Posted in LiFe, Nursing School, Stress Prevention

COVID Vaccine Education Sheet

In my nursing program, I took part in a Vaccine clinic. Our project was to inform the community about the COVID vaccine. So, my group and I created a poster to help educate the community around our clinical site. There is a lot of great information on there so I thought I’d share the information on here. This vaccine is an extremely current topic and more information is coming out daily. This is just the basics surrounding the COVID vaccine. Please check out the CDC’s website to get the most up to date information. That is where my fellow students and I found most of our info.

I hope this information is helpful to some. If you’d like to download it for your own personal clinical to hand out to patients so they have the information, please do so. Our most valuable tool as nurses and nursing students is education.

This past year has been a lot, for many people. And that’s putting it nicely, let’s be honest. We can all use a little help in learning information. I’m sharing this to help provide education for this extremely current situation going on in our lives right now.

Posted in LiFe, Nursing School, organizing, Stress Prevention

Clinical Readiness

Clinical bags/bag Essentials

Clinical stress! No matter how many clinical’s I’ve been to in nursing school I get worried and nervous every time. Something that helps me calm down and relax a little, in general, is making a list. I make a list for everything! Chores, groceries, todo lists; if I can put it on a list to cross it off or check mark it so I know that it’s completed, I do it. So, clinical is nothing different. This way I know I’m not forgetting anything. I’ll admit, Amazon is my best friend with these items. So, I’ve become and Amazon Associate so I could attach the links in this blog. And just to be up front and honest, I do receive a small amount from Amazon when people use these links.

Create Your Own List

My Capstone Check List

Each clinical is going to require a few different materials. For instance, in the list above, I’ve included my pediatric pocketbook for my clinical placement on the pediatric floor. I have also included a few different nursing brains that I’ve accumulated from past clinical placements to see which I feel best fits my clinical needs in this particular placement.

Everyone’s Brain is Different!

I mean this literally and figuratively. The Nurse Brains I use may not be the best for every individual person and that is why I HIGHLY recommend acquiring as many Nurse Brains throughout nursing school as clinical placements. By seeing how each department or hospital uses their Nurse Brains I’ve STARTED to figure out which ones work best for me.

Nurse Brains Coming Soon


Clinical Essentials

NurseIQ Info Badges, Stethoscope, Bandage Scissors, Pocket Drug Guide, Nurse Info Clipboard, Pen Light, Pens, and Essential Oil Retractable Badge Holder
I chose 5 Info cards to hold on to that I felt I needed the most for this specific clinical; head to toe, nursing basics, pediatrics, code blue, and medication calculations

NurseIQ Info Badges: Thank you to a wonderful nurse that has made it her goal to help nursing students and other nurses. I was feeling quite intimidated going into my senior practicum/capstone (final clinical before graduation) due to missing my hands on pediatric clinical. Which was missed due to COVID-19, my cohort and I were unable to complete our pediatric clinical hands on, we had to complete it virtually. So, I started looking at resources when I found this beautiful nurse and her amazing aspirations. Additionally, the best thing about these badges are they’re not only for pediatrics! They cover ALL of the basics that students need and nurses may need reminding of.

Essential Oil Retractable Badge Holder: This is what holds my ID badge and my Info Badges together. I chose the essential oil one because let’s be honest, there’s so many smells in the hospital. It comes with different felt disks so you can keep different smells on different disks. I don’t think I’ve changed out the purple felt disk on mine because it’s my lavender one. If the lavender helps me to not stress as much or if it helps a patient to not stress as much, I say, “why the heck not!” I have gotten so many compliments on it and this is one item that I’ve had from the very beginning.

Pocket Drug Guide: To be fully prepared when dispensing medications. This is one of my most necessary items in my bag. I do not know every med out there, not many do. And one should never administer something they don’t know what its indicatios are or possible side effects to look out for. This book has probably 95% of the medications that I’ve looked up and it fits right in my pocket. For my clinical prep I would mark all of the medications my patient was on. When I would have more than 1 patient I would mark on the tabs, “1” or “2” or even “both” so I know which med goes to which patient and I have the possible side effects, nursing implications, and dosages marked before I go to give the patient their meds. I’ve attached the newest version here.

Bandage Scissors: This was an item I wish I had from the beginning. There had been multiple times that nurses had asked me if I had scissors on me and I always felt behind or forgetful when I had to embarrassingly say, “No.” I will admit that this is not an item I use on a daily basis, however, having them on me when they’re needed is more of a, “HECK YES! I have a pair of scissors!” Instead of feeling any type of disappointment. This particular pair can cut through a penny and can be put in an autoclave. Now, I was not looking for the strongest pair out there. What I was looking for was a sturdy and lasting pair of scissors and after two 12 hour shifts they’re holding up great :).

