Hey, Stephanie-- I have a friend who prays for me and my children and knows you're in nursing school at the U of A. She doesn't work here anymore, but she called me this morning because she said the Holy Spirit told her this message regarding YOU. She said He said "This is her time to step out in faith". She said "But wait, she has two daughters...which one is it?" She said He said, "Nursing".That's you. I don't know what that means, but if you have a decision to make, this must be your answer. I love you!
daily rants, readings, praises, lists and bla bla bla's. what you normally talk about over a cup of coffee...
Wednesday, September 14, 2011
Today's message brought to you by the Holy Spirit
Monday, August 8, 2011
Busy fingers
Rest is so underrated when you're in nursing school.
Thursday, August 4, 2011
Another small step towards the big picture
Sunday, July 31, 2011
The Home Stretch
Wednesday, July 27, 2011
One box at a time
Washing my hands
It took us about a half a day. A asked me if I was sad that all of my stuff fits in a Dodge van.
...No, not really. My stuff is everywhere in his apartment, and I have more stuff in Birmingham! I talked to Mum yesterday. I'm going to splurge on a u-Haul and get some of my stuff from Birmingham and an entertainment center from Montgomery. A dresser and an entertainment center is our wagon-wheel coffee table. But it's worth the trip. :) A is being such a good sport. Yesterday was a hard day and I should do something special for him. Stress has made me an evil monster and I don't like that. He has been so wonderful and supportive of me, I need to make extra sure I'm showing him how much I appreciate him.
Pricing at u-haul doesn't make much sense. To pick up a truck in Montgomery and drop off in Tuscaloosa is $294, 151 miles, and 1 day of use. To pick up in Tuscaloosa and return to Tuscaloosa is $100, 400 miles, and 3 days of use. ....the obvious choice is the latter... but I honestly expected the former to be the cheaper.
I'm so relieved to have this stress off of my mind! I can't for the words! I don't have to deal with those crazy girls anymore! I'm too old for that kind of environment. The more we move forward with this decision, the more I become reassured that A and I made the right choice; whether we preferred this timing or not, it was the right choice.
Confession: It felt really good to take the shower curtain...yeah, that was probably my favorite part... Don't judge yet (Meme). It's my curtain, I bought it, it's re-usable, and I plan on putting it up in our bathroom! However, C came in as I was leaving and went in the bathroom. I heard her shut the door and then heard her sliding the curtain that was left back and forth. Mentally I could just hear her saying, "that bitch" and I couldn't help but giggle inside. She's lucky A was there to stop me from taking the rings that held up the curtains. Those are mine, too, I don't need them, and A got me to admit I'd only take those for spite...
I can see my grandmother reading this thanking God that A was there to keep me from being vengeful and laughing at the same time. So maybe I won't tell the story about how I was drinking a beer while tearing down the shelving unit (that's mine) that shelved all of their pots and pans.
Tuesday, July 26, 2011
Moving Days
My friends and I were talking the other day about starting a time capsule type deal. Journaling all of our nursing school experiences. When we're all done, we'll sit down together with several bottles of wine and read them out loud and eat tacos!
This summer has been hard, hard, hard. I've never physically felt stress like this before. I was telling A that I didn't understand this at all, considering I've dealt with much bigger monsters and much harder obstacles in the past. That being said, the last three months in Tuscaloosa have been.... different. I'm reluctant to use "depressing". That is far from the truth. But I guess the further I get away from April 27 and the more life goes one, the more I realize that dealing with the storm is much like a grieving process. It's just one of those things everyone deals with differently. I just happen to deal with stresses like that by putting more stress on myself. Makes it easier for me to pick myself up, dust myself off, and get back on the horse again.
I guess when I think about it, the physical manifestations of the stress of this summer is probably on par or better than expected. Wish I could have had the 40 lbs weight loss again... Storm, 13 straight days of work, little time off before starting summer 1 nursing school, passing my nursing classes AND working at the same time, moving... It's been a busy summer and full of change!! with change comes beauty like a butterfly
Monday, July 11, 2011
Sometimes life tells you different
Say a little prayer for me today and this week. Not only do I have a patho exam on two functional systems of the human body that don't really peak my interest, but I may have also found a person to sublease my apartment! This would fantastic! No more roommates!! No more bitches!
Where am I going, you ask?
