tag:blogger.com,1999:blog-8295493992149778512024-03-13T12:18:40.296-07:00Regis College BSN/MSN Nurse Practitioner Student: A Year in the Liferegisnursingrachelfhttp://www.blogger.com/profile/14347761956082632358noreply@blogger.comBlogger29125tag:blogger.com,1999:blog-829549399214977851.post-69842890929757070912013-05-01T16:48:00.000-07:002013-05-01T16:48:23.690-07:00<h2>
The end of the end</h2>
<br />
So, it seems for months now that I have been building up to this moment. First, it was midterms... only half a semester to go until the end. Then it was the marathon bombings and an active manhunt for a terrorist literally outside my front door. Then it was my last day at clinical. I vowed that I wouldn't cry: it was a happy thing after all! But there went the waterworks at the final sight of my great preceptor. And then there's tonight, and the countdowns are as follows:<br />
<br />
FINAL final exam: Tomorrow<br />
Graduate hooding ceremony: 6 days<br />
Commencement: 10 days<br />
<br />
With things practically all in single digits, it is clear to me that this amazing, crazy, ridiculous journey is coming to an end. And although it is just the beginning, I can't help but feel a little reminiscent about the early days of this crazy ride. <br />
<br />
News Headlines: Rachel's Most Pressing Memories from 3 Years at Regis College <br />
<br />
<strong>Fall semester, 2010</strong><br />
-Petrified at VA Hospital: Clinical instructor forced to physically push student into patient room<br />
-Still petrified at VA Hospital: Afraid to administer meds due to possibility of patient death<br />
-A little less petrified at VA Hospital: Young student nurse successfully administers medications to patient.<br />
-Confident at VA Hospital: Student nurse cares for 2 patients simultaneously, administering medications and helping to create care plans. <br />
<br />
<strong>Spring semester, 2011</strong><br />
-ZzZzZzZzZzZz: 5:30am- Student nurse dozing on bus to Mt. Auburn Hospital with two best friends in tow. <br />
-Snow. Snow. More snow. Will the seemingly never ending winter wallops ever end?<br />
-Clinically clinical: 3 clinical days a week- how much is too much?<br />
-A time to remember: Regis College nursing student feels more 'nursish' than ever, also worked in locked psych ward and lived to tell the tale.<br />
<br />
<strong>Summer semester, 2011</strong><br />
-Summer, summer, summertime: No sitting back to unwind for this girl- Children's here we come!<br />
-Perspective: The little things mean most for CF patient at Children's Hospital, all the way from the United Arab Emirates for the expert care of Children's providers.<br />
-Pop! Nursing student watches Cesarean section birth without fainting... only hyperventilation.<br />
<br />
<strong>Fall semester, 2011</strong><br />
-Wait, what? Regis program requires 125 hours in clinical setting as part of RN preceptorship.<br />
-Getting 'er done! 3 classes and over 20 hours of clinical a week later, nursing students rally towards NCLEX finish line!<br />
-Winter break, what's that? Students sit in crowded, loud classroom for NCLEX review. <br />
<br />
<strong>Spring Semester, 2012</strong><br />
-The time is NOW! Nursing student schedules NCLEX exam for February 15 at 11:00am... but who remembers that?<br />
-A long 7 DAYS later: student learns of official passing of NCLEX exam...dreams come true!<br />
-The longest paper ever: research paper on thesis proposal goes off without a hitch... haha. Not.<br />
-Double Trouble: Grad student earns her second Bachelor's degree! Let's celebrate!<br />
<br />
<strong>Summer Semester, 2012</strong><br />
<strong>-</strong>Health policy shmolicy: Students learn the importance of knowing the healthcare system, even when it bores them.<br />
-Health assessment....advanced. Head to toe assessments and diagnosing...advanced style.<br />
<br />
<strong>Fall Semester, 2012</strong><br />
-Holy moley: 3rd year student shakes head at concept of being NP student.<br />
-Woah. Woah...just woah.<br />
-Case study pandemonium: 25+ page paper per week drives NP student to insanity.<br />
-Learning in action: Active clinical works encourages NP student confidence, skills and expertise.<br />
<br />
<br />
And then we are here, Spring Semester 2013... the time I never dreamed would actually come. So what are this semester's headlines, you ask? Those are best summed up in complete sentences. Looking back on this incredible 3 year journey, I have never felt more proud. I also have never felt more grateful: to the teachers that have taught me how to not only be a nurse, but to be a compassionate, empathic one. To the school that has given me the skills to not only be a nurse practitioner, but to be one that is ready to enter the field with confidence, ample experience and knowledge. To the Regis community for allowing me to be a part of such a diverse, special group of people. <br />
<br />
So, folks, with that I bid you and this blog adieu. Thank you for giving me the privilege of entering your homes, computers, and lives each week with my thoughts, stresses, experiences and stories. This blog will serve not only as a special memory of what I have been through, but also hopefully as a way for you to navigate your own experience as a past, current or future Regis College student.<br />
<br />
Wherever you go, whatever you do may all the blessings of the world follow you.<br />
<br />
regisnursingrachelfhttp://www.blogger.com/profile/14347761956082632358noreply@blogger.com2tag:blogger.com,1999:blog-829549399214977851.post-37805397607356683772013-05-01T16:23:00.001-07:002013-05-01T16:23:29.987-07:00<h2>
The Bella Show</h2>
So since my next post will be my best (and last!) blog post, I figured I owed it to my own personal clown, comedian, model and pal to devote a special page to THE Bella. So... hopefully this will help you get through your finals.<br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://1.bp.blogspot.com/-WU0LXpihOIc/UYGjpr_TALI/AAAAAAAAAEg/snRp5Y_qDWs/s1600/008.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="http://1.bp.blogspot.com/-WU0LXpihOIc/UYGjpr_TALI/AAAAAAAAAEg/snRp5Y_qDWs/s320/008.jpg" width="320" /></a></div>
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://3.bp.blogspot.com/-pQmeniLxUFs/UYGjrRJj4vI/AAAAAAAAAEo/hSAzaSxmcW4/s1600/014.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="http://3.bp.blogspot.com/-pQmeniLxUFs/UYGjrRJj4vI/AAAAAAAAAEo/hSAzaSxmcW4/s320/014.jpg" width="320" /></a></div>
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://2.bp.blogspot.com/-TCvrj5PyFuU/UYGjsaSmEsI/AAAAAAAAAEw/o4LHCjf39Gs/s1600/016.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="http://2.bp.blogspot.com/-TCvrj5PyFuU/UYGjsaSmEsI/AAAAAAAAAEw/o4LHCjf39Gs/s320/016.jpg" width="320" /></a></div>
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://4.bp.blogspot.com/-kFtLYs1Svm8/UYGjtoXnO5I/AAAAAAAAAE4/s3Ml_QpEIpc/s1600/015.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="http://4.bp.blogspot.com/-kFtLYs1Svm8/UYGjtoXnO5I/AAAAAAAAAE4/s3Ml_QpEIpc/s320/015.jpg" width="320" /></a></div>
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://4.bp.blogspot.com/-3lqOm9YVq1M/UYGjugaQZOI/AAAAAAAAAFA/-k7cy1Ra3wk/s1600/028.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="http://4.bp.blogspot.com/-3lqOm9YVq1M/UYGjugaQZOI/AAAAAAAAAFA/-k7cy1Ra3wk/s320/028.jpg" width="320" /></a></div>
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://4.bp.blogspot.com/-mGckb5Qs3Aw/UYGjwj10d_I/AAAAAAAAAFI/CFFF3hFlT_E/s1600/045.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="http://4.bp.blogspot.com/-mGckb5Qs3Aw/UYGjwj10d_I/AAAAAAAAAFI/CFFF3hFlT_E/s320/045.jpg" width="320" /></a></div>
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://3.bp.blogspot.com/-wi2qxjfOeKI/UYGjzJ8QNzI/AAAAAAAAAFQ/xSUTtVDsWak/s1600/069.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="http://3.bp.blogspot.com/-wi2qxjfOeKI/UYGjzJ8QNzI/AAAAAAAAAFQ/xSUTtVDsWak/s320/069.jpg" width="320" /></a></div>
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://4.bp.blogspot.com/-ooOKmk-6ne0/UYGj08eh8XI/AAAAAAAAAFY/oFMFUMhGYwk/s1600/076.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="http://4.bp.blogspot.com/-ooOKmk-6ne0/UYGj08eh8XI/AAAAAAAAAFY/oFMFUMhGYwk/s320/076.jpg" width="320" /></a></div>
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://3.bp.blogspot.com/-8N49Sb80byc/UYGj2SAqc7I/AAAAAAAAAFg/xYJmxmJbf7w/s1600/109.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="http://3.bp.blogspot.com/-8N49Sb80byc/UYGj2SAqc7I/AAAAAAAAAFg/xYJmxmJbf7w/s320/109.jpg" width="320" /></a></div>
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://2.bp.blogspot.com/-oY893Lv2VbU/UYGj5LveLyI/AAAAAAAAAFo/AjDoqhdza-Q/s1600/soerjpsojer.bmp" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="http://2.bp.blogspot.com/-oY893Lv2VbU/UYGj5LveLyI/AAAAAAAAAFo/AjDoqhdza-Q/s320/soerjpsojer.bmp" width="320" /></a></div>
regisnursingrachelfhttp://www.blogger.com/profile/14347761956082632358noreply@blogger.com0tag:blogger.com,1999:blog-829549399214977851.post-41566029102648207092013-04-19T19:00:00.001-07:002013-04-19T19:00:40.565-07:00<h2>
THANK GOD</h2>
I'll make this short and sweet<br />
From Watertown, MA I write you<br />
We are calm<br />
We are free<br />
We are safe<br />
Thank you to the unbelievable diligence, professionalism and bravery of the Watertown Police Department, Boston Police Department, SWAT, FBI, ATF and all the other departments involved in returning our lives to normalcy.<br />
After being holed up in our apartments all day<br />
Listening to gun shots<br />
Listening to helicopters<br />
WE ARE SAFE.<br />
May the precious, precious souls of sweet Martin, Krystle, Lingzi and Sean be forever in peace and never in vein.<br />
regisnursingrachelfhttp://www.blogger.com/profile/14347761956082632358noreply@blogger.com0tag:blogger.com,1999:blog-829549399214977851.post-40518102965077192592013-04-15T20:06:00.002-07:002013-04-15T20:06:16.900-07:00<h2>
A Reflection with No Agenda.</h2>
<br />
<br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-size: 12pt; line-height: 115%;"><span style="font-family: Georgia, "Times New Roman", serif;">It is a
nightmare. It must be. I am tossing and turning but I can’t wake up. There’s
smoke, and screaming, and chaos. I rub my eyes, rub my eyes…but it doesn’t go
away.<o:p></o:p></span></span></div>
<span style="font-family: Georgia, "Times New Roman", serif;">
</span><br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-size: 12pt; line-height: 115%;"><span style="font-family: Georgia, "Times New Roman", serif;">Today began
like any other. I woke up on this Marathon Monday to the sounds of my alarm
clock squawking at me to get up. A couple of snoozes, an English muffin and
some much needed coffee later, the day was off and running.<o:p></o:p></span></span></div>
<span style="font-family: Georgia, "Times New Roman", serif;">
</span><br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-size: 12pt; line-height: 115%;"><span style="font-family: Georgia, "Times New Roman", serif;">Somewhere in
the distance, an 8 year old woke up and his Marathon Monday began like any
other… at least I can guess. Because that 8 year old boy is just like me. Every
year, that magical day approached when everyone was off from work…a great
excuse to eat junk food and hand strangers water and oranges. Lawn chairs,
coolers and sunscreen in tow, I’d walk down the Marathon streets with my dad,
my best friend and her father. The four of us so content, so safe in the joy of
the day… the energy that fills the air, the excitement of seeing mere mortals
do seemingly heroic things with their bodies. The rhythmic motion of muscles
and sneakers, moving in tandem with arms flapping, teeth shining, skin
glistening. The smells of grilled meats, popcorn and spilled beer. The sounds of
young kids asking why, why do we do this every year. The sounds of drunk
college kids screaming at their friends for walking too fast. The sounds of
parents trying to keep tabs on their 8 year old, who would do anything to get
just one better look at the head of the pack.<o:p></o:p></span></span></div>
<span style="font-family: Georgia, "Times New Roman", serif;">
</span><br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-size: 12pt; line-height: 115%;"><span style="font-family: Georgia, "Times New Roman", serif;">And then
