fledgling

Awesome clinical week. I got to put in a catheter on a patient yesterday, smoothly and successfully, of which I'm eternally grateful for. My patient had a significant change in mental status from tuesday to wednesday and someone I was working with ignored my repeated concerns about this. Being the lowly nursing student it is very easy to be blown off. Fortunately my instructor listened to my concerns. She got involved, a request for consult from a doctor or nurse practitioner was put in. I overheard the nurse practitioner on the phone after meeting with my patient, she didn't see a significant problem but was ordering additional blood work. When she got off the phone I mentioned that I was the student working with said patient and that there was a marked difference in mental status from tuesday to wednesday. It turns out I was very right about being concerned with my patient's altered mental status. Based on the lab results, which I looked over today, I'm pretty sure the link in the previous sentence is what afflicted my patient. They wound up transferring my patient to another unit (a step below ICU but a step above where the patient had been). I hated to see a patient's condition deteriorate but I am very happy that my assessment skills were accurate and that it resulted in helping my patient. Being so new at this I doubt almost everything I hear, see or think on the floor. I want to go with my gut but I frequently feel like I'm too inexperienced to go with the gut since I don't know what I'm doing. It's on the job training in the most terrifying sense when it's the health of people on the line. But I was right! To make a difference for the better by using my nursing skills, is infinitely better than acing any test. Plus I got to hear an amazing heart sound with my patient both days. A swishing sound, which made me question my hearing but after researching my patient's chart more and looking (and listening) to stuff online I was right with what I had heard. It's amazing to develop these skills. Well, back to reality I've got a killer test and diabetes presentation to study for.

I've been remiss. Actually I've been sucked into the quicksand that is nursing school. It's affecting my dreams, or I should say nightmares, because I have many a nightmare where I'm working in some completely unsanitary hospital trying to load and administer a heparin shot and I just can't get it right. Oh my. And I thought it was bad when I had nightmares about waitressing when I worked at a diner during my summer's home from college. I'm buoyed on by the fact I still love medicine, the more I learn the more I love it, it's endlessly fascinating to me. My patients are so wonderful. I don't really consider myself a people person because I'm sorta introverted by nature and can get painfully awkward trying to make small talk with people. On a side note someone I see all the time at my gym but never talk to given my shyness was in this small computer room with me just last week and I wanted to disappear that's how bad my shyness is, especially when this guy sees me sweat profusely in clothes that leave little to the imagination. But he actually came up and introduced himself and was really nice, which restored my faith in physicians. I being an idiot and caffeine deprived (never good to go from 5 am to 11 am without coffee) asked him nothing about himself and wound up kicking myself for being such a social idiot as soon as he left. But back to my patients. The patients I've had reaffirm my belief that most people are inherently good and kind and that they reaffirm this belief in me while they are in a position of physical vulnerability, I am indebted to them for what they teach me. My favorite patient so far, I had her a couple of weeks ago. She had a name as inspirational as her outlook on life. This woman had been through a medical nightmare and yet she was so well adjusted and emotionally sound it was dumbfounding to me. She was a retired teacher though and it came through in the how kind she was with me. At one point she commented on my photo ID being a nice picture of me (remember the drama I went through for that picture) and then she's like, 'It looks like you've lost weight.' I started saying no but I guess I have, the stress is wrecking havoc on my body, my hair, my face (I'm aiming for fixing my face with graduation, passing NCLEX and a job in hand). She was funny and smart and gentle and when I work with patients like her I'm so grateful for this career I'm choosing. I just tend to get very hard on myself for any mistake I make because, well peoples lives are on the line. But this woman told me as I was finishing my shift that I was going to make a heck of a nurse and I felt like the grinch when his heart swelled to three sizes to big. It made me feel like all the hair off my head and on the floor might be worth it in the long run.

So yeah, these pictures have nothing to do with nursing. I had the kids on sunday and wanted to take them to a wave pool but got horribly lost for an hour and a half, wound up bawling and settled for Beechwood farms which I know how to get to. It was a pretty day though and I got to take some pictures of them, it's been too long.

I'm in love with my daughter's profile

okay I've got to admit I get very neurotic when I see feathers in kids hands, especially my kids hands, when I think of where that feather has been, like on the avian ass of a carrier of a potential killer strain of influenza. Lots of speculative ofs in that sentence. Even if that's not the case it was probably lying in goose scat moments before.


I don't know what has happened to the bottom half of my face but I want it to stop NOW. I tried to crop myself out of the picture, because Owen and Oona look so cute in it, but it looked too odd cropped.



This picture was a happy accident but I liked how it looked like evening when it was the reflection in the water.