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10/10 What I learned this week

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You are reading page 6 of 10/10 What I learned this week. If you want to start from the beginning Go to First Page.

I've had a ****** *** week, too, ixshel. Okay. I had clinicals and managed not to cry, though I had tears in my eyes on 2 occasions.

Clinicals are really hard right now.

On the brighter side, l earned an 87 on my lecture exam

Plus I got hugs from my classmate and my pts seem to like me.

Like the song says, "I'll get through this somehow."

Big hugs to you, VM. What's been getting you about clinicals? Patient situations? Or are you overwhelmed by all that gets done? In either case, know that most, if not all, of us have shed tears for both at least once. You'll grow more efficient and you'll toughen up a bit for the crazy, but the profoundly sad will always touch you deeply. I tell myself that as long as I have that shock, the sadness hit me when situations are appropriate for that depth of response, I'm still doing it right. I'm not sure what it means when that stuff stops hitting you hard, but I imagine a change of scenery might be a good idea,

This too shall pass, and you need to go through this to get through this. (((((Hugs)))))

Edited by Silverdragon102
Changed to all **

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Don't be hatin', yo!

See, I can tell you exactly how this happened:

It was outpatient, and a chilly but sunny day. The young athelete heard the call: WINTER IS COMING. Obviously that means brace yourself for vaccination. So he went to his PCP's office. The nurse* called him back. She stood there staring at him as he flipped his tarot cards over, one by one, then wrote on his sheet: 116/72, 17 RR, 68 HR, 98%, 98.4*O. She then asked how much he weighs, to which he responded 180 lbs. She then wrote 95. He asked, "what's that number?" "That's your weight in kilograms. It's an estimated weight that we use for your meds. You just divide lbs by 2 and add some."

She left the room and came back with his flu shot. She got it ready, put on gloves, walked up to him, then said, "where should I give it?"

He said, "where ever, it doesn't matter."

To which she replied, "no, I actually don't know where I'm supposed to do this."

He looked down, said, "you know, they always give me that thing in my arm, and it hurts for days. How about my belly instead?"

"Okay! Go ahead and lay down, then!" She was way less nervous now, knowing she had such a large area to choose from. She figured top middle(ish) looked perfect. She swabbed everything from navel to ribs, then from nipple to shining nipple.

They both drew in deep breaths. She viewed the area, and lunged forward, and plunged the needle in, all the way as far in as it could go. It was a bit below T10, to the left of his sternum. When she first made contact with his skin, she didn't penetrate it. So she pulled her arm back liked she'd seen on Pulp Fiction that one time, and with all her strength, she stabbed him. Heck, Pulp Fiction didn't seem to care if the needle had already been used to try to give it. Why should she?!

SUCCESS!!!! She got it in. He bled out like, 200 mL, but she didn't care!nthat gushing little hole a little to the right of that nipple and just below his ribs was an epic sign her her awesomeness. She snapped a pic of him and his perfect little bleeder, uploaded it to Instagram, and went back to her bloody mess.

As she ditched her supplies, she realized that she actually injected him with the blunt tip she'd been using to draw up for her other patients as well. *sigh*

Anyway, last she heard, that guy had gotten pancreatitis after they had to stop a mysterious gastric bleed. He ended losing just about his whole pancreas and had diabetes as a result, but hey.... She had her victory! Totally one for the records! And he did not get the flu!

So there you go. Yes, the flu vaccine DOES cause DM.

*Actual credential of employee changed at the request of the MA whose story this is.

That may legit be the best thing I've ever read on here. I just laughed so hard I spit diet coke all over my shirt. It was the epic hole below the nipple that got me...

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I've learned that last weeks what I learned thread lasted so long that it bled into this week, and as a result I didn't learn a darn thing except how much I like reading about all the stuff everyone else has learned.

I've learned that I have more compassion for the awful times some of my AN family are going through than I have for some of the people and their families that I am paid to care for.

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I've learned that there are a lot of stupid people on this planet.

I've learned that I shouldn't get so mad at them, they can't help being stupid.

I've learned to be more careful how I phrase things, because there are very few people who will try to discern your intent. People just like to set you on fire when you say things the wrong way. (Guilty! :bag:)

I've learned that my husband has decided the entire bed is his. He's currently taking up 5/6s of a king-size. At least he sleeps cute.

I've learned that my IQ dropped 10 points after I had a bout of pneumonia with fevers over 105 a while back. So, now I'm one of the stupid people I get mad at. There's an existential crisis in there, somewhere.

Daaaiiin braaamaaage...

***drools like a zombie***

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This week, I have learned:

I've always been a person who offers unconditional, nonjudgmental friendship. Every now and then, I find a person who I feel offers the same, and I'll trust them. And every time I do that, I get burned. It's happened again, making me realize, yet again, that there is a reason why I generally suck at meaningful friendships. I don't think I'm getting over this one any time soon.

:( Been there. Lost a life long best friend and by marriage family member because of a deep betrayal this way. Hate to say... I've never trusted anyone again and most of my friendships are as deep as a paper plate. If you're brave enough to pick it up and move on, kudos to you. I have my husband to consider... who also got burned very badly... who would rather we just don't keep too close of friends anymore.

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I learned that an idiot at work is an idiot outside

I learned that I am not grateful for what I have in life

I learned that I am addicted to Starbucks and it is making me poorer

I learned that although I am a boss at work, one of my reports earns $20,000 more than I do in a year

I learned that in 10 weeks I put on 10 lbs!-I lost 90 now my loss is down to 80

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Okay; not sure what I've learned yet this week.

But: I read all 6 pages of this week's thread this morning. I'm wondering how many pages it will balloon to by the time I get home tonight?