there’s today. The visions of yesterday, those smells and visions and feelings
of having it all… they’re gone. All gone. And I’m left with a pit in my
stomach, an empty pit yet so full of anger, confusion, fear, nostalgia, nausea,
and terror. <o:p></o:p></span></span></div>
<span style="font-family: Georgia, "Times New Roman", serif;">
</span><br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-size: 12pt; line-height: 115%;"><span style="font-family: Georgia, "Times New Roman", serif;">This isn’t
supposed to happen anywhere. This especially isn’t suppose to happen here. I am
biased I admit, but anyone who has visited here or lived here or walked these
streets will agree… Boston is a special place. <o:p></o:p></span></span></div>
<span style="font-family: Georgia, "Times New Roman", serif;">
</span><br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-size: 12pt; line-height: 115%;"><span style="font-family: Georgia, "Times New Roman", serif;">We are small
enough to know each other, but big enough to mind our business. </span></span></div>
<span style="font-family: Georgia, "Times New Roman", serif;">
</span><br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-size: 12pt; line-height: 115%;"><span style="font-family: Georgia, "Times New Roman", serif;">We love our
sports teams, and we hate the Yankees.<o:p></o:p></span></span></div>
<span style="font-family: Georgia, "Times New Roman", serif;">
</span><br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-size: 12pt; line-height: 115%;"><span style="font-family: Georgia, "Times New Roman", serif;">Dunkin
Donuts iced coffee is our state food.<o:p></o:p></span></span></div>
<span style="font-family: Georgia, "Times New Roman", serif;">
</span><br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-size: 12pt; line-height: 115%;"><span style="font-family: Georgia, "Times New Roman", serif;">We drive
lake maniacs and expect you to do the same.<o:p></o:p></span></span></div>
<span style="font-family: Georgia, "Times New Roman", serif;">
</span><br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-size: 12pt; line-height: 115%;"><span style="font-family: Georgia, "Times New Roman", serif;">And we go to
the Boston Marathon every Patriot’s Day. And we love it. And we go home after
filled with exhaustion from over-stimulation, a stomach-ache from too much food
and a heart full of Boston pride. <o:p></o:p></span></span></div>
<span style="font-family: Georgia, "Times New Roman", serif;">
</span><br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-size: 12pt; line-height: 115%;"><span style="font-family: Georgia, "Times New Roman", serif;">It just isn’t
suppose to happen here… on a day like this…in a place like this. Where people
bust their butts to pay for their rent. Where people come from all over the
world to a city that prides itself on acceptance of all people. Where we don’t
worry about things like this happening, but we just trust in ourselves and each
other.<o:p></o:p></span></span></div>
<span style="font-family: Georgia, "Times New Roman", serif;">
</span><br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-size: 12pt; line-height: 115%;"><span style="font-family: Georgia, "Times New Roman", serif;">So I toss
and I turn. And I shut my eyes tight. And Lord, do I pray that when morning
arrives, and how lucky it will be to arrive, this will all be that nightmare I thought all along.<o:p></o:p></span></span></div>
regisnursingrachelfhttp://www.blogger.com/profile/14347761956082632358noreply@blogger.com0tag:blogger.com,1999:blog-829549399214977851.post-14131172033733339522013-04-11T14:07:00.002-07:002013-04-11T14:07:24.720-07:00<h2>
<span style="font-family: Georgia,"Times New Roman",serif;">1 down, 3 to go!</span></h2>
<span style="font-family: Georgia,"Times New Roman",serif;">1 down 3 to go. Of what you ask? Of clinicals!! It is hard to believe but on Monday I bid farewell to one of my four clinical placements! I was surprised by how mixed my emotions were. On the one hand, I was happy to be finally finishing up these crazy clinical days. On the other hand, I said goodbye to an amazing group of people who have been such a great source of support and cheerleading for my nurse practitioner life! It is crazy how people in these clinical settings get to know you so quickly on such an intimate level, and become some of your biggest fans!</span><br />
<span style="font-family: Georgia,"Times New Roman",serif;"><br /></span>
<span style="font-family: Georgia,"Times New Roman",serif;">Next week, I bid adieu to the remainder of my clinical placements and that is going to be heavy! On Tuesday, I say goodbye to my preceptor that I have for geriatrics. On Wednesday and Friday respectively, I say bye to the two preceptorships I have had the longest (since September!) at Regis College Health Services and my preceptor in Everett. I honestly can't believe how fast time has flown and how much I have learned! As of today, I have 582 hours done.... who would have thought it was possible! </span><br />
<span style="font-family: Georgia,"Times New Roman",serif;"><br /></span>
<span style="font-family: Georgia,"Times New Roman",serif;">Tonight I have lecture and we are learning about the musculoskeletal system (not my favorite). It should be interesting and helpful since at least one patient every day is there for a musculoskeletal issue, and let's face it, they affect us all! Before class tonight, my trip-mates and I are speaking to our class about our amazing trip to Grenada last month, so that should be really fun to share what we experienced with the rest of the gang! </span><br />
<span style="font-family: Georgia,"Times New Roman",serif;"><br /></span>
<span style="font-family: Georgia,"Times New Roman",serif;">It's funny how as time winds down, I have less and less to say yet I am dealing with more and more. One day soon you will get the super sappy, emotional farewell post and that will make up for my lack of interesting stories these past few weeks. And yes, I know I have slacked on the Bella photos as well...shame on me, tisk tisk. Maybe a totally Bella post will come your way before our time is through, who knows! :)</span><br />
<span style="font-family: Georgia,"Times New Roman",serif;"><br /></span>
<br />regisnursingrachelfhttp://www.blogger.com/profile/14347761956082632358noreply@blogger.com0tag:blogger.com,1999:blog-829549399214977851.post-46150572290457399102013-04-03T11:22:00.000-07:002013-04-03T11:22:12.238-07:00<h2>
<span style="color: orange; font-size: x-large;">April <strike>showers </strike>shivers bring May flowers</span></h2>
<span style="font-size: large;">April 3 and we are one month away ladies and gentleman from...wait for it... GRADUATION! I know I know, I about this over and over. The passage of time, how fast it went, how much I've learned, <strong>how I will in some sick and twisted way be sad it ended.</strong> Oh wait, I didn't let that one out of the bag yet? Oops. My secret's out.</span><br />
<br />
<span style="font-size: large;">Let me clarify. There are things I will NOT miss about being and grad school and there are things that I will miss. You know you are alllmooost a nurse practitioner when you need to make organized lists and tables of your data. Here is my brain in a nice, organized list (they like that in grad school):</span><br />
<br />
<span style="font-size: large;">What I <strong>WON'T</strong> miss</span><br />
<span style="font-size: large;">-The constant deadlines</span><br />
<span style="font-size: large;">-The fear of failure (I guess that won't go away)</span><br />
<span style="font-size: large;">-The feeling of impending doom</span><br />
<span style="font-size: large;">-No sleep</span><br />
<span style="font-size: large;">-No exercise</span><br />
<span style="font-size: large;">-No personal grooming </span><br />
<span style="font-size: large;">-No free time with friends and family</span><br />
<span style="font-size: large;">-No time to have hobbies</span><br />
<span style="font-size: large;">-The paper writing</span><br />
<span style="font-size: large;">-The pressure of that final exam worth 1/3 your grade</span><br />
<span style="font-size: large;">-The fearing not finding a job</span><br />
<br />
<span style="font-size: large;">What I <strong>WILL</strong> miss</span><br />
<span style="font-size: large;">-Those many friends and acquaintances from school who I know time will drift away from me just because life works that way with some relationships</span><br />
<span style="font-size: large;">-Seeing these familiar faces</span><br />
<span style="font-size: large;">-Feeling of community</span><br />
<span style="font-size: large;">-Not having to worry about havings someone's life in my hands (without direct preceptor supervision)</span><br />
<span style="font-size: large;">-Having a set path in place that I don't have to devert from</span><br />
<br />
<span style="font-size: large;">So there, proof that the ol' Rachster does have a heart. And that new beginnings and their simultaneous endings come with both perks and downfalls. As I sit and reflect on how things will change alot next month, I also reflect on how I had a job interview today with what would be the <strong>perfect </strong>place for me to start. Let's hope the next few weeks bring the joy of a job. Who knows.</span><br />
<br />
<span style="font-size: large;">Until next time, folks, stay warm!</span><br />
regisnursingrachelfhttp://www.blogger.com/profile/14347761956082632358noreply@blogger.com0tag:blogger.com,1999:blog-829549399214977851.post-52866578379282400002013-03-27T09:58:00.000-07:002013-03-27T09:58:01.120-07:00<h2>
<span style="background-color: orange;">46 days</span></h2>
So, unlike many of my classmates, friends and counterparts who did this, oh say, 2 years ago I finally counted how many days I have until I officially graduate from nursing school: 46 DAYS! I can't believe it! Time is flying by so fast! I remember thinking to myself as winter break drew to a close, "Well, Rach, you are done but you aren't. You have tests and case studies, a trip to Grenada..." Well, the case studies, the exams, the papers and Grenada have come and gone and the Spring is upon us! My heart leaps at the sight of those tiny, newborn buds in the dirt. <br />
<br />
Although it is still chilly out, and supposedly more snow is on the horizon (sigh) that smell of spring is in the air. The memories of clinicals past whirl round and round in my head, reflecting on the challenges I have overcome in my 3 years here at Regis. And here I am, sitting at the desk in Health Services as I do each and every Wednesday, and I remember the short 6 months ago when I couldn't tell you anything. <br />
<br />
September:<br />
Cindy: "How did his throat look, Rachel?"<br />
Rachel: "Uhh.. I mean, it was... it wasn't pink but it wasn't red. But you know, it had some bumps but I don't know if those are normal. And yeah... but I don't know."<br />
<br />
March:<br />
Cindy: "How did his throat look, Rachel?"<br />
Rachel: "Mildly erythemic, no exudates. Tonsils were 2+ bilaterally. Based on his associated symptoms and his throat, I am going to rapid strep him but I expect it to be negative."<br />
<br />
Yeah, yeah Dr. House, eat your heart out!<br />
<br />
The most amazing thing about nursing is that (sorry folks) YOU NEVER STOP LEARNING! Every single day, every single patient teaches you something new about assessment, diagnosis, management...every single moment is a learning opportunity. And I have found that if I approach each and every day and opportunity and patient in this manner, I get the most out of my experiences. I guess that is the case with life: if you approach it as an open book, you get one well written novel.<br />
<br />
As of today I have completed 529 clinical hours!! 536 by the end of today, and that will leave a mere 64 between me and my Master's! A couple of case studies, one paper here one paper there and a final exam and it's time to run off in to the sunset.<br />
<br />
Well, until I do, I have patients to see and new things to learn. Have a wonderful Easter, Passover or whatever else the weeks ahead have to offer! <br />
<br />
Until next week!<br />
