Thursday, December 22, 2011
Fall Class 2011!
Thursday, December 1, 2011
My Free Scrubs!
Monday, October 24, 2011
Nursing Philosophy Paper: Med/Surg III
Even though the term “nurse” has not always been around, the concept of a nurse has been around since the beginning of time. But how can one make this argument without truly knowing what it means to be a nurse? While doctors, medicine men, witch doctors, etc…may try to treat an illness, nurses care for people. To them the sick are not just an object to be studied, poked and prodded, to be cast off if no cure can be found. To nurses the ill are people who need love, support, and have rights. A nurse is a true patients’ advocate. It is my personal philosophy that when I take on the role of a nurse I am pledging to care for people; healthy or sick, rich or poor, young or old. To me, this is one of the noblest of callings. In an effort to convert readers to my philosophy I will expand by answering the following questions; “What is the purpose of the nursing profession? Who are the participants in nursing and nursing practice? What do you believe about the service component of the nursing profession and how will this impact your choice of employment?” And finally, “How will societies as a whole benefit from your contribution to the nursing profession?”
What is the purpose of the nursing profession?
The purpose of the nursing profession, I believe, was very well summed up by Virginia Henderson, RN, when she stated: “The unique function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge. And to do this in such a way as to help him gain independence as rapidly as possible” (Whitehead, p240). A nurse’s roll is to look at the whole picture. To not just care for a patient with an illness, but to anticipate potential problems that can come from having a certain condition and taking measures to minimize or prevent them all together. This I believe is true patient care.
Who are the participants in nursing and nursing practice?
If a nurse is going to be effective in their roll I believe it is important to know who the participants in the nursing and nursing practice are. I have always been a fan of the saying, there is no “I” in “team.” Nurses are a part of a team effort to care for patients. There are head nurses, shift nurses, staff nurses, LPN/LVN, and CNAs who all work together to see that patients are cared for in a timely and effective manner. It is, however, sometimes overlooked that the patients’ themselves are part of the actual nursing process. A nurse can care for and teach a patient till they are blue in the face, but if the patient at some point is not willing to accept responsibly in their own care then it will all have been in vain. One of Watson’s 10 Carative Factors is “Promotion of transpersonal teaching-learning” and gives the example: “This carative factor separates care from cure. You educate the patient appropriately while the patient assumes responsibility for learning” (Potter & Perry, p483). A person will not always be a patient in your care, but if you care/teach for them well and they take responsibility, then the torch is passed and your “care” will stay with them in their own actions.
What do you believe about the service component of the nursing profession and how will this impact your choice of employment?
My favorite thing about nursing is the fact that there is a huge service component and it is this that has helped me on my path of seeking employment where I might have the most opportunities to serve. Nursing was something that I had considered for years, but was never ready to commit to; however, I have always known that I wanted to help people. I obtained a degree in Health Science with an emphasis in Health Promotion and Lifetime Wellness and was trained to teach health promotion in the community setting. Excited to be a part of the health field I was devastated when I learned that I was competing with nurses for these jobs. My path eventually lead me to Hawaii where I was fortunate to find a job as the Education Programs Coordinator for the National Kidney Foundation of Hawaii (NKFH). I did not know much about kidneys at the time, but I have two of them so I was excited to learn and educate others. I was able to set up educational classes all over the Hawaiian Islands, but because I was not a nurse or a renal dietitian I was not allowed to teach the classes myself. Over time I gained knowledge of what it was like to be a person with chronic kidney disease (CKD) or end state renal disease (ESRD). When I thought about renal failure and being on dialysis I could not help but compare it to the failure of other organs. If your heart or liver fails before you can have a transplant you die. ESRD is unique in this since that if you can’t find a donor right away you can go on dialysis. Some people might think this is a miserable outcome, but think about when people who are dying experience the feeling “if only I could have just a little more time.” Dialysis is a little or a lot more time and I believe there is true beauty in that.
You might be wondering where the service comes in to play; the service is providing education to the people facing the prospect of dialysis. It is not uncommon for people with chronic disease to deal with some form of depression. I love the idea of helping people learn that life can still be fulfilling even when living with a chronic disease and being “tied” to a dialysis machine. For example; it was not until I worked for the NKFH that I learned there was a cruise line called Dialysis at Sea. The ship is staffed with nephrologists, renal dietitians, dialysis nurses and technicians. This is just one way that people with ESRD can feel “normal” again. Unfortunately, this cruise and other services are not widely advertised. I want to provide service to people with CKD and ESRD by proving hope in the form of education and recourses. The idea of helping to improve a persons’ quality of life through service is very exciting to me.
How will societies as a whole benefit from your contribution to the nursing profession?
I am only 30 years of age, but in my life I have seen and had a variety of experiences. Because I come from a military family I have lived in and visited many different places and have experienced many different cultures. I love learning about other customs and beliefs and even though I don’t practice them or maybe even disagree with them, I still respect them. I think that this is a characteristic that will benefit the different societies I may find myself working in. No one wants to learn from a nurse they fill does not truly care for them or their culture. Not everyone has the ability or desire to be culturally sensitive but I do. I believe this ability will make me a more effective nurse and let me have a bigger impact on the different societies of the world.
I believe it is always beneficial to take the time to decide what one’s personal philosophy is. If you do not do this on occasion how will you truly know what you stand for? I know what the nursing profession means to me, I know that I am a part of a team, I know what I have to offer, and I know why I am doing it. I know that with this knowledge I will be a more effective nurse, team member, teacher, and caregiver. Nursing is where I am meant to be and I mean to make a difference.