Pediatric Pocket Book: This item is one that comes in handy more than you’d think. During down time, I look it over and if there’s anything that I don’t remember from the class I highlight it or write it down. I was naive to think that I would remember everything from each course. I would love to be able to remember everything that I’ve learned but unfortunately, that’s not very realistic. I have to remind, reiterate, and rewrite topics to be able to remember them. I’ve also seen that they have these pocket books for other courses. I personally have not used them but if they have as much information (I would assume they would) as this particular pocket book, it’s a great resource. So, I put links to others that I’ve thought about getting, just in case.

A Couple Pen Lights: While performing assessments as a nursing student it’s hard to remember everything you’re supposed to check. There’s so many things running though your mind that it feels like it’s about to explode. One of the assessments I forget most is checking pupils PERRLA (Pupils are Equal, Round, Reactive to Light and Accommodating). With the pen light in my pocket and my nursing basics info badge it makes it easier to remember this assessment. Also, on the pen light they have pupil sizes so you can measure (nice little perk).

Nursing Clipboard: This was another item I unfortunately waited to get until my senior practicum. There were many times I’d try writing on the wall when I needed to add information to my nurse brains. This is another great resource for things such as lab values, pupil measurements, injection sites, all things that when I was in class I thought, “Oh I know this, I understand this,” but then when I’m in the setting I second guess myself and this is an amazing reassurance or double check.

Stethoscope: Now I’ll be honest, I’ve had my stethoscope since I first became a Vet Tech in 2010, so I wont preach about which one is the best because that is something I’m still figuring out. One thing I have figured out is to not spend the most amount of money on my first stethoscope. This is an item that I think is a perfect graduation present for a nursing student. In nursing school your stethoscope gets passed around, taken, moved, tossed, you name it and that’s why I don’t recommend getting your “perfect” stethoscope from the get go.

Posted in Nursing School, organizing, Stress Prevention

Management of the Older Adult Two: Medical Surgical “Med Surg” Two

Well, 2020 has been a bit difficult for just about everyone. Probably a bit more difficult than this course is. So, that means we could all use a little help. I have attached my study guides from my Med Surg 2 class. There’s a Doc available for each exam for download. I recommended adding whatever one feels is necessary from their own lecture. I’ve also attached PDF photos of my own additions to my study guide I added during my actually studying for the exam when I was answering questions on the additional question study guide that is attached. As I’ve mentioned before in other posts, everyone studies and learns differently and that is likely to change from course to course. Being able to adapt ones studying techniques to the course is going to aid in excelling and understanding in the course.

Exam 1 Gastrointestinal & Renal

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Exam Two Endocrine & Cardiovascular

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Exam 3 Immune & Neurology

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Exam 4 Shock & Burns

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Posted in Nursing School, organizing, Stress Prevention

Don’t Forget to Take Care of Yourself

We live in a society where we go, go, go, and then we go some more. We forget to check in on ourselves. I say this because I am also 100% guilty of this. Unfortunately, I tend to realize how little I’ve checked in when it seems too late and I’m having a break down. I’ll admit it, I’m human and can emotionally only take so much. Let me say that again, I’m human, we’re all human, we’re aloud to have emotions. We are aloud to express our emotions. However, society has made it difficult to acceptably express our emotions. So, with this in mind we have to check in and figure out what helps release those emotions. Some activities that I have come to realize have been helping me are:

Mandala Colorings

When it comes to drawing, I am not the best. Coloring on the other hand, is something that I very much enjoy. It makes me feel like a little kid again and when I say that I mean, I feel like I have no worries, except maybe staying in the lines. The only “worries” are which colors to use, staying in the lines, and what do I want this to look like. There have been plenty of studies that have shown how coloring can relax the fear center of the brain. This is just one small, easy way to take the mind off anything that keeps playing of repeat over and over in the mind.

Mandala Coloring Book For Adults With Thick Artist Quality Paper, Hardback Covers, and Spiral Binding by ColorIt

Yoga

Yoga is another activity that I didn’t believe in at first. I have been doing yoga for a few years now, never religiously, just when I could. Yoga works if it’s done every day or if it’s done it once a month. Giving myself even the small amount of 20 minutes to stretch and focus just on me, relieves a ridiculous amount of stress. This video has been one of the best stress relievers that I have found. Take the time to relief stress and tension.

Breathing

Breathing and meditation are something that I feel like many people have said, “You should really try this! It really helps!” and yet for some reason, in my mind, I thought, “Yea, ok, yea right” However, my thoughts were completely wrong. I didn’t believe that meditation and breathing would honestly help me to relax and focus my energy. Even though, that’s exactly what it’s designed for. I still didn’t or couldn’t believe it. It took me until I saw first hand how it could help someone.