<br />
Rachel<br />
<br />
regisnursingrachelfhttp://www.blogger.com/profile/14347761956082632358noreply@blogger.com0tag:blogger.com,1999:blog-829549399214977851.post-58944994697594655992013-03-14T13:24:00.003-07:002013-03-14T13:24:46.317-07:00<h2>
<span style="font-family: Georgia,"Times New Roman",serif;">Life post Grenada</span></h2>
<span style="font-family: Georgia,"Times New Roman",serif;"><br /></span>
<span style="font-family: Georgia,"Times New Roman",serif;">Well, after a crazy/busy/enlightening/fulfilling/chaotic/hot/bug-bitten 10 days on the lovely island of Grenada, I return to Regis College and pick up right where I left off except for one big difference....</span><br />
<span style="font-family: Georgia,"Times New Roman",serif;"><br /></span>
<span style="font-family: Georgia,"Times New Roman",serif;"><span style="font-size: x-large;">I <span style="font-size: x-large;">graduate in 7 weeks!</span></span></span><br />
<br />
<span style="font-family: Georgia,"Times New Roman",serif;"><span style="font-size: x-large;"><span style="font-size: x-large;"><span style="font-size: small;">Today I am on campus for 2 classes, and then am done fo<span style="font-size: small;">r the week, though I normally have clinical on Fridays I don't this week<span style="font-size: small;">. <span style="font-size: small;">Things are pretty status quo on the school front: cas<span style="font-size: small;">e studies to write, cli<span style="font-size: small;">nical hours to do. But as each day goes by, I can't help but feel an immense sense of pride in all that I have accomplished here! As my time at Regis starts winding down, it really sta<span style="font-size: small;">rts to hit you how much you <span style="font-size: small;">have learned, how much you have changed, and how much you have grown! As undergraduate nursing majors walk into Health Services while I'm precepting, and they tell me<span style="font-size: small;"> of the trials and trib<span style="font-size: small;">ulations of 6am clinicals and crazy exams, I reflect on my own early mornings, walking in the snow to<span style="font-size: small;"> the bus stop to catch the bus to Mt. Auburn to be there by 7 to review my patients to start vitals.......... and so on!</span></span></span></span></span></span></span></span></span></span></span></span></span></span><br />
<br />
<span style="font-family: Georgia,"Times New Roman",serif;"><span style="font-size: x-large;"><span style="font-size: x-large;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;">Or the nights I was so tired I'd find myself waking up to a page stuck to my face, ink imprinted on my cheek.</span></span></span></span></span></span></span></span></span></span></span></span></span></span><br />
<span style="font-family: Georgia,"Times New Roman",serif;"><span style="font-size: x-large;"><span style="font-size: x-large;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;">Or the days I had no t<span style="font-size: small;">ime to eat so I'd make my<span style="font-size: small;">self a go<span style="font-size: small;">urmet <span style="font-size: small;">mishmash of pop tart ala cheeto. I highly recommend it :)</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span><br />
<span style="font-family: Georgia,"Times New Roman",serif;"><span style="font-size: x-large;"><span style="font-size: x-large;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;">When I speak at i<span style="font-size: small;">nf<span style="font-size: small;">ormation sessions, I see the excitement <span style="font-size: small;">and fire in Regis's future nurse practitioner students, who ask me what advice I have for their su<span style="font-size: small;">ccess. "Should I work? How do you pay for it? What is a week in the life like?"<span style="font-size: small;"> It seems like just yes<span style="font-size: small;">terday I was the one p<span style="font-size: small;">osing such questions!</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span><br />
<br />
<span style="font-family: Georgia,"Times New Roman",serif;"><span style="font-size: x-large;"><span style="font-size: x-large;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;">Grenada only emphasized for me how much I have l<span style="font-size: small;">ear<span style="font-size: small;">ned, and more, how much I truly take for granted. From seeing a hospital there, I will never <span style="font-size: small;">again take for granted a shiny clean hospital floor, a disposible speculum or a pair of <span style="font-size: small;">gloves that fit. Along our jour<span style="font-size: small;">neys in Grenada, we repeatedly were told how much our work and help meant to the people there. Yet the funny t<span style="font-size: small;">hing was, I felt as though I did not much at all! Here in the US, if we find a breast mass, we refer the patient for a m<span style="font-size: small;">ammogram<span style="font-size: small;">. In Grenada, if we found a breast lump, we could only refer the woman to her doctor, who would then determine what to do next. No screening mammograms. <span style="font-size: small;">A huge lack of many major medications. A huge amount of people without jobs, accessible health care, or even a roof o<span style="font-size: small;">ver their head. Yet they are so grateful! It really is those moments wh<span style="font-size: small;">en you remember w<span style="font-size: small;">hat nursing is about: making the most of nothing. Giving from the heart, not always the wallet.</span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span><br />
<br />
<span style="font-size: x-large;"><span style="font-size: x-large;"><span style="font-family: Georgia,"Times New Roman",serif;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;"><span style="font-size: small;">Well folks, it's off to clas<span style="font-size: small;">s I go! Tonight we are learning about strokes, anticoagulation the<span style="font-size: small;">rapy and atrial f<span style="font-size: small;">ibrillation. :) </span></span></span> </span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span> regisnursingrachelfhttp://www.blogger.com/profile/14347761956082632358noreply@blogger.com1tag:blogger.com,1999:blog-829549399214977851.post-54385637568228417352013-03-06T17:07:00.000-08:002013-03-06T17:07:05.845-08:00<h2>
As promised!</h2>
Well ladies and gents, as you prepare for ANOTHER snow storm, I write you from sunny, breezy Grenada where the local time is 7:57pm. We have been having an amazing time here. For those of you who aren't sure what I am talking about, myself and 5 other NP students, along with one faculty member, are in Grenada, an island in the West Indies located near a few hundred miles from the coast of Venezuela. We arrived Friday evening and have been BUSY BUSY ever since!<br />
<br />
On Saturday morning, we went to Mt. Gay Psychiatric Hospital and performed breast exams on some of the female patients residing there. The women and staff were so thankful for our services and loved hearing about our lives and what it is like to live in Massachusetts! In addition, we distributed bras that you wonderful people helped to donate to the women, and they were so incredibly appreciative!<br />
<br />
After that, we headed back to St. George's University, our home base for the duration of our experience. The school is home to a very reputable medical, veterinary and nursing school. There are students from all over the world here! <br />
<br />
In addition to performing breast exams, we have spent 2 days precepting with Grenadian doctors. Each of us have had different experiences. I spent yesterday precepting with an amazing pediatric and adult primary care physican named Dr. Kecia Lowe. We have formed such a special friendship and I hope to see her again on her next visit to the states or my next visit to wonderful Grenada! Today, I spent a day at the Planned Parenthood League, which was a really amazing experience! Months ago, I had trouble being able to independently perform a Pap smear or do breast exams. I feel that this experience has not only opened my eyes to an amazing new culture, but also has improved my clinical skills so I can be better provider when I return home to finish my final semester!<br />
<br />
Otherwise, we have spent a lot of time learning about Grenadian culture, including a visit to a show that demonstrated local culture and history. We also have participated in various on campus activities with both the nursing and medical school. For the rest of the week, we will have a bit of free time. However, we will be busy rest assured! We will be visiting both a nursing home and a home for the disabled, along with participating in a health fair up in the mountains on Sunday.<br />
<br />
I am absolutely blown away by the kindness, friendliness and patience of the people here. The rule of thumb is: you must say hi to everyone you pass on the street. I guess I could get use to that!<br />
<br />
Well, the wind is blowing and my eyelids are closing... work work work!<br />
<br />
Until next time, stay safe in the snow and I will send some heat and sun your way!<br />
<br />
regisnursingrachelfhttp://www.blogger.com/profile/14347761956082632358noreply@blogger.com0tag:blogger.com,1999:blog-829549399214977851.post-81974444394178275252013-03-05T14:21:00.000-08:002013-03-05T14:21:05.588-08:00<h2>
GREETINGS FROM GRENADA!! (blog post to come)</h2>
Hi ladies and gents and happy spring break (ahhhh) to you all!<br />
<br />
I just wanted to apologize for my recent drop off the blog world. Between a stomach bug, midterms and flying to Grenada (where I write from now) things have been a bit chaotic!! <br />
<br />
I will post later in the week about our adventures here in the hot Caribbean! We are learning so much and I can't wait to tell you all about it. Until then..... regisnursingrachelfhttp://www.blogger.com/profile/14347761956082632358noreply@blogger.com0tag:blogger.com,1999:blog-829549399214977851.post-69421460446830564702013-02-17T14:37:00.001-08:002013-02-17T14:37:57.159-08:00<h2>
The dream becomes reality</h2>
So it is mid-February and time travels on. A short 2 or 3 months ago, I imagined what would be going on at this time. I figured I would be starting to prepare and get excited for my trip to Grenada (a week from Friday!). That is true. I figured I would be feeling stressed, tired and overwhelmed from the normal grind of graduate school life. That is true. I also figured I would be searching, searching, searching despirately for NP job opportunities, thinking it would be far too early to even hope for possible opportunities. Well, the searching and searching part is true, but I am happy to report that the second half of my prediction is way way wrong!<br />
<br />
It all began last week. During the fall, I had sent my resume and cover letter to a local pain management practice inquiring about an RN position. Figuring I would hear nothing of it, life went on. Then, I received a phone call last week from the physician at this practice. But she wasn't calling me to discuss a potential RN opportunity. She was calling to discuss a nurse practitioner job opening. My heart fell into my stomach, my throat clenched with nervousness... Me?! Interested in me? <br />
<br />
And so a week from this Tuesday I will be meeting with this doctor to learn more about the practice and their needs! Just when I thought things couldn't get more exciting, I heard from another potential employer interested in interviewing me! And while beaming with pride, I walked into the computer lab to read my email to find a health center interested in interviewing me. I do not tell you this to brag, I tell you this for a couple of reasons:<br />
<br />
1- Dreams DO come true! If you work hard and put effort/dedication into something, you will get out what you put in<br />
2- Don't ever think that taking the initiative and sending out your resume is a bad thing, or, that it is too early to do so. Worst case scenario, the employer will just say no, or, we don't have a need at this time.<br />
<br />
<br />
