11 For I know the thoughts that I think toward you, says the LORD, thoughts of peace and not of evil, to give you a future and a hope.

12 Then you will call upon Me and go and pray to Me, and I will listen to you.

13 And you will seek Me and find Me, when you search for Me with all your heart.

I have just read an article on the nursing times website about a nurse up in a eating disorders clinic in London abusing about twenty three vulnerable patients over a twenty year period. How can this be allowed to happen? I would have thought the NHS would have had regulations in place to prevent abuse from happening. In the course I have just finished there were two units regarding Protecting Vulnerable adults and protecting and supporting young adults both these units taught us to recognise types of abuse and indications of abuse, Understand the potential for abuse and to gain an understanding of working strategies used to minimise abuse. I found these very useful and hold the skills and knowledge learnt from these units close as I understand how useful these will be in nursing. To be able to recognise if any abuse is occuring on a ward or in a community environment is important in order to protect patients and develop a trusting professional relationship with them. It is very important to develop this trusting professional relationship because with this relationship with patients and other members of staff information can be shared in order to identify abuse and work on minimising it which would then allow patients to be cared for in a safe and friendly evironment. At present it seems that most nurses are unable to identify abuse and are not aware of strategies of minimising abuse I honestly believe that this should be heavily included in Nursing courses at University and also for RN's out in practice. Patients should not come into an hospital environment and get abused thats not the purpose of the NHS. I would be very happy to have another unit during my nursing training on how to minimise abuse and how to develop these trusting relationships in order for patients to trust care staff in order to let us know that they are being abused in order for us to do something about it. I am sure to find these skills and knowledge useful when I get sent out onto a ward.

My younger sister, Ched, had always loved to tell me how uptight I was. That if she had to use pants to illustrate how uptight I was, she said my pants would not even be high at my waist but on top of my chest, barely missing my neck.

C'mon, I can't be that bad! For example, last Tuesday, I did not attend most of my classes but instead I went out.

Um, well... if going out and eating with your family counts as being a bad ass? Oh well. So much for not being uptight.

It was about 10 am when Ched and our favorite cousin, Kuya Nap, went to my dorm. Well, I just woke up, and it was funny because he accused me of crying because my eyes were all puffy. But seriously, my eyes are really like that in the morning. So I washed up and later found myself in a local cafe where we ate for like two hours, then our parents came and told us that we were eating, again, lunch this time.

It was quite late for lunch, that me and my two sisters had to skip our classes that came at 1 pm. We were laughing about it because we were missing school but instead of friends or an outing to go to we were having lunch with our family. It was also during this time when I received a text message from Richmond telling me that he was about to go to the hospital for his thyroid ultrasound. Well, since my next class did not start in an hour, I decided to see him. But he came there first, and it was funny when he told me that the doctor arrived and that he was scared he'd eat him. I told him maybe he should have the doctor eat his thyroid gland.

When I arrived at the hospital, it turned out that it was the wrong doctor and we ended up waiting there for like two hours for an ultrasound that only lasted for barely 30 seconds, and I ended up not going to my second class too. Jesus. It was a terrible, terrible wait! I think Richmond and I were able to talk about everything and anything we had common knowledge with and by the time the doctor was coming I already had a headache. But it was not so bad. It was fun talking about the blogs we read and about the insane video blogs on YouTube. I particularly liked it when Richmond would imitate them. I think his act was hilarious and, abnormal. But it's cool.

But the most annoying part of it all was what came after his ultrasound. The paper read that his thyroid was normal. No nodules, no cysts. I mean, c'mon that's like an injustice we actually waited there for two hours and he paid P700 for it. I thought he was robbed. I mean, it might be more interesting if there was an eyeball there or maybe a goldfish that he actually swallowed when he was in kindergarten. But no, it was the most normal thyroid gland.

I guess the only thing abnormal was my day.

Davis's Guide to Clinical Nursing Skills
By Jacqueline Rhoads, Bonnie Juve Meeker

* Publisher:   F. A. Davis Company
* Number Of Pages:   564
* Publication Date:   2007-07-15
* ISBN-10 / ASIN:   0803611641

Book Description:

This full-color, extensively-illustrated, pocket-sized handbook offers bothstudents and clinicians an easy-to-use reference to the clinical proceduresthat nurses need to perform daily in every care setting, including critically important client teaching procedures not covered in other books.Each skill is based on the steps of the nursing process to help students apply classroom learning to the clinical setting and is organized as follows: overview, preparation, relevant nursing diagnoses, expected outcomes, equipment lists, step-by-step implementation with rationales, evaluation, and follow-up activities, and key points for reporting and recording.