My fiancé started following the Wim How method. I would hear him breathing in the shower in the mornings. Then when he would come home from work, he’d head down stairs and I could hear him doing the breathing exercises again. At first I was thinking again, “I’m not sure this is really going to help,” and “I’m not so sure I believe in it.” After awhile my fiancé would come up stairs after meditating and breathing and he would have the biggest smile on his face and almost seemed as though he was a completely new person. I could feel how relaxed and at ease he felt. It was electrifying and contagious. So, I thought I’d give it a try. I didn’t think I felt different after the first time so my fiancé said that’s normal and it’ll take a few times to feel the effects. He was very encouraging. And let’s be honest, nothing happens in one day or after one time. I have done the Wim Hof breathing for a couple weeks now and I can definitely feel the effects. This is something that is free, easy, and it works. I highly recommend giving it a shot, and giving it your all. The only person being suffering is you. The first couple times I tried it, I didn’t let myself give it my all and that’s why it didn’t work. Then, I realized the only person I’m not helping is myself.

Meditating

While doing some of the breathing exercises I also listen to a meditation. My fiancé had the amazing idea that we combine the Wim Hof breathing method with a guided meditation. I found one meditation that is all about grounding and accepting. When combining the meditation with the breathing I was able to feel like I was floating. I felt like I was able to ground myself and feel free at the same time. For someone who was so against meditating and breathing and didn’t believe in either, I have become a strong believer. I didn’t realize how disconnected from myself I had become, and honestly, still am. Yet, I am and will continue to work on it, to work on my, work on finding myself and grounding myself. So, for anyone who is hesitant to give any of this a try, YOU ARE NOT ALONE! But, think about it who will it hurt? The only thing it can do is either help, or not do anything. Either way there’s nothing lost.

Posted in Nursing School, organizing, Stress Prevention

Confidence

It has been way too long since I wrote last. Over the last couple weeks, I lost my confidence. I received a poor grade on my pathophysiology exam (the one I described in my last post) and it shook me up pretty bad. I started to question if this was the right path for me. I am working on having confidence in myself because I know this is my right path when I am in the hospital and I have a strong feeling that a lot of this is second nature for me.

This semester has been very difficult for me and my fellow students. However, we are all getting though this difficult time together and have each other to lean on when we need it. There were a few days I went to class when I felt like I couldn’t do it anymore and thanks to a few women in my class I made it through the week without completely losing my mind. This goes both ways, I have had a few friends come to me and tell me the same times I’ve told them before. We all need a little reminder that we can do it, we can make it though this hard time.

Organization and Study Time

Head to Toe Assessment

So, as I just said we all need a little reminder that we can do this; if you’re feeling like you can’t do it, questioning if this is the right path, this is me reminding you, you can do it, you can make it through this. It’s going to be difficult and stressful but we can learn together how to manage that stress together. Writing these blogs and helping other people to not feel stressed helps me to destress.

Assessment

A head to Toe assessment is a little intimidating. I created a skit that covers everything (on our checklist, make sure to customize this to your own checklist or liking). I organized mine in a head to toe direction.

I start by introducing myself to my patient, I wash my hands, educate them on what I’m there to do, I provide them privacy, ask them their two identifiers, if or what they are allergic to, make sure the bed is locked, and move it up to my working height.

Vital Signs

Assess:

Pain Level

Temperature

Heart Rate

Blood Pressure

SpO2

Respirations

Head

Then I assess their LOC by asking the patient if they are oriented to who they are, the time, where they are, their purpose, and speech. I assess their central nerve VII by asking them to make facial expressions such as raise their eyebrows, squint, scrunch their forehead (to assess upper aspects of the face) and smile, bare their teeth, pucker their lips (to assess lower aspects of the face)

Skin

While they’re doing this I am assessing their skin on their face for: color, contour, symmetry, moisture, turgor, lesions, rash, bruising, trauma, or piercings.

Eyes

I’ll check their eyes, by using the acronym PERRLA (Pupils are Equal Round, Reactive too Light, and Accommodation.

Neck

Lay the patient flat on the bed (remove all pillows) in supine position. You should be able to see their interior and exterior jugular veins with a pen light. Start to raise the bed until you can no longer see the veins and note at what degree of the bed they disappear (should be between 30-45 degrees)

Thoracic

Skin

Again, I’m going to inspect the skin: color, contour, symmetry, moisture, turgor, lesions, rash, bruising, trauma, or piercings.

