I'm On It

19 Jul 2012

community health??

so lately i’ve taken a great interest in community/public/rural health nursing (did i tell you guys this already?)

yes i’m still interested in women’s health and yes still pursuing midwifery

i have found that my strengths in nursing involve therapeutic communication and (at times) education. i also feel good at psych/mental health but really can’t take on that burden  (i know my limits) but i know this is a part of community health as well since mental patients are in the community

i feel that this will also help address my concern with wanting to be knowledgeable in a variety of areas esp primary care areas concerning issues my family members experience because i know they’ll come asking me and i want to be able to help ( i need to be able to help) so in a position where i am possibly one of the main providers of healthcare for a community, i would be forced to be knowledgeable of info and resources and i’d also get to build those strong relationships and trust in teh community

also i’ve always worked in the community someway or another and i have found that this really helps keep me in touch with the real causes  behind some health disparities. i’ve seen people in the clinical setting get so caught up w/ the frustrations of the lcinical setting that they never address the root of the issue which can be found in the person’s actual environment at home/in the community

this is something i preach on all the time

but i’ve been looking into a lot of programs (many of which help repay loans because they need ppl!) which involve working with women who are expecting or have newborns and going to their homes (idk bout all that) and assessing them and providing them w/ health care there or referring them to where they need to go. prenatal and postpartum care in this environment would be pretty cool

my job wouldn’t be the same daily

i  know many people in community health or those working for health departments, for example, get cross-trained in multiple areas of the health department (ie peds, STI clinic, immunizations, HIV care, maternal/newborn, family planning, primary care, etc) how exciting! and they have a lot of autonomy compared to in a hosp setting. the hours are more routine like m-f 9-4 (i dislike this but maybe nt so bad if i’m not in one location all day everyday) and there’s no weekends or nights or holidays (i don’t mind the first 2).

lower pay but great benefits and exposure!

i also wouldn’t mind working at a rural hosp just to experience dealing w/ situations w/ limited resources and upper-level staffing

maybe i’m too optimistic about being in the trenches lol but i really want to build these kind of skills

yes i know it’d be frustrating i’m sure, but i thnk i’d like the challenge and responsibility

so i’ve been talking w/ some of the community health faculty here to see how i can incorporate community health and women’s health into my transition period for my next (AND FINALLLLLLL) semester (all praises to God!)

and how about the physician consult for the local nurse-managed clinic is a physician whose area of focus is women’s health (score) and also was a nurse before becoming  a doctor (score) and has a husband who is an obgyn (score) who operates his own practice which is affiliated w/ the hosp i work for (score) and employs a midwife (score) and a new grad and sometimes students so i def want to get a few hrs in there

my associate in the ER who works w/ me used to work as a med asst for him and got to even transport w/ the patients in labor to the hosp even if htey had to go to the OR

i just want to see what he will let me do

because i also want to see some gynecologic procedures that he does in his office

he also just hired a newly graduated physician

i gotta get in w/ these ppl!

great connections, i see it now

i also want to work w/ the immigrant population to improve my medical spanish

and thankfully the professor in charge of the community health transition option is the woman i’ve had every semester and who i will be asking to write my letter of rec for any and everything (she needs to hurry up and get that PhD behind her name! lol) and she really thinks i do great work (score)

and she’s all over hte place- like me- and has been all over the place nursing wise so i know if i dump all of these things i want to do in her lap she will help me make it happen

i’m so excited!

my other transition option preferences would be L&D and OR (only because i already work in teh ER and i thought OR would be cool in case i don’t see one for a long time but then i thought about how cold..and how early..and…yea so really it’s between labordeliver and community health)

i do feel like i want to be in the hospital setting as well though because 1) the  pay and the schedule 2) the clinical and critical thinking skills every1 says i’ll learn my first year on the job (that i obviously am not fully getting from these powerpoint lectures!) and 3) i do like the clinical setting…when it’s L&D or ER lol

so at some point (most likely when i am a WHNP/CNM) i will be dividing my time between the hospital, the clinic, the school (it’d be cool to teach) and community outreach..oh and acting of course..and maybe some time abroad!

ok those are my plans

there you have it

nurses can do anything i love the flexibility and options

any others interested in community/public/rural nursing?

everyone seems so satisfied and happy with it. i was so happy to read on allnurses people who also hated clinicals in nursing school and questioned if the hospital was the ONLY place for them. i know that’s where we will all be running to after graduation but i really really really want something non-traditional- like me! =)

6 Jul 2012

questions i’m asking myself

i’m wondering if i want to work in a hospital setting when i graduate

or if i don’t work in a hospital setting will i be missing out on that 2nd classroom that everyone who graduates speaks of when they say ‘i learned the most my first year of working (in a hospital i presume)

if i worked in a diff setting like the community or a clinic or something non-traditional…then what?

i mean i’d still be seeing people with issues but maybe not doing things like hanging IV meds and drawing blood…but there’d still be assessments and interventions (and of course education..meaning i’d have to be knowledgeable) right?

