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Showing posts with label Adult Health 2. Show all posts
Showing posts with label Adult Health 2. Show all posts

Sunday, August 4, 2013

Different Types Of Clinical Experiences, Different Types Of Nurses


Clinical
Dosages
Adult Health 1
Peds
OB
Mental Health
Adult Health 2







These Videos and articles will help you understand just what to expect in each clinical setting and what differs between them. How you progress from Foundations to ICU (which sounds much scarier than it actually is).


Foundations

This is the very basics. Learn this stuff well-it's important. Practice on everyone who will let you. We go into the community to do some service learning... that's where you will learn to take a manual blood pressure really, really well and then never take a manual blood pressure ever again in the clinical setting. 

A nice quote about your responsibilities:

 "The student nurse has the responsibility of observing procedures, documenting procedures that she performs and practicing her nursing skills. Prior to meeting a patient, she reviews the patient's medical record and familiarizes herself with the patient's condition and treatment. The student also follows the rules and regulations of medical facility. In meeting the clinical rotation objectives the student assesses the patients mental and physical condition, defines the patient's health problem then makes and implements a plan of care. The instructor supervises the student and assumes responsibility for the student's actions."

Read more: http://www.ehow.com/info_8624952_nursing-objectives-clinical-rotation.html#ixzz2b1gJzTgn


One of the sections is taught at the Memphis Jewish Home- this one is a little more challenging because you will not get any charting experience and although older, he patients are relatively 'healthy'. It is a different kind of nursing than bedside nursing. This is a good place to learn to interact with all kinds of people and maybe put the principles of cultural sensitivity into practice. My motto is-there's always SOMETHING to learn even if it's not what you thought you were going to learn. You will learn how to chart later, I promise.




Adult Health 1

My first patient in AH1 was so complicated, I almost quit that day. Tubes everywhere (including a rectal tube- gotta love those), restraints, machine, tons of meds. What a difference from the quiet nursing home. I did not sit down the entire day. I was overwhelmed  but kept plodding along and learned a whole lot about time management. That was my first introduction to just how hard nurses really work.


OB

Students either love OB or hate it. The guys have a hard time with this one, for sure.  This clinical is more hands-off than other clinicals  you have to find creative ways to use your time. OB clinical is, however, a great way to meet new people :) That was a joke. Get it? NEW PEOPLE-oy!


Peds

The pediatric rotation addresses issues unique to childhood and adolescents by focusing on human development and emphasizes the impact of family, community and society on child health and well being. This is an excellent opportunity to apply some of the social principles we are taught-seeing the child as part of the whole family, interacting with all members of the family


Mental Health

Since only 4% of RNs work in the mental health field, I am assuming this is NOT everyone's favorite clinical rotation. 



Adult Health 2

This quote pretty much sums it up:


"In the intensive care unit (ICU), nursing students have the ability to learn about the complex health issues of critically ill patients, practice selected technical skills, and develop communication skills. There are both benefits and challenges to having nursing students in the intensive care setting. With preparation, the student is able to immerse in the ICU environment, acquire new knowledge and skills, and participate alongside the nurse caring for critically ill patients. "


Sunday, June 9, 2013

Adult health 2



Adult Health 2
Management


Ms V. is no longer teaching this class, but her materials are useful as a study guide.




We found that using NCLEX practice questions was a good way to prepare.

From Kurt:

 For renal I'd say know nursing actions when things go wrong with dialysis AND TRANSPLANT for sure. Know the fundamental causes and effects of renal failure. Stress the importance that "maintenance" phase and chronic renal failure are very very very similar. Try not to freak out about sodium. Know the physiological basis (don't complicate it too much) for sodium changes – remember how that was confusing? - but don't get too wrapped up in it. If you need to, you can do some refreshing on renal A&P, and try to understand why you retain some things, but lose others (electrolytes, etc). But if you don't COMPLETELY understand it after awhile, don't stress out too much. Urea, potassium, phosphate, sodium, anemia, bleeding, and infection were some of the big issues in renal dysfunction if I recall. Ask for help if you need to but ultimately, they are mainly concerned with "what you are going to do about it." We aren't pathologists, after all!

