Needles and a Pen » Knitting, Sewing, and Nursing School

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  • Welcome to my blog!

    Hi! I'm Traci. I'm a nursing student and CNA who loves quilting, knitting, cross stitch, and the great outdoors. In my pre-scrubs life, I owned Real Photography, and you can still see my old wedding and portrait photography site here .

    I've created a map that shows links to our camping/hiking/general family fun review posts that you can find here. It's pretty much the coolest thing on this site. Thanks, Google!

    I great big puffy heart *love* comments, so please let me know you visited! I try to always reply!

Thoughts on surviving the first semester of nursing school

I survived the first semester of nursing school, and somehow we’re already halfway through the first bimester of my second semester!  (That was a mouthful.)  The good news is that the time flies.   I spent a lot of time before nursing school poking around the internet trying to figure out if this was all going to be actually doable, so I feel like I need to put my own tips/experiences out into the interwebs for the next nursing student mommas coming down the line.  Because YOU CAN DO THIS!  You can work, and have kids and a husband and get As in nursing school and even maybe read a book.  It can be done!

nursing school with kids tips

Here’s what I learned that I wish someone had told me (or they did tell me and I didn’t listen, so I’ll add my voice to the chorus):

  • Everyone is going to tell you that you shouldn’t work during nursing school.  Ignore them and figure it out for yourself.  I work part time: two twelve hour shifts a week.  This bimester (first half of spring semester), it’s a little ugly.  Wednesday, Thursday, Friday I have clinicals from 2-10:30pm.  Saturday and Sunday nights I work from 7pm-7:30am.  Monday morning after work I get in my car and drive to school where I take my weekly test on the previous week’s material, and then sit through three hours of lecture.  At 12:30 I get to go home and sleep until the kids get home from school (at which point I wake up and zombie around the house before going to bed again around 9).  Tuesday is another 8:30-12:30 lecture and then it all starts again.  Does it sound insane?  Sure.  But I absolutely love my job and I’m almost halfway through this particular schedule already!  Which brings me to my next point:
  • You can do anything X times.  There are a lot of things in nursing school that you probably won’t be in love with.  Tests, certain clinical rotations, certain projects, whatever it is, figure out how many times you have to do it.  It’s probably not that many.  Like my crazy schedule of insanity, for instance.  Yes, it sounds dumb.  But as I looked ahead into the semester I knew that I only had to do 7 crazy Mondays.  I only had to do it 7 times.  Easy, peasy.  You can psych yourself out thinking about how many months or years you have left of nursing school, but the actual bad parts do not last long.  There is spring break and Christmas break and summer.  (SUMMER!)  I find that May of 2017 seems like a very long time from now.  So I look at the thing that’s daunting right now: the Mondays.  And I count them.  Seven.  I worry about that and leave the rest for later.  (It’s very Scarlet O’Hara of me, but you do what works!)
  • Your family will do amazing things.  Will can start a load of laundry.  Nic meal plans and makes dinners and does grocery runs.  This weekend he took both kids skiing by himself.  Ellie had been skiing twice, Will less than a dozen times, and he got them up, got them dressed, packed a lunch, and was out before 7am to drive 2 hours for a day on the slopes!  They made amazing memories, and wowed my socks off while I slept and studied between my Saturday and Sunday night shifts.  If you’re going to work and go to school you aren’t going to be the do-it-all mom you used to be.  You aren’t going to be there for every dinner or every outing.  Embrace it.  Watch in awe as your family steps up and be wowed when they rock the things you thought you had to do.  You are growing with the challenges of nursing school, and in not trying to do everything you used to, you give them the opportunity to grow too!  You can feel guilty about it, or you can be super proud of them.  I pick proud.  Because really, they’re killing this.
  • You might not be top banana anymore.  Seriously.  Yes, even you.  No, really, I mean it!  In reading about nursing school, I read a lot of remarks about how nursing school is one of those small fish, big pond moments.  I read it, and then arrogantly dismissed it.  That wouldn’t happen to me.  I mean, someone has to score the top grade.  It’s usually me, so…you know….I got this.  Except I didn’t.  I got an 88% on the first test.  And an 86% on another one.  And sure, I got my As overall…but I knew that when I got 98, there would be a couple of 100s.  And when I got 100, I would be in good company.  My top banana days were over.  The competitive part of me wanted to dig in, give more, reclaim my crown as queen of the exam…but then reason set in.  Which brings me to:
  • Don’t try out new medication.  You are going to take pharmacology, where you will learn about anxiety meds.  You will also learn about anxiety, and you will realize that this describes you perfectly.   (Nursing students are type A stressed out sleep deprived perfectionist beasts.  It’s less a classroom than it is a psych ward.  All semester I kept coming home and saying things to Nic like “You don’t understand.  *I’m* coming across as well adjusted.”) THIS IS NOT THE TIME TO GO TO YOUR DOCTOR AND ASK FOR ALL THE GREAT MEDS YOU JUST LEARNED ABOUT.  We had a couple of students in our class fail or nearly fail because they either went on medication or messed around with their medication dosage during the semester.  It was like watching an after school special.  (And lest I come across as being above the great medication debacle, remind me to tell you some time about the day I took melatonin to help me sleep between shifts.  It turns out the side effects of melatonin include headache, depression, and confusion.  If you’ve never been medically depressed AND confused, you have missed a great hilarious self deprecating story.)
  • Don’t get swept up in the tide.  There is nothing a group of nursing students likes to do more than spiral out.  You are going to hear about how difficult X is, or how many hours someone spent on Y, and it is tempting to jump into the pool of crazy and let yourself get all pruney in it.  I really like my fellow classmates and enjoy learning from them and celebrating with them, but I am also cautious.  I keep to myself before a test and usually try to keep to myself after it.  When I don’t, I regret it.
  • Follow test strategies.  Our instructor made this book mandatory our first semester, and it is a fantastic resource.  I already followed many of the tips (like underlining key words in the question and using symbols to mark the answers [though I use “-” and “x” instead of their “-” and “+”).  It’s a really good investment of time and money.  I felt like I already had my multiple choice strategies locked in, but I learned new things!

