Register a SA Forums Account here!
JOINING THE SA FORUMS WILL REMOVE THIS BIG AD, THE ANNOYING UNDERLINED ADS, AND STUPID INTERSTITIAL ADS!!!

You can: log in, read the tech support FAQ, or request your lost password. This dumb message (and those ads) will appear on every screen until you register! Get rid of this crap by registering your own SA Forums Account and joining roughly 150,000 Goons, for the one-time price of $9.95! We charge money because it costs us money per month for bills, and since we don't believe in showing ads to our users, we try to make the money back through forum registrations.
 
  • Post
  • Reply
Acid Jerk
Nov 7, 2009
Sorry if this has been mentioned before but when I took anatomy and physiology years ago...I really struggled and had to drop. I am thinking of taking the classes again, but I need some good study tips.
I feel like it is a subject that you need to spend 4-5 hours on each day, but when I take it fulltime with other classes, it really suffered. Plus I plain cannot memorize things.

Any good study tips for this class? This is one of those subjects in Oregon that you NEED to have an A in to even be close to be considered for the many nursing schools here. I dont even have 2 years of a foreign language that OHSU needs.

Adbot
ADBOT LOVES YOU

boneration
Jan 9, 2005

now that's performance

Acid Jerk posted:

Sorry if this has been mentioned before but when I took anatomy and physiology years ago...I really struggled and had to drop. I am thinking of taking the classes again, but I need some good study tips.
I feel like it is a subject that you need to spend 4-5 hours on each day, but when I take it fulltime with other classes, it really suffered. Plus I plain cannot memorize things.

Any good study tips for this class? This is one of those subjects in Oregon that you NEED to have an A in to even be close to be considered for the many nursing schools here. I dont even have 2 years of a foreign language that OHSU needs.

Coloring books.

Miranda
Dec 24, 2004

Not a cuttlefish.
I am seriously struggling with my physical examination and health assessment class!! I don't know why, it may be the sheer amount of information? I don't know how to study differently! I'm averaging about 78 in the class, I'd really really like a B at least :( any advice?

Also if anyone has a cranial nerve mnemonic that'd be great!

Miranda fucked around with this message at 03:14 on Oct 28, 2012

Acid Jerk
Nov 7, 2009

boneration posted:

Coloring books.

I was looking into the Netter's Flash cards also

Eat My Ghastly Ass
Jul 24, 2007

boneration posted:

Coloring books.

Seconding this, really helped with blood vessels and nerves.

Hellacopter
Feb 25, 2011

sewersider posted:

Pretty much what Roki B said, especially, on getting ACLS and asking questions.

-Airway, airway, airway! Of all the new ICU things relatively straightforward but the consequences of mucking it up are incredibly dire. It is indeed very hard to kill an adult but robbing a patient of their airway during a turn is an easy way to do it. Make sure your ETT/Trache is secure and keep an eye on it.

-Ventilation: Can be difficult to get your head around at times but very important. Learn your modes and how pressure, volume, compliance and resistance work. If your patient is on volume control find out why. The acronyms can get ludicrous (SIMV (PRVC)+PS) so ask questions! Does your patient need more fiO2, pressure(or less), volume or do you just need to sit them up more?

-ABG's! They're a great guide of how a patient's going systemically, trends can foreshadow something nasty. Learn how to interpret you're pH and what sort of respiratory or metabolic changes may be going on.

-Basic nursing cares are at there best in the ICU because you've really got the chance to focus your patients needs. Oral, pressure area and, eye cares are vital in an unconscious patient

-Repositioning. The best best thing you can do to preserve and improve respiratory function is repositioning your patient regularly and sit them up as much as possible, or tilt.

-Don't be distracted by the gizmo's. ICU has some wicked kit that when used properly is awesome. Despite that the best way to assess your patient will always be to look listen and feel.

ICU is pretty overwhleming and it takes years to really nail it. Just questions and use common sense and you'll love it!

Roki B posted:

  • Read "Rapid Interpretation of EKG's" by Dale Dubin, MD.
  • Get ACLS.
  • Understand and be comfortable with ventilators and everything airway.
  • Memorize everything you can related to pulmonary artery catheters (Swan-Ganz)
  • Study for, take and pass the CCRN. Get more letters like TNCC too.
  • Travel nurse and make bank being a swag fucker.

