ladyinred667: (monica does the turkey dance)
I passed the NCLEX!!!! I am officially a Registered Nurse!

Wheeeeeeeee! I am SO EXCITED!

Float

May. 8th, 2007 08:56 pm
ladyinred667: (Default)
Today at work I was floated to another floor. It is a world of difference from mine. On my floor (PCU- Telemetry/Stepdown), I would have had 12 patients. Most of them would have been at least partial-assist, if not total-care. Instead I was on the Med-Surg floor, where I had 8 patients, most of them ambulatory.

I didn't know what to do with myself.

Fortunately, I got my password straightened out so I could sign into the intranet. Found out I had a buttload of Continuing Education courses to complete. I did them all. Still, it was kind of a boring day. I did get to sit a lot though, which was a nice change from running my ass off.

Towards the end of the shift, I asked one of the nurses, B, if I could start the IV on her new admit. I got a blood return, but when I flushed it I could tell the vein was blown. He had to be stuck 5 more times before they got a patent line, so I didn't feel so bad.

While I was doing that, another nurse, S, stuck her head in and asked me to start an IV on one of her patients. I had to do it by feel because it was a black female so I couldn't see any veins. None of them stuck up that much. Again, I hit the vein, got the blood return, but it wouldn't flush. Straightened the catheter, and tried again. Yep, blown. Shitty. She was another one that took multiple sticks, so again, I didn't feel as bad.

Then, another nurse, T, asked if I wanted to start a Foley catheter. I said, "Male or female?" "Female." I said, "Listen, I just started two IVs and blew two veins. I don't want to blow anything else today!" But I went in with her and the urethra was very visible, so I gave it a go. My first Foley insertion, and on a female no less (a bit trickier than on a male, you know?)

I did it perfectly. Woohoo!

I really like the nurses on that floor and the slower pace, but it's so slow it would really drive me nuts after awhile. So, I guess I'll stick with PCU.

Cath Lab

Apr. 2nd, 2007 03:09 pm
ladyinred667: (Daria Sarcastic Brainiacs)
I don't have a lot of time to write this entry, but I just wanted to say that I got to observe in the Cardiac Cath Lab today and I really liked it! Basically, a catheter is inserted into the femoral artery in the groin. From there it is threaded up to the heart where contrast dye is released so that the coronary blood vessels are visible. It is so cool. This is about what it looks like:



I alternated between standing in the room where the procedure was going on, and the room beyond the glass where the recording nurse sits. That person keeps an eye on the heart monitor and also records the procedure log. Here is what the image looks like:



So you can't really see the *heart* but you can see all the vessels surrounding it and pulsating. I can't explain to you how interesting this was to me. I'm just so jazzed up by this experience. I got to see 3 procedures done in the 4 hours I was there. I was lucky, it was a busy day.

Anyhow, got to get ready to take the train down to Alex's. He's picking me up on the bike. Woohoo!

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