Well... after much thought and consideration, A and I are going to live together. Hoorah! We didn't really want to take this step for awhile, considering it's before the two year mark for us to discuss the future. However, current living situations in hell have made us rethink and revisit our position on that. This is why they're bitches. That being said, I'm excited! I was pretty nervous at first about this idea. It's something I swore I would never do again. However, as we settle in, it's very natural. People keep saying, "Steph, it's been two weeks." To that I say, "Right. And before we made it 'official,' I was there all the time anyway. Now I'm just moving stuff out of the storage unit with roommates."
Now I get to have my awesome bed back!!! OK, enough excitement, I have to get back to the patho...
Friday, July 8, 2011
Thursday, June 30, 2011
Alls I gots to say....
Module 3: Information Competency
Overview
How is it that we know something—I mean really know it? This module focuses on knowing. Hopefully you will learn how to use computerized information to help you know better nursing practices.
Objectives
After this module, you will be able to:
- Access health and nursing information from electronic sources, both wired and mobile.
- Evaluate information found on the Internet.
- Explore a myriad of ways to use information from small, mobile devices to improve patient safety and quality of care.
- Describe the components and carry out the documentation of a Nurse Note.
- Use Chief Complaints.
- Carry out the documentation of Vital Signs and Physical Assessment.
Assignments
Perform the following tasks as instructed: (NOTE: Address any questions or concerns regarding this module to the HELP WANTED forum on the Discussion Board.)
The assignments should be created using Word or a compatible Word processor, and the format should include 1" margins and Times New Roman, 12-point font. You will be instructed when and how to save and upload each assignment.
Assignment 1: Surfing the Web (Individual Assignment 20 pts)
- Read chapters 11-13 in the course textbook, Thede & Sewell.
- View the audio PowerPoint lecture on Information Competency [19:05]. For your note-taking purposes, you may download the PowerPoint presentation or print version files.
- You learned in Module 2 how to search library databases to locate information. Now, you will search the Internet. Access the Internet.
- In the browser search engine, type “diabetes.” How many sites were generated?
- Now, revise the search to “diabetes AND adults.” How many sites were generated?
- Refine further to “diabetes AND adults NOT pharmacology.” How many sites were generated?
- From the results generated, locate one site that is available electronically and is not a journal article. Explore the site and evaluate it by answering the questions on the M3A1 handout, which was generated from Table 11-1, p. 192 of your textbook.
- Save your completed copy of the handout as “lastname_firstname_M3a1” and upload it as an attachment to the M3A1 drop box in the Assignments drop box.
- For the Module 3 Assessment, you will have 5 assessment questions that address the content in this assignment.
Assignment 2: Evidence for Practice (Individual Assignment 10 pts)
- Open the M3A2 handout to perform the following tasks:
- Select one of the web sites created for the purpose of promoting evidence-based practice during your Internet search in M3A1.
- Search that web site for information on diabetes.
- Identify three things that would be helpful in conducting patient teaching to a patient with diabetes.
- Using the levels of evidence on p. 211, which level of evidence is provided by this site?
- Summarize the information, the level of evidence and your rationale, and the source with the URL address linked.
- Save your report as "lastname_firstname_m3a2" and upload it as an attachment to the M3A2 link in the Assignments drop box.
Assignment 3: Mobile Devices
- Case: JT is a new admission on your assigned clinical unit. He is a 48-year-old, large-framed white male who has been newly diagnosed with diabetes mellitus. He is 6 feet tall and weighs 304 lbs. He has no other health problems. He is prescribed the medication Glipizide.
- Task: Locate the software on your iPod touch that gives you the information about diabetes mellitus, ideal body weights, conversions to kilograms, medications, and lab values. You will have questions on the Module 3 Assessment based on this scenario that can be answered from your iPod touch.
Assignment 4: Reference Management (Individual Assignment 10 pts)
You have searched the CINAHL database. Now that you have had a bit more practice, you will expand your searching capabilities to other databases.
- Thede and Sewell briefly describe the use of personal reference manager software. The University of Alabama has used EndNote in the past but currently uses and supports RefWorks. RefWorks is an online bibliographic database that allows users to collect and manage citations to use in personal research and in collaboration. Refworks helps you generate reference lists and format them according to APA format (or other formats if needed). RefWorks can be used to gain information about citing sources and creating bibliographies. To learn more, visit the following RefWorks links. You will be writing many papers during your student career at UA. Therefore, these tools can serve you well.