(Sorry about the bad formating. It's Bloggers' fault!)
Tuesday, September 20, 2011
Oh, it's on!
Well, my fourth (and last) semester of nursing school is in full swing! It’s very surreal. It feels like only yesterday that I was at the nursing orientation two weeks before first semester. As I sat there I could not help but think “what the crap am I doing here? I can’t do this!” And now here I am starting IVs like an old pro, giving meds without a nurse over my shoulder, picking out a preceptorship, and planning our pinning ceremony with my classmates. I am so excited to be almost done and at the same time scared out of my mind. It will be a long time after I get my first nursing job that I will really feel comfortable, but I am looking forward to it.
For those of you who do not know much about nursing preceptorships I will explain. Most of the time it is referring to a 2 to 3 month period of working with a seasoned nurse at the beginning of your first job (a probation period). Here we have preceptor ships during school as well. Our finals will be mid October and then we will have about 96 hours one on one with a nurse (hopefully in the unit of our choice). My teacher will not know for sure what slots will be available to us till October. So I got on her “wish list” to be assigned to the ER. I have never really considered the ER before, but after spending this past Friday there during a 12 hour clinical, I have had a bit of a revelation. The ER would be a great place to get some more practical experience other than just giving meds (most of the time we are on the Med/Surg floor and that is all you really do…that and bed baths). Most people show up there with IVs, Foley’s, etc… already in place…boring! So if all goes well I will get in the ER and if after 96 hours I decide it’s not for me, fine. At least I will know for sure and I would have gotten some great technical skills.
I am very excited for the future and looking forward to seeing where my nursing career will take me!
(the chart above is of the 12 cranial nerves. I have to know then by number, name, and function for my next test. yuk!)
Wednesday, August 3, 2011
Saturday, July 16, 2011
Third Semester
This past May marked the end of my third semester in nursing school. I was told before hand that it would be the hardest because we would have so much more to juggle with more classes and a lot more clinicals. Fortunately, I did not have to drive to another city this year for my Med/Surg clinicals, but I still felt all over the place.
This semester included Med/Surg II, Women's Health, and Pediatrics. Med/Surg was a lot of fun and I am starting to see and feel that I might actually be able to be a decent nurse. During women's health clincals I was in labor and delivery and got to witness a c-section...and yes I almost passed out. I have observed longer and bloodier procedures, but when I smelt the burnt flesh and saw so much blood quickly rise out of this woman's stomach that was it. Good thing there was a stool in the corner. It was embarrassing at the time, but now I look back and can't help but laugh.
I have been trying to narrow down what kind of nurse I want to be and this semester really shook things up for me. I got to experience a day in the life of a nurse in a clinic. I must say that a 9 to 5 job with an hour lunch break and weekends/holidays off seems really nice. Alas, I really think I need to step it up and get my hands dirty in a hospital setting.
I also got to spend some time in a dialysis center. For a long time I have thought of working at one and doing community education classes as well. After spending a year and a half at the National Kidney Foundation of Hawaii there is a special place in my heart for people on dialysis.
Crossing the boarder into Arizona for clinicals was another treat. I got to spend the day at a special education school up by Window Rock. It was an amazing facility with modern hogans, a green house, art studio, etc.... it was nice to see people come together for these special kids.
So as I mentioned before this was a hard semester. I don't ever remember crying on the phone to my parents before...and I did it a lot. I spent the entire semester wondering if I was going to pass. My teacher decided to not give us study guides and we all suffered for it. I know she meant well, but when you are tested every week (sometimes twice a week) over so much information old and new, you are going to need a little help. Fortunately, I made it through!!! Unfortunately, some of my friends and classmates did not. They will be held back to repeat Med/Surg II and it is scary to think how close I came to not passing.
My fourth and final semester starts at the end of August. I am both excited and scared. There are six students who did not pass forth semester and will be in my class now. I am trying not to compare myself to them, but it's hard not to. Things will go fast and finals will come about a month and a half before the end of the semester. This gives us time for our preceptorships were we will be working one on one with a nurse. Ahhhhhh!! Breath! It's going to be a bumpy ride ,but I am looking forward to it.
Sunday, June 19, 2011
Tuesday, May 31, 2011
Westhoff Family Reunion 2011
Day 1: Swimming, pizza, and Krispy Kreme!
Sunday, May 8, 2011
Thursday, March 3, 2011
Nuremburg, Germany
So, for my first full day in Germany Stephanie, Jacob, Bryan, and I went to Nuremberg. It is a beautiful city with lots of great cathedrals and other cool structures to see. Unfortunately, I can't remember the names of half the things we saw. Guess that's what happens when you wait forever to blog.
It was fun to ride on trains again!
Even though the Christmas market was closed the city was still hoppn'.
This is the top of one of the first cathedrals we ran into. It was closed, but the outside was still pretty cool to look at.
View on the way to the next one.
It amazes me that they look newer then they really are. Most were build between 1200-1500 a.d. I think.
The door into the cathedral. Kind of creepy if you ask me.
This is a view from inside the walls of Nuremberg Castle. We did not go into the castle itself, but it was still fun to walk around the grounds.
View of the city on the way back from Nuremberg Castle.
After a long day we decided to come into this cathedral to try and get warm. Big mistake, it was colder in here then it was outside. But as luck would have it, they were having a mini concert up on the loft. It was so neat to be in a huge cathedral listening to an organ and brass instruments being played. So beautiful!
The man behind my first Nutella Crepe.
YUM!