Miscellanious tidbits:
Its really hard to kill an adult human, you won't do it accidentally.
ET tubes look really tenuous but they're not.
Above all, ask when you don't know for sure.
Feel free to PM me with questions that would clutter up this thread.


Edit: Forgot to mention, don't look at the monitors all the time. You can get sucked into them. Look at the schmuck on the bed first, then all the lines and numbers afterwords.


In other news for me, my wife and I just got travel positions in Las Vegas for floating between three hospitals. I'm all ICU she's all medsurg. Choo choo, here comes the gravy train! :toot:
Thank you so much, quoting dis so I can look back at it in 3 months when I'm in the weeds and reconsidering my job choice. :haw: Especially the stuff about continuing to prioritize the airway and making sure I keep doing my basic nursing care. I definitely plan on asking a lot of questions and the nurses said that the intensivists love to teach and to not be intimidated of them. Biggest thing that I'm trying to wrap my head around is that in the ICU there's no transferring to a higher level of care, that's me and I've got to keep them alive until 6:45!

dissin department
Apr 7, 2007

"I has music dysleskia."

Miranda posted:

I am seriously struggling with my physical examination and health assessment class!! I don't know why, it may be the sheer amount of information? I don't know how to study differently! I'm averaging about 78 in the class, I'd really really like a B at least :( any advice?

Also if anyone has a cranial nerve mnemonic that'd be great!

I just always use the old standard- On Old Olympus Towering Tops, A Finn And German Viewed Some Hops.
Olfactory, Optic, Occulomotor, Trochlear, Trigeminal, Abducen's, Facial, Acoustic, Glossopharyngeal, Vagus, Skeletal Accessory, Hypoglossal.
I struggled really badly with them in A&P, but when we did our head/ear/nose/mouth/neck assessment in that class it clicked. Probably because I was actually applying it.

Bum the Sad
Aug 25, 2002

by VideoGames
Hell Gem

dissin department posted:

I just always use the old standard- On Old Olympus Towering Tops, A Finn And German Viewed Some Hops.
Olfactory, Optic, Occulomotor, Trochlear, Trigeminal, Abducen's, Facial, Acoustic, Glossopharyngeal, Vagus, Skeletal Accessory, Hypoglossal.
I struggled really badly with them in A&P, but when we did our head/ear/nose/mouth/neck assessment in that class it clicked. Probably because I was actually applying it.
Ooo ooo ooo to touch and feel a girls vagina ah heaven

Bum the Sad fucked around with this message at 22:39 on Oct 30, 2012

SuzieMcAwesome
Jul 27, 2011

A lady should be two things, Classy and fabulous. Unfortunately, you my dear are neither.
Well, I had a needle stick in clinicals today. I was starting an IV had to take the needle out and did not get the safety engaged and went to change hands that were applying pressure and nicked my thumb. I have been stressing about this all day. Not really so much that I was stuck and worried about that but about how it will affect me in school. I feel like an idiot.

Cacafuego
Jul 22, 2007

Bum the Sad posted:

Ooo ooo ooo to touch and feel a girls vagina ah heaven

I didn't want to say it, but this is what I learned and I'll never forget it.

SuzieMcAwesome posted:

Well, I had a needle stick in clinicals today. I was starting an IV had to take the needle out and did not get the safety engaged and went to change hands that were applying pressure and nicked my thumb. I have been stressing about this all day. Not really so much that I was stuck and worried about that but about how it will affect me in school. I feel like an idiot.

I had a classmate do the same thing. It blew over. You'll get through it.

dissin department
Apr 7, 2007

"I has music dysleskia."

Bum the Sad posted:

Ooo ooo ooo to touch and feel a girls vagina ah heaven

my new mnemonic. thank you so much nursing thread

Miranda
Dec 24, 2004

Not a cuttlefish.

dissin department posted:

my new mnemonic. thank you so much nursing thread

Haha yes our A&P professor taught us this one too. Except:

Ooo ooo ooo to touch and feel a good virgin's smooth hymen

Olfactory, Optic, Occulomotor, Trochlear, Trigeminal, Abducens, Facial, Acoustic, Glossopharyngeal, Vagus, Spinal, Hypoglossal.

