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Posts Tagged ‘telemetry’

I’m starting to pick up loads of little things.  Such as … make sure everything is done before proceeding.

Like, when you get a new admission, and the patient’s family is waiting in the lounge to come in and see her when she’s all set up in the room … and you’ve put on all the leads on her and set up her telemetry pack and started her on cardiac monitoring … and you’ve set up her call bell and bedside table … and you’ve gotten her vitals … and you’ve gotten her blood sugar … and you’re pretty sure everything is all set up … and she asks to see her family …

And you go out, with a smile on your face, and say, “She’s all set up and ready to see you!”  And the family looks so happy, and they all start to file in, and you follow them down the hall.

And then you see the nurse about to walk into the room with the foley kit, ready to start her catheter, with a look on her face, like, “Why did you let the family in already?”

Oops.  Forgot about that part.

“Sorry, entire family, please go out to the waiting lounge again.  We’ll be with you shortly.”

My bad.

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So was that fun for ya yesterday?  Was it?  Big props go out to my buddy and fellow student nurse Will over at Drawing on Experience who provided the blog entry for me yesterday.  Also, thanks to E1 for pointing out tonight that I had still not, technically speaking, posted any blog entries in 3 months, even with yesterday’s post.  Thus, here I am posting!

Seriously?  It’s been 3 months since I last posted something?  Wow.  Just … um … wow?  Not sure I really have any words for that kinda dedication to my blog, right?  Right.  Yeah.

So let’s see, let’s get reacquainted.  Hi there, I’m Nurse Kenny.  I’m a student nurse who has finished his first year of nursing school, believe it or not, and is prepared to start his second year in the Fall.  The last we talked, I was getting ready to start my rotation on the Maternity floor.  Yeah, that was in mid-March.  Since then, a lot has happened.  Let’s recap and make a long story short, shall we?

  1. I completed the 6 weeks on the Maternity floor.  More on that later on in another post.
  2. First year of school done … happy with my grades … blah blah blah.
  3. Finished my first ever Relay For Life with the American Cancer Society.
  4. Started riding my bike quite a lot more.

And lots of other, mostly boring stuff.  So another time I’ll start posting a bit more about my Maternity rotation, because it was indeed quite eventful.  I’ll just say, I enjoyed it a ton.  Really.  Being serious!  Good times.

Ok, so that brings me (in a roundabout sorta kinda way) to the present.  Right now I have a position as a Nurse Extern in the hospital affiliated with my school here in the city.  I’m actually working on the very same floor where I did my cardiac rotation:  it’s a telemetry unit called the ICCU (Intermediate Cardiac Care Unit).  It’s filled with people who are mandated to be on cardiac monitors (maybe they’re in heart failure, maybe they’ve had a heart attack, etc.).  Also on the floor are folks who are either a) waiting for heart transplants or b) have just had heart transplants.

Immediately after getting a new heart, they’re transferred to the CCU (Cardiac Care Unit), which is like an intensive care unit for them.  After they’re more stable, they’re transferred to our unit.  Also, anytime in the future a heart transplant patient has to come to the hospital for any reason, they’re admitted to our unit.

So … this all means that, for the remainder of the summer, I’ll be posting primarily about my externship (which I’ll have until I graduate — I’ll just be committed to every other weekend during the school year).  I’ll sprinkle in lots of stories about my Maternity rotation, too.

I’ve been “orienting” to the unit, and just getting the hang of the logistics of it all.  This week I’m working Tuesday/Wednesday/Thursday on a 7AM-7PM each day, and then I’ll be done my orientation and will be on my own!

Today’s highlights included:  collecting drainage from a JP drain to send to lab; changing gowns a million-gazillion times on a middle-aged woman because she had tube feeding going and was a general mess; being able to tell a fella he wouldn’t have to get his insulin before dinner because his sugar was at an acceptable level, and then seeing the smile come across his face; working with 2 other awesome externs and trying to figure out how best to get someone from Bed A (with a broken bed alarm) to Bed B (brand new bed) without clogging up the whole system — how many nurse externs does it take ……………

See you all soon.  Welcome back!

