Nocturnal Confusion

Well, switching to nights hasn't been so bad. I worked all day last Saturday, then worked on transitioning to staying up all night and sleeping in the day. So I worked my 8 hr shift on Monday night/Tuesday morning and actually didn't think it was so bad! It was a lot quieter, even though my nurse, Seth, and I had 7 patients and I was taking care of the whole team. There are a lot less meds to give, and patient concerns to tend to, plus my nurse and I didn't have an open bed so we didn't get an admission. It was pretty nice! But then, I had three days off and had to take my NCLEX on Wednesday, so I had to go back to the daytime schedule. Talk about messing with your body!

So I took my licensure exam on Wednesday... I took 75 questions and then it shut off. I was done. That freaked me out! I thought that some questions were really hard, and others were pretty easy...so I wasn't sure. I wished it would have given me more questions cause 75 meant I did really well, or I bombed it and there was no hope. But I paid my 7 bucks to find out early and I found out on Friday that I PASSED!!!!!! I'm pumped!! No more tests for a long while!!! I'm a real RN, BSN!

Allison, Rob, and I went out on Thursday night to meet Jered and some of his work friends at the Piano Bar. I kind of felt it was a little celebration of being done with my NCLEX...I didn't know the results yet, but I celebrated anyway! I had a good time hanging out with all of them and then going to Steak & Shake afterwards and seeing some hilarious drunk people!...unfortunately they were fellow KC Royals fans. :(

I had to work again on Friday night...which was tough. I tried to stay up Thursday night and sleep Friday, but didn't sleep very well at all. :( But the night was okay. We had a patient that we were really concerned about because she had extremely low blood pressure throughout the night. Right as we were coming on shift, her BP was as low as 75/doppler (normal is 120/80, doppler means that they couldn't even hear the diastolic number!). The first time the evening nurse called the doctor with slightly higher numbers, he said to watch her. I called again, just at the change of shift and the doctor ordered a very small fluid bolus (she had CHF, so we didn't want to fluid overload her). So we were busy watching her and helping the Aid check her BP every 30 minutes. We also got a new admission and she kept complaining of ongoing chest pain that we had to try and alleviate. It wasn't so bad, though. Saturday night wasn't bad at all, except that we only had 2 Nurse Aids for 26 patients...so we helped with her duties all night as well. Otherwise, my team was pretty easy. The hard thing was staying awake through early the early service at church after working all night.

Looking forward to having a normal night schedule and not having to switch all the time...we'll see how that works though!

Ashley