Organize Now Week – 2

Continuing on my pursuit towards a more organized life and home following the Organize Now! book. I think it’s going well! You can see the rest of my progress here.

Week 2 Organize your priorities

1. To help you realize what your priorities are ask yourself questions such as:

What are the most important things to me?

Being a safe and knowledgable nurse.

Being a good wife and having a good strong relationship with James.

Becoming a good mother who raises honest, good hearted children, who work hard for their dreams.

Always being able to have the money and take the time to travel and go on adventures with my family.

Being healthy.

Being able to give back to my mother.

Being a good friend to all the people I meet along the way!

Why am I here? Where am I going? What is my purpose?

I believe my purpose here is to be a companion to my husband, family, friends, patients, and co-workers. I want to help people be healthy and be happy.

2. Make a list of your top ten priorities. If you don’t select them, others will decide for you. Post this list where you will review it on a regular basis. It could be on your bedside table, on your refrigerator, in your home office, or in a journal.

1. My marriage

2. My family

3. Having a child

4. My nursing career

5. Friends

6. My education

7. Being healthy

8. Vacations/living life

9. Having time to be creative

10. Being organized

3. Make a list of all of the activities you currently participate in. Compare this list to your top ten priorities. Decide on activities that can be eliminated to make time for your top ten. Focus on cutting out activities that take your time but don’t bring you joy.

— Work, blogging, watching youtube, videos, sleeping, FB/social media sites.

This one is hard because all of this brings me joy, but I work so much that I don’t have time to do anything but work. Fortunately I will soon be able to reorganize my list of activities 🙂

4. Right now, schedule time in your planner to contribute to your priorities.

Done. I have a date for a girls night, and I am beginning to schedule exercise around my upcoming new work schedule.

5. Learn to say no! Set boundaries when needed to help you stick to your top ten priorities.

I am working on saying no. It’s really hard sometimes.

6. Honor your priorities each day.

I am actually not really sure what she means by this one…

Crazy Ride

Wow! Today was crazy at work. First of all, I moved to days and full time instead of PRN nights. I worked one hall myself today. No training for the day shift, just thrown out there on the day district and state stopped by. There is a huge difference between days and nights. There are WAY more meds to pass and more treatments and way more distractions and just stuff in general going on. I didn’t eat, drink, pee, or sit down for my entire 8 hour shift. But I got it all done and I was only there an hour and forty-five minutes after my shift ended. I have a really great boss who helps me be confident lol. It’s a hard job to take care of 25 dementia patient’s for 8 hours! I got a great education and did really well in school and clinicals so I know that I can do this. Sometimes, I just have to remember that and channel my inner energy and run!

30 By 30 Update And New Blog

I have a few more things to cross off my 30 by 30 list.

 

2. Become a licensed nurse. – As of January 8th, I am licensed!

6. Get hired as a nurse. – Started yesterday, January 17th!

23. Blog more consistently. – I have been everyday. Hope to keep it up!

 

Speaking of blogging more consistently, I have started a new blog called Baby Nurse. It is going to follow me through my first year of nursing. It doesn’t have much on it now but my goal is to update it every day that I work in the next year. The name of the blog came from a nurse who was interviewing me, she called me a baby nurse. I love it, I AM a baby nurse and I am proud of that. I am new, fresh, determined, excited, and I still do everything by the book 🙂

My training went well today. I did med pass for 18 patients! Ugh took forever! Did a few treatments, mostly wound care. And learned the process for sending a patient to the ER. It was a good day it was just extremely busy and a little overwhelming. Mostly trying to get the patient’s names down, there are so many!

NCLEX-PN Review Question #2

A nurse is caring for a client with increased intracranial pressure (ICP). The nurse would monitor for which of the following trends in vital signs that would occur if ICP is rising?

1. Increasing temperature, decreasing pulse, decreasing respirations, increasing blood pressure
2. Decreasing temperature, decreasing pulse, increasing respirations, decreasing blood pressure
3. Decreasing temperature, increasing pulse, decreasing respirations, increasing blood pressure
4. Increasing temperature, increasing pulse, increasing respirations, decreasing blood pressure

Answer: 1

Rationale: A change in vital signs may be a late sign of increased ICP. Trends include increasing temperature and blood pressure and decreasing pulse and respirations. Respiratory irregularities may also arise.

Level of Cognitive Ability: Analysis
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Data Collection
Content Area: Adult Health/Neurological

Reference: Saunders Comprehensive Review for the NCLEX-PN Examination Edition 4 by Linda Silvestri

One Hundred Percent

I think I get why they make nursing school so stressful. Our instructors are preparing us for the rest of our careers. Nursing is stressful. When you are a nurse, you have to function at 100% everyday.

If 99.9% was enough, then in the USA:

12 newborn babies will be given to the wrong parents everyday.
20,000 drug prescriptions will be filled incorrectly each year.
291 pacemaker operations will be performed incorrectly.
107 incorrect medical procedures will be performed each day.

If it is so stressful, why do people become nurses?

Yesterday, I was walking down the hall in an Alzheimer’s center and a patient was walking towards me. The patient’s disease was pretty well advanced and she talked but it was gibberish not actually words. I told her “ok Rose” (Rose is not really her name) as she grabbed my hands. She smiled so big and had so much joy in her eyes. It melted my heart. I was in a great mood for the rest of the evening. She had every right to be frustrated and angry and depressed but she wasn’t.