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  1. I am done with my telemetry rotation in the CCU.  I feel pretty good about this, and feel like I learned a lot about how to be a good nurse.
  2. After a few hundred hours in the hospital, I finally removed my first foley catheter in a patient tonight.  How did it take that long?
  3. Nurses who show me how to do things are awesome.  Nurses who instruct me how to do things are awesomer.
  4. I think a good name for a band is “Vasolex to the Max.”
  5. I am now an expert in making a bed with a human being in it.
  6. You may think Pepsi Slurpees are indistinguishable from Coke Slurpees … but you’d be wrong.
  7. The best way to tell you’re finally comfortable with a hospital floor is when you know just how to hold the styrofoam cup under the ice machine so the ice doesn’t spray all over the floor.
  8. Over the last 6 weeks, people have told me I look like Fred Savage, Tom Hanks, and the dude who plays Sheldon on The Big Bang Theory.
  9. There’s no real good way to ask a patient when his last bowel movement was … so ya just have to ask it.
  10. It feels ridiculously great, as a student nurse, when you can help teach a patient’s family something about their loved one’s disease.

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Seriously, how long’s it been since I’ve been here?  A week?  And here I was doin’ so well.  Oh well, I guess I’ll go through these little lulls every now and then.

So yes.  How’ve ya been?  I’ve been pretty decent …

Finals were over on Tuesday the 15th.  We took all 3 of them at once.  In actuality, it wasn’t all that bad, since these were not cumulative exams, covering all the material from the midterms on.  However, it was still a lot of information, with the added stress of taking all 3 exams at once.

Let’s see, what else has happened recently?

  • Spent about 8 hours celebrating after the final exam(s) with classmates.  That was a ton of fun.  Started off at a local restaurant/pub, then the party moved on to my apartment, and then moved off to another local favorite.  I think I might have slept 14 hours the following day.
  • Most of my grades are posted, and I’m very happy with them.  As I said before, I kind of pushed my online graduate course to the back burner for most of the semester, and it showed in my grade.  While still happy with the grade, it was my lowest one.
  • Class schedule has been posted for next semester, and it looks great!  January through the end of February looks like Monday-Tuesday 9-5 in class, then I have clinical rotation Wednesday/Thursday 2PM-10PM again.
  • For the first 7 weeks of the semester, I’ll be in telemetry rotation.  For the last 7 weeks of the rotation, I’ll be in OB rotation.
  • They’ve split up the 130 or so students into 2 sections this semester, so some of my close friends I won’t be seeing.  I’m not sure whether this means we’ll be in classes with them still, but just not potentially in rotations.  Not really sure yet.
  • My clinical group is great for telemetry!  All good people, and I’m excited to get to know them better.  Looks like 7 of us.

And oh yeah, we just got 23 inches of snow on Saturday!  SO great when you don’t have to shovel any of it.  W, E2, and L2 met up with me at school, where we didn’t even try to make a snowman, because the snow was too fluffy.  Decided to just go eat instead, and ended up at a favorite place of ours, where W’s classmate, A4, met up with us.  From there we just walked around in the blizzard, attempting to see straight, stay warm, and keep away from W’s shenanigans with the snow.

Poor A4 was totally set up and had her face and neck filled with snow, courtesy of W.  Good times.

So what does this extended break hold in store for me?  Lots of things, I suppose — here’s my Winter Break Bucket List:

  1. Lots of sleepy.
  2. Fix up my bicycle all nice and purty.
  3. Experimenting with making my uncle’s delicious bread (he taught me last week!).
  4. Working.
  5. Lots of Slurpees.
  6. Re-learn how to play the piano.
  7. Study for the HESI.
  8. Watch at least 2 seasons of ER on Netflix.
  9. Find new glasses.
  10. Call Comcast to get me new cables and get rid of the humming in my TV.
  11. Get back into the gym.

Ok, I didn’t say it would be an exciting Bucket List.

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