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hi there!!! this time I'm going to write...everything i wanted to shout out!!!this is not about my ex boyfriend or either my lost thoughts...hahahaha...At first i thought it would be nice and very practical to become a nursing student. i believed you just need to enhance your nursing skills, how you manage your clients, and to just study cases. well that was my big idea about nursing.NSG.

Its been 1 year since i became a nursing student. At first i got excellent grades in almost all of my subjects. im very aggressive and competitive.  I make sure i really got the lesson feed it mind and  learned it in heart. WOW.. But now theres a horrible changes. I just focused on my MAjor subjects and i just give a little effort on my minor. Honestly, I'm a bit disappointed about my practice lately..For example , i take the physics exam , just this morning. and only got 18 over 40. its stupid. i hate it...... i need motivation.. i think i got destructed because i forgot to bring my permit. and our physics teacher would not allow me to take the exam w/o it.. grrrrrrrrrr. So i let my ask my twin sister to bring it ..not to mention my mother's anxiety. Thats why i still dont want to go home right now. Im afraid my mom would be angry. Right now i hate myself. ......confused and bored. My mom had undergone hysterectomy.. last week and still recovering.. And now i gave her a damn headache...T-T..

WELL , to become a nurse is still long way to run....

whew.. im so tired..

im still thinking if i would go home this early or not...

but i wonder who's taking care of my mom right now..T-T

huhuhuhuhuhu...

lets just call it bad luck!!

grrrrrrrrr.....

or its just not my day...

i miss sleeping ...

i miss swimming...

hahahahay.. im dreaming again..

i guess.. this is the best way ...to escape from reality for a while..

toootttttttttt......

What's the perfect and unique gift for a co-ed baby baby shower? I've put together a short list of the most couple pleasing must haves for the new parents.

Baby Brains                                                                                                                     Find a classical CD, educational DVD's, and vintage baby books. It is a proven fact that listening to music encourages brain development in babies, try an exotic CD with rhythmic soft beats or spice it up with funky fun beat for long road trips. Ditch the babysitter videos and get interactive educational DVD's. Encourage baby's brain to grow as fast as their body.

No, I can't fly. I can't transport, I can't do magic and I don't have x-ray vision.  Sorry to ruin your hopes.  (Dang)

But I do have a secret weapon. (Ah ha!)

I have this Super Power that I don't want to give up.  (What's that Batman?!?)  I didn't even think I was going to have this special ability.  When a woman gives birth, shortly thereafter, most women develop this ability to produce this amazing, brain boosting, nutrient packed super juice.  It's the original power drink.  (Move over V8.)

I'm talkin' Breastfeeding.  You know, liquid gold.  As Martha (Stewart) says, "It's a good thing."

There are so many things I want to be able to do for my son that I won't be able to do, or have the ability to do.  My DH and I aren't well traveled and know little of the world.  (Unless you count the 3-4 surrounding cities we live by.)  I'd love to show the world to my son.  We are educated, not super smart, but just average. (Tell that to to cat!) We don't have well paying jobs and the lack of money definitely hinders the opportunities of things we can get, offer for my son.  (Shocker) My hubby and I aren't the life of the party as we are very introverted, naturally, not by choice of course.  (Fooled you) So I really feel for my son.  But the one thing that I can offer him, I do with pride.

I'm not knocking formula, but if you are willing to devote your time and sharing your body for a little longer than the 9 months in utero, it's well worth it.  At least for me.  My son has yet to get sick and he's nine months old, no major allergy break outs with food, he gets his vitamins, it's much much cheaper than formula, not to mention that for me it is a blessing in two ways.  First, I have a figure now (whoa, where did those things come from! God love 'em. I don't wanna give 'em back! Neither does DH ;p ).  Second, it helped me slim down super-fast after having my son.  I love the 'your lookin good after having a baby' comments and one other secret - I'm slimmer than I was before getting pregnant.  I coulda kissed that gal at Ann Taylor Outlet when she looked at the slacks I tried on, told me they are too big, and brought me a nice fitting and stylin' pair in a smaller size.

Not to mention my built in squirt guns that when full have great aim!  DH just calls it 'weird', I think it's totally cool.  (Yes I did just say that. You can pick up your jaw from the floor now and dust it off.)  Heck, with those results, I'm doing this 'till I'm 80!  Okay, so maybe until he's a year old, but tempting . . .

Who wouldn't want to give up that Super Power?

I think I've mentioned before that I LOVE my baby sling.  I bought it at Kangaroo Kids in Kirkwood and today I went there to buy one as a gift for my sister-in-law who is due in August.