- RefWorks Tutorial
- RefWorks vendor's link
- RefWorks UA
- Create a RefWorks account for yourself. As you complete the next step of this assignment, save one article from 3 nursing databases to your RefWorks account.
- Create a screen shot of your work using the instructions for screen shots in Module 1. Save in a Word document.
- Following your screenshots (using the same Word document), save your RefWorks bibliography in APA format (include the name of the database used at the end of each citation) as "lastname_firstname_m3a4," and upload it as an attachment to theM3A4 link in the Assignments drop box.
Assignment 5: Nurse Note Documentation-Level 1 (Individual Assignment 10 pts)
- Read Chapter 4 in your Hamilton course textbook. For your notes you may download the PowerPoint presentation files. Hamilton Ch 4 PPT
- Note that the SpringCharts exercises within the Hamilton book build upon one another. To complete the SpringCharts exercise for credit in this module, you must have completed the Ch 3 exercises, even if they were not assigned for credit.
- Note that to submit this assignment electronically you need to know how to create .pdf files. If you have access to Adobe Acrobat or another .pdf writer select it rather than your printer and save the attachment to your NUR 309 folder. If you do not have access to those, follow the instructions in the preface of the Hamilton textbook: Submitting Assignments Electronically page xxvii. You will save and upload the assignment to the drop box rather than send it by e-mail.
- Throughout this learning module and in your pathophysiology course you have learned about diabetes. Now you will use SpringCharts to document findings on a diabetic patient in Exercise 4.1 in your Hamilton textbook titled "Diabetes". (You should have created this patient previously in Exercise 3.2).
- Once you have entered all the information in Exercise 4.1, go to File and then Print Chart, but select NO when it asks to print the entire chart. In the print partial chart menu select all the options and print. From there you will create a .pdf file, save it as "lastname_firstname_M3A5", and upload it as an attachment to the M3A5 drop box. Diabetes SpringChart Example
- Remember that assignments build upon each other, so complete ALL the exercises in the assigned chapters even if they are not for credit.
Assignment 6: Module 3 Assessment (50 pts)
- Access the Assessments link to complete the Module 3 Assessment.
Upon the completion of Module 3, proceed to Module 4.
Friday, June 24, 2011
I'd get married again just to not have a roommate
Well I went to check and see what Adam had said to make you so angry and I see that you have unfriended me. To be perfectly honest I don't care. I know that I can't help you with this kind of behavior.
Creating this much drama over me telling you I couldn't connect to the Internet is just irrational and ridiculous. I find stuff like this insultingly juvenile and petty. The thing that I hate is that when I tried to talk to you like an adult, you had to get irrational they way you did. And not only on the phone this evening but even in the apartment when you asked me to stop sending you Facebook messages. This type of behavior is extremely immature. There is absolutely no reason for any drama to be brought into this issue. I honestly feel that you were looking for something to be upset with me over and the fact that I tried to be cooperative and courteous insulted you. That makes absolutely no sense. I wish I knew what I have done to make you so incredibly angry with me. I've always been open to making things right with people, especially if I've wronged them. You're an adult. I expected better out of you.
I am not expecting you to respond to this message, and honestly I don't want you to. I'm relieved that I won't have any financial ties to you in the apartment, as well, especially after the way you behaved with me on the phone and in the apartment. I'm relieved to not have to worry about unnecessary drama. I regret that the resolution of you giving me back my $29 didn't come sooner so that I could have made other arrangements for Internet connection. I hope one day you can look back and see how petty and stupid this argument is.
Thursday, June 23, 2011
Progress
Saturday, June 18, 2011
Thursday, June 16, 2011
Everybody likes a debate!
We have to do these debates. School assignments like these are asking for it... If you can't tell, I'm a little opinionated. Maybe a little strong-headed... but just a little. Not much at all...nah. They divided us up in to groups and the first two groups delivered their debates yesterday. The rest of us were allowed to ask questions following and active participation was encouraged because these debates would be a part of our midterms and finals.
OK...
The first group presents the pros and cons of whether or not an alcoholic should be allowed a liver transplant. I take out my notebook, jot down the arguments as the list them, their reasonings and immediately on the side for allowing alcoholics to get a new liver, I see that they have a contradictory argument. So I form my question and wait patiently to ask it. When they conclude and open the floor, I raise my hand because I'm a good student like that and ask, "This question is for the pro side, you mentioned that most alcoholics who receive a new liver and commit to lifelong rehab and sobriety are said to be successful. The cons mentioned that 95% of alcoholics have at least one drink within the first year post surgery and your side also mentioned that alcoholism is a disease and stressed the importance of treatting that disease. Do you think that allowing an alcoholic to receive a liver is really treating the disease if 95% have a drink in the first year?"
