Monday, November 1, 2010

Just past midterms, first semester

Nursing school has proceeded apace. A couple weeks ago was midterm, today we have our third exam, and things just keep moving along. I can't believe it, but that means we're over 1/8 done.


Here are some notes from along the way:

- We've actually started doing vital signs and, as of this week, passing meds! This was my first week of officially doing both on our clinical site and I realized I was slightly intimidated when I put the vital signs I Actually Took Myself into my patient's computer chart. It somehow made things way more official than they had been up until that moment! I also gave my first medication, after of course I triple-checked it and so did my instructor. It was Coreg, an anti-hypertensive, and I am guessing I will probably never forget it.

- I have also been practicing taking blood pressure on practically everyone I know. Luckily all of my friends and family have been pretty patient with this. 

- I really can't imagine what the hospitals were like before the EMRs! I know, I know, everyone is going to call me a young whippersnapper but from a safety perspective, the level of error-checking is great. My instructor has told us about hospitals that have even more advanced systems than U of C, especially with regards to medication and preventing medication errors, and honestly they all seem like such good ideas that I wish all hospitals had them all. I especially like the one where you have to scan the person and the med before you give the med and it warns you if it's the wrong one. I truly wish all hospitals had that. Even the best doctor and nurse can make a human error, because no one is ever perfect, and having safeguards is never a bad thing.

- And oh! Our teacher held up a big magazine article about Dennis Quaid when we first started talking about meds. I got very excited and of course had to explain that he'd spoken at my former employer's annual conference. 

- Our instructors have all made a big deal about starting study groups, but I tried to attend one and have found that it just doesn't match my style. I like discussing philosophies and hypothetical examples with my classmates, but when it actually comes to learning the material, I work much better alone. At first I wondered if I was doing things wrong, but I remembered that I've always been this way, so I decided not to worry about it any further.

- We've had our first two exams, and while my stress levels have gone through the roof I managed to get As on both. We also had our midterm clinical evaluations, which included some good feedback and that I am doing well on the skills-level but also included my clinical instructor asking if I was sure I wanted to be a nurse and telling me I could only answer that by looking into my own heart! It turns out she and I have very different styles so she interpreted my learning-mode-behavior as hesitancy and uncertainty. But I think we got it straightened out. As I'm sure you can imagine it was a rather alarming few minutes, though.

Really it's amazing. I know I have so much left to learn, and I feel like I have learned very little when I think about actually taking care of patients, but when I look back to my first week of classes it seems like a lifetime ago in terms of how far I've come. There's just so much to learn and so much change happening so quickly!

Tuesday, August 24, 2010

Dispatches from Nursing School - Introduction

I am a first year nursing student at Truman City College in Chicago, IL. I started nursing school on August 23rd 2010. It's a two-year program, so by this time in 2012 I should be an RN - as long as everything goes according to plan.


I come to nursing via a long road. I received a BS in Computer Science from the Ohio State University in 2003, and have spent the last 7 years working tech support. My last job was at a not-for-profit that promotes better healthcare through IT, and I think working with the nurses there must have subconsciously influenced me when I started thinking about what new career I should select.


Why did I pick nursing as my new profession? There's no quick answer to that question. I knew I was unsatisfied with tech support as a career, and when I thought about why I realized that what makes me truly happy is to help and to feel like I'm making a difference in the world. I looked into a few other careers first (notably zoology, because I do love animals) but I also have a deep need for stability, and I have already done my moving around the country. Nursing is a profession that is needed everywhere, and I almost certainly won't have to move to find a job. Plus, from a pragmatic point of view, I want to make sure I can make enough money to keep my cat in the manner to which he's become accustomed. Nursing looked like a perfect fit. So I went to the nurses I worked with, and asked them what they thought. They were all incredibly encouraging and I still appreciate their support so much. I talked to my friends and family and, while they were initially surprised, everyone's been very supportive. 


I started taking my prerequisites in the fall of 2008. I had to take biology and re-take chemistry, and then came Anatomy and Physiology I and II. I still haven't taken microbiology, so I honestly thought I wouldn't be accepted into the program for fall of 2010; I was all set to take micro this fall and start the program in 2011. I was utterly shocked when I receive my acceptance letter - truthfully, I couldn't have been more surprised if someone had just walked into my house and punched me in the face. That was in April, and I've spent the last 4 months preparing. Immunizations and titers, background checks, drug tests, physicals, orientations, book-buying, uniform-acquiring, job-quitting - it's been a whirlwind of a summer. But I'm here now, and we've begun, and while I am still terrified I am also excited. And I feel good about it.