hmmm

just pondering

because i need a job that is not going to be clock in do this do that clock out repeat tomorrow..where my sched isn’t ‘routine’

although the idea of working three or four days and having three or four days off to audition and deal w/ school is appealing to me as well as the pay of hospital nurses (although idk the pay of non-hosp nurses..)

which is why i say i can only picture myself working in L&D, the ER, or the OR

but of course w/ my passion being in women’s health/pregnancy/labor/delivery i really wonder how else i can serve that specific population outside of the hospital (maybe in addition to the hospital) and if it’d benefit me or cause me to be lacking in some skills

how important are certain skills to me compared to my overall goals for how i want to serve in that area?

ok just needed to type it all out

14 Jun 2012

updates part 2: community clinicals

then in community clinical we discussed sexual health. some of the mini presentations were a bit wording and the vocab was a little..advanced..and the women seemed a bit bored/zoned out. but then it got a little more interesting and fun and more engaging. i discussed female condoms (do yall know about those? they look like bags hangin out of your vajayjay and the inside ring is like a nuvaring and the outer part should be enough to cover the labia so broader STI prevention..also they don’t break down in heat or humidity..in some countries they’re reusable. not easily broken. not made of latex. polyurethene or nitrile usually. and u can put it in 8hrs in adv. take your nuvaring out tho - only for 2 hrs! twist before pulling out or you’ll get a splash. i tried one and wore it for a few hrs. not bad at all really. but hard as hell to put in! and not very sexy. they should come w/ an applicator)

anyways some women were very uncomfy w/ some of the topics..esp the condom education. one was making child-like grossed out faces, another seemed very conservative culturally and was very quiet, another was quiet but interested, and a few kept running out to hush their crying kids. one thought it was ‘disgusting’ and ‘would never touch those’ i politely said that an infected penis is much worse. it concerned me for a few reasons: 1) not knowing what type of abuse some of these women had suffered, i wondered what kind of bad memories we were bringin up w/ some of the convo and of course didn’t want to force them to touch anything they didn’t want to. my friend demonstrated cheeking (putting the condom in your cheek and applying it with your mouth to the penis..a sexy trick and a safe 1 for prostitutes to use on johns who don’t want to wear a condom- they don’t even notice). 2) i knew some didn’t want to take the condoms in front of others. my friend said we should’ve made bags to hand out to every1. 3)some of the info presented i could tell wasn’t being fully digested and some impt pts were kinda breezed over but i didn’t want to jump in too much (i did, some) and take over.

but yall know i’m passionate about women’s health!!

oh and the lady i met last week was still there and said she received my letter. yay =) i almost didn’t recognize her (new hair)

next week we have an exam as well as a condom drive thru where we willbe standin in the streets giving out a variety of condoms  and wavin big signs saying things like ‘wrap it before you tap it’  ‘protect the family jewels’  etc

some are funny

kudos to my friend for finding them

17 Mar 2012

community clinicals w/ the kids…stress (4th and 5th graders)

b4 i start let me say that 1 highlight of going this week was the lil girl who i met last time we went saying ‘hey there’s that black girl..yep black ppl DO go to college’ (remember before i posted about how she thought black ppl didn’t go 2 college because she didn’t know any and then she saw me and i disproved her theory lol. ughh i need to TALK TO HER i hope i see her nxt time 2). also one of the kids was like ‘WHERE YALL BEEN ITS BEEN MORE THAN 2 WKS’ i think that was her way of saying she missed us? lol and i think they appreciate us knowing their names (some of their names). i didn’t get 2 talk to 2 of the ones i wanted to talk to though. they were quiet and kinda lost in all the chaos. oh ok so about the chaos

so remember that pic of all that fruit i had cut up and frozen?

and how excited i was for them to get the smoothies we were going to make for all 20somethin of them w/ 1 lil magic bullet blender?

and how eager we were to get into their heads again and give them realistic coping strategies for their stressful lives?

yea well…the day didn’t quite go like that

they were fresh off the playground for who knows how long. didn’t feel like being in that building, sitting down, listening, talking, anything except laughing and playing and being loud or listening to music or being on their phones (idk who they were talking to)

it was hectic to say the LEAST and considering that it’s been a heavy week for us every1 was kind of stressed out

at the end every still somehow got a smoothie (those sneaky kids share when they want to i guess) and i got to talk to a few ppl about their attitudes

but some were just out of control

one in particular just had the WORST attitude. she just..i just…

i had to get one back w/ her and i don’t want to have to show out for kids normally..i’d prefer we all just get along.

but u know what..while i’m a lil disappointed i’m not all that mad…they were high off of playground energy. it happens. they were in a silly mood. they’re kids. ok.

next time we know to keep w/ the small groups instead of staying in 1 large group. still love em

my concern is their current idea of what coping w/ stress is. they almost all mentioned hurting people, breaking things, killing bugs, making some1 cry or bleed, beating some1 up, throwing stuff…. pray for our children

and the things that strsesed them out..some were a  lil less serious than others. like…why are u getting so easily annoyed? and i know a lot of it (coping and just reacting in general to stress) is learned from their parents or whomever they’re around that’s older than them.