  • “But Mom, there’s no such thing as more right.”  “Uh, yes there is.  And less right is wrong.  Welcome to nursing school.”  This is a conversation I had with Will one day when helping him with his math homework.  He had something like “10/20” as an answer and he was trying to argue that he didn’t need to change it to 1/2 because “both were right.”  The multiple choice questions in nursing school are insane.  You are going to come across ones like this:
    • Which of the following statements or questions made by the nurse addresses the nature of her patient’s pain?  (Select all that apply.)a)”Describe your pain to me”b) “Is the pain worse in the morning or in the evening?”c) “Place your hand over the area that is uncomfortable.”d) “Rate your pain on a scale of 0 to 10.”
    • The answer is “a” and “c.”  The rationale given is that b is a precipitating factor and d is severity.  I think that the actual rationale is that the people that write nursing exams don’t have a good grip on words.  And you know, what they mean.  But this is your life now, and you will eventually crack their code.  Test strategies help a ton.

  • Tips for the NCLEX will help you now.  The NCLEX sounds like something that it is a little soon to worry about, but one of the best things you can do is start preparing for it now.  Nursing school is there to get you to PASS the NCLEX, so in preparing for the NCLEX you are actually preparing for your regular tests!  These little NCLEX “rules” help me out all the time:

    • When prioritizing actions during emergencies, remember “ABC” (Airway, Breathing, Circulation).  The actions in your question are all going to sound right, so remembering ABC will help you to choose the right answer, which will have something to do with securing the airway.
    • Unless it’s an emergency, assess first.  Getting vital signs or assessing lung sounds will be the right “first action” most of the time, unless the question is an emergency, in which case you drop into the ABC rule.
    • Don’t pass the buck.  Most of the time, there is something the nurse should do before calling the provider.
  • Take NCLEX practice tests.  You can find lots of NCLEX practice tests on various subjects online and in book form.  While these will be geared toward the national standard and not your professor’s particular big ticket items, they help tremendously.  They get you used to the mean multiple choice questions of nursing, and they help you better understand the material.  This semester I’m getting a lot out of this Med Surg practice test book–I just got 98% on our big Med Surg test!
  • Get really interested in something else.  Anything else.  The week before finals I got really interested in applying eye makeup properly and spent a lot of time watching the you tube channels of 20 year olds.  The month our skills tests got really intense I listened to Carry On (the latest young adult novel from Rainbow Rowell) a dozen times.  (That’s a conservative estimate.)  This semester I’ve been listening to the Magicians novel series and researching houses I might want to buy and updating blog posts.  In all that, I mean: give your mind something else to obsess about.  Have something else going on so that you’re not just obsessing about the next test.
  • You will probably fail at some point.  And cry.  And doubt yourself.  I have yet to meet someone who didn’t cry at least once during nursing school.  For me, it happened in melodramatic fashion at the point in the calendar when I was sleep deprived to epic proportions.  Already in sleep debt, I got three hours of sleep and showed up for my medication skills checkoff.  I forgot to aspirate before giving an IM injection and failed the checkoff.  That seemed about right for that week.  I was fine until I got to the car, where the stress and lack of sleep caught up with me and I cried and drove and cried and drove.  I didn’t want the stress of a skills retake (fail a skills checkoff once and you retake the checkoff, fail twice and you have to retake the class).  I didn’t want my undefeated skills checkoff streak to be over.  All I wanted to do was go home and cry myself to sleep, but my poor grandmother was there that week to help us with fall break childcare and I didn’t want to show up weepy and defeated.  I pulled over on a side street, lay down in the backseat of my car and threw a little sobfest for myself, pathetic princess style.  It was not a high moment.  Then I went home.  Where I received a phone call from the lead instructor an hour later that said that they’d decided that I shouldn’t have failed since the rest of the med pass had gone so well and the jury is currently out on the value of aspiration anyway.  She said that they were going to list this as a pass and I wouldn’t have to retake it.  Which meant that I had acted like a total moron and wasted all of that emotion over absolutely nothing at all.  It was ridiculous.  *I* was ridiculous.  BUT it was like after seeing how ridiculous it was to let my performance in nursing school define my sense of self, I was able to really let that go.  The pressing-weight-style stress left.  And it’s never come back.  From what I can tell, it’s normal to have a meltdown or two.  So if at some point you find yourself sobbing in the backseat of your car, know I’m right there with you.