So, while I continue to pinch myself amidst this craziness and hope for the best, I am starting to organize myself for my service trip to Grenada! This past week, my group and I raised over $1000 as part of our raffle! I am so touched by the generosity and kindness of our family and friends, along with the Regis community. I can't wait to meet the people there and feel the hot sun! <br />
<br />
Well, I have to go start working on my case study due this week on thyroid disorders. Until next time folks, keep on keeping on and I will keep you updated on the job hunt!<br />
<br />
Rachel & Bella<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://1.bp.blogspot.com/-G6-74qs3cx4/USFbtTLPuoI/AAAAAAAAAEQ/z1Yb-HEdkM4/s1600/037.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="http://1.bp.blogspot.com/-G6-74qs3cx4/USFbtTLPuoI/AAAAAAAAAEQ/z1Yb-HEdkM4/s320/037.jpg" width="320" /></a>Is something wrong with this picture??</div>
<br />
regisnursingrachelfhttp://www.blogger.com/profile/14347761956082632358noreply@blogger.com0tag:blogger.com,1999:blog-829549399214977851.post-76228633550596647902013-02-09T20:36:00.003-08:002013-02-09T20:36:44.339-08:00<h2>
Let it snow, let it snow, let it...WOAH!</h2>
<br />
So don't worry, I am not going to be one of those cranky New Englanders who whines about the snow (sorry if you are one of them). I mean, come on people, it is Massachusetts! This is part of the fun! Truth be told, I really like it! I can't imagine living in one of those dreaded states that have nice weather all year long, warm air, ocean, palm trees... I mean, there is something to be said about <em>earning </em>your summer! Boston born and Boston bred- sorry folks, that's my spiel!<br />
<br />
Anyway, like all of you, I have been staying in due to the crazy storm! Luckilly we have not lost power. I decided to get snowed in with my parents so they wouldn't have to shovel and snowblow alone- they aren't spring chickens, you know :)<br />
<br />
So this morning we triple-attacked the driveway and boy was it exhausting! I think I snowblowed for 2 hours, and the snow was up to my thighs! The best part of the day was taking Bella out in the snow. She LOVES it! She must have been an eskimo in her past life.<br />
<br />
In nursing land, things are status quo! I know I say it probably every post, but it is crazy to me how fast time is flying! I already have my midterm exam in 2 weeks...possibly THE last midterm exam of my LIFE! As each semester winds on and winds down, I always think how it flies but start to mentally prepare in a way for the next one. It is so strange to realize that this time around, there is no 'next one'.<br />
<br />
I look back on my posts of insecurity, confusion and utter panic at the beginning of this year. I remember walking into patients' rooms and feeling completely clueless: clueless where to start, what to do, how to do it. It is really looking back at those times that you realize how far you have come and how much you have learned in such a short period of time! Now, I find myself going into patient's rooms alone with confident, having the ability to really <em>listen: </em>not only to what the patient is telling you, but what they aren't telling you. This is something they don't teach you always in school: look at the body language, the clothing, smell the air in the room. Every sense tells you something, gives you a piece of the patient puzzle.<br />
<br />
Then, I find myself beginning to diagnose patients and do what I feel is the hardest part of all: deciding on appropriate treatment and management. You finish taking pharmacology and you think: ha! I've got this! I know all the meds, the side effects, all of it! But really, that is the easy part. Every patient is different with different goals, symptoms, histories. So even though you'd like to think that one drug fits all situations, it simply doesn't. That is where the importance of experience comes into play. And thankfully, I can honestly say that I love every single one of my placements and feel that each of my preceptors have instilled in me a sense of confidence, competence, autonomy and most importantly,value for the well being of my patients.<br />
<br />
Well, as the wind howls and my belly growls, I bid thee adieu so I can go to sleep before I eat more (funny how snow storms stimulate the sweet tooth- hello ginger snaps, congo bars, chocolate). Until next time, be safe and stay warm! Oh, and if you are one of my fellow Regis College students, enjoy your long weekend.<br />
<br />
Rachel<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://3.bp.blogspot.com/-KyYlly_Ul4g/URcjteBvvRI/AAAAAAAAAEA/vciPAbyL938/s1600/045.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="http://3.bp.blogspot.com/-KyYlly_Ul4g/URcjteBvvRI/AAAAAAAAAEA/vciPAbyL938/s320/045.jpg" width="320" /></a>Doesn't she look like a turkey?!</div>
regisnursingrachelfhttp://www.blogger.com/profile/14347761956082632358noreply@blogger.com0tag:blogger.com,1999:blog-829549399214977851.post-5816698529275987812013-02-03T10:53:00.001-08:002013-02-03T10:53:03.743-08:00<h2>
The beat goes on</h2>
It's absolutely crazy that it is already February! Three months to go and I will be released into the wild, free from the grasp of Regis College, from the papers, the deadlines...but at the same time, WOW, is that petrifying. At clinical, I am seeing patients on my own: assessing, educating, deciding on appropriate treatments. But there is one thing that keeps my head afloat and my heart from beating out of my chest: I get to check in with my preceptor and get their okay and input. The thought of having that step suddenly disinegrate and me magically become an independent provider in the near future is no incredibly scary and exciting to me! I guess it makes it that much more important to not only find A job, but find the RIGHT job that provides me with guidance, support and leadership.<br />
<br />
Clincial is going great so far, amidst my exhaustion. I am in clinical 4 days a week:<br />
<br />
Mondays- Brockton 730a-230p<br />
Tuesdays- Milford 100p-600p<br />
Wednesdays- Regis Health Services 830a-400p<br />
Fridays- Everett 900a-400p<br />
<br />
This is not including my 3 classes, online clinical group, per diem nursing job, 20-30 page papers due each week, campus involvement, and personal life (what's that?)! People ask me how I do it. Honestly, I just DO. When you love something, you do whatever it takes to make it happen and that's just it. If you want something and you have a goal, you just do what you have got to do: no excuses!<br />
<br />
I am continuing to learn incredible things in clinical. Every day that goes by, I imagine myself stuffing a new paper into my brain's file cabinet. I have a feeling the folders will be forever endless! Little tidbits about medication interactions, side effects...about diagnostic procedures..screenings...recommendations. Every day is a new adventure and a new lesson.<br />
<br />
Already in the blink of an eye, it will be time for midterms and moving on towards the finish line. Until then, I'll keep on trucking!regisnursingrachelfhttp://www.blogger.com/profile/14347761956082632358noreply@blogger.com0tag:blogger.com,1999:blog-829549399214977851.post-26691139775859212722013-01-23T13:16:00.001-08:002013-01-23T13:16:58.718-08:00AGGHHHH!<h2>
AGGGHH!!</h2>
That about sums it up... see you next week!<br />
<br />
Just kidding, no but really it does. Where do I start? My schedule this semester is CRAZYY! Okay, here is a week in the life:<br />
<br />
Monday: Clinical 730-230, Class 5-8<br />
Tuesday: Clinical 1-6, Online class 745-9p<br />
Wednesday: Clinical 830-400<br />
Thursday: Class 2-4 once a month, 530-900 every week<br />
Friday: Clinical 9-4<br />
<br />
Throw in a BAD cold (achoo!), a boyfriend, family, friends, a dog, needing to eat and sleep at some point and you've got a recipe for stress! <br />
<br />
Don't get me wrong, I do feel the need to remind you that I SO love it! And it is really getting especially great because I feel like I am finally starting to GET it. Like now, when I go into patient rooms, I don't feel super overwhelmed, lost, confused and clueless. I am starting to be able to create care plans, perform better diagnosing, and improve on my assessment skills. For me, this seems to be the most challenging part. There are days when I simply can't see the ear drum or can't feel the prostate. That though, so I have heard, takes lots of time and practice. Any volunteers? :)<br />
<br />
It is crazy to think that in 3.5 short months, this will all be a distant memory and then my dream job will miraculously fall into my lap :) First there is a certification exam of course and lots of different costs to incur. But I am so ready. I am ready for the 'normal' schedule, the regularity of the work week. Most of all, I am ready for the paycheck! <br />
<br />
Otherwise things are status quo: 40 page papers due each week (just finished one on menopause) and we also have a couple additional classes this semester. One class, called Roles and Issues, addresses just that: the roles and issues associated with being in the nurse practitioner role. It discusses health care, moral reasoning, etc. Another course we are taking is management concepts, focusing on the legal responsibilities and implciations of being an advanced practice nurse. It makes sense that we are taking these courses in our final semester: we have enough experience under our belts to put our own clinical experiences into perspective.<br />
<br />
Well folks, the nose is running, the stomach is grumbling and the neighbors upstairs are singing opera (yes, they are opera singers). It is time to press the 'publish' button and be on my merry way. Until next week, stay well, stay WARM and see you around!<br />
<br />
Rachel<br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://1.bp.blogspot.com/-J8zOeCaQWXY/UQBTPq44byI/AAAAAAAAADs/3QkjaDrS3Cg/s1600/downsized_1001121334.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="http://1.bp.blogspot.com/-J8zOeCaQWXY/UQBTPq44byI/AAAAAAAAADs/3QkjaDrS3Cg/s320/downsized_1001121334.jpg" width="320" /></a>I missed you!</div>
regisnursingrachelfhttp://www.blogger.com/profile/14347761956082632358noreply@blogger.com0tag:blogger.com,1999:blog-829549399214977851.post-77334873126176824342013-01-14T13:58:00.000-08:002013-01-14T13:58:51.801-08:00<h2 style="font-family: Georgia,"Times New Roman",serif;">
Guess who's back? Back again? </h2>
<div style="font-family: Georgia,"Times New Roman",serif;">
Rachel's back, tell a friend. I really hope I'm not too old for you to know what song those lyrics are from. If so, please don't tell me. :)</div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<br /></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
Well, as the lyrics suggest I am BACK and BETTER than ever at Regis! I sit here in the computer lab on the 2nd floor of college hall. Everything looks the same, feels the same except for the oddly deceiving smell of spring outside the window: it is January 14 and 62 degrees! What a trick. My mind keeps telling myself I am almost to graduation based on how it feels out, but nooooo, hold your horses, you have another semester of papers, clinicals and exams to go! </div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<br /></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
Winter break was good, I know you are dying to know. FAR too fast, however. By the time I caught my breath it was Christmas. Then, boom, New Years! Then before you know it, it's back to the grind. I thought the best and most efficient way for me to share about my winter break would be to list my most recent experiences, thoughts and realizations in a succinct, to the point list. I tend to drag on and on as you may well know by now:</div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<br /></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
Top Winter Break Thoughts and Realizations</div>
<div style="font-family: Georgia,"Times New Roman",serif;">
-Cooking is actually fun? </div>
<div style="font-family: Georgia,"Times New Roman",serif;">
-The song 'Thrift Shop' by Macklemore is contagious, amazing and soon to be my morning alarm clock</div>
<div style="font-family: Georgia,"Times New Roman",serif;">
-I apparently like running?</div>
<div style="font-family: Georgia,"Times New Roman",serif;">