Cardiac

All Patients Take Medication

I’m going to auscultate (listen) to the valves of the heart starting at the aortic valve (right of the sternum, 2nd intercostal), pulmonic valve (left of the sternum, 2nd intercostal), tricuspid valve (left of the sternum, 4th intercostal), and the mitral valve (mid-clavicular, 5th intercostal). I’m listening for the rate and the rhythm. I will also asses S1 (heard louder at the apex of the heart mid-clavicular, 5th intercostal) and S2 (heard louder at the base of the heart (second intercostal)

Abdomen

I’m going to inspect the abdomen just by looking at it at eye level, looking at: contour (flat, round, protuberant, or scaphoid), AP:T ratio (should be 1:2 or 5:7). Inspect the aorta just left of the xiphoid process for heaves, lifts, or pulsations. Then switch my stethoscope to the bell and listen for any bruits or thrills happening in the aorta.

I’m going to listen to the abdomen in all 4 quadrants, I want to be able to hear bowel sounds in all 4 quadrants. I will then percuss the abdomen for tympany (dullness over visceral organs, i.e liver).

Lungs

Auscultation Positions

In total for the lungs I’m going to listen to 14 places, 6 on the posterior, 6 on the anterior, and 2 lateral. I’m listening for resonance in the lungs.

Peripheral Assessment

Skin

Again, I’m inspecting the skin: color, contour, symmetry, moisture, turgor, lesions, rash, bruising, trauma, or piercings.

Palpate

I’m going to assess the CRT of their fingers and toes (should be less than 2 seconds). I’m also palpating the pedis & posterior tibial pulse, the symmetry of the radial and ulnar pulse. Assess the strength, symmetry, & any edema in the limbs in addition, hair distribution.

Other Assessments

If the patient as any tubes, lines, or drains, I will inspect them and make sure they are clean, dry, and intact.

Lastly, I will asses their gait. I will have them walk their normal gait, then walk heal to toe.

Exiting the Room

The patient has their call light

They don’t have any questions for me

They have their call light

Their bed is lowered and locked

End Assessment

Posted in Nursing School, organizing, Stress Prevention

Studying Tips

THE BEST STUDY AID
Saunders Comprehensive Review for the NCLEX-RN (Saunders Comprehensive Review for Nclex-Rn)

This book is going to be my best friend throughout nursing school (I love colors so I thought it was a must to have my hair match the book in the picture). Every time I’ve needed clarification on anything thus far this book as been able to answer it in the most simplistic forms. I’ve used it for my Intro to Med Surg class (first exam is tomorrow, I’ll write how that went and how this helped me). I’ve used it for my first Patho exam and received an A and felt very confident. Side note, about feeling confident. A fellow student came up to me today and told me why she didn’t do very well on our first Patho exam even though she studied her butt off. This has happened to me and multiple fellow students of mine. A little advice, don’t go in over confident. I have made more mistakes on exams when I go in overly confident. I tend to skim the questions instead of thoroughly reading them; therefore, missing what the question is actually asking. This is exactly what my friend did. So, slow down, ESPECIALLY when you know the information.

Studying Techniques

Fluid & Electrolytes

This is the beginning of my Fluid and Electrolyte notes for my Intro to Med Surg. This lecture was over 100 slides, it was a lot of very necessary information but I had to condense it. It ended up being 5 pages. Yes, this is still pretty long but like I said, it’s a lot of necessary information. This is one of my longer sets of notes (it’s also covering almost half of my exam, so it makes sense).

I have gotten asked a few times this week at school what I do to study so I thought I’d post this blog to help anyone else who may be confused out there. I must say this is how I study and I do not guarantee good grades or anything along those line. I am giving recommendations, everyone learns differently and I recommend molding this however anyone might need.

For this particular chapter I made sure to make my main topics the different diagnoses and made sure to describe signs/symptoms, clinical manifestations, and nursing considerations. If there were any tid bits that my teacher said I would write that in a different color on the side of the paper because those are usually pretty important details. IMPORTANT: MAKE IT COLORFUL!! My eyes are drawn to my notes (I’m a huge nerd, I know) nevertheless, my brain likes looking at my notes, it helps me learn. I use the same colors or color palate according to each class. Purple for Med Surg, pink for Health Assessment, blue for Patho, and green for Pharm. This helps when I’m looking at my agenda and what I need to get done. For things like Normal Ranges I usually put in another color and outline it with a highlighter. I usually refer back to these multiple times throughout the semester and sometimes even in later semesters. If I have any acronyms for diagnoses I will also put those in a stand out color in the margin next to the term.

Use whatever resources possible. There’s a lot of information and there is not one perfect way to understand it. So try different things, this one helped me.