 Hi everybody welcome back thank you so much for tuning in so it is a new week and I just want to say today is Tuesday and yesterday I was off yesterday was Monday I had the day off I had the dentist which I hate does anyone else here hate the dentist is it just me though I it really terrifies me I hate going I'm the worst patient ever actually this is what I've bought I just bought this at the weekend and if you follow me on Instagram Twitter Facebook you all have seen these already because I've already posted them on my Instagram story and things but I've bought these the little pulse point rollerballs try saying that when you're drunk pulse boy pulse point I can't say it now I said it right the first time just leave it at that okay so total stress mind clear and inner harmony so these are natural oils of Roma therapy oils that you rub on your pulse points and that's supposed to help relax and calm you down and I did actually use them yesterday when I went to the dentist I thought I need to try these out so I did use it when I was at the dentist and to be fair I felt I did feel a bit calmer than normal but whether it's just a coincidence I don't know but anyway I've bought those ready for the exam you know we've I've got the big exam in April and I am dreading it and I'm really stressed and I'm dreaming about it already and it's not even April yet so I have got some detox and unwind I'm gonna do some meditation I'm gonna relax actually I'm gonna do I think I'm gonna do a separate vlog on exam stress and things like that because it is a big one and I understand completely if you struggle with that I do too so I think it would be nice to do some tips on that a separate vlog and save you for listening to it all in this one vlog so it's not a sort of a mishmash vlog does that make sense I don't know anyway talking rubbish now so yesterday was Monday well in the evening when I got back from the dentist I decided to be a little bit proactive a little bit some might call weird but I am a little bit weird sometimes because I like to do things extra and give myself more work to do and do things that I don't really need to do right now I don't know why I do this but anyway as some of you may know if you don't know this this might be a new information to you but when we are qualified nurses it is a requirement of the NMC every three years you have to complete a revalidation and part of that three years you have to log do a continuing professional development CPD log of 35 hours of extra training that you've gone to so all of your like manual handling basic life support any extra training and the online training any courses you do anything extra you do to help keep your skills up to date and keep your knowledge up to date your whole policies procedures guidelines everything up to date every extra course that you do even tweet chats now or included I know social media included in CPD what even that is included in CPD now so you have to do 35 hours and prove that you're doing things to update your knowledge and keep on on the ball basically as well as that you have to write five reflections and you have to do so many hours things like that so last night I decided even though I'm not qualified nurse I'm a student nurse I thought I'm gonna give CPD ago and online I'll put the link below online there is an NMC template for you to do your CPD hours and keep a log so I sat and I did that last night I managed to do 41 hours on my log and that's not even included everything that I've done over the last three years that's just literally whatever I could find and remember because this is the struggle if you're not keeping track of what you're doing what training you've attended what dates times you know need specifics with everything if you don't keep track of that you're gonna find yourself going back through your calendar your timetable to try and find what you've done when you've done it what it was what it involved what it relates to and that is something I'm reflecting on right now because it took me a couple of hours scrolling through my timetable and through my pro portfolio online so I think going forward into the future I'm gonna keep a diary completely separate actually I've got a hundred and one notebooks in the cupboard that I don't use because I'm addicted to buying notebooks that have really nice quotes and things on because who doesn't do that so I've got loads of them and so now I'm gonna use one and every single time I do something I'm gonna log it in this book so when it comes to actually revalidating and I can just look and be like there you go I've got the date I've got the time I've got what I did what it relates to boom Bob your uncle two seconds this is gonna take actually that's not too bad it's not as hard as I thought it would be the only hard task is trying to remember everything you've done and trying to put it onto a log but I think if you keep on the ball with this in a notebook or something like that it's gonna be easy to revalidate every three years I think I thought if I if I get one now so that when I start applying for jobs it's gonna go in my favor hopefully because I don't think many student nurses actually do this I don't think people log all of the CPD and what they're doing so if you a student nurse out there you're not doing this download the template and start logging everything because when you come to that interview take it with you and show that you're actively already doing it and I think that's gonna give you the brownie points I think fingers crossed that's what I'm thinking so yeah sorry I've actually talked about that for ever I'm really sorry I'm gonna try and cut that down because I've spoke for about 20 minutes I think just on that so today we had policy and politics I feel like I'm just rambling on each week I can say the same thing policy and politics but today was all about short staffer years which is what I'm actually doing my Simon on which is really good and you know what actually everything they were talking about today in the lecture I was like I've already got an assignment I've got this assignment yes so I think I'm hitting the money with my Simon which is a really good sign I did pick up two points from today's session I thought oh maybe I should look into that and just link it into my Simon somewhere so I've made a note of those links and I'm gonna have a look but so far so good tomorrow is Wednesdays is always an all-day session for us so it's nine to five busy come on Betty I'm ready for you as you heard last week Betty was being troublesome and no doubt she's gonna be troublesome tomorrow for us so I'm looking forward to learning a bit more about Betty and her condition and how to manage her condition and how we can save Betty's life so yeah so I'm looking forward tomorrow I love the physiology sessions even if I don't understand it I really really love physiology and it's really good to build your knowledge so we'll see what tomorrow brings that's it from me for now and I shall see you tomorrow so today is Thursday yesterday we had lectures nine to five all day physiology our Betty it was the last of the sessions of Betty and tomorrow we actually move on to our new case study so yesterday was a really long day by the time I got