-I miss Homeland... even hearing the theme song at the Golden Globes gave me goosebumps. And Claire Danes is becoming more like Carrie in real life than one could ever hope, is she not? (Sorry to those non-viewers)</div>
<div style="font-family: Georgia,"Times New Roman",serif;">
-I am super proud of my family, friends and boyfriend. I really surround myself with some kick-booty people!</div>
<div style="font-family: Georgia,"Times New Roman",serif;">
-Watertown ROCKS...especially the middle eastern super markets.</div>
<div style="font-family: Georgia,"Times New Roman",serif;">
-On that same avenue, I recently discovered an AMAZING condiment called Pomegranate Molasses. It is VERY healthy, full of flavor and tastes great on vegetables. Here is a recipe I started making over break that is killer:</div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<br /></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
Dice up any veggies you want: I did carrots, cucumbers and green peppers. Chop up parsley and some mint, mix with veggies. Add the molasses and voila! You can also add vinegar if you want a little tang. You can eat it as a side with dinner, as a snack, or, in a sandwich.</div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<br /></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
Top Winter Break Experiences</div>
<div style="font-family: Georgia,"Times New Roman",serif;">
-I FINALLY GOT AN RN JOB. AND it's per diem! AND it pays great! I guess patience is a virtue!</div>
<div style="font-family: Georgia,"Times New Roman",serif;">
-Lots of silly TV (Spongebob Squarepants, Impractical Jokers)</div>
<div style="font-family: Georgia,"Times New Roman",serif;">
-LATE sleeping: slept until 2pm one day!</div>
<div style="font-family: Georgia,"Times New Roman",serif;">
-Returned to clinicals for winter break intercession: yes, in a way I really did miss my preceptors, coworkers and patients ( I guess that's a good sign)!</div>
<div style="font-family: Georgia,"Times New Roman",serif;">
-Got a new stethoscope (a big girl one) and a much needed haircut: hello bangs!</div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<br /></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
Well, I promise next week to get back to nursing land where this blog is suppose to reside. I guess I am just half back to school, half of me back in December. Thank you for rejoining me on this crazy, awesome ride. And for the last time, here's to the first day of the semester!</div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<br /></div>
<span style="font-family: Georgia,"Times New Roman",serif;">Rachel (Bella will be back next week. She's still on vacation, too)</span><br />
<br />
<br />regisnursingrachelfhttp://www.blogger.com/profile/14347761956082632358noreply@blogger.com0tag:blogger.com,1999:blog-829549399214977851.post-77610674288890812472012-12-12T08:35:00.003-08:002012-12-12T08:35:54.865-08:00The "Final" Countdown<h2>
<span style="font-family: Georgia, "Times New Roman", serif;">The "Final" Countdown</span></h2>
<span style="font-family: Georgia, "Times New Roman", serif;">Well, it's here...finals week. I have been dreading my final exam for Primary Care of the Family, oh, since the class started. No, but really, I know it will be okay, it's just scary in the mean time. I only have one final exam this semester, but don't be jealous. The one exam is worth 35% of my final grade and is cumulative. Now mind you, here is a just a glimpse of all of the topics we have covered this semester:</span><br />
<br />
<span style="font-family: Georgia;">Well adult exams</span><br />
<span style="font-family: Georgia;">Well child exams</span><br />
<span style="font-family: Georgia;">Well women's health exams</span><br />
<span style="font-family: Georgia;">Pregnant woman health exams</span><br />
<span style="font-family: Georgia;">Pneumonia, Asthma, COPD</span><br />
<span style="font-family: Georgia;">Pharyngitis, Ear infection, sinus infection, nasal congestion, eye issues, allergies</span><br />
<span style="font-family: Georgia;">Hypertension</span><br />
<span style="font-family: Georgia;">High cholesterol</span><br />
<span style="font-family: Georgia;">Chest pain</span><br />
<span style="font-family: Georgia;">Every abdominal issue under the sun from acid reflux to diarrhea</span><br />
<span style="font-family: Georgia;">Domestic Violence</span><br />
<span style="font-family: Georgia;">Diabetes</span><br />
<span style="font-family: Georgia;">Lab readings </span><br />
<span style="font-family: Georgia;">Pediatric development</span><br />
<br />
<span style="font-family: Georgia;">Yeah. Treatments, assessments, medications, follow up, lab testing. GAH! </span><br />
<br />
<span style="font-family: Georgia;">The good news is, clinical and our case studies (25+ page papers due every week) really have helped in this department. It would be impossible not only for us to remember everything from lecture alone, but also for our professors to cover everything we need to know in 9 short months. So, that's where clinical comes in. I have found myself reflecting on my clinical experiences to remember information covered in class. </span><br />
<br />
<span style="font-family: Georgia;">Otherwise, things are good! I am precepting at Health Services today, but is very slow. We have seen only two patients, because I imagine many students have headed home, or, are busy cramming for finals and shoving their sore throats or stuffy noses to the back burner for a while.</span><br />
<br />
<span style="font-family: Georgia;">It is hard to believe that time has gone so fast. In the blink of an eye, I will be in my last semester as a graduate student, and beginning to think about taking my Nurse Practitioner certification exam! It isn't too often that I sit back and reflect on how far I've come so fast! I still remember being petrified to give a medication let alone prescribe one. </span><br />
<br />
<span style="font-family: Georgia;">It has taken 2.5 years of hard work, perseverence, and faith to get me to this point. With the semester ending and 2013 fast approaching, I wish all of you a very happy, healthy holiday season and new year! May it bring to all of us a new found sense of motivation, optimism and drive! </span><br />
<br />
<span style="font-family: Georgia;">Until 2013, folks, good luck with finals! </span><br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://2.bp.blogspot.com/-AAaJtZdhHis/UMiySvcUKCI/AAAAAAAAADY/c89np-2_IbM/s1600/559982_10101226686352597_350055971_n.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img bea="true" border="0" height="240" src="http://2.bp.blogspot.com/-AAaJtZdhHis/UMiySvcUKCI/AAAAAAAAADY/c89np-2_IbM/s320/559982_10101226686352597_350055971_n.jpg" width="320" /></a></div>
<div style="text-align: center;">
<span style="font-family: Georgia, "Times New Roman", serif;">What, I can't date and you can??</span></div>
regisnursingrachelfhttp://www.blogger.com/profile/14347761956082632358noreply@blogger.com0tag:blogger.com,1999:blog-829549399214977851.post-83566474610703816172012-12-05T18:52:00.004-08:002012-12-05T18:52:42.624-08:00Allllmossttt therrreee<h2 style="font-family: Georgia,"Times New Roman",serif;">
Allllmossttt therrreee.</h2>
<div style="font-family: Georgia,"Times New Roman",serif;">
I know I go on and on about how fast time goes, how I can't believe it, but really I have to repeat... where did the time go?! I can't believe we are already in the first week of December, although it sure doesn't feel like it outside. I finished my final case study of the semester yesterday (yes!), a measly 30 pages, and now it's onto focusing on my final exam. Next Thursday is the test. It is cumulative and worth 30% of my final grade...scary! Not to mention how much material is on it. But, after a certain amount of time in nursing school, you know that somehow you will get through it. </div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<br /></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
Being 1 week away from a 2 week break forces you to reflect on the semester that is soon ending. Just like I did during the RN portion of the program, I look back on my first weeks as an NP student: nervous, insecure, overwhelmed. Now, I would describe myself as overwhelmed, confident, competent. I by no means know everything I need to know: that will take years and years of hard work, patient experience and inquiry. But, I do feel that I am just where I should be at this point, and that feels darn good. </div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<br /></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
I really see that things are starting to 'click' persay when I look back to my clinical day last Friday. If there are 3 things that I feel more insecure about clinically, it is diagnosing issues with lung sounds, ear issues and performing Pap smears. Lung sounds are incredibly subtle and sometimes difficult to detect, ear drums are incredibly hard to see in some patients, and I have had little hands on experience with women's health unfortunately, so I have only performed one Pap the entire semester. But last Friday, something magical happened...</div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<br /></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
-I diagnosed pneumonia</div>
<div style="font-family: Georgia,"Times New Roman",serif;">
-I diagnosed a double ear infection</div>
<div style="font-family: Georgia,"Times New Roman",serif;">
-I independently performed a Pap smear</div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<br /></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
Click. Click. Click. It was like a miracle! I felt so invigorated! It is days like last Friday that really keep me going. I say to several people I talk to, I so wish that this NP learning curve was linear: getting better and better each week. BUT, unfortunately as with all things in life, it isn't. Some days I'm on, other days I'm off, other days I'm WAY off. But, all you can do is keep your head up, keep faith in the process and move forward! But, I will hold onto last Friday as a reminder that although it may not feel like it some days, I AM moving actively towards my goal. Picturing myself in that office with that job, smiling and doing my work with pride is my final objective, and I know in my heart that one day that's where I will be.</div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<br /></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
But, until then, I will see you in Starbucks or Panera or the library slaving at the books. Feel free to say hi, and good luck on your finals. Until next time,</div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<br /></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
Rachel</div>
<div style="font-family: Georgia,"Times New Roman",serif;">
</div>
<div align="center" style="font-family: Georgia,"Times New Roman",serif;">
<img alt="" aria-busy="false" aria-describedby="fbPhotosSnowliftCaption" class="spotlight" height="240" src="http://sphotos-a.xx.fbcdn.net/hphotos-prn1/21412_10101688897153447_802689192_n.jpg" style="height: 384px; width: 512px;" width="320" /></div>
<div align="center" style="font-family: Georgia,"Times New Roman",serif;">
Now tell me you can resist that face!</div>
regisnursingrachelfhttp://www.blogger.com/profile/14347761956082632358noreply@blogger.com0tag:blogger.com,1999:blog-829549399214977851.post-51161438239165860542012-11-28T19:48:00.003-08:002012-11-28T19:48:51.177-08:00<h2>
Nursing School Boyfriend, Ned.</h2>
Well hello everyone! Thanks for stopping in to read my blog this week. Things are real exciting on the home front here in Watertown.<br />
<br />
Bella is... sleeping<br />
Human Boyfriend is... sleeping<br />
Rachel is... writing case studies, reading, stressing, not breathing, coveting sleep.<br />
<br />
This is nothing new however. This is the life of the nursing student. Anyone who has ever been in nursing school will agree that unless you are living it, there is simply no way to describe to someone on the outside what it is like. So, I've decided truly the closest thing to compare it to is a serious relationship. So, I introduce you to... Nursing School Boyfriend aka Ned.<br />
<br />
