Inspiration needed.

As a good friend of mine pointed out today, it is a shame I decided to start blogging so late into my placement, as I am not back on placement until late December/ January, I may struggle on what to blog about.
I feel slightly worried now, I love my blog and so want it to carry on, so I am going to go away tonight and think and draft about what I am going to blog and in what order, I have loads of stories and ideas but don’t want it to come out all mix and match.

So I will go and sit and research this now 🙂 thanks mike!

Hopefully blog tomorrow, m xoxo

P.s thank you to everyone who reads my blog daily!

Mixmatched thoughts.

18th of August 18:00

Part four

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This post is going to be a bit untidy and full of mix matched points and information, as that is how I am feeling today. This is has been my final week of placement for a couple of months and I have been attending different insight visits to other parts of the hospital, however the places I have been are closely linked to the type of patients we have on the ward.

Yesterday I attended the “cardiac catheter suite” this is a place where cardiac angioplasty’s are performed, (GO HERE FOR MORE INFO >>>
http://www.heartsite.com/html/ptca.html)
stents put in to the heart, pace makers fitted and other wonderful cardiac related procedures.
I absolutely loved it at that place, the team were amazing and taught me all I needed to know. The surgeon was surprisingly friendly and the patients were well treated and looked after and made to feel completely at ease. I never knew I found cardiac issues so interesting, I was in awe by the brilliant things I saw and how amazing modern medicine really is!
I know it is not just me who thinks that place is brill, due to the mass amount of thank you cards that were plastered to every wall in the reception areas and the relaxed look on all the patients faces.
Another bonus was that I got to wear scrubs (theatre wear) all day and white crocs! It is like wearing your pjys all day however not quite as fetching!

Patients turn over is quite remarkable the patient is pre op assessed by the nurses, booked in, procedure performed, then discharged four or five hours later when they are feeling better and are safe to go home. Also the suite does not work past 7 and is not open on weekends! Even more of a bonus!! All in all I learnt loads from that visit and even did my own research when I arrived back home! I think cardiac might just be my “thing.”

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Today I shadowed a specialist stoma nurse, so that I could get a good idea of what they did on a day to day basis. Today was an interesting day filled of tears, happiness, gratefulness, hope, and grief. (by the patients of course!)

Here is a link to loads of information on stoma’s and other relevant issues, I could explain what they are but it would take me at least 2000 words! HaHa! (http://www.bupa.co.uk/individuals/health-information/directory/s/stoma-care)

A brief over view of my day;
A patient in her early 50’s had just been diagnosed with liver and colon cancer and had to tell her children that she was dying, whilst a man in his late 20’s had secondary cancers and was on chemotherapy fighting for his life.
A man got his independence back, and a woman got told her cancer had been successfully been exercised. (removed)
Days like these really make me feel awful about myself! They really put things into perspective, like that I really should not moan about such trivial things. Like who has borrowed my straightness and not put them back?! AGAIN! 😀

I also had a deep conversation with a nice man, who I later found out that he was a senior consultant! See! There are nice doctors out there!
I have just said it but I will say it again, I have once again learnt loads from today and feel like my areas of knowledge are growing!

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Finally I have just read at article in the latest version of the Nursing Standard, about the first ever hospital where all patients have their own room, and I found myself becoming quite angry.
Yes fine people need their space and sometimes even prefer it, and yes I suppose it will make infection control a lot easier to control but they forgot to mention the negatives of this idea!
What about acutely ill patients that need watching, they are usually in bays placed near the nurses station so that they are always in view. If they were okay in bays, don’t you think HDU (High Dependancy Unit) would contain 12 cubicles rather than bays
And what about elderly patients that are at risk of falls? Put them in a side room and they will be out of sight and very possibly out of mind! Oh well… at least their rooms will be MRSA free!

Also what about children? On a children’s ward, without their family with them, Im sure that they are going to want to sit in a big empty room and stare at blank white walls.
Okay some of you may think it is a good idea, but I have come across a lot of patients who refuse to be put in a cubical as they are frightened or because they enjoy seeing other human beings!

Plus it will take up so much more space and cost loads more money. Personally I would like to see it stay the way it is and keep people in their jobs! We need more staff not less! & specialist nurses are so under rated, they work really hard yet still have to prove their job is worthy otherwise face redundancy. It is such a shame!

