Thursday, May 28, 2009

final decision


As many of you that have been with me since the inception of my blog know I had thought about transferring from my current program to a different program.

After careful consideration I have chosen to stick with my current program.

WHY?!?!?!


I'll gladly fill you in:

*current program is not privately accredited, although it is state approved
This still holds true. This issue is still important to me, but I believe things are changing. Will it happen during the next (my final) year? I cannot answer that.

*current program is on the July '08 State Board of Nursing report as being one of the programs in the state with a less than 80% NCLEX pass rate
I believe my class, and maybe even the class that just graduated, may be the benchmark for exceeding the pass rate of the July '08 report.

*current program in a state of transition due to previous instructors leaving just prior to classes starting this August
This turned out to be a blessing.

*One of the replacement instructors walked out after being forced to by the second year students because they didn't like her teaching style(yeah, that speaks volumes about so much, but it is not what is at issue here).
Good riddance.

*The dean of nursing, who has been teaching our intro class, has not been able to answer questions from us students, that a dean should be able to answer. Examples of such a question include general information about ATI testing, or information about classes of the upcoming semester.
We no longer deal with the Dean as she's gone back to her perch at the main campus. Any questions I've had since have been, or are being, addressed.

*The instructor who came back is actually an awesome teacher, but it's not certain she will remain past the spring semester.
She is remaining as adjunct faculty, and will be teaching the Cardiac portion of material during our 3rd semester.

*When we've been taught skills we're taught one day, tested the following week, and that's it. Those skills are not re-visited, at all, the rest of the semester. There is no skills final. Because of my previous medical training (Air Force medic, and Medical Assistant) I am ok with this, so far. What about later when we're learning other skills that are new even to me? I can't imagine being one of the students in this program who have no experience. Some of them have voiced their concerns over not being sure about their vital signs skills.
What's done is done. The program is being revamped for improvement.

*This semester we were in lecture a total of three hours(two for intro and one for basic skills), and lab 5-6 hours, during the "on" weeks. Our intro class was a "hybrid" class and the off weeks were spent online answering some sort of nursing related question:
The nursing process is defined as being composed of five phases: assess, diagnose, plan, implement, and evaluate. Which of these phases do you believe is most important to the delivery of high quality nursing care, and to the achievement of positive client outcomes? Do not respond that all of the phases are equally important – that evades the question. Demonstrate critical thinking in the argument you present to support one phase over the others.
The (worthless) "intro" class we took is no longer a part of the program. Classes have been switched around.

*one hour a week dedicated to basic skills?
They've increased the amount of time dedicated to Nur 105-Basic Nursing Skills lecture from 1 to 3 hours, and lab remains at 6 hours. Pharmacology has been moved from second semester, and only half semester in length, to the first semester. It runs through the entire length of the semester.

*next semester we have two hours for Nursing Principles and Concepts I, six hours for its lab, 1 hour for Principles of Pharmacology, and two hours for Mental Health Nursing. Supposedly this semester they were extending the latter two to span the whole semester, whereas in the past they've been eight week courses, first pharm, and then mental health. I've heard they'll be changing it back?
Once again, what's done is done. In my opinion Mental Helth could have been a hybrid, if not only online class, but that's just because of the way it was taught.

*We start our first clinicals this spring, after which we will no longer be in lab. So we'll go from 6 hours of lab a week, to only clinicals Wednesdays and Thursdays 6:30a-12:30p.
Quite frankly clinicals went well (we learned tons) and I don't think having lab time during would have been anything more than redundant and exhausting. Real world experience beats out working on dummies any day!

*there is no availability for open lab to practice
Wouldn't you know it, they've opened up the lab for summertime use! Hopefully they'll be able to slate times during the regular school year for people to utilize open lab, in case they wish to hone their skills.

This fall we look forward to what we've been told by the departing second years/graduates is our hardest semester. Bring it on! Teach me! We have a full day of lecture on Mondays, to include maternal/baby, med/surg, peds, principles and concepts II, and the different body systems. Tuesdays we have our health assessment class. Wednesdays and Thursdays we spend all day in clinicals.

