scara update

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scara update

Post by scaramunga on Tue 14 Oct 2008, 7:36 pm

Hi Hi Hi and Yo Yo Yo,
I feel like making an update on myself, seeing as I haven't seen most of yall in a bit...well, that and I'm putting off starting on the final draft on my last care plan.

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So, that being said.

I'm just about halfway through this semester. That really only means two things:

#1 - I'm that much closer to graduation (may '09).
--The ramifications are pretty obvious I suppose, but in any case it means I'm that much closer to my BSN RN.

#2 - Its about to be the mid clinical switch.
--Basically, this first half I have been getting my clinical on for my Adult Health II course (also known as Med-Surge). What it involves is me working with a preceptor on an ICU or IMC floor (ICU = Intensive Care Unit, IMC = Intensive Medical Care (I may be mistaken on IMC?)). I get to do/see all sorts of neat nursing things.
--Clinical in the second half of the semester is for my Family Health course (maternity, pediatrics, neonatal and likewise). My clinical hours will be spent in L&D, Nursery, Postpartum, and Neonatal units. So I will get to see that side of nursing, but as a male, sometimes our clinical experience is limited in what we get to do.

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Moving on.

Up until this past Saturday, I worked PRN as a Nurse Extern on a Telemetry/IMC unit (Extern is like a CNA, but we have the opportunity to do nursing skills). Saturday, though, I started working as an Extern in the MICU (Medical Intensive Care Unit).

So what does this mean?
--I have been doing my AH clinicals in the MICU, and after the 1st day, hehe, let alone 1st hour, I knew I wanted to work in the ICU when I graduate. The catch to working in the ICU fresh out of school is that you need to have the nursing skills/aptitude and prior ICU experience. One way to get that experience/familiarization is to Extern in the ICU.

Just some FYI to cover the bases.
--Patients in the ICU, are the very sick individuals who require more involved nursing care. On a Telemetry/IMC unit, the nurse my have 4 patients (in some cases, depending on patient load and unit, >6 patients isn't unheard of). In the ICU, the nurse could have anywhere from 1-3 patients (ex. 1 very sick patient, or 2-3 moderate patients).

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So the long and short of it.
I'm about to go from Adult Health II clinical to Family Health clinical, and I have started working in the MICU.

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Anyway, I guess that's all for now. We had 2 power surges that played Hell with my router on top of the random shut downs, while I was typing this. Luckily, I ritually copy/paste to a blank text document whenever I plan on typing a big post or do any type of heavy formatting with BBCode.

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Post Update 11-09-08
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It has been teh super busy for me since the last post, I am going into the home stretch of this semester.

I have seen and done all sorts of exciting maternity/newborn things. Vaginal and C-section births, circumscions, fed babies, changed diapers, assisted with preterm neonates to name a few. Ive been nose deep in textbooks for a majority of my free time as well.

I've been falling asleep at like 9-10pm, well mainly its because I have to get up at 0430-0500am to be at the hospital for these clinicals. The time change doesn't help either, its dark when I go in and dark when I get out.

On a side note, my hardrive that contained my "My Documents" folder melted. So I am super psyched at loosing almost 10 years of collected pictures, tax files, school work, fafsa info, student loan info, bank info, and the like.

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Anyway, that's it for now, Its been 7-8 days since i played a game so I'm going to try and get a lil Fallout 3 in before I jump balls deep back into my chapters

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Post Update 12-17-08
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It is done. Scara earned enough experience to level up, pass go, and collect $200. Fear not readers, the adventure isn't over. There still remains one final chapter.


Last edited by scaramunga on Wed 17 Dec 2008, 7:40 pm; edited 2 times in total
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Re: scara update

Post by J1NX on Tue 14 Oct 2008, 10:24 pm

Awesome update sir (you always do the best run downs)!

My question to you though is, what does a nurse do in the IMC unit?

Also, kudos on good computer skills with your copypasta. Not everyone is that smart.

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Re: scara update

Post by 0pp0siti0n on Wed 15 Oct 2008, 10:26 am

Also, kudos on good computer skills with your copypasta. Not everyone is that smart.
I'm not that smart, but I am that OCD. And grats on your life scara!
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Re: scara update

Post by scaramunga on Mon 20 Oct 2008, 3:19 pm

Typically, in my mind the difference in care required by the ICU vs. the IMC patient is something like this.
--With the ICU, one of the 1st things I think of are multiple IV drips with many requiring titrated dosing. For instance: sedation, paralytics, anti-dysrhytmics, anti-hypertensives/hypotensives, insulin, TPN, and opiods. There are many other factors as well.
--With the IMC or the like, patients are typically not on multiple IV drips if any. They will have IV fluids going, but typically none that require regular titration.

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Here is another example.
--In a sense, the ICU'g goal is to stabilize the patient for downgrade to the IMC; where as, the IMC's goal is to stabilize the patient for discharge home.

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Its kinda hard for me to put it all into words for me as I'd like too. Just like everything else, the real world doesn't always follow the textbook.
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Re: scara update

Post by J1NX on Mon 20 Oct 2008, 4:53 pm

I totally understand that dude!

If servers worked like the books said so I wouldn't have a job lol

I think I get the idea of what you're getting at though.

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Re: scara update

Post by scaramunga on Sun 09 Nov 2008, 10:04 am

First update post updated with update. Hooray!
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Re: scara update

Post by Alcatraz on Sun 09 Nov 2008, 6:44 pm

Ouch dude, sorry to hear that your hard drive melted >.<
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Re: scara update

Post by J1NX on Tue 02 Dec 2008, 12:23 pm

When it rains it pours.

When it rains shit....it tends to pour shit.

......and no Hungry Bitches references.

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Re: scara update

Post by Darth_Kitsune on Tue 02 Dec 2008, 6:07 pm

well i could just post the whole video
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Re: scara update

Post by scaramunga on Wed 17 Dec 2008, 7:41 pm

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Post Update 12-17-08
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It is done. Scara earned enough experience to level up, pass go, and collect $200. Fear not readers, the adventure isn't over. There still remains one final chapter.
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