<img height="320" id="il_fi" src="http://www.stockphotopro.com/photo-thumbs-2/AWGH6N.jpg" style="padding-bottom: 8px; padding-right: 8px; padding-top: 8px;" width="213" />Ned <3<br />
<br />
<br />
I mean, nursing school really is like committing to a long-term relationship with someone you barely know, devoting every waking hour to them, staying with them for 3 years and then deciding you are better off on your own. You will have learned from the experience, taking new knowledge and wisdom onto the next adventure. And you will be forever changed. But LORD is it a commitment.<br />
<br />
Ned is driving me crazy! He takes ALL my time! Weekends, weekdays, nights, mornings...even my dreams! I finally get to sleep, and what do I dream about? PATIENTS! I even spoke to one in Spanish the other night... beat that!<br />
<br />
Ned takes all my money! I have spent a lot...let's just say 6 figures to endure such torture? And he makes me crazy! I find myself losing my balance for no good reason, drinking an obscene quantity of coffee, eating on the run, exercising too little and stressing too much. <br />
<br />
Well, now that you mention it, I guess Ned does have some qualities to him. He has made me stronger than I ever imagined. I have endured more challenges, stresses and hurdles than I ever dreamed. He has made me wiser: filling me with the stories of countless patients, the experiences of veterans, the dreams of the dying. He has instilled in me the values of nursing: compassion, patience, honesty, open-mindedness. <br />
<br />
So, call me crazy for personifying nursing school, calling him my boyfriend and naming him Ned. I guess he has really made me crack. But I sure am fond of who he has helped me become these days... I guess me and Ned should keep this thing going... at least for another 5 months :-P<br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://1.bp.blogspot.com/-yEYIrmymY1Y/ULbaxHwvW4I/AAAAAAAAADI/WFN6lxFrXvw/s1600/060.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="http://1.bp.blogspot.com/-yEYIrmymY1Y/ULbaxHwvW4I/AAAAAAAAADI/WFN6lxFrXvw/s320/060.jpg" width="320" /></a>Dreaming of Treats, forget Ned!</div>
<div align="justify">
</div>
regisnursingrachelfhttp://www.blogger.com/profile/14347761956082632358noreply@blogger.com0tag:blogger.com,1999:blog-829549399214977851.post-11989854593180480222012-11-20T19:22:00.003-08:002012-11-20T19:22:48.290-08:00<h2>
<span style="font-family: Georgia, "Times New Roman", serif;">Happy Thanksgiving, and Thank YOU!</span></h2>
<span style="font-family: Georgia, "Times New Roman", serif;">Hello, ya'll! Well, we've made it to that special time of year...winter! It is hard to believe that a short 3 months ago I was packing up my bag, buying my books and breathing deep in preparation for the new school year. Thanksgiving is in 2 days and 2013 is only a short 41 days away (but who's counting!). We've made it to that special time of year. Every time winter rolls around, I feel a bit torn. One part of me hates the winter. I miss that fresh, summer smell in the air, the sound of crickets at night and the feeling of the hot sun. On the other, I LOVE the winter: a true Boston girl to the bone. The brisk, crisp air and those beautiful sunrises... the snow really is gorgeous. Either way, it's here so we might as well embrace it!</span><br />
<span style="font-family: Georgia, "Times New Roman", serif;"></span><br />
<span style="font-family: Georgia, "Times New Roman", serif;">Every thanksgiving, I get a bit overwhelmed when I reflect on that famous question: what am I thankful for? When truly taking a moment to answer this honestly, here are some things that come to mind:</span><br />
<span style="font-family: Georgia, "Times New Roman", serif;"></span><br />
<span style="font-family: Georgia, "Times New Roman", serif;">My family. My boyfriend. My friends. My puppy! My health. My future. A roof over my head, clothes on my back. My two legs, two arms, two eyes and two ears. The freedom to speak, to think, to be what I want to be. To be able to travel, to acheive my goals. To vote. To determine my own destiny. To be independent. For my car, my apartment, my cell phone. For the challenges and setbacks that have made me stronger. For the qualities I have that make me who I am. </span><br />
<span style="font-family: Georgia, "Times New Roman", serif;"></span><br />
<span style="font-family: Georgia, "Times New Roman", serif;">I am also thankful for YOU! Yes, you. We may have never met, but, in some way by reading my blog, you and I are indeed connected and have a relationship. While I may not know the ins and outs of your psyche, you sure as heck know mine after all this time. So thank you for allowing me into your life, and I hope to one day to allow you into mine!</span><br />
<span style="font-family: Georgia, "Times New Roman", serif;"></span><br />
<span style="font-family: Georgia, "Times New Roman", serif;">Clinical goes on (224 hours and counting!), the studying goes on (finals a mere 3 weeks away), and time goes on. </span><br />
<span style="font-family: Georgia, "Times New Roman", serif;"></span><br />
<span style="font-family: Georgia, "Times New Roman", serif;">May you have a wonderful Thanksgiving full of all the things, people and food you love! </span><br />
<span style="font-family: Georgia, "Times New Roman", serif;"></span><br />
<span style="font-family: Georgia, "Times New Roman", serif;">Until next time,</span><br />
<span style="font-family: Georgia, "Times New Roman", serif;">Rachel</span><br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://4.bp.blogspot.com/-IJkzIantFaI/UKxI45JB8RI/AAAAAAAAACw/KiJOd65D1f4/s1600/028.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="http://4.bp.blogspot.com/-IJkzIantFaI/UKxI45JB8RI/AAAAAAAAACw/KiJOd65D1f4/s320/028.jpg" width="320" /></a><span style="font-family: Georgia, "Times New Roman", serif;">Bella the Burrito</span></div>
regisnursingrachelfhttp://www.blogger.com/profile/14347761956082632358noreply@blogger.com0tag:blogger.com,1999:blog-829549399214977851.post-75003827181253790192012-11-14T07:59:00.003-08:002012-11-14T08:00:17.940-08:00<h2 style="font-family: Georgia,"Times New Roman",serif;">
Happy Halloween!... wait, what?</h2>
<div style="font-family: Georgia,"Times New Roman",serif;">
Okay, so I end up saying this every single year, yet every single year I seem surprised...</div>
<h4 style="font-family: Georgia,"Times New Roman",serif;">
Where did the time go?! </h4>
<div style="font-family: Georgia,"Times New Roman",serif;">
Like, are you serious? It is November 14th? Thanksgiving is next week? Finals are 3 weeks away? I am one semester from graduating? Wow, I have never said <i>that </i>before! But boy have I wanted to for 3 long years.</div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<br /></div>
<span style="font-family: Georgia,"Times New Roman",serif;">They say the grass is greener on the other side. Lately, I have found that adage to be more true than ever. Take me, for instance. Two short years ago, I was a first year in the GM program. I remember freaking out. How am I going to go at this pace, with this work load for THREE YEARS? How will my boyfriend stay with me? How will I maintain my friendships? How will I not gain a billion pounds?</span> <span style="font-family: Georgia, "Times New Roman", serif;">How will I take care of my pup? And here we are... in the blink of an eye it's year 3. Where did the time go!</span><br />
<br />
<span style="font-family: Georgia, "Times New Roman", serif;">Back then, I told myself, "All I want is to get to next year. It'll be better then." So then, when I got to year 2, I said to myself, "Ugh. What was I thinking? All I want to do is go back to year 1. It was so much easier then!" So you can only guess what will happen next year. I have spent all my time wanting to move forward, forward, forward, and chances are, once I graduate from Regis, I will find myself saying a variation of the following things:</span><br />
<br />
<span style="font-family: Georgia, "Times New Roman", serif;">-Wow, I never thought I'd say this, but I miss school.</span><br />
<span style="font-family: Georgia, "Times New Roman", serif;">-Oh my goodness, these loan bills will never end.</span><br />
<span style="font-family: Georgia, "Times New Roman", serif;">-I am so afraid to be practicing without the supervision of my preceptor.</span><br />
<div style="font-family: Georgia,"Times New Roman",serif;">
- Where did all the time go?</div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<br /></div>
<span style="font-family: Georgia,"Times New Roman",serif;">So, the grass will be greener here, where I stand today, not where I will be standing in 6 short months. So, to you nursing students out there slaving away at your work, wanting to zoom forward or go back, I recommend that you do the opposite...stand still. Accept the reality of where you are for what it is, and know, from someone that has been there, that the future will be worse in some ways and better in some ways, but all we can do is walk the path. Hang in there, take one day/week at a time, and in no time at all, you will be done with this phase. I hate to admit it, but I know once I am done at Regis I will miss it... even the crazy, neverending work. Somethings we won't be able to return to. So try to be in the moment and make the most of it. The grass may look greener on the other side, but maybe you just didn't notice how green it is where you stand.</span><br />
<span style="font-family: Georgia,"Times New Roman",serif;"><br /></span>
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://2.bp.blogspot.com/-lLIc9U8EDQA/UKO_oNa5y4I/AAAAAAAAACg/LhZwjlV13wQ/s1600/407734_10100989926141962_1866286927_n.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="http://2.bp.blogspot.com/-lLIc9U8EDQA/UKO_oNa5y4I/AAAAAAAAACg/LhZwjlV13wQ/s320/407734_10100989926141962_1866286927_n.jpg" width="238" /></a></div>
<div style="text-align: center;">
<span style="font-family: Georgia,"Times New Roman",serif;">ZzZzZzZz. Dreaming of Rachel's graduation... more time for ME!</span></div>
<span style="font-family: Georgia,"Times New Roman",serif;"><br /></span>regisnursingrachelfhttp://www.blogger.com/profile/14347761956082632358noreply@blogger.com0tag:blogger.com,1999:blog-829549399214977851.post-91766257803221957492012-11-05T08:38:00.002-08:002012-11-05T08:38:46.538-08:00<h2>
Tempted!</h2>
<br />
So, I am SO tempted to hop on my soapbox and tell you who I think you should vote for. How I fear the future of this country is heading in the wrong direction if the candidate I am voting for doesn't win. BUT- this mystery is the beautiful of this country. I don't have to tell you who I think you should vote for, nor should I tell you who I am voting for. Instead, I am telling you the one sure thing that cannot be argued by anyone on either side of the aisle:<br />
<br />
TOMORROW, NOVEMBER 6TH, YOU NEED TO GET OUT AND VOTE!<br />
<br />
I am fortunate to have this be the 3rd presidential election I will be voting in (I know I am aging myself!) Everytime I go to the polls, I feel a unique sense of empowerment and unity when walking into that voting room. It is amazing to look into the eyes of women and men, old and young, Black and White, left and right who feel the same sense of responsibility, who care enough about their country too to take 10 minutes out of their day. Instead of running to Starbucks before class, instead of playing Xbox, instead of taking a nap.... GO TO THE POLLS AND VOTE TOMORROW.<br />
<br />
Sometimes getting the opportunity to vote comes with some confusion. Still to this day, every year I wonder if I am registered. Hopefully this will answer some common questions. Firstly, if you have voted in any election before, whether it be state or federal, you are automatically registered to vote this year. If you have never voted before and did not register to vote in October, unfortunately, you will not be able to vote. A great idea would be to take the opportunity to register for the next election tomorrow! Another common question is regarding where you go to vote. If you have not moved since the last election, you go vote at the same location unless you have been notified of any other change. If you don't know where to vote, you can visit <a href="http://www.wheredoivotema.com/bal/MyElectionInfo.aspx">http://www.wheredoivotema.com/bal/MyElectionInfo.aspx</a> and enter in your home address.<br />