From Kurt: Regarding management: Don't underestimate the management test. I would really stress that they may have to do some outside self-study for management and try to find the most difficult prioritization questions possible... and do a LOT of practice questions for management. The HESI can be hard if you don't do practice questions. If they want to do real well on that HESI, I'd go research the community basics and find community questions. The key underlying community and interdisciplinary communication seemed to be the nursing process.

And THIS pearl of wisdom: corticosteroids. 'nuff said.

Friday, June 7, 2013

Adult Health TWO

Adult Health 2
Management

Management:

From Michelle: I recommend getting the management assignments done early, They are not really difficult, just time-consuming.

From Jan: Start the management final early and do a little bit at the time because it is incredibly boring and if you leave it all for the last minute, you will want to hurt someone


Class:

From Krystal: start with studying endocrine and cardio- those are on the first test.

From Jan:  do what  Mr. S says and look at the Powerpoints. It did help me to get a head start on test 1 before class started (that was actually my best test score). I did not find this class as bad as AH1. That said, it is still a lot of studying.  If there are 19 slides about a subject, it's probably because it's important (Cardiac drugs, chest tubes). He tells you to not spend too much time trying to learn to read EKGs-focus on the important ones. he's not going to trick you. This is not a situation where some tiny detail is going to become a test question. You will be tested on what you are told you are going to be tested on. Mr. S. says he makes questions with his powerpoints in his hand- he's not joking.

This is closer to the end of the class, but do as they say an focus on the final and not the HESI. You can take the HESI again, you are not going to pinning if you fail the final.
Use the PAWS discussion board and ask questions. As we're told, if YOU have the question, chances are your classmates have the same question.
 I never recorded lectures throughout school until this class because I felt my time was better spent in other ways. Recording them in this class actually helped. There's no extraneous stuff and time-wasting in the lectures.

My classmates might disagree, but do SOME PrepU questions and definitely do Mynursinglab and Evolve.

Clinical:

Paperwork is usually done around week 4, which really frees up time for studying. This makes a huge difference and pressure lets up a bit, especially if you're in the Monday clinical (ie. the one the day before the test.

Get in Mr. S's clincial. Seriously great clinical instructor- kind and patient and you will learn so much. The ICU at the Med is a great place to pick up all kinds of skills.

ICQ FAQS

Learn these Things really Well:

Fluids and electrolyte
ABGs
IICP
Decreased cardiac output and shock states
Respirator settings
Chest tubes
Side effects of corticosteroids

REALLY GOOD CARDIAC SITE WITH PRACTICE QUIZZES:

Some Links That Helped Us:







Wednesday, June 5, 2013

Youtube

Resources
Study Guides
Mental Health
Adult Heath 2

When I first went to school back in the dark ages, computers were barely available, much less youtube. It is a great study tool. There is only so much reading you can do in a dry nursing textbook.

YOUTUBE CHANNELS:

Lots of Adult Health 2 Nursing Lectures
Pysch Lectures
USMLE Algorithms
Nursing Lectures
Adult Health 2 Lectures

EXCELLENT, EXCELLENT, EXCELLENT:

imedical School


Some of the stuff available in imedicalschool

Also put Dr. Conrad Fischer in the youtube search engine and there are many great AH2 lectures, plus he's hilarious!!



Share Resources

Resources
Study Guides
OB
Mental Health
Adult Health 2
Adult health 1
Foundations


We all have our strengths and weaknesses. Someone may be amazing at making drug sheets, someone else at chapter outlines. One of my friends made amazing 'fill-in-the-blank' study sheets. If you create something, make it available to your classmates. If you discover a video, article or a webpage-let people know.
In many classes we would get together and partition off the objectives. Three or four people would work on them and type them up with page references. That was an invaluable resource.