I keep my sling in my diaper bag and use it all the time.  I've had a lot women say to me, "I had one of those and could never figure out how to use it."  In fact, my sister-in-law told me the same thing, but after seeing me use mine so much, she decided she wanted to try one again.

Thankfully, the kind women at Kangaroo Kids told me when I bought it that I would need to come back at least once for a live baby demonstration on how to use my sling once my baby was born.  I didn't have to go back once -- I went back three times!  It's not hard to use, but it's a lot easier if you're comfortable and confident that you are using it properly.  And, there are several different ways to use the sling.  Some positions work for newborns. Some work for nursing.  Others work for carrying your baby on your hip (which is the way Ginger likes it best now.) 

  Sometimes when I'm at the mall or grocery store and she's fussing, tired of the stroller or whatever, I get it out and carry her around that way for awhile.  She's always happy to be held, so it usually solves my problem. 

Most of my daughter's swim friends and their parents have seen me carry Ginger around in this sling at multiple swim meets.  And most recently, I found that I could nurse Ginger in the sling while standing in line to get my season pass made at Six Flags.  It was discreet enough that my 13-year-old daughter wasn't absolutely horrified.

They sell for about $41 for solid colors and a little more for prints at Kangaroo  Kids.

Vascular Access in Clinical Practice
By Berman

* Publisher: Informa Healthcare
* Number Of Pages: 448
* Publication Date: 2002-04-23
* ISBN-10 / ASIN: 0824707680

Product Description:

This comprehensive reference details the techniques for establishing vascular access for hemodialysis and other acute and chronic conditions that require access to the circulation along with peritoneal dialysis access methods. Includes over 960 references and more than 160 tables, figures, and photographs. Vascular Access in Clinical Practice contains the latest material on · autogenous AV fistula formation and maintenance methods · diagnosis of fistula problems prior to thrombosis · salvaging acutely thrombosed grafts · percutaneous methods of salvaging access sites · preoperative assessment of the access patient · materials used for vascular access and their healing responses · access techniques for pediatric patients and features extensive coverage of central venous catheters including · catheter selection · catheter placement techniques · catheter related complications · operative imaging · catheter care and maintenance Vascular Access in Clinical Practice is an essential reference for general and vascular surgeons, residents, and fellows; nephrologists; dialysis practitioners; intravenous infusion practices; and medical, physician assistant, and nursing students who have contact with dialysis and other critically ill patients.

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Every nurse in the worls can tell you horror stories about being in the nursing school. My experience is not any different from what other nurses across the globe. I still remember my first day in a clinical rotation in a VA hospital.

The horror started from the night before the first rotation. I had to research on about 50 different medications and prepare the so called "drug cards" before the next day and be in my clinical site by 0630am. The list for these drug cxards was given to us the night before and the instructor expected them complete before the shift start. I had to stay on the whole night doing this and by the time I finished it was time to take a shower and prepare to go so as not to be there 5 minutes late that would have led to a written warning.

My "drug cards" were complete on time and I got there on time after 33 miles drive. I needed caffein so badly that I passed through gas station and bought caffein pills called "stay awake". These pills did their work and I stayed awake throughout but I had a terrible heart burn and palpitations that were almost as bad as a panic attack.

I was assigned to go to the operating room, populary known as OR in any hospital. I had never seen any surgery before other than on TV. It was a moment that I still remember. The procedure was an open heart surgery callled "coronary artery bipass graft" or as it is called in medical field, "cabbage". I was optimistic and excited to watch such a complicated procedure being done by expert cardilogists.

...But I passed out and became a patient for some good 15 minutes

The surgeon cardilogist was very friendly Indian guy who has a talent to teach and make the OR a fun place. He took a blade and made the first incision. I remember seeing blood coming out and saw ceiling lings and darkness.  I passed out!

When I regained conciousness, I was leaning lying on a OR nurse chair ans everyone was making fun of "the first experience passout". Turned out that it is a common thing for those who have never seen a surgery before or something close to that. I got up, this time feeling a little dizzy and continued watching the surgery. This time the surgery had progressed and was time to rip the sternum apart with a power saw like tool.

... And that was just the introduction, day #1

The surgery took about 4-6 hours and I couldn't wait to get out of there. It seemed to me like it took the whole day and was expecting to see "darkness" outside, only to find day light at noon. My first day in as a student nurse still remains a day to be remembered, but not the only day I can talk about. Many more fun days and other horrible ones were just ahead of me. Stay tunned for my next story