Rank #1: I’m a Little Bit Scared to Share This #vulnerable
Can I be honest?
I had an amazing experience last month. It was one of those moments when you are filled with thousands of emotions ranging from happiness to sadness all at the same time. Have you ever felt that before?
"You never know the reach you will have as a nurse."
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The past year has been incredibly busy for my family and I for many reasons, and this is something that I haven’t shared publicly, but in the last year my grandma and grandpa (on my mom’s side) both passed away almost exactly a year apart from each other, one from a stroke and the other from pneumonia complicated by dementia.
This has been hard for the entire family, my mom especially (obviously).
But I want to rewind the clock a bit to my first semester in nursing school, and then we will come back to last month.
My First Semester of Nursing School
During my first semester of nursing school one of my grandpa on my dads side passed away rather quickly. That was in 2011. I’ve talked many times about how difficult that first semester of nursing school was here and here.
Long story short, my wife was 7 months pregnant. We had just moved to Illinois from Texas. We had just pulled out $40,000 in student loans.
My parents were kind enough to pay for a ticket out to the funeral in Arizona. I went to funeral, and it changed everything for me!
I had a sort of epiphany. I realized that in those last minutes of my grandpas life nurses were caring for him. I wanted to feel and know that they were caring for him as deeply as I would.
I realized that I was very literally caring for someones grandpa, mom, daughter . . . loved one. I vowed to myself to care more deeply for each and every patient.
This Last Year
So over the course of the last year, my grandma passed away (stroke) and just 12 months later, my grandpa (pneumonia). I worked as a NEURO ICU nurse before doing NRSNG full-time so during the final moments of my grandmas life I was fielding questions and educating family on the process. She passed away in 2016.
They lived out in Arizona, and I am back in Texas. So again, we were relying on amazing nurses to love and care for my grandparents.
My grandpa began to get more and more sick (with both dementia and other complications). He finally became most bed ridden and developed pneumonia in April 2017. On grandpas last night, two of my uncles were at the bedside with him. We got the text at 1am that he had passed away.
My wife and I, with our children flew out to Arizona for the funeral. After the funeral we had a small lunch with family. My uncle came up to me in tears and told me about the last night with my grandpa in the hospital.
He said the nurse that was taking care of my grandpas was amazing and so caring. Then he shared this story with me:
During the night he mentioned to the nurse that his nephew (me) was also a nurse.
He said, “He has a website for nurses called NRSNG.com.”
The stopped what she was doing and said, “I love NRSNG without NRSNG I would have never made it through nursing school.”
In that moment, I felt like the vow I made to myself back in 2011 to care deeper for my patients had come full circle.
You never know who you will touch as a nurse.
We love each of you and we take the responsibility of helping you along in your journey VERY seriously. Thank you for being a part of the NRSNG Family. Some day, it is very likely that ONE of you will care for me, my wife, or one of my children. Thank you in advance!
Rank #3: Ep3: Hyperkalemia (MACHINE, MURDER, AIRED)
Hyperkalemia Nursing Mnemonics
The hyperkalemia MACHINE
Medications – ACE Inhibitors, NSAIDS, potassium-sparing diuretics
Acidosis – Metabolic and respiratory
Cellular destruction – burns, traumatic injury, hemolysis
Hypoaldosteronism – Addison’s
Nephrons- renal failure
Excretion – Impaired
Urine- oliguria, anuria
Decreased cardiac contractility
Reflexes- hyperreflexia, or areflexia (flaccid)
Administer IV Calcium – to immediately decrease cardiac toxicity
Increase excretion – via both stool (kayexlate) and urine (diuretics)
Remove sources of potassium – from all sources, including enteral, pareteral, IV, and PO
Enhance potassium uptake into cells – insulin, glucose, sodium bicarb, beta-adrenergic antagonists
Dialysis – emergent response for patients with lethal hyperkalemia
Rank #4: Ep2: Blood Types (Labs Nursing Mnemonics)
Picture type O as a huge circle, like the universe, because they are the universal donor. They can give to everyone. However, also think of them as the “odd man out” because they can only receive type O as well. They are universally odd, able to give to all but only receive from themselves!
Rank #6: Why I Give A Shit (or what is your mission statement)
I got a text from my sister, who was in the hospital for induction, at 1:30am that rocked my world.
She text me and told me that her nurse – the nurse who will be receiving my new nephew into the world – uses NRSNG.
Moments like this rock me to the core. I know that every human will one day cross paths with a nurse. Whether that is during the best moments or darkest moments in life, a nurse will be there.
Our mission at NRSNG is to be “the best place to learn nursing” . . . the reason that means so much to us is because we fully recognize that one day, a nurse who uses NRSNG will care for me, my wife, or my child. That motivates us to do our BEST each and every day.
Listen to the podcast episode here:
I would be lying to you if I said that being a nurse was easy . . . it’s not.
But it IS worth it. There are beautiful moments that make you a better person. There is no better work in the world than touching human lives.
To help you through those most difficult moments – a personal mission statement can be your best friend. Take 2 minutes to write down your “WHY”. We will each have our own personal “WHY” and I can’t tell you what yours is, but write it down and let it carry you through those hardest moments.
The post Why I Give A Shit (or what is your mission statement) appeared first on NRSNG.
Rank #8: Ep34 Cancer (CAUTION UP, CANCER)
Change in bowel or bladder
A lesion that does not heal
Unusual bleeding or discharge
Thickening or lump in breast or elsewhere
Indigestion or difficulty swallowing
Obvious changes in wart or mole
Nagging cough or persistent hoarseness
Unexplained weight loss
Rank #9: Ep63 Pulmonary Edema (MAD DOG)
Morphine – causes vasodilation resulting in decreased BP
Aminophylline – relaxes airways to make breathing easier
Digitalis – improve heart function in pulmonary edema
Diuretics (Lasix) – pull excess fluid off
Oxygen – improve oxygenation
Gases (Blood Gases/ABGs) – assesses respiratory status
Rank #11: Ep30 Arterial Blood Gases (Rome)
Rank #13: Ep1: Welcome to the Nursing Mnemonics Podcast
Welcome, welcome, welcome . . . what is up guys?
We are at it again, dropping another valuable podcast for you to enjoy.
This will be the home of the nursing mnemonics podcast with your host Kati Kleber RN CCRN.
Do us a favor . . . will you rate and share the show??