Thursday, January 31, 2013

the newborn nursery.

A room full of tiny miracles.




Have you ever wondered what happens after you have a baby?
They take the baby, but where does it go?
What are they doing with it?
When will it come back??

I just did my {2 day} clinical rotation through the Newborn Nursery.
In no way does that make me super knowledgeable on what happens in the nursery, but I will tell you what the days were like for me.

On the first day, I got the first baby that came through the nursery doors.
They {the nurse/pediatrician} brought the baby into the nursery followed closely by dad.
Immediately, baby was weighed and measured.



Then, baby was brought to the warmer to be assessed.
Let me tell you, we check that baby out from head to toe!!
Fontanelles, facial symmetry, fingers/toes, abdomen, umbilical cord, genitals, the way they lay, their skin, their reflexes, range of motion in limbs, equal limbs... you get the picture, everything.




I'm learning all this new stuff about babies with the dad standing over my shoulder.
Hooray for dad wanting to be all involved, boo for the sheer awkwardness of being watched while learning new stuff.

Baby's first set of vital signs were taken: temperature, heart rate, respirations, oxygen saturation...
I put the temperature monitor on baby's belly with the gold heart sticker on it for continuous temp and pulse monitoring. {that's what the gold heart sticker is - a temp probe is underneath it}



I wrapped the pulse monitor around baby's itty bitty hand. {SOOOO tiny.}
Gave the baby their 1st medicines: Erythromycin ointment in eyes, Vitamin K shot to vastus lateralis {since baby's gut is sterile and has no bacteria that is needed to make crucial clotting factors} and the Hepatitis B vaccine {1st in a set of 3} in the other vastus lateralis {teeny tiny thigh muscles}.
Baby cried for a minute then was quiet again. {still hurt my heart to give that itty bitty those injections}
OH, and did I mention that dad was still hovering nearby??
MmmmHmmm but it was all good!

We got through it.

I got baby's first foot prints for mom and dad.

After the initial set of vitals, they are monitored every 30 minutes and recorded to keep up with/maintain baby's progress.
You gotta stay on top of these!!
It's kind of a big deal.
What, with this new little life and all.

Then, I guess dad left to go hang out with mom.

Baby was having a bit of trouble regulating her body temperature.
We kept her under the warming unit until she was an appropriate temperature, then it was time for baby's first bath!!
-- I put my goggles ON --
{no one wants someone else's amniotic fluid to fly in their eyes}
Baby was REALLY dirty.
We took baby to the sink, where there were towels and blankets layed out.
Under continuous warm, running water, I got a sponge and wiped off baby's face.
Then, with soap on the sponge, I washed that little body till it was clean and free of birth yuck stuff.
She looked like a completely different baby after that!!


Took more vital signs.
Charted it all in the computer.
Did a Ballard Score  -- those newborn nurses can do this thing So Fast!!
I struggled through it.

Took more vital signs.
Then, baby is supposed to eat something by the end of the 1st 4 hours of life.
I took my swaddled, precious little miracle down the hall to mom and dad and made the first introduction to mom {since she had a c-section and they whisked baby away right after - this happened with my Hailee's birth too}.



Birth.

What an experience.
What an absolute honor it was to get this baby ready to meet her momma.
To follow her little body through the process of breathing, weighing//measuring, first bath, first diaper change, first feeding, figuring out HOW to suckle, eat, and breathe at the same time...
It all happens so fast.

In between caring for "my baby" {totally what we called our itty bitty patients}, I helped feed, change, cuddle, swaddle, and watch over other little babies in the nursery.
I used an itty bitty little neonatal stethoscope to listen to the fast little heart beats.
There were 12 babies born on the 1st day. 
I think there might have been a full moon or something ;)

Ok, the worst part of my newborn nursery experience was this:
SINCE the flu is spreading like wildfire through our state, we had to wear face masks the entire time we were with the babies.
I did not have a good experience with face masks with my Operating Room rotation - they make me more claustrophobic than anything else in this world.

My overall feeling - I wouldn't want to work in the Newborn Nursery.
WHY??
Because if that was the only thing I did, Babies would be the only thing I'd know.
I'm still leaning toward working on a medical - surgical floor in a hospital. 
That's your general, random illnesses. 
That is where I would get more and more experience in ALL of my newly acquired nursing skills: catheters, IV's, NG/OG tube insertion, Peg tubes, IV drips, dressing changes/wound care, PICC line care, planning care for patients, teaching... so much stuff that I wouldn't be doing if I worked in the Newborn Nursery.

I'm glad I got to go through that rotation!
I have yet to do my Labor-and-Delivery and Postpartum rotations. 
THAT could be a whole nother story...
We'll just have to see!!
{**I did not take any of these pictures while in the nursery, these are from searching google**}


I don't really like country music, but this song makes me think of all those babies.




Sunday, January 20, 2013

fast and furious

Those are the perfect words to sum up how this semester will be {and has already been}.
I'm officially done with week 2 of this 5th and final semester.
15 more weeks to go!!
There have already been 3 tests and my fourth will be Tuesday.
[I should be studying right this minute, but I promise, I will... in just a minute!!]