<br />
In addition to voting for state senator and president, there are 3 ballot initiatives you will be able to vote for! Firstly, there is the Right to Repair initiative, which would make it easier for you to get your car repaired at any shop that you choose. Secondly, is the Physician-Assisted Suicide initiative, which would give an option to terminally ill patients to have the right to end their life with a lethal dose of medication. Thirdly, is the legalization of medical marijuana in the treatment of some chronic, painfull illnesses like cancer, MS and Crohn's disease. For more detailed information on these initiatives, you can visit <a href="http://ballotpedia.org/wiki/index.php/2012_ballot_measures">http://ballotpedia.org/wiki/index.php/2012_ballot_measures</a>.<br />
<br />
I know this blog isn't the most exciting, fun or intriguing of them all, but I think it just may be the most important. You have the right to vote: a right that thousands of men, women and children have DIED for. We have the right AND the responsibility to have a say in what goes on in our lives. Get out there and do your part tomorrow, and may the best man win.<br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://4.bp.blogspot.com/-HZf8DSDvDjg/UJfrfZzANvI/AAAAAAAAACQ/zEAAUHaC-Y4/s1600/Memorial_Day_Weekend_2010_001.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="http://4.bp.blogspot.com/-HZf8DSDvDjg/UJfrfZzANvI/AAAAAAAAACQ/zEAAUHaC-Y4/s320/Memorial_Day_Weekend_2010_001.jpg" width="320" /></a>Bella for President!</div>
regisnursingrachelfhttp://www.blogger.com/profile/14347761956082632358noreply@blogger.com0tag:blogger.com,1999:blog-829549399214977851.post-54149953308982107422012-10-23T19:24:00.001-07:002012-10-23T19:29:19.630-07:00<h2>
The Downfall of the Perfectionist.</h2>
It's not surprising that in nursing school you learn a ton of new things. You start with how to talk to a patient, how to properly make a bed, wash a patient, give a medication. Then, you move onto assessing patients, creating plans of care, and working together with other health care providers to improve patient outcomes. Then, during your Master's, you begin to learn how to properly diagnose, manage and treat patients. But there's one thing that isn't in the curriculum, syllabus or course description...what you end up learning about yourself.<br />
<br />
We all have our strengths and weaknesses, and sometimes our strengths are our weaknesses and vice versa. For me, that seems to be the case with perfectionism. It doesn't manifest itself in the way you might imagine. For instance, my apartment is a disaster: dishes piled up, papers everywhere. The nice leather couch has a chic new layer of bulldog hair adorning it. Nor is my perfectionism in my appearance: I would venture to guess I am maybe 10 lbs. heavier than I should be, and anyone who has met me is likely to find me in sweatpants, hair desheveled and smudges all off my glasses. My perfectionism lies in <em>me. </em>Perhaps one of my greatest strengths and my greatest challenges, I put a ton of pressure on myself. I have always demanded perfection in my performance: whether it be school, plays, sports or whatever I commit to. I simply cannot do less than my best. While one might argue this is a strength, boy does it get tiring! The constant self-inflicted pressure to be the perfect kid, the perfect student, the perfect girlfriend, the perfect <em>person </em>is a losing battle. The fact is, NO ONE, including me, is, or will ever be, perfect.<br />
<br />
So what does this have to do with nursing, you ask? Umm, just about everything. As nurses and nurse practitioners, we work with people on a daily basis. We get to know them intimately: their fears, their goals, their bodies. And they turn to us for guidance, expertise, professionalism and, many times, perfection. The fact is, we are not God. Nor are we perfect. We will not always be right, or be sensitive enough, or quick enough, or in depth enough. We will not always be careful enough or focused enough. For me, this has been something that is very difficult to grasp. At the beginning of each semester, I find myself scrambling, drowning in fear<br />
<br />
<em>I am a new student again! I don't know what I'm in for. How will I know what to do? What if I mess up? What if I just don't know? What if I fail? What if I bomb that one test that matters most? </em><br />
<br />
The fact is, nursing school has taught me so much more than nursing: it has taught me how to live an honest, calmer life. I constantly work to remember that I am not suppose to know everything, nor could I! If I did, why would there be a need for school? Why would their be a licensure exam? We can't start at the finish line, we have to start at the start. And more, embrace being at the start. So wherever you are today, if it isn't your goal, embrace that discomfort. Remember that those remarkable doctors, nurses and nurse practitioners you strive to be like once were you: struggling to see ear drums, questioning lung sounds, forgetting drug treatments. <br />
<br />
And most of all, thank you all for giving me the chance to remind myself of these lessons. With that, I am going to go prepare for tomorrow, which promises to be a day of excitement, challenges, and oh so precious uncertainty.<br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://4.bp.blogspot.com/-Wt3NCNSEcXE/UIdRNez3YQI/AAAAAAAAACA/2n8OuXkNuNs/s1600/013.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" oea="true" src="http://4.bp.blogspot.com/-Wt3NCNSEcXE/UIdRNez3YQI/AAAAAAAAACA/2n8OuXkNuNs/s320/013.jpg" width="320" /></a></div>
regisnursingrachelfhttp://www.blogger.com/profile/14347761956082632358noreply@blogger.com0tag:blogger.com,1999:blog-829549399214977851.post-44441773068319004842012-10-17T06:02:00.002-07:002012-10-17T06:03:34.508-07:00<h2>
Oops!</h2>
I vowed it wouldn't happen and it did! I let 11 days go by without a blog post. Bad bad, Rachel. And while I could go on and on, giving excuses as to why I let my blog duties fall by the wayside, I will instead let you in on what the last week and a half has looked like for me by telling about 3 experiences of the last 11 days:<br />
<br />
<h4>
1) Midterm (dun dun dun)</h4>
Well, first accomplishment of the last 11 days... I SURVIVED AND PASSED MY MIDTERM EXAM! Haha, I know I know, dramatic again. But really, I was so nervous! It's crazy how 7 years after beginning my post-secondary education I still get nervous picking up that #2 pencil, double checking everything: did I put my name on? Did I spell my name right? Did I skip any numbers? What if I mismark one question, thus throwing off the entire exam? What if my pencil isn't a #2 and the scantron machine doesn't accept my test? What if my pencil runs out of lead? HAHA. Don't lie to yourself and say you never ask yourselves the same questions :)<br />
<br />
The exam was challenging, some questions more than others, but as is the case with nursing school in general, I truly believe you get the results of the work you put in. Although I didn't do as well as I hoped, being the OCD student I am, I am happy to report I did well and can breath a (brief) sigh of relief until the next test!<br />
<br />
The midterm covered components of the well adult, well child, respiratory disorders (asthma, COPD and pneumonia), the well woman and normal pregnancy. Unlike nursing, where the questions focus on assessment and nursing interventions, advanced nursing focuses more on patient management through medication, education, and follow up interventions. It is a lot more to think about: based on someone's age, gender, family history, medications, allergies, social history, symptoms...ALL OF IT...you base someone's plan of care. It is a lot to have on one's shoulders, but also really rewarding and challening!<br />
<br />
<h4>
2) The Massachusetts Association of Registered Nurses Conference (MARN)</h4>
As a part of my graduate assistantship in the graduate admissions office, I am usually asked in addition to composing this blog and helping with mailings to attend graduate information sessions, speaking about my experiences at Regis, Regis nursing programs, etc. However, this past weekend, I was asked to represent Regis at the MARN conference! I was so excited at the opportunity to attend my first professional conference, network and represent Regis to the greater Boston community. The conference was nothing less than what I expected. I met so many people that have been so influential in the nursing arena and nursing education, women and men from the ANA, Curry College, Emmanuel College, Boston College, Mass General, the Brigham, Beth Israel...it didn't end! It was so amazing to be able to talk with other fellow nurses about nursing practice, policy and the future of the profession. <br />
<br />
The keynote speaker, a highly accomplished and respected nurse, spoke to us about the 2nd ballot initiative that we will be voting on next month when we go to the polls: the "Death with Dignity" act, or, also known as "Physician Assisted Suicide". I had entered the conference feeling very strongly that I would be voting for the initiative without question. After learning more about physician assisted suicide and what the initiative proposes by listening to the experiences/viewpoints of people in the field (palliative care nurses and physicians, a chaplain, a lawyer, etc.) I was forced to really challenge my preconceived notions and think about it differently. Although I still plan on voting for the initiative, it was amazing to be challenged intellectually in such ways. I think this is really the way in which we grow as people and health care providers: pushing the boundaries of comfort, and really asking yourselves the tough questions.<br />
<strong>With that said, I will take this opportunity to inform you that today is the last day to register to vote next month in the state of MA. Your voice is vital. It is not only your right, but your responsibility to vote and have a say in your society. SO GO OUT AND VOTE* </strong>okay, back on track :)<br />
<br />
<h4>
3) GRENADA!</h4>
So, for those of you who don't know, each spring Regis College sends 5-6 nurse practitioner students to the island of Grenada to provide care to the people there. I feel so incredibly honored and blessed to have been chosen to go to Grenada! Not to mention, some of my very closest friends were selected as well, so it is even more special. Since I heard about the trip last year, I have wanted to go! It really is like a dream come true for me. I have always wanted to go abroad to do service work, and simply never have had the chance to/always was to scared to go alone. Now, I can go with people there to support me and experience it with! The only issue is that I don't know if I can afford it. I am sure many of you can relate when I say money is SO tight right now. Unfortunately, we are each responsible for funding our portion of the trip, and although we don't yet know how much it will cost for each of us, I have a feeling regardless it is over my budget. <br />
<br />
Luckilly, Regis has a new grant program, and I will be helping to compose our application, so hopefully we will get approved and get some funding! With that said, if any of you know if any scholarship/grant/funding opportunities we can utilize to help us go to Grenada this spring, PLEASE do not hesitate to email it to me. We need all the help we can get! :)<br />
<br />
<br />
In other news, for those of you who were wondering (as I'm sure you all were DYING to know, ha) Bella is doing fantastic since her ACL surgery last month! She is starting to put weight on her leg, and we are now able to walk her twice a day for 10 minutes at a time! You don't realize how much you miss walking your dog until you can do it again. God, I love that little mush.<br />
<br />
Well folks, I'm here at Health Services ready to precept for the day! Remember, you can email me any and all questions/comments at <a href="mailto:RFran430@regiscollege.edu">RFran430@regiscollege.edu</a> and I will be thrilled to share them on my blog next week!<br />
<br />