Phew! Rant over! Let me know your opinions guys!

Anyway I am going for some dinner now!

Blog tomorrow, M xoxo

Photo Challenge

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Natural beauty is always the best kind.

Highs and lows of a student nurse.

16th of august. 23:40

Part two.

Over the past year I have been lucky enough to meet hundreds of patients, and I have loads of memorable and heart warming memories that will stay with me forever, although I also have a lot of upsetting and downright heart breaking memories that will stay with me, however much I wish I could forget them.
Obviously it is these not so nice memories that help us to grow as a person and as a student nurse, and to help us develop the much needed emotional and communicational skills that we will need once we are let loose as qualifies staff nurses. I definitely still have along way to go in this department, I tend to still get too emotionally attached to my patients and tend to act as if they are a member of my own family, ( I do not know if this is a good thing or not.) I know that I will see a lot of patients die over the next couple of years, but I just can not see myself getting used it, and just accepting it as normality.
However other staff members and past mentors have told me that I will get better at dealing with this sort of thing and that I would not be human if I did not find somethings upsetting, after all it is part of our job to make a patients last few hours as comfortable as possible, but this does not mean that we can not also take time to reflect and grieve. Try to treasure every minute with a patient and feel honoured you are part of their care.

Most treasured moment.
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One of my favourite memories is of an elderly patient I met on one of my placements, she was a fun loving lady from newcastle and was one of the funniest (& crudest may I add!) people I have ever met. She was so full of life, always cracking jokes with the staff and making sexual innuendoes to the rather embarrassed F1’s (first year doctors.) I loved looking after her, she made me feel at ease and always kept me entertained! She was honest and would tell me how it was! (like calling me a “bonny lass” when I asked her if she thought I should go on a diet!)
She seemed so strong to me like nothing in the world would get her down and that she could fight anything or anyone, (including the rather rude reg of whom she was under!)
I really did admire this lady, she had such gumption, I think they should make a film out of her life story one day! However some of it may be x rated! HaHa.

I spent nearly all of my shifts with this lady (talking and laughing…. well it is better than emptying catheters lets be honest!) & I went to every scan, biopsy, and test with her and held her hand (even though she SO did not need it as she kept telling me! She was made of tough stuff!)
Sometimes I wonder if it was all a front and she was secretly petrified inside but when you looked in her eyes the determination was so powerful that I completely believed her.

Even when the biopsy came back as positive to lung cancer, she said to me “think positive lass, ill be alright me! I aint just about to keel over!” I think maybe I was more upset than she was!
She remained positive and happy and even when her body reacted badly to a unit of blood she just smiled and whispered to me, “hey! I think this blood used to belong to a druggie, I feel rate of me head me!” (See what I mean, never miffed by anything!)
I heard so much about her family that lived in australia that when I met them I felt like I knew them already. I was glad she had her family with her as I was going to be leaving that ward soon and I would have hated her to be alone.

On my last day I noticed on the hand over sheet that she was now on the LCP programme (Liverpool Care Programme – That patients at the end of stages of a terminal illness are placed on when they are seen to have less than three weeks to live.)
I was so shocked I never thought it would get to this! Well.. not so soon anyway. When I went to say goodbye for the last time I managed to hold it together I wished her well and hugged her, and her daughter.

The lady held my hand and thanked me for everything and told me she was really going to miss me and that I would make a great nurse, I thanked her, held back my tears and told her to be strong and to think positive, she replied with “aye! As always lass!”
I walked off of the ward that evening with mixed emotions I felt proud and happy that I had really played a big part of her care and that I could really see that she was thankful, but I also felt devastated and angry at how unfair it was that people had to die all the time. I waited till I was off the ward to cry though, to save the embarrassment. Haha.

I never got to know what happened to that lady, but wherever she is I am sure she is causing mischief and causing a lot of trouble! I know she will be okay.

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I learnt a lot from this experience, and I am so grateful I could be apart of her treatment.
Yes i know that portfolio work is boring but i really did find that reflecting on this situation has helped me deal with it properly and allow me to understand the importance of “care.”
Maybe that is why we have to do it, and it isn’t just to bore us to tears!

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I think that is enough for one night! I will blog tomorrow evening, with the top 10 best and worse points of being a student nurse!! That should cheer me up!

Night all…. M xoxo

p.s I would love to hear your most treasured moments too!