Slore Tactician
Aug 27, 2005
MOURN!
And if you want to know whether or not these cranial nerves are sensory, motor, or both:

Some Say Money Matters, But My Brother Says Big Boobs Matter More

Space Harrier
Apr 19, 2007
GET READY!!!!
Can anyone recommend some good resources for ACLS study? I have been studying for an upcoming course, and in doing so, have discovered that this may be a little harder than I thought. In particular, I need to hone up on EKG interpretation and Pharmacology.

Cacafuego
Jul 22, 2007

Space Harrier posted:

EKG interpretation

http://www.skillstat.com/tools/ecg-simulator#/-play

Space Harrier
Apr 19, 2007
GET READY!!!!
^^ This is great, thank you!

Miranda
Dec 24, 2004

Not a cuttlefish.
I had my first clinical today in a nursing home. God it's the most depressing thing. I mean, i get that healthcare isn't going to be glamorous and that's okay. And I want to work in NICU so I'm not expecting an easy ride for my psyche. But holy moly. Patients just roaming the halls, some yelling for no discernible reason. It's depressing as hell. I'm sure the nurses (especially the CNAs) do their best against tremendous odds but man I couldn't do it for a job.

We were given patients to do an assessment on. My patient is 102! She got a letter from Obama for her 100st birthday. She's sassy! And fairly alert and oriented. I got to assess her, empty a catheter, help move a lady up in bed...I know those are all minute things but, every little bit of hands on right? I also fed a lady lunch. She had to be in her 60s, maybe 70s. I think she had a stroke. It was really the most emotional part of the day for me. She was mostly unresponsive, although when I asked her if she was finished or wanted more dessert or tea she was able to sort of respond. She just stared at the TV. I said something about how great it'll be when the election is over so we don't have to listen to all this and I swear she smiled! And at one point she very suddenly turned and stared me right in the eye. It was bizarre.

All in all, an experience to say the least. I hope we get to do as much as possible next time. Only 2 clinicals for our first year though, super lame. They took away two days of clinical to spend more time in lab which I think was dumb. The more hands on stuff the better I think. Wish me luck!

DeadMansSuspenders
Jan 10, 2012

I wanna be your left hand man

LTC was the hardest for me because I was on a dementia ward. Many verbally or physically abusive patients. One of my parents works in an LTC setting so I've known for a long time that it isn't something I want to pursue. The only upside is that it is long-term, so you get to see the same people again and again. Sometimes they'll remember you, sometimes not. That's too bad that you only get a limited time first year, back when I did it we had 24 8 hour shifts in LTC.

Atma McCuddles
Sep 2, 2007

I honestly loved geriatrics. They can be really medically interesting, and most dementia patients can still tell you stories about their life. You also get to see a lot of interesting thought pattern abnormalities (blocking, circumstantiality) and other features of their mental illnesses. They're usually on crazy drug cocktails, so your med knowledge has to be comprehensive. And even when they're being aggressive, very few of them are capable of putting you in hospital yourself.

Cacafuego
Jul 22, 2007

I got my #1 choice for practicum, trauma ICU step down. I'm really, really looking forward to it.

CancerStick
Jun 3, 2011
I'm in my first semester of Nursing school right now. I meant to ask this before, but I kind of forgot.

I have a professor. She is very educated, very compassionate about her patients, and very committed to her students. Now, the other day she kind of let slip her distaste for "Obamacare." She quickly moved on without saying much. I think she realized she was going somewhere she shouldn't and quickly went back to where she needed to be.

This kind of surprised me, and I wondered what this thread thought. I admit, a lot of PPACA is over my head regarding the financials and how it will effect not only the national economy, but health care especially. But my possibly narrow-minded thought has been, " There are so many people without health care and if this can get people the help they need then loving awesome, and hopefully the stuff I don't grasp isn't destructive."

What is the common thought from most nurses about the PPACA? Is there a fear that it will lower the number of nurses needed? Is there a fear that it will change our role and not in a good way? I'm just curious, I guess.

Roki B
Jul 25, 2004


Medical Industrial Complex


Biscuit Hider
Just because someone is a nurse doesn't make them good at critically evaluating legislature. And there are plenty of nurses that believe healthcare is a zero sum endeavor.