Until then, keep on trucking, keep warm and have a great week!<br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://4.bp.blogspot.com/-HHT3B4PNaY8/UH6rvNKDUNI/AAAAAAAAABw/NlTTd2ZDfgE/s1600/downsized_0512121054.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" nea="true" src="http://4.bp.blogspot.com/-HHT3B4PNaY8/UH6rvNKDUNI/AAAAAAAAABw/NlTTd2ZDfgE/s320/downsized_0512121054.jpg" width="320" /></a>Intellectual. Smart. Classy. Bulldog.</div>
regisnursingrachelfhttp://www.blogger.com/profile/14347761956082632358noreply@blogger.com0tag:blogger.com,1999:blog-829549399214977851.post-85813726589249114832012-10-06T05:46:00.000-07:002012-10-06T05:46:08.206-07:00<h2 style="font-family: Georgia,"Times New Roman",serif;">
Sanity Progress Report: Surviving</h2>
<div style="font-family: Georgia,"Times New Roman",serif;">
Hi, everyone! Thanks for checking back in with me on this crazy, amazing journey! It definitely was a sigh of relief this week to have the campus be a bit back to normal. By no means does that mean that everyone is okay. Even just pulling into campus this morning I see students dressed up in suits and ties, preparing to go pay their respects to Darner, one of the 2 students we lost in the past 2 weeks. I feel so incredibly heartbroken for the undergraduate community who have had to deal with so much tragedy, right at the beginning of the school year none the less.</div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<br /></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
Amidst the chaos, classes and clinicals go on. I am absolutely in LOVE with my 3 clinical placements. I have been learning so much. Before starting this year I use to wonder how someone could possibly learn how to be a patient's primary care provider in a short 9 months. Now that I am living this life every day, I kind of get it. Every single day, every single MOMENT at clinical, you learn something new. I imagine a bunch of folders in my brain, and each patient case I am putting knowledge into the respective folder for later. It's unbelievable what you learn! </div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<br /></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
Our midterm exam is this Thursday (already!!!!). I can't believe how fast time is going, but that is what always happens! The exam is worth one third of our final grade I believe, so needless to say I am a bit nervous. The exam covers a LOT of material: the well child, the well adult, the well woman, community acquired pneumonia, COPD, asthma and normal pregnancy. This includes all normal and abnormal findings, guidelines, medications, education, etc. It's a lot.</div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<br /></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
I just got off the phone with my grandma who always dreamed of being a nurse and she said something that stuck with me. She said, "Honey, I am so proud of you. You are so focused on your goal and work so hard. You never complain, you just do what you need to do." Sometimes in the midst of your work you forget the focus, determination, discipline and sacrifice it has taken to get you where you are. Never forget it. Nursing is truly a way of life that requires these very things. And it is no different when you get to the third year. I don't really have weekends. I can't go out with friends or my boyfriend as much as I'd like. Nor can I exercise, eat as well or do laundry as much as I'd like. But you simply duck your head and carry on. Even when it feels like you can't do work another day, or you can't study another minute, simply stay focused on go on. Before you know it, that test is over and you did just fine.</div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<br /></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
Well folks, the post is a bit boring this week, I'll admit. With class today from 9-4, studying all day tomorrow and a midterm on Thursday my brain is simply fried. Stay tuned next week for another post, but until then, remember you can submit any/all nursing related questions to Rfran430@regiscollege.edu and I will answer them on my blog!! </div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<br /></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
Rach</div>
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://3.bp.blogspot.com/-G3HdWjxvrB0/UHAn1gjxs8I/AAAAAAAAABg/_RI8XEuNORI/s1600/599613_3756664068997_1911195663_n.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="400" src="http://3.bp.blogspot.com/-G3HdWjxvrB0/UHAn1gjxs8I/AAAAAAAAABg/_RI8XEuNORI/s400/599613_3756664068997_1911195663_n.jpg" width="267" /></a></div>
<br />
<span style="font-family: Georgia,"Times New Roman",serif;"> Bella and I on warmer days :)</span>regisnursingrachelfhttp://www.blogger.com/profile/14347761956082632358noreply@blogger.com0tag:blogger.com,1999:blog-829549399214977851.post-27671666236139328762012-09-29T12:26:00.000-07:002012-09-30T08:26:07.663-07:00<h2 style="font-family: Georgia,"Times New Roman",serif;">
Inconceivable.</h2>
<div style="font-family: Georgia,"Times New Roman",serif;">
I had it all planned out. I was going to write about pain. My darling Bella-boo got ACL repair surgery on Monday. I had been dreading it for months, knowing the intense amount of pain she would be in for such a long amount of time. On a selfish level, I dreaded the pain I would feel both emotionally and physically: seeing her hurt, seeing her scar, having to wake up in the middle of the night, having to carry her down the stairs to the lawn to pee, having to do physical therapy, ice, meds. But then the unthinkable, the <i>inconceivable</i> happened...</div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<br /></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
Thursday, 7:14pm. Another email from President Hayes:</div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<br /></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<b>It
is with a heavy heart that I tell you that late this afternoon Regis
College suffered the loss of Michael Kaplan ’13 and serious injury
to Peter Leighton ’15 as a result of
a motorcycle accident.</b></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<br /></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<span style="font-family: Georgia,"Times New Roman",serif; font-size: small;"><b> </b></span><span style="font-family: Georgia,"Times New Roman",serif; font-size: small;">No. This can't be happening. Not again. Not 6 days after Darner. Not the same way...but it did.</span></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<br /></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<span style="font-family: Georgia,"Times New Roman",serif; font-size: small;">It's times like this that you wonder what it all means. Why do horrible things happen to good people? Young people? And though there's no answer to be found, there is so much to learn.</span></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<br /></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<span style="font-family: Georgia,"Times New Roman",serif; font-size: small;">I realize that this blog entry still is, and should be, about pain. The pain we feel as classmates of another student gone too soon, of another still in the hospital. The pain we feel when imagining the pain Michael's family right now. The pain we feel when we think of the worries and fears of Peter's family now. The pain I feel when I think of both of these families, and more, the pain I feel for all of you: Michael, Peter and Darner's friends, classmates and neighbors. In some ways, one can wonder: is emotional pain even worse than physical pain?</span></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<br /></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<span style="font-family: Georgia,"Times New Roman",serif; font-size: small;">In nursing school, they teach us that pain is the 5th vital sign, just as important as temperature, pulse, respiration rates, blood pressure and oxygen saturation. Pain effects everything: immune status, mood, appetite, sleep, motivation, physical activity, nutrition and even longevity. Pain is truly the proof of the mind-body connection. When we feel pain in our hearts and minds, we feel it in our body: that stomach ache, that head ache. And in turn, when we hurt in our bodies we feel it in our hearts and minds: ACL surgery, a motor vehicle accident, a death. We are truly in pain.</span></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<br /></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<span style="font-family: Georgia,"Times New Roman",serif; font-size: small;">So what can we learn from pain? First off, and probably most importantly, we have to remember that pain is subjective, meaning, it is different for everyone. I could go bang my baby toe against the corner of the door frame (something I have the joy of doing practically on a weekly basis), and rank my pain as the worst I've ever felt in my life. While, if Bella could talk after major orthopedic surgery, she'd probably say, "Oh, stop your worrying, Rachel, I feel just fine." If I were to talk to the family and friends of Darner and Michael, their pain would probably be inexpressible. And in turn, because pain is subjective, everyone deals with it differently. Some people cry, some act out with violence, some scream, some eat until they puke, and some may do or say absolutely nothing. The fact is, as long as you are safe to yourself and others, you can and should do absolutely whatever it is you have to do to deal with the pain you are feeling. However, because I am a nurse after all, here are some healthy suggestions of how to cope during these sad and difficult times:</span></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<br /></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<span style="font-family: Georgia,"Times New Roman",serif; font-size: small;">-Talk to your friends</span></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<span style="font-family: Georgia,"Times New Roman",serif; font-size: small;">-Talk to a teacher, parent or someone else you trust</span></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<span style="font-family: Georgia,"Times New Roman",serif; font-size: small;">-Write in a journal</span></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<span style="font-family: Georgia,"Times New Roman",serif; font-size: small;">-Exercise</span></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<span style="font-family: Georgia,"Times New Roman",serif; font-size: small;">-Organize a memorial fund or memorial service</span></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<span style="font-family: Georgia,"Times New Roman",serif; font-size: small;">-Become involved in public health initiatives that help to fund/promote motor vehicle safety</span></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<span style="font-family: Georgia,"Times New Roman",serif; font-size: small;">-Bake something for Michael, Peter or Darner's family...send them a letter</span></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<span style="font-family: Georgia,"Times New Roman",serif; font-size: small;">-Cry cause you miss him. Laugh at the funny memories</span></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<br /></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<span style="font-family: Georgia,"Times New Roman",serif; font-size: small;">There is no wrong. Be kind to yourself.</span></div>
<div style="font-family: Georgia,"Times New Roman",serif;">
<br /></div>
<span style="font-family: "Trebuchet MS","sans-serif";"><span style="font-family: Georgia, "Times New Roman", serif; font-size: small;">So what is the take home message here? It is to know that sometimes things in life just don't make sense. Most importantly, we have to stick together. Remember that there are people on campus who are in terrible pain right now, and we, as members of the campus community, hurt for them. Be patient with each other. Be there for each other. And may we strive to be the people Michael and Darner would want us to be: proud to be Regis students united in a time of pain, loss and tremendous hope. </span></span>regisnursingrachelfhttp://www.blogger.com/profile/14347761956082632358noreply@blogger.com0