The changes I've mentioned aren't the only ones taking place. I am working with my director to start a student nurse's association for our program.

Bottom line there is no perfect program. With all the improvements being made in my current program I was leery to transfer and the grass not turn out greener on the other side. I'm comfortable and at peace with my decision.

Change of Shift

Yesterday, Codeblog posted the most recent of Change of Shift. Topics include several items nurses and nursing students might find useful, if not just plain interesting! I've included a link to 100 Useful Job Search Tips for New College Grads over on my sidebar under "Gems for Nursing Students". It's all-inclusive, so even if you're not even graduating with a degree in the nursing field you may find the article useful. Check it out!

Wednesday, May 27, 2009

they strike again

Two female Labrador Retrievers for sale....lowest bidder takes both!



The above photo isn't even from today...they were probably being bad some other day a while back.

Please excuse the (bad) quality of the following photos. The point is sure to be fully understood, quality of the photos not withstanding.


Minnie was the only one brave (read::stupid) enough to go investigate what the travesty of CWF (Canine Wrestling Federation) caused today in my living room.


The girls' antics pulled the curtains down and the left-sided curtain bracket clean out of the wall, screws and all!

nurse jackie

Any Edie Falco fans out there? I didn't know who she was until I'd seen a few episodes of The Sopranos that Big B used to watch. I thought she was great as Carmella.

As many can attest the profession of nursing is very poorly represented in the media. I've seen a few blogs on the subject and wrote a post of my own. Around the time of my post, and I don't remember where I saw it, I saw something about a new Showtime show that would be premiering Spring 2009.

It is time. (Said in the solemn, monotone voice of Rafiki from Lion King.)

Nurse Jackie premieres Monday, June 8, 2009, at 10:30 p.m. Hopefully it will do the profession proud! One of the main characters is a first year nursing student, Zoey.

Nurse Jackie on Showtime

Here's a video from the "From the Behind the Curtain: Real Nurses, Real Stories" page of the Nurse Jackie website:

Tuesday, May 26, 2009

ho hum diddly dum

If I would have been one of the chosen ones I would be starting an externship today. In lieu of the pressure of the level of activity (work) my summer classes I know it's a good thing I didn't get either of the positions I applied for. It still hurts. Knowing my girls would be up and at 'em this morning readying for their first day I texted the two I have numbers for and wished them luck. Later on as I was working on my A&PII schtuff I had to reflect on the fact that it is indeed a blessing. There's just no way I could do it all. As is said, things happen for a reason.

Monday, May 25, 2009

duct tape please

I'd posted my status on Facebook recently as something to the effect of "I'm falling apart" and a friend commented "You need duct tape". It made me laugh. If only it were that easy.

work found at http://spoofe.tripod.com/art1.htm


My PCP wrote referrals for GI, ENT and opthalmology. I need to see GI and ENT specialists for my lump in throat sensation, as my CT scan came back clear. I need to see the opthalmologist for my vitreous floater.

It's time to dig out the referral to the OBGYN that my PCP wrote up and make that appointment. I'm convinced that it is time to switch OCPs, or go off them altogether. While taking the generic version of Seasonale is helpful for reducing the number of migraines I suffer from, it is not helping as far as other PMS symptoms go. That's if you could even call it "PMS". About six weeks into the pack I start having rapid mood swings, and basically feel like Queen Bitch. If that's not all bad enough now I'm having spotting, and haven't even missed any pills. That may just be TMI, but along with everything else I'm thinking duct tape is sounding pretty good right about now. It even comes in pretty colors!

Saturday, May 23, 2009

and the emmy goes to...

Ok, it's not an Emmy. It's even better, cuz it's personal! LivingDeadNurse over at Living Dead Nurses Psycho Ward gave me this award:




I am honored! Thanks LivingDeadNurse for making my day!

Friday, May 22, 2009

it's official


I have now received syllabi and greetings for all three of my online classes for this summer. My summer break (which I thought began after finals a couple of weeks ago--ha)will begin around, oh um...August 10th and will promptly end just two short weeks later. It will be glorious. I actually look forward to nursing classes in the Fall, cuz the endeavor I'm about to undertake leaves me feeling like there just might be an undertaker in my very near future. The workload is going to kill me.