Nurse Roxxy - Thank you so much for sharing your experience. I’m a mom of four and wife,
Restarting but determined to complete this a care is my passion. I wish you the best in your endeavor. MAY IS AROUND THE CORNER GIRL!!!!!

Thanks Shae

Photography

It’s been over a year since I closed Real Photography, and people always ask me if I miss it.  The truth is that I don’t, because I still take pictures all the time!  I thought I would share some of the pictures that I took last year over the next few weeks.  I’m going to start with some Christmas photos because I figure those are only going to get less seasonal and more belated!

christmaspajamapicturessnowkids

It was Will’s tenth Christmas in the classic striped Hanna Andersson jammies, and the best year yet since our favorite babies came to join us for Second Christmas (a new event and instant annual tradition)!  It began snowing about an hour after they arrived and we hurried the kids into their jammies to get some actively snowing pictures!  Don’t miss my favorite outtake in which Ellie and Pippa want new families and Sam and Will think “huh.  snow.”   And a few pictures from Christmas morning:

christmaspajamapicturessnowkidsblanket

Tips for counting newborn heart rates

When I started as a CNA in postpartum/the transition nursery, I was absolutely horrified by the difficult time I had getting an accurate newborn heart rate.  CNA school prepares you for adult heart sounds, not the twice-as-fast rates you’ll hear on a newborn!  I had absolutely no confidence in the numbers I was getting and so I began to search the internet for tips and asked my coworkers for advice.  Now, 15 months later, I want to share my tips for any new CNAs or Peds/OB nursing students who are struggling with those tricky newborn heart rates!