So far, so good with school!!
I really do want to keep my "A" average in nursing school because for some crazy reason, it matters to me.
The work I put into school is a reflection on how my career of a nurse will start.
I love learning about medical stuff.
I like all the chances I'm getting to practice my new skills.
It's pretty neat that I get to share my experience with 57 other people from all different walks of life, with all different personalities.
and I'm blessed to have a supportive family that is proud to have my back during this {not always easy} journey toward getting my Registered Nurse's degree.

We don't have a lot of stuff, but we have tons and bunches to be thankful for.
And believe me, I have more now than I could have ever deserved.


This is where we get our coffee from now.
A friend of ours opened a coffee kiosk in Irmo, SC named Loveland Coffee, and believe me - it's easy to get spoiled because this is some pretty great coffee!!
My favorite drink is the Ole Espanol.
God has richly blessed Beach and Jessica's sweet family so they could open this business!!
If you're in Irmo, go get some coffee from them!!
Jessica even is on here blogging about their business... LOVELAND COFFEE!!!

website // facebook page // twitter = @Lovelandcoffee

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That is one of the pages I made in my new smash book my sister in law got me for Christmas.
Being creative is fun for me!!

Here is another darling family that I get to live vicariously through!!

WIDGET

and on facebook 

A family of 3 living in Scotland on The Black Isle. Both Elizabeth and Billy {her husband} are starting internet businesses out of their home and they have a beautiful 4 year old daughter, named Kaya.
Elizabeth has an amazing way with words and her pictures make you want to get up and go visit them in Scotland!


Just a week ago, I was wearing these:


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And we soaked up being outside as much as we possibly could!!


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I admired all of my baby's precious golden curls.

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She got to do "happy feet" outside in the grass.


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And we saw this awesome hot air balloon lazily float by...


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** hot air balloons are nice and all, but honestly, I'd be scared to go up this high in one **



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This girl can pick up anything in our yard and have fun with it.
Wild imaginations are easy to come by in this household.

I told her to pose and this is what ensued...


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VOGUE vogue vogue vogue vogue...




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Sassy Girl in her sassy new bathrobe! 

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Riding off into the sunset...


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and my husband got a chance to be the grill master - in January!

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And we finally made our Christmas Sugar Cookies, with a friend's recipe and they turned out better than any sugar cookie I've EVER made. Seriously!


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One day, while I was getting ready - straightening my hot mess of wavy hair - Hailee got annoyed with waiting on me and just decided to climb in the dryer.


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Ok, it's been longer than a minute. I know that!
I'm off to study my brains out...
on reproductive anatomy and physiology, conception and fetal development, and the physical and psychological changes of pregnancy...
SEEING as how I've been there, done that, hopefully this will be a familiar rodeo.
It just gets so dang technical!

Oh, and my first clinical is in 2 weeks -- I will be in the Newborn Nursery first!!
I wouldn't be lying if I told you I'm pretty excited about it!!



....ready      set      go!







and today, for some reason, I cannot get this song out of my head.


























Wednesday, January 9, 2013

5th and final semester.

I thought it over.

Wrote it down.

Scratched it out, then wrote it all down again, differently.

Changed my mind to write about something else.

Because, I know, it has been a little bit since I've been on here.

and, all I can say is ...
School started back this week.
and that, in itself should speak volumes.

WOW, let me tell you what a few 8 hour days of lecture will do to you!!
It will make you not want to look at ANY FORM of written word once you step foot in your house.
THAT, I am sure of.
{another thing I'm sure of.. these "cuties" clementines are sooo amazing right now!}
It will make you watch the clock, and through glazed over eyes, see that there's 30 minutes left in lecture, only to look back up and see that 5 minutes have gone by and you're about to go out of your mind.
> > information overload < <
and it isn't even medical-surgical stuff.
That is done.
Now, our discussions are on effective communication, saying "NO" assertively, what to expect when entering the work force as a RN, the nursing shortage, why ADN degrees might eventually be made to get their BSN degrees or be demoted to LPN's, writing resumes, interviews with potential employers...
yeah, lots of stuff.


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As our instructors are putting it, this 5th and final semester in school is our "polishing" semester.
They're getting us fully equipped to be sent out into the wild wide world of nursing.
And if I was being completely honest with you, I would tell you that I have my semester calendar with me AT ALL TIMES.
And if I was being completely honest with you, I would tell you that from one hour to the next, I have to refer to my semester calendar to see what's going on.
It's THAT all over the place.
Really.
I'm lost without it.
I haven't even gotten a planner for the year yet because I know that I cannot even THINK past May.
GEEZ, I can't even LOOK past January at this moment.
Can you see why...


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that's just January.
34 more days of lecture.
113 total days until pinning.



ok, J.J. shared this on our facebook group page {c/o 2013 club} and my hailee laughed at this uncontrollably. it's funny.



I laughed too.
J.J., you always find the best videos!!


I gotta go do some math now.
Got a dosage calculations test in the morning.



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