Baby_Hippo
Jun 29, 2007

A lot of people enjoy being dead.
All of my instructors were very liberal and definitely pro ObamaCare, regardless of how it may affect future jobs because it meant more sick people would receive care.

On the other end, most of the nurses I've met who were against it tended to be religious and were more against the free birth control than anything else.

Bum the Sad
Aug 25, 2002

by VideoGames
Hell Gem

Baby_Hippo posted:

On the other end, most of the nurses I've met who were against it tended to be religious and were more against the free birth control than anything else.
Way to be a patient advocate. Stupid bitches.

awkward_turtle
Oct 26, 2007
swimmer in a goon sea
I had to explain what the affordable care act was to my co-corkers. Like, no one really even knew about pre-existing condition coverage and were barely aware of the mandate. It was kind of depressing.

Nurse Fanny
Aug 14, 2007

I love being surrounded by people who are simultaneously smart and dumb.

Nurse Fanny fucked around with this message at 12:32 on Nov 10, 2012

Koivunen
Oct 7, 2011

there's definitely no logic
to human behaviour

Nurse Fanny posted:

I love being surrounded by people who are simultaneously smart and dumb.

Oh god, this.

I was never very political until I became a nurse. Now I'm ultra-liberal and can't fathom why a nurse would be anything but.

I'm really involved with our nurse's union, and for the election I made a lot of phone calls. I was amazed at how many nurses flat-out didn't want to talk about it or didn't know anything about the current state of politics.

It also blows my mind how many nurses don't like the union. It's true that we have to pay $750/year in union fees, but those fees help ensure that you are never doubled back, you get every other or every third weekend off, you only work a certain number of holidays, you get your overtime pay, you get decent money for your work, etc etc etc. Recently our staffing has been absolutely awful (shift after shift of having 10 or 11 patients with an LPN), so the union sent around a petition for safe staffing and asked RNs to sign. There were a handful of us that really pushed it, and something like 80% of RNs at the hospital signed, but a few people refused to sign because "that's too political." Made me lose a bit of respect for them, honestly.

Anyway, Obamacare is a wonderful thing and I hope it goes into full effect before he leaves office, and it stays in effect forever. Healthcare is a universal right, a person shouldn't have to worry about whether or not they can afford to be taken care of when they are sick.

I really feel like nurses that are opposed to Obamacare just haven't taken the time to adequately research it. They just hear one quip like "FREE ABORTIONS" and they automatically dismiss the entire thing and don't bother to look into it any more.

I cold go on but I've already written a wall of text. Until next time...

Tufty
May 21, 2006

The Traffic Safety Squirrel
Poor America :(

The other day a lecturer asked all of us student nurses "Who felt the NHS had run its course?" and not a single person put their hand up. I've also never heard any of my teachers or tutors express any sentiments that they were against universal healthcare, and a couple of them even have lanyards for their staff ID cards that say "I love the NHS" down them :3:

Zombie Defiler
Apr 30, 2005

I don't much care for your negative attitude, mister.
So I've started down the road to becoming an LPN. I took the entrance exam and scored quite well. Now I'm waiting on a letter/call for an interview to get into the program.

I figured I might work as an LPN for a while, save up money and learn while working, then go after an RN degree through a bridge program. I have no idea how sound my plan is, but I already have an associate degree in business admin so my only financial aid options at college were loans according to the grouchy grumps behind the counter. I have no desire to go into debt as I'm completely debt free and would like to keep it that way.

So my rambling aside, what should I expect from LPN courses at a vo-tech school? What sort of job environments are LPNs typically found in? I've had people tell me that hospitals hire more RNs than anything, and doctors offices are where you'll find most LPNs and the like. How does one normally seek out employment in nursing fields, do you just walk into a doctor's office/hospital's HR dept with a resume in hand, or maybe sign up with a staffing service?

I live about a hop and a skip from "The Villages" in florida, a veritable haven for old folks. There are about 5 flavors of doctor's office for every non-medical business around the town. So it sure wouldn't hurt my feelings any to work in a specialist's office close to home.