Time to throw on my clothes and get to work.....(8A-8P)

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Well this is the first week since I got my RN license March 31st that I feel like I'm starting to "get it". I don't feel in anyway confident or experienced, but I am not scared any more and know I'm getting there. Every shift I try to learn something new, doesn't always happen, but usually it does. So here's my list for the week (and now that I actually have a day off maybe I can read everybody else's too).

1. If you sprinkle a little brown sugar on the crushed pills with applesauce you can get your reluctant med takers to take their meds so much easier. Thanks for the nurse who shared that with me. Made my last 2 nights so much easier.

2. I also learned that you shouldn't put tegaderm or tape over a medication patch to keep it in place, but rather tape down the edges because it effects absorption. I still need to look up if the nurse who told me this had up to date evidence based research, but until I read otherwise I am going to take her for her word on it.

3. I learned that my kids and husband are not very good at doing my job. I also need to work on my delegation at home.

4. Oh, and here's a good one. I also learned to start initialing everything you do even stuff people don't tell you to initial. I hadn't realized how far documentation to CYA went. I put away meds for another nurse to be helpful (not narcotics, just regular meds I put away in the cart). I did not really look at everything closely that I put away, nor did I look or sign off on the pharmacy sheets. I've been doing this since I went to work there. Welp, something went missing and I was pretty darn sure I did not put that away. (It was eventually found.) However, huge learning experience for me. Going forward any time I put something away I'm initialing what it was. I have started initialing all my faxes too, and anything else I can initial. I have a daily to do list that I made up for each facility of task stuff like stocking carts, checking for expired meds. I think I'm going to start dating and keeping those for 60 days with any notes for stuff I did out of the scope of patient care as well.

5. I learned how to write new orders correctly, was doing that wrong. I learned how to send orders to the lab and xray too.

I am sure I learned more than that, but too tired to think of anything else.

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This week, I have learned:

How decision-making capacity can be utterly ruined by a mother's love. I hope to god she has listened to her kid this time and lets him go.

Just how tired I am after being awake 32+ hours straight.

How empty a promise can be.

How much I need to order new scrubs.

How bummed I get over people hired since me giving notice and leaving.

How utterly ridiculous my texts are when I've typed them while apparently sleeping.

How fickle an apology can be.

How inconveniently placed skin breakdown can be after a full day of sweating in a thong. (Know what I mean, Dogen?)

I've always been a person who offers unconditional, nonjudgmental friendship. Every now and then, I find a person who I feel offers the same, and I'll trust them. And every time I do that, I get burned. It's happened again, making me realize, yet again, that there is a reason why I generally suck at meaningful friendships. I don't think I'm getting over this one any time soon.

It's been another terrible week.

Any of you have a better week than I have had? I want to read all about it! What have you learned?

It sounds like you've had a rough week. I think you should go out and do something nice for yourself.

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So today I learned that if you mess with my mom I get really angry really fast.

On what planet is it okay to tell a 5'4", 118 pound, 75 year old super-compliant diabetic woman that she has to go on clear liquids for two days prior to a colonoscopy without telling her some of said liquids must actually have sugar in them especially if she's supposed to continue taking her Metformin?

That'd get me hot and bothered too.

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This week I learned....

-That hard work indeed pays off! :nurse:

-I am going to have to leave my full time job come January for nursing school, and I didn't realize how attached I am to this place. I am going to miss it. I am lucky enough that we will be able to survive off of my hubby's income while I am in nursing school

-The heart is actually making sense to me now....but the arteries and veins...that is another story.:banghead:

-I actually really enjoy A&P II. I think that it is because my professor is so awesome. She really enjoys teaching the subject and she really wants us to learn as much as humanly possible! I wish I would have had her for A&P I. Best professor I have had so far, hands down!

-My classmate that got her rejection letter congratulated me on my acceptance and I thought that was very mature of her. She has gotten very discouraged though about her future, and I really don't know what to say to encourage her.....*sings Journey's Don't Stop Believing!*

-Then there was the facebook friend that posted a long drawn out status about how she feels like she hasn't gotten anywhere in life because she didn't get into nursing school. She gave the typical excuse..."I am a B, C student. I have never been an A student"

In my opinion, everyone is capable of being an A student, it is just harder for some than it is for others. I am one of those where I have to work very very hard and study long periods of time to grasp materials. My grades of A in my prereqs came with sleepless nights. You honestly have to work hard to get what you want. Hmmm...I probably should have responded to her status like this, but now that I think of it; she would have taken it the wrong way anyway.

I am going to disagree with that. I have a child with a severe learning disability. I have stopped deluding myself into believing all things can be equal with hard work. I think unfortunately the sad truth is some people just truly are not cut out for nursing. It sounds mean, but it's reality. I think there are other professions where those students might blossom. However, I also believe that it's crap that you have to be an A student to be a good nurse. If your friend is a solid B student I'd tell her to look around for another nursing program. There are some out there that don't require as high of a GPA as others.

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I've learned that seeing my Kid being walked off the field, no helmet, by the trainer, AGAIN, made me really scared. The Kid has a bad concussion. The ED doc was doing to put him out for 2 weeks, but the season ends in 3, so hubs asked the doctor to just put him out, because we don't want him chomping to get back on the field. The Kid had an invite to Vassar tomorrow for lax, so that's squashed, too.

He was crying. Because he can't play football anymore this year. :o

I have a football player too and although I'm not a spaz about it we've had many a talk about his brain being more important to me. He got walked off a couple games ago for a shoulder injury and that was enough to bump my anxiety level up because that was his first real injury in 3 years of playing.

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