usually only given to EMTs and paramedics.

Hi kate,

@katekuteface

I am sorry to hear about the bullying from nurses. In my experience as a CNA and as a RN I have learned that you have options on how to handle bulllying. Bullying is toxic and leads to burnout and leads to poor patient outcomes.

If you are in a toxic situation, you have a couple things to consider:

1. Is it me? Reflection makes us grow. I am not saying that it is you that is the problem- however, it is important for us to consider maybe there are ways to handle situations where we are not projecting. I reflect ALL THE TIME- it is so good to look at ourselves and how we react to situations and if a reaction is even necessary.

2. Is it the other person? Negative Nancy. We all know one- or seven of them. It is never acceptable to immediately discredit someone because of their education. Maybe delve into why they said that. Maybe they are miserable- in which case avoid these people like the plague these people usually try to suck others into their misery.

3. Is it the environment? Sometimes when nurses and CNAs are both stretched SO thin they start to snap at each other. If that is the case then switching jobs is sometimes the best option.

Good luck on your ER tech position. You’re not just a GNA.

Remember we are all a part of the healthcare team.

We cannot take care of people alone- and we don’t save people alone.

Nurse on!!!

thought i would drop this here. I nearly had a panic attack working up in the neuroscience icu when my mentors patient got out of hand mits and wrist restraints to stand in the middle of the room, we got in and caught her as she fell. The woman also tried to pull her central line out. I'm in high school working on getting my CNA. I'm not ready for this 0_0

I have been there. I will never forget my first patient that fell while I was a CNA. I cried. I felt like I did something wrong. However, looking back I did everything that I could. These types of patients are Houdini when it comes to getting out of restraints and getting out of bed. The fact that you were able to protect the patient from a fall- and protect the patient from severe bleeding by stopping them from pulling out their central line is a fantastic indication that you are ready for this.

It’s scary. It is daunting. But the watchful eye and nagging worry (which will evolve into experience) are qualities that make the best nurses.

Nurse on!!

How you get through nursing school

When you find out your clinical placement is very far from where you live

I am a grateful graduate nursing student

Happy New Year everyone!!!! Wishing everyone a prosperous 2017 in nursing and learning and life. I love you all.

Nurse on!!

50 miles one way is kinda far for clinical placement... right? What is the furthest you guys have had to travel?

When you have a combative confused patient and the attending wants to avoid all psychotropic medications

Dementia is a devastating disease. I agree that we should avoid psychotropic drugs because sometimes they can make the confusion worse.

However, when a patient is agitated and de-escalation is not working, and the wife is crying because this is a rough picture to watch, in addition, she got hit by her husband- and I get hit and my tech gets kicked. Enough is enough- you are creating torture for everyone. I do not come to work to get physically abused by a confused patient because they don’t understand that I am cleaning them up. I literally had a battle of wits with an attending and she ended up staying in the room for a couple hours.

I have gotten hurt before by a confused restrained patient that wouldn’t let go of my arm and all I was doing was fixing a trach collar that moved to the side and he was desaturating. He was very strong and his fingernails were never cut because he was a nursing home patient. I ended up having three bruises on my arm. Luckily, this was completely healable, but that’s not the point. A more dramatic case of not controlling the situation with an aggressive patient is in my class, there is a student who works in psych ER where a patient stabbed his coworker in the eye with a pencil. He no longer can work as a nurse. I think we as nurses do a great job not talking about workplace violence that we experience. I think this reason contributes to a nurse’s burnout (sounds like a great DNP project for someone).

I hope doctors read this. When direct care provider tells you that a patient is aggressive, you have a duty to protect not only that patient but that staff that is carrying out your orders.

Starting my nursing school papers be like...

Please send positive vibes so I can get through these presentations.

Working in the hospital during a Full Moon

I am glad to hear an update about Nurse Nina, and life after Ebola

http://www.reuters.com/article/us-health-ebola-texas-nurse-idUSKCN12O2AF

(link to news article above)

I cannot even begin to imagine the journey that she went through. I hope and pray that she finds healing. I hope that she doesn’t quit nursing and leave our profession forever. I truly believe that we need more nurses like Nina Pham.

I am a big cheerleader for Nina. She stood by the code of ethics that we took when we graduated. She is the nurse I hope to be- all the time.

Her story hit so close to home for me personally. We are the same age. Are nurses for about the same amount of time. We both have a small dog. She could have been any one of us. We have learned so much from her story.

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