Skinny King Pimp
Aug 25, 2011
Skinny Queen Wimp
Is it worth the student loans to get a BSN from Emory in Atlanta? Would take two years, I think, since it's an accelerated program for people who already have a degree. I did really well in A&P I when I took it ages ago (would obviously need to retake it) and I really need to find something that would work as a career.

Ohthehugemanatee
Oct 18, 2005

Skinny King Pimp posted:

Is it worth the student loans to get a BSN from Emory in Atlanta? Would take two years, I think, since it's an accelerated program for people who already have a degree. I did really well in A&P I when I took it ages ago (would obviously need to retake it) and I really need to find something that would work as a career.

I went to that program and paid off my student debt within one and a half years. Nursing pays quite well. That said if I'd gone to a cheaper program I would have an extra 20k or so...

Emory's program really irritated me at times. It had two awesome professors who are unfortunately gone now and a slew of very academic, very theory oriented and very anal retentive folks. It sounds silly to complain about a school being excessively academic, but Emory was very, very academic and not always in a good way. Leadership was very much A Thing too, which irritated me to no end because I'd like to be a decent nurse first before I sit in a classroom talking about styles of leadership and reading Who Moved My Cheese.

Truth be told, I'd go elsewhere. The only redeeming thing about Emory was the awesome pharma professor (gone) and the even more awesome med-surg instructor who failed so many students that she was politely asked to leave. People used to hold prayer circle before her exams. Man I miss her. Ultimately though, it's a school for people with more money than sense.

Ohthehugemanatee fucked around with this message at 09:57 on Nov 14, 2012

Skinny King Pimp
Aug 25, 2011
Skinny Queen Wimp
Dang, I was hoping the nursing program would be on par with the medical program. Oh well. I've always been very interested in the medical field, but I don't know exactly what I want to do. I thought it would be a good degree that would open doors.

Ohthehugemanatee
Oct 18, 2005

Skinny King Pimp posted:

Dang, I was hoping the nursing program would be on par with the medical program. Oh well. I've always been very interested in the medical field, but I don't know exactly what I want to do. I thought it would be a good degree that would open doors.

To be fair, it did open doors for me. Emory's name helped me get my first job and probably helped when I applied to graduate school. It's just that there are tons of good schools around and there's little reason to go for Emory specifically, especially given their staff changeover. If you want an awesome name to put on your resume, hit up UPenn or Hopkins or UIC or any of the awesome state schools that are better ranked and half the cost of Emory.

Enigmatic Troll
Nov 28, 2006

I'm gonna be there! I got to see!

Skinny King Pimp posted:

Dang, I was hoping the nursing program would be on par with the medical program. Oh well. I've always been very interested in the medical field, but I don't know exactly what I want to do. I thought it would be a good degree that would open doors.

Keep in mind you are talking about a bachelor's degree and not a JD or MD or MBA from some prestigious school. The license is what counts - not the degree for this level of job. (and yes, by Allah, I will stand by this statement for any who wrongfully choose to disagree)

If you have a degree and have the pre-reqs (being a guy and a heavy math and science background is especially helpful for last minute applications) and are willing to relocate for a couple of years And are willing to go to school full time, you might want to check out Georgia College and State University in Milledgeville. Granted it's been four years since I've been there and my favorite instructor has gone the way of all flesh, but I do believe we were better trained in the basics than the students of many schools (at least the ones that I currently observe in my facility). And I was more adaptable to being "thrown under the bus" by a couple of employers because of it. (I had one day of orientation at my first job and then was made charge nurse with resentful staff the next day)

Cons: 1. Milledgeville sucks. Imagine being an interracial couple in the most inbred part of KKK descent Alabama. Milledgeville is worse. Your soul will bleed tears with each interaction with the locals.

2. Central State Hospital closed down - I fondly remember attending lectures in the abandoned nursing home building there.

http://kingstonlounge.blogspot.com/2009/09/central-state-hospital-milledgeville-ga.html

I was also hugged by my first honest-to-goodness murdering psychotic in the forensic unit during psych clinicals there. He was a college basketball star who banged his head during a car wreck. He went funny and stabbed his neighbor to death. During the interview I learned that being the Son of David of Isreal is VERY important and that "Silence is golden" meant "quit asking me questions". Ah, the good old days when I used to love crazy and then found out later that most crazy is faked to get the good drugs for a few days in an inpatient facility or hide out from the law. And now I am burned out and need a change (hopefully to help people die in hospice).