habits are hard to break..sigh. BUT WHY THEY GOTTA BE SO DOGGON VIOLENT?!

oh and 1 girl gets ‘stressed’ when she has 2 watch rugrats w/ her younger cousins…she’d rather be watching BET she said. ain’t nothin on BET for 4th/5th graders except Sunday’s Best!

sigh.

i’m grown and i’ll still watch the rugrats if it’s on. ijs.

this is the same girl that punched some1 in the face and made their nose bleed because they pulled her hair. maybe u need a lil rugrats in your life honey! cuz that’snot how tommy/angelica deal w/ situations! and angelica was bad!

i used to like bein at afterschool. iw asn’t home bored. got to see my friends. could run around n talk w/o gettin in trouble

about 1/4 to 1/3 of them have been suspended from school and/or the afterschool prog. and some ( i promise) looked a lil proud of it. smh

i worry about these kids. like at night they’re heavy on my mind and on my heart because i wonder where they are and what they’re doing and what’s going on w/ them at that time.

the 1 girl who was supposed 2 go to cali to sing didn’t get to because she never got the details on it. i wonder who dropped the ball there. not sayin it sarcastically just wondering. because that would have been a great opportunity to see something new.

and 2 of the kids had close relatives die this past week. but somehow said it w/ a goofy smile as if they didn’t know how to say it w/o bein awk..i can understand that

almost all of them claimed they had no highs when we did highs and lows of the week/day (smh) and i wonder if the boy who was so excited for his dad to come take him somewhere for a wknd ended up goin or not. i wanted to ask but nont in front of ppl and if it didn’t work out i didn’t wanna put it on his mind. he’s a sweetie.

sometimes i promise i can’t cope w/ all the issues that go on w/ kids because 9 times out of 10 they can’t do anything about it…and sometimes neither can i. and it doesn’t seem fair.

my friend’s roommate’s student ( shes a teacher) just found out one of her kids was drowned last night. possibly gang related. and some younger kids just started a gang out of the blue and made colors/signs/etc and are already threatening ppl. these kids aren’t even teens yet. something’s wrong

please pray

15 Mar 2012

3lbs of strawberries and 1.5 lbs bananas ready for tomorrow’s smoothie de-stressor w/ the 4th/5th graders
ignore the cokes in the back lol
i’m freezing them then getting yogurt and juice to blend with them
i hope the babies like it! <3 them

3lbs of strawberries and 1.5 lbs bananas ready for tomorrow’s smoothie de-stressor w/ the 4th/5th graders

ignore the cokes in the back lol

i’m freezing them then getting yogurt and juice to blend with them

i hope the babies like it! <3 them

14 Mar 2012

so much to do that i’m goin to tumble about what all i have to do =)

but i’ll be brief

i need to study for my pharm test

i need to put together a plan for tomorrow when we go back to work with the 4th and 5th graders. i think we may do stuff on how to cope w/ stress at home and at school in a healthy way so that they won’t find themselves bullying others as a release. i bought tons of strawberries (on sale) and bananas so that i can make them smoothies ^_^ so excited! i know these children better like smoothies. but i need some planned activities and discussion topics and a way to manage their candy again in a large group. oooo i think i’ll just a chart and then give them their allotted candy at the end. that will be easier. i also need a game..

we for sure will do highs and lows..hmm and maybe write out things that frustrate them or stress them out. this week we (me and the 3 other girls) can relate because these post spring break exams are drivin ppl crazy

and then we can write ways we like to de-stress good or bad and then discuss em and then discuss good and then make smoothies

i kind of want to stay in a large group setting but the small groups worked well last time so idk. i just want to get to k now all the kids..

oh ok and then i need to finish my online assignment by midnight and then for tomorrow work on a practice HESI exam and my clinical logs

i will post about clinicals today later…hot mess. just…yeah lol. i’ll post just letme get through this other stuff. i need to wash cut up and freeze all that fruit and i still need cups juice and yogurt or sherbert

feel free to leave suggestions for icebreakers, games, de-stressor activities, etc

?

19 Aug 2011

A juggling game

Trying to perfectly time my book shipment (pushing off paying as long as possible until I have funds) and my loan disbursement (which will provide funds in time for books maybe but then BAM rent will be due)

I may have to mooch off of someone for a minute =)

But like they said at orientation- we are CLASSMATES not COMPETITORS and we are here to SUPPORT each other  because no JOB will ask about our GPA

…but want about the 70-80% of us estimated to go on to grad school…won’t we need competitive GPAs then? They didn’t mention that although they kept mentioning grad school…well I’m not going to be cut-throat either way- I’m all for a big loveydovey moshposh community, but I feel someone else is thinking the same thing and will be trying to compete w/ all of us.

Overall, though, I feel very strong sense of community and camaraderie amongst nurses and i LOVE it