Ok, now that I have that off my D-cups...I must mention I don't think I have to take a final exam!! Not in any one of these classes is there a final! Yeehaaw! In my Psych and Nut (from here on out I am not going to refer to Nutrition and Diet Therapy as anything more than Nut....seems somewhat appropriate. It's kind of a play on words wouldn't you say? It could mean that which drives me nuts....or maybe it's talking about nuts, which are actually nutritious. The "Psych" class speaks for itself. Kuh-ray-zee...

Oops, there went that last marble...

Anyway, sorry about the pinging...just a little spazzed out right about now.

The two aforementioned classes have what are either called "modules" (Psych) or "units" (Nut). Within each module/unit there's a crapload of work to accomplish.

Have I mentioned A&PII and everything involved with it? Textbook, study guide, Anatomy and Physiology Revealed CD-Rom, study guide, online classroom labwork, quizzes (7), exams (6)[I have to drive about 30 mins to take them, proctored at the other community college, since that's who I'm taking this class through], and if you really want to you can go to the textbook publisher's website and work some more! I've come to learn that, as the topic of "learning styles" was addressed somewhere in that online classroom, the workload has to do with covering several different learning styles. Some people can read a textbook and learn from that--nope, not me. You then have the study guide to reinforce what you've read/tried to stay awake through. Then you have the CD-Rom and workbook. Being a visual/tactile learner I find it wonderful, as if I've hit the jackpot. It really is cool! It has little videos that cover the info and then you can doing labeling exercises through layers of the cadaver(without the yucky smell of formaldehyde!!) I've also delved into the online lab and it's labeling through dropdown menus, crosswords, all sorts of fun and games. I have yet to do this week's quiz, as I need to do a little more studying.

Now that I've told you all about my wonderful summer I'm feeling a little (minute, eensy, teensy, wee bit) better.

Now I just need a nanny, a maid and a cantina full of wine!

PSA: I had to switch back to moderating my comments since it helps me know when I receive comments.

Thursday, May 21, 2009

vitreous floaters


Nope, I'm not studying the eye in A&PII. For a little while, maybe about two-three weeks, whenever I read or look at a computer screen (more often when I read books with a lamp behind me) I see this little speck. It dances in my line of vision as if it's a child-like ballerina. If I try to focus on it, it jumps out of sight. It's extremely annoying. It's worse when I'm reading with a lamp and not quite noticeable when reading in natural light. As many do, I looked it up on the 'net.

I entered in "seeing spot when reading". The search came back with many entries like See Spot Read. Great, children's books. That's with Yahoo....time for Google! This article pointed me in the direction I needed, Seeing Spots and Floaters. There is actually a phenomenon of what is called "spots or floaters" that happens when particles in vitreous fluid collect.

So now along with the lump in throat sensation I am seeing spots, well actually only just one, but yeah, lucky me! My spot could be an indication of retinal or vitreal detachment so it's time to make another appointment. I still haven't heard back on my CT scan.

One of the websites I looked at said it could be aggravated by stress. Ya, think?

Wednesday, May 20, 2009

powerful medicine

This is a trailer for Fighting for Life, a movie to air on PBS, Memorial Day Weekend.






From the website:

Fighting for Life is a powerful, sobering and emotional feature documentary portrait of American military medicine interweaving three stories:

Military doctors, nurses and medics, working with skill, compassion and dedication amidst the vortex of the Iraq War.

Wounded soldiers and marines reacting with courage, dignity and determination to survive and to heal.

Students at USU, the “West Point” of military medicine, on their journey toward becoming career military physicians.

The film follows 21 year-old Army Specialist Crystal Davis, from Iraq to Germany to Walter Reed Hospital in Washington DC, as she fights to recover and “bounce back” from the loss of a leg.

The filmmakers had extraordinary access to combat support hospitals in Iraq, medevac flights with wounded soldiers, and military hospitals in Germany and the United States.