home by the time at 8 I was exhausted and I fell asleep so yeah I didn't have a chance to vlog it so today I'm just gonna run through a few more things that we did on Betty so yesterday's sessions involved what we were gonna monitor on Betty what we were prioritizing the safety wise ABCDE structure what we're gonna prioritize and how we were gonna monitor it how we're gonna do it and the rationale why we're gonna do that the physiology behind it all and then we went into the interventions as well so okay so we know what's wrong with Betty we don't want it to get worse what we're gonna do about it so what we were gonna give Betty IV wise and cannulas catheters all of that jazz ECGs so we had to rationalize those interventions as well explain exactly why we were doing it and then to round the date off after all of that after the monitoring after the interventions we went into discharging so we're gonna discharge Betty because she appears fine and what we want to make sure is is she fine to be discharged so then we looked again at a set of observations which at a first glance you think actually yeah that's much better her blood pressure has come up her heart rates decreased so it's in range now her respiratory rates in range everything's great but then as you go down the list it's like okay the blood glucose now is gone from 10 to 4.5 her urine she's got oligurier I can't say the word really sorry I'll put it below it's spelt oligurier which means a really really minimal urine output so she's still not right her blood gases have come back and there although they're in range so at the lower 8 range or they're at the higher range so we're trying to monitor those and we're looking and we're thinking should she be discharged yet I'm not sure and so that was really really interesting that was our Betty she's finally gone she's discharged yay she'll be back I know it probably in the exam I'm hoping not but yeah so Betty's gone and tomorrow we have got our new case study which is Mary who's got a neurological injury I've no idea what yet what's happened to her we're gonna get it tomorrow tomorrow is the launch fingers crossed it's gonna be a good one I'm gonna understand it please so yeah so hopefully it's gonna be good so today today's Thursday I just said this at the start today we had our cardiology skills session let me tell you for the past two years of my nursing career journey university life whatever you want to call it I see ECGs all the time I look at them and I think it's just a squiggly line I've got no idea what that means and ECGs is something I do not understand and something I've never understood even when people on the wards and things have explained it to me I'm just like it's gone over my head cardiology is not my specialty I'm sorry it really isn't but today we had an ECG skills session and we had an amazing guy come in use of who's who works in cardiology so his knowledge is like bing amazing and he was really really educational and he was teaching us and I was thinking wow some of these words that don't understand but you know what wow you're really knowledgeable but as he explained and he made it really simple for us things did make sense and I was thinking okay so actually when I look at an ECG okay I might not know what the condition is or anything because I'm still trying to grasp that part of it but I can look at an ECG and go that looks kind of normal so yes I can kind of roughly see if it's normal or not I think I'm gonna have to get training and I think I'm gonna look at some YouTube videos and some online guides that's gonna help me with ECGs because even after that two-hour session of ECG training I'm still like I still I couldn't tell you what the problem is you're looking at sort of the rhythm if it's regular things like that but there's different types and there's different widths and there's different lengths and there's different everything and it was just like my mind has blown so yes so I'm probably never gonna be a cardiology nurse but I do know how to put on the leads set up an ECG I can do an ECG I know how to set it up and how to convert the patient and how to get the readings and how to do that is just the interpretation that I'm really struggling with and understanding the P, Q, R, S and the T they're the three points I haven't got a clue so roughly from what I understand today is the P value so you've got your line you've got your squiggly bit the first squiggly bit is the P which is just telling you what's happening in the SA node of the heart which is the the main electrical conductor of the heart then the Q, R, S value is the middle one's usually the long sort of one that is the Q, R, S and that's telling you what's going in the AV so it'll go the electrical impulse will go from the SA node to the AV node and that's going to tell you what's happening in AV node if there's a block or something like that complete block partial block and then in the T value that's going into the fibres of the heart you know so it goes SA node AV node down the fibres and spreads out and the T part tells you about that part but looking at it and seeing the widths and the limits and if it's dropping down if it's up it's no idea that's as much as I've got guys I'm sorry that's all I'm gonna teach you from today's session but I do have some really good pictures that I took from the session some really good photos of examples of what things mean and things like that so I'm gonna show you a whole wheel of them now have a look at them screenshot them save them see if you can see what I can't see I'm sorry there's only one I recognized which was the arterial fibrillation one and I looked at it as a arterial fibrillation good guess Claire and luckily it was right so yeah oh in the flat line obviously which is a systole a systole is flat line patient no through no electrical impulse at all flat line so there I know to go me so I really if you are really good with these egs if you're good at cardiology let me know I'm struggling tell me come on tell me explain it to me in layman's terms so I understand so that's it so I had a really good session today and I've talked to you for way way too long about this so I'm really sorry I probably should have done a whole separate vlogs on ECGs probably but here it is so tomorrow we do have our case study I will let you know how that goes whether I'm gonna like Mary or not who knows is she gonna be as dramatic as Betty who knows but next week next Thursday next Sunday when I tell you all we will know what two case studies we're gonna have in the exam and then I can start really solid solid solid revising and then you can revise with me I'll do some revision sessions which I keep saying I'm gonna do some revision and vlogs so I'm gonna do that when I start my real revising my real flashcards are gonna be on point hopefully smash this exam fingers crossed so see you tomorrow so today is Saturday yesterday we had our launch of our new case study and let me tell you remember where at the start when I was struggling with Phil and I said I wanted anybody but Phil give me Phil do you know what give me Phil oh my god this case study ah it was a two hour lecture our case studies Mary she's got a sub-dura hematoma and or hematoma and which I