It was simple, just a smile, but it meant so much more.

30 BY 30

It is three days until my 29th birthday and with my graduation approaching I have been making major plans for the next year. I have compiled a list of 30 things that I want to do/get/accomplish by this time next year and I will be posting on them as I check them off :). Some are big and some are small but all of them are things I am wanting to accomplish at this particular time. My record for sticking with my projects is not too good so wish me luck!

My list:
1. Graduate nursing school.
2. Become a licensed nurse.
3. Adapt a better diet.
4. Give injections without getting butterflies.
5. Run a 10k
6. Get hired as a nurse.
7. Get pregnant.
8. Buy a Jeep Wrangler
9. Strength train and cardio consistently.
5. Get my home organized.
6. Get rid of stuff we don’t need.
7. Get extensions.
8. Take microbiology.
9. Use my Rosetta Stone software to learn some Spanish.
10. Take college algebra.
11. Visit the restaurant in the rotating ball in Dallas, TX.
12. Score something awesome this black Friday.
13. Have a Scentsy booth at a fair/event.
14. Start learning a form of martial arts.
15. Be able to do 10 pull ups.
16. Train Bentley to run with me.
17. Take Bentley to Red River for vacation.
18. Climb the mountain peak at Goose Lake.
19. Learn to use all the features my DSLR offers.
20. Decorate my home.
21. Buy two good quality sets of sheets.
22. Stay close with my nursing school friends after graduation.
23. Blog more consistently.
24. Make a Christmas tree decorating video like last year.
25. Make new years resolutions and keep them.
26. Get my debt to credit ratio under 50%.
27. Adapt a more “grown up” style.
28. Have a spa day pedicure, massage, facial, the whole nine yards.
29. Start scrapbooking again.
30. Read books for leisure.

Venting

Ok, I have to vent. I can’t fully vent on FB because of the people who are my friends on there. Today was a rough day. We had NGtube insertion check-offs and an exam. The exam started at 9:00 and then we had to be back in the classroom at 10:00. At 10:00am, our instructor gave us an assignment due by the end of the day. Well lunch was from 11:30 to 12:30, and at 12:30 we had to meet in the lab for our check-offs. Check-offs always take forever, so we basically had from 10:00 to 12:30 (if we worked through lunch, like I did) to do our assignment. We had to find an article on Foley catheter complications and how they could have been prevented or fixed. Well it took a full hour just to find the article. To say the least we were all stressed.

Let me back up to yesterday, our library has small laptops that can be checked out to be used in the library if all the computers are being used. Well two friends and myself went after class to work on an assignment and checked out one laptop each. The librarian asked for a school ID, so I pulled mine out and my two friends were digging for theirs when the librarian said that it was ok all three could be checked-out under my ID. So we got our laptops did our assignment and left. No problems, everything was good we didn’t have to print anything we were just working online.

Today, we went to find our article and write our paper in the library and went to the desk to check out three laptops (it was the same three of us). One of the librarians went to grab the laptops and the other librarian (we will just call her the bitch) came over to help. I handed my ID to her and said “you can just put them all on my ID”. The bitch said in a very rude manner that it was not allowed. One of the girls with me said that they let us do it yesterday and the bitch said “well that was yesterday and today is a different day”. I brushed it off at that point and asked how many laptops they had because our whole class was coming and would be needing a computer. She was very rude and just kept on that we could only check out one computer. At that point I wasn’t even talking about renting more than one computer, I was simply asking because I knew more people from out class would be needing one and asking where we got it. At some point I looked at the ladies name tag. I was just thinking who is this lady going off her rocker at us. Thats when it really got crazy. She asked “who is your teacher”, so I told her. She goes “if your going to report me, I’m going to report you”. Then I got defensive and asked her why she was going to report me. She just kept saying that it was because I wasn’t following the rules and that she worked at a hospital for however long and I would have to learn to follow the rules. For a little bit I kept trying to tell her that we didn’t know because the “rules” were different yesterday, but she just kept talking over me and wasn’t paying attention to a thing I was saying so I just walked off. The whole thing was pointless. After I finished my paper I went up there and was going to apologize to do some damage control and the bitch wasn’t there. So I apologized to the other lady there and told her I was sorry if I came off rude and that I didn’t mean to. She said that she didn’t think I was being rude. I went back and sat down and told my two friends that were there that I was going to have to go tell our teacher now because who knows what crazy lady was going to say.

Later we went to the lab to check-off on NGT insertion and I was pre-occupied with check-offs and so was she getting everyone ready so I decided to tell her when we were done but before we left. Well not long after we got to the lab, someone got ahold of my teacher and said that yesterday we were in the library demanding to be able to print something and today we were rude and a student went up to the bitch and asked her to spell her name (I never did such a thing). Anyhow my teacher, not knowing who they were talking about, got onto the entire class. As soon as she said to get back to work I went and asked if we could talk. We went outside and I told her the whole story. She hugged me and told me that the bitch is my superior and I should never argue because what our superiors say is what goes. So I didn’t get into a lot of trouble like I thought I was going too. Later she asked me to go print something from the library and she was being sarcastic and told me not to be rude and laughed and hugged me again. I think she believes me, because everyone who knows me knows that I am not the confrontational type and everyone is my friend.

My instructor said that I have to go apologize to her. I think I would rather eat poop.