tips for counting newborn heart rates

  1.  Practice.  All of the nurses that I would ask over dinner would say the same thing:  “it gets easier–you just need practice.”  I hated that answer!  I wanted something that I could do to feel confident in the numbers I was getting that week–I didn’t want to suck for a month!  But they were right.  It gets easier with practice.  The more you hear, the more you get used to those fast heart beats, the more you’re able to separate out the S1 and S2 sounds, and the more you’re able to count quickly!  Any time I had a chance at work I would listen and count.  But better yet, you don’t need to be at work to practice–you can practice as often as you like using recordings available online (here is a great one).
  2. Use the right tools–your stethoscope.  The stethoscopes we have available at the hospital are just terrible for beginners.  Not only are they terrible at amplifying sound, but they are standard adult sized stethoscopes.  I’ll grab one now and then in a pinch and immediately remember why I used to think that it was so hard!  When I got my Littman infant stethoscope, the difference was night and day.  Yes, you might be spending an entire day’s salary on it, but it’s worth it!  With an adult stethoscope you practically cover the baby’s entire torso, and you pick up all sorts of additional sounds.  With a small infant stethoscope you are able to zero in on just the heart sounds, and when you’re a beginner this is a HUGE plus.  Especially since you will often be trying to listen to heart sounds over the sound of the baby crying!
  3. Use the right tools–your watch.  For Christmas my first year as a CNA I asked for a new work watch.  I’m normally a small watch girl, but Nic got me this boyfriend style watch, explaining that he thought it would be nice for counting heart rates.  I would never have bought it for myself, but after a single shift with it I could never go back!  Having the second hand move so slowly and dramatically makes it easy to start and stop at precise points.  It weighs about as much as a newborn baby, but I could use more arm muscles, anyway.  😛
  4. It’s okay to dance along.  I’d read online a few times that people recommend closing your eyes and bobbing your head or tapping your foot to get into the rhythm of a newborn’s heart rate.  It works.  You may look a little dumb rocking out to a newborn’s rhythm, but the good news is you won’t have to do it for long.  As you gain confidence and comfort you can ditch the tricks, but it really does help in the beginning!
  5. Counting tricks.  In the beginning, I had a really hard time counting quickly and not losing my place.  I would be thinking “28, 29, 30, 31, 32…wait, did I go 29, 30 or was that 39, 30?  Am I ten off?” And I was also just not used to counting two and a half numbers per second!  It becomes a mental mouthful!  (And yet after a few months you’ll wonder how it was possible that it was ever difficult!)  While you wait for the quick counting to become second nature, there are some nice tricks out there.  My preferred method was that after 19, you could go “2, 1, 2, 3, 4, 5, 6, 7, 8, 9, 3, 1, 2, 3, 4, 5, 6, 7, 8, 9, 4, 1, 2 ,3, 4, 5, 6, 7, 8, 9, 5…” so that instead of having to say “twenty-two,” you were just saying “two” mentally.  Since the Air Force counts flutterkick reps like “1, 2, 3, 4, 2, 2, 3, 4, 3, 2, 3, 4….” this was a rhythm I was used to.
  6. Use math to double check yourself.  I always take note of the numbers I’m getting as I hit 10 seconds, 15 seconds, and 20 seconds.  (I usually listen for just 20 or 30 seconds and then triple or double my number unless the baby’s heart rate seems to be changing or I get an abnormal number in which case I’ll count for the full 60.)  By taking note of what I’m hearing at different intervals, I can run those numbers, too.  Unless you were hearing the pace change as you were listening, the rates you calculate should all be similar.  If not, you know your counting went wrong somewhere!

Dr Suess Quilt B

I’ve already shared one of the Dr Seuss quilts that I made for my nieces, but I realized that I never shared the second one!  This is Nic’s favorite by far, because he feels strongly that all quilts should be made with minky backs.  The panels are all from their momma’s favorite book.  If I had it to do over, I’d avoid quilting over the squares made by four solid triangles, but I know the babies don’t care!

dr seuss quilt

dr seuss baby quilt

 

Donder and Blitzen hat

Remember when I used to make lots of stuff?  Me, too.  That was nice.  Oh well.  There’s a season for everything, right?

I thought I’d share this Christmas hat that I’ve been poking along with.  I started it late in the Christmas season and had hoped to finish it before the semester started, but got sidetracked with deep cleaning projects.  It’s Amy Miller’s Donder and Blitzen pattern, and I’m hoping it will be adorable when it’s all done!  I picked the pattern based on the red and green Plucky primo worsted yard I wanted to use for a Christmas project.  I never tracked down a suitable near-white in primo worsted, so I swapped in a white worsted yarn from a local yarn shop.  The only thing I didn’t factor in was how long it makes the red strands of carried yarn.  I have some concerns about sections where I may have pulled too tightly.  Hopefully it all works out!

donderandblitzenhat

Fran Cooper - Love this HAT!!!

nothin into nothin, carry the nothin

While I made several cute things this fall I lost a memory card in early December and so I’m missing pictures of a bunch of the cute things.  (And probably of my kids, too, but I’m trying not to think about that.)  Luckily, one of my favorite projects DID get photographed and those photographs DID make it onto my computer and so I present to you without further ado the box I made my sister for Christmas:

target cross stitch box firefly serenity jayne

I modified this cross stitch pattern to make Jayne a little shorter so he’d fit.  (The title of this blog post of course referring to one of Jayne’s best moments in Firefly.)   A couple of things in this project made me a little crazy, like the actual painting of the box (I disassembled it before painting it and used masking tape and it STILL had the nerve to come out imperfect) or how the “shiny” didn’t end up being centered event though it totally was when I did the original math or how when I went to put it all back together I discovered that the hinge was on the LEFT of Jayne instead of at the top.  But the beauty of making something for your sister is that you know she’ll see the love and not the flaws!

target cross stitch box

The box is from Target, in their craft aisle (though some locations are regularly sold out, you can get them online).  I used a full 6 strands of regular embroidery floss for the project and the needle that comes with the box.  To cover the back of my work (which is always a disaster) I cut a piece of cardstock to fit and popped it into the space (green in the above picture).

target cross stitch box firefly serenity jayne

All of this just reminds me that it’s been too long since I binge watched some Firefly.  Time for some laundry folding and Nathan Fillion, my friends!