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Adventures of a smart-ass - I survived the first day...
May 2008
 
 
 
 
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Thu, Apr. 10th, 2008 10:48 pm
I survived the first day...

Ok, so it wasn't that bad. Not at all actually.

Today was my first full day in the hospital for my Pediatric clinical rotation. Going over to the hospital, I was a bit nervous. I didn't have a patient yet (I went early to get one), and it being my first day, I really didn't know what to expect from the nurses and the patients and the instructor.

Well, they all proved to be pretty amazing. My patient had been admitted to the floor after surgery to remove her tonsils and adenoids. She was 6 (almost 7) and totally reminded me of my oldest niece. One of the first things I did was crouch down next to the bed so I was on eye level with her, and tell her I had my tonsils out at 5. Her eyes got big as disks. She was having a hard time talking (due to the swelling from the surgery), but I could imagine her surprise that anyone as old as me could ever have been as young as her. :-)

Most of my day was spent just checking in on her while she slept, and checking in on mom as well. The rest of my time was spent charting and doing a scavenger hunt, helping classmates, and having some great conversations with my clinical instructor. This instructor looks to have the potential to be the BEST INSTRUCTOR I have had yet in clinicals. She is always there, already has given us feedback on our charting, and is always there to answer questions and give us support when we need it. I let her know at the end of the night how much I appreciate it and how I've never had this level of involvement from a clinical instructor.

Then there was my nurse. She let me do my thing, taking care of all the vitals and assessment and charting on my patient. She also appreciated when I pointed out things in the charts I was questioning (missing info, incorrect info). And each time I did, it turned out that I was right to bring it up. :-)

Tomorrow I go back to the same patient (and the same nurse). Which is also a new thing for us - the same patient two days in a row. Which is great because it gives us a chance to build a bond with the patient as well as the family - just like we would if we were nurses on the floor.

The thought of only getting 4 weeks to do this now really points out how much we are going to miss....but at least I get to spend a day in Oncology and another in Pediatric Intensive Care (where she told me that since I'm following another instructor, I might actually get the chance to do more than just observe!!!)

Oh, one of the many conversations I had with my instructor today involved our final semester preceptorships. She basically told me that if I want to do Peds or PICU or NICU that I could do it - all I have to do is be assertive and let it be known that that's where I want to be placed (rather than MedSurg, which holds no appeal to me whatsoever). And she also said that most hospitals tend to hire the students who do their preceptorships there, especially if in a specialty area (and Peds is considered a specialty). YAY!!!

Tags:
Current Location: home
Current Mood: accomplished

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gregorbehr
gregorbehr
Honey, I didn't hear a damned thing you said!
Fri, Apr. 11th, 2008 07:54 am (UTC)

I was questioning (missing info, incorrect info).
Worrisome that there are mistakes to begin with, but YAY on you for finding them!

(and Peds is considered a specialty)
And might I add, you'll find that the money is better as well!

My mom is a Peds Nurse Practitioner, she's been one for about 25 years. She's been a Peds RN for 35 years and was an LVN for about 4 years for a total of 41 years as a nurse. She actually retired once... for a weekend.
Retiring after 30 years with the county on a Friday and then going to work in a privately owned clinic the following Monday.

Because PNPs are so in demand, she actually rotates between 2 hospitals and the clinic. She checks on all the new borns before they are released from the hospital. I'm sure it doesn't hurt that she is fluent in Spanish and being in the central valley, thats pretty helpful.

UCSF also sends down some of their Residents for their Peds program. So she usually has 3-4 docs reporting to her through out their program. I think the thing she hates most about her job is having to kick a Resident out of the program because they suck and just can't hack it. But I know she's had to do it. And I think its kinda cool that my mom the nurse has that much influence over a doc.

I'm very excited to hear that you're thinking of going the Peds route. Whether you go private or a public hospital, I think you have the personality and the skills to do really well at it!




And when I said the money is good... holy shit, I nearly pissed myself when I found out what my mom makes! Granted, she's been doing it for 41 years, but $125,000 a year is well in her rear view mirror.


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nakednsf
nakednsf
nakednsf
Fri, Apr. 11th, 2008 07:49 pm (UTC)

Thanks! After just one day there, I'm feeling like I belong there. We'll have to see how I feel after a really hard day with a patient. But so far so good!

And yeah,I've heard about the money - especially here in SF itself - add about 50k or more to what your mom makes...at least!


ReplyThread Parent
musicbearmn
musicbearmn
Dan the man
Fri, Apr. 11th, 2008 12:32 pm (UTC)

Cool! I bet you have the coolest scrubs too :)

I love how kids think we came out of the womb old....LOL.

Thanks for the email...it cleared up a lot of things. I owe ya one...


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nakednsf
nakednsf
nakednsf
Fri, Apr. 11th, 2008 07:52 pm (UTC)

Glad I was able to help!

And let me know what they tell you - I'm interested to see what exactly they tell you the reason for those meds are.


ReplyThread Parent
smiley_kiley
smiley_kiley
Ed
Fri, Apr. 11th, 2008 02:33 pm (UTC)

You're becoming a Pediatric Nurse Practitioner. Period.


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nakednsf
nakednsf
nakednsf
Fri, Apr. 11th, 2008 07:58 pm (UTC)

LOL.

Yes dear!!

:-)


ReplyThread Parent
bearringsd
bearringsd
BearRingSD
Fri, Apr. 11th, 2008 02:39 pm (UTC)

What I like the most about your recaps is that it seems that for the most part you are surrounded with a very supportive and encouraging group of people.

I think you'll make a fantastic nurse. Next time I hit someone with a car I'll make sure it's in S.F. with the hope that you'll take care of them. :-)


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nakednsf
nakednsf
nakednsf
Fri, Apr. 11th, 2008 08:07 pm (UTC)

LOL

Thanks :-)


ReplyThread Parent
californicate
californicate
Norman Bates & Baby Jane Hudson's Love Child
Fri, Apr. 11th, 2008 03:12 pm (UTC)

Wow. Congratulations. I think its so awesome that you have found your calling and that you are happy and fulfilled. You are a very lucky person.


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nakednsf
nakednsf
nakednsf
Fri, Apr. 11th, 2008 08:07 pm (UTC)

Thanks. I am very lucky - and I recognize that every day.


ReplyThread Parent
nudewoody
nudewoody
nudewoody
Fri, Apr. 11th, 2008 05:05 pm (UTC)

I guess that means I'm too old for you to nurse me! Oh well . . .


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nakednsf
nakednsf
nakednsf
Fri, Apr. 11th, 2008 08:08 pm (UTC)

Well, there's a kid in all of us...

;-)


ReplyThread Parent