Crickets and blank stares. I didn't think I was asking that hard of a question! But they couldn't answer it!
The next group comes to the front and presents the pro's and cons of increasing health insurance premiums for smokers and the obese. This should be good. Now granted, these are kids ten years younger than me so they have missed decades worth of news articles and debates I've already seen and heard on these subjects. Despite that, I forgot this myself and assumed to hear the same arguments when this issue came up in the early 2000s. I again pay attention, write down my thoughts and their points, form my question and tuck it aside and wait for my turn. This debate, I admit, got me more fired up than the prior. The side in favor of allowing insurance companies to raise premiums missed major points and had huge holes. Fortunately, I wasn't the only one with tough questions.
"You mentioned that insurance companies have a right to raise insurance premiums selectively because they are their own business. The United States constitution explicitely protects from discrimination such as this. By allowing these companies to selectively choose who has higher premiums, do you not find this unconstitutional? What about people who need the insurance to help them pay for medical problems with obesity as a side-effect? Or those on fixed-incomes who can't afford a healthier eating regime? Can you tell me how it is constitutional for an insurance company to pick and choose who is a higher risk?"
The group stood in silence with their mouths open, looked at each other for a second and then stared back at me. Finally, a one of the first girls to speak stuttered her original argument. So I asked again, "So you are saying that yes, it's constitutional for an insurance company to discriminate?"
"I don't understand those big words."
This is the future of America and somebody's future nurse --- not Mine!!
After the debates, I was flooded with people thanking me for not asking them a question and the rest of the nursing students asking me to be nice to them when it was time for their group to go...
Yup... leave it to me...
Wednesday, June 15, 2011
Days go by
Outside of Rosedale Court, April 28, 2011
Tuesday, June 14, 2011
In other news...
I used to be such a dedicated blogger... and now I just fail at all corners of this because of school but you should know that this had paid off! I started upper division nursing at the Capstone College of Nursing! Roll Tide!! If you thought I didn't write enough before....
So far, I've studied literally two solid weeks for a pathophysiology test ONLY to make an 80 on it. Only? Yes, "only"! The grading scale is Completely Different! How about an 80 is a C+... This is my first C in ANYTHING since I was in chemistry... I even got a tutor for the first time in my life. I'm going to be learning lessons not only in patho but in humility and realistic expectations.
What's really awesome is how much the school did for the community during the storm. Many of the nurses in the program hit the streets and helped the Red Cross and other blood donation sites, medical treatment sites, etc, with paperwork and triage along with other donation sites and hard labor work. I can't say Roll Tide enough to all of the hard workers and volunteers who have worked non-stop since the storm that have made such a remarkable change in our town!!
The nursing building is now located in a new building on the UA campus that is completely state-of-the-art. I'm exhausted but that doesn't begin to smother my excitement to be there! The second floor is just a mini-hospital for us to get hands on training! And we have little red scrubs with little crimson and white patches with the UA logo on it. Confession: I put them on as soon as they came in and...well...they're unisex... and unisex pants apparently don't forgive women's hips... so no carbs for me!!!
Saturday, June 4, 2011
Part 3
Saturday, May 21, 2011
Part 2
"We have water."
Thursday, May 19, 2011
Part 1
"Are you there?"
Monday, March 21, 2011
165 days
I would like to take a moment to thank safety Mark Barron for taking the spotlight off the start practice and putting it on his weekend arrest because he thought defending his cousin's hit and run accident in Mobile was a smart thing to do. Family blood is not stronger when you have a full scholarship starting your future.
Really looking forward to A-day this year! I hope I get the nephews so I show them what Aunt Stephie loves so much!
Roll Tide!
I'm not percolating
I know... shocker.... Mum said, "You really went with the sacrifice this year!"
Just to be clear, I gave up coffee, not caffiene, or else I would be leading the assualt for the UN in Libya right now and probably be dead. Today is marking the start of the second full week and two things were not what I expected them to be:
1. I didn't take into account that daylight saving time began the first Sunday after Lent. Fail.
2. I thought hot tea would be supplement enough. Not really.
I drive past a Starbucks now and drool like a rabid dog.
In other news, so far I have saved approximately $130.... #winning