Wednesday, October 29, 2008

How to complete care plans and influence people

Books, books, books!
Originally uploaded by somnambulantsn
It's a tearful little milestone at Chez Somnambulant today.

I handed in my first extended care plan this morning!! At my school, we do something called comprehensive care plans that include extensive med logs, assessment data and some other stuff. I don't know if any other students out there have these. I think the final product was ~ 20 pages or so. From what I hear from the other university and CC in my area (we sorta chat at clinical sites), their plans are much more abbreviated. I think some of my profs feel like we have extra to prove since some hospitals think less of the BSN SN's because they think we're all theory. Not true, at least in my program.

So, to make this awesomness happen, I ended up editing and consequentially redoing part of my care plan yesterday afternoon after school. Nevermind the gorgeous cool weather and clear sky; I will GET careplanning, damnit! I'd been about 90% done and just wanted to put some final touches on, but then I started picking at it and made the mistake of working from 1400-0100 with brief breaks to eat, pee and other essentials. By the time I was done, my eyes were blurred and I was on a very short fuse. Right before bed, I told my husband to shut up and I loved him, so nursing school is bringing out this really charming part of me. I was a little too hardcore for myself yesterday.

Tomorrow, I start clinicals at a new site. I'll be at an ALF until the end of the semester. The last six weeks I was in a community hospital and though it was rife with problems, it was still a hospital. I know I shouldn't be picky so early on, but I know what we'll see and I'm just not feeling jazzed about it at all. I know someone knows what I mean.

Good news: I made the highest grade in my class on my last test! Bad news: It was an 83! Still, I know I'm doing well. I think my overall average is somewhere around 87 and considering that about 1/2 my cohort just received midterm warnings to shape up or ship out, I do find some solace in this.

Overall, I just need an attitude adjustment. I am cranky (crankier?), impatient with others and just painfully tired. My fuse is pretty short lately. This is my first day in two weeks not working on a care plan or studying for a test/quiz of some kind and since I have no lecture tomorrow, I'm going to 1. take a sweet nap and 2. read some of the third book in the Twilight series. Ahhhh. That makes it a little better.

Sunday, October 26, 2008

I come here often to at least make an attempt at blogging. Twice I've fallen asleep and more than a few times I've started for a minute and lost the mojo. Working on that.

For all of my unusual (for my cynical self) hopefulness in the last entry, I'm much more worn now. And it's okay; I'm expecting this as the ebb-and-flow of things. Things are really starting to click and that's what matters. And hey, we've finally gotten some fall weather here in the warm & humid state. That alone perks my mood a bit.

It's been a hard couple of weeks though. My first care plan deadline looms a few days away. I have a quiz tomorrow on lab values, a Fundamentals theory test on Tuesday , care plan Wednesday, clinicals Thursday and a Pharm test Friday. So, I knew this was coming, but I was still ill-prepared. It's also been a tough week emotionally. One of my classmates' parents died suddenly, so most of my class skipped a clinical day to be at the funeral and give her some support. She's just had a rough time for the past year or so and needed to know she has an extended family.

I worked out the study issues from the last entry and thankfully enough, amicably parted from one person in my group, sat another down and gave her a reality check and added a couple of low-maintenance people. I really don't mind helping people as long as they want help and don't elicit the do-it-for-me vibe of desperation. I realize that people have to do what it takes to get by in school, but have a little bit of class and integrity. As I was writing this, I started receiving a litany of texts. Phone is now off as I'm doing my own work and getting some downtime at some point. I want to help, but I also want to set boundaries on the smattering of private time I occasionally get.

Clinicals have been going well. Classes for the most part are going well, except for the shareaholics that just won't shut up. I know that people get excited when they hear something familiar, but it's gotten out of hand. No. More. Stories. And and and, just for extra giggles, stop giving your rationale on every test question you get wrong. It takes up so much class time and you've still gotten it wrong.

I'm getting drowsy as I type. Maybe a short nap before getting back to the care plan.