3. I see two evil-rear end instructors who-are-out-to-fail-everybody (or at least me) on the website of currently employed nursing instructors (quick Google search).

Pros: 1. MCCG in Macon is a large hospital with a level 1 trauma center. It also serves a fairly illiterate/poor/rural + urban population over central and south Georgia. And it has a good heart center. Macon sucks. It's like a combination of Robocop and Mississipi Burning. Get a job as a tech there during your first year of school. Get a job as an extern (student intern in either an icu or step-down floor) there during your last year of nursing school. Your pay will be bumped up to almost that as a nurse between graduation and when you pass the NCLEX. Work there for two years after your license is issued and you can work anywhere or go for an advanced degree.

2. I really believe that we had the basic fundamentals drilled into us quickly and well relative to other schools and thus were better prepared for the NCLEX and the actual reality of work.

3. I see at least four very good instructors listed as currently employed. I do not know the rest.

4. They are now offering DNP programs. They were not doing this while I was a student. Easier to get into a school where you are known ect.

Thank you GCSU, your alumni donation begging will go in vain, but this is your shout out.

tldr: If you want to be a nurse, you better Really want to be one - the prestige of a school at this level doesn't mean poo poo - the connections you make while working and doing clinicals are more important.

edit - Student loans suck - go to a decent state school and save some money for an equivalent education and employment possibilities.

Enigmatic Troll fucked around with this message at 07:52 on Nov 17, 2012

SuzieMcAwesome
Jul 27, 2011

A lady should be two things, Classy and fabulous. Unfortunately, you my dear are neither.
Whelp. Assisted with my first real code. Came upon a nurse doing compressions and a code cart being wheeled down . Jumped In to do whatever was needed. Hooked up leads (I was so frazzled at the time I forgot the word and called them sticky things as in " I need um...um... Sticky things *while patting my chest*) took over compressions for the nurse who looked tired (and wasn't doing very good anyway). I broke at least 5 ribs. I praise jebus that we did code simulations on Tuesday.

Lava Lamp
Sep 18, 2007
banana phone
Forgive my ignorance, but are ribs really easy to break during chest compressions? Was it an elderly person?

boneration
Jan 9, 2005

now that's performance

Lava Lamp posted:

Forgive my ignorance, but are ribs really easy to break during chest compressions? Was it an elderly person?

Last course I took, they told us that if we weren't breaking ribs we were almost certainly doing it wrong.

DeadMansSuspenders
Jan 10, 2012

I wanna be your left hand man

boneration posted:

Last course I took, they told us that if we weren't breaking ribs we were almost certainly doing it wrong.

Yeah, that's pretty much what they teach now.

Koivunen
Oct 7, 2011

there's definitely no logic
to human behaviour

SuzieMcAwesome posted:

Whelp. Assisted with my first real code. Came upon a nurse doing compressions and a code cart being wheeled down . Jumped In to do whatever was needed. Hooked up leads (I was so frazzled at the time I forgot the word and called them sticky things as in " I need um...um... Sticky things *while patting my chest*) took over compressions for the nurse who looked tired (and wasn't doing very good anyway). I broke at least 5 ribs. I praise jebus that we did code simulations on Tuesday.

Good job jumping in feet first, it's the best way to learn. It sucks being the one to break the ribs, but you can't save their life without doing so. Patients can recover from broken ribs, but they can't recover from a stopped heart.

First codes are always the hardest. Once you do more you'll find that they are relatively similar and it's much easier to keep your cool. Maybe one day you will be the rapid responder calling the shots. :)

Adbot
ADBOT LOVES YOU

roboshit
Apr 4, 2009

Breaking ribs is always kind of gross but yeah if you aren't you need to push harder or find a stool to stand on or something. What sucks is when the code goes on forever and their chest just gets mushed. Like last week when a patient went into v-fib arrest at shift change and we defibrillated her literally 25 times on the way to the cath lab (her LAD was completely blocked).

  • 1
  • 2
  • 3
  • 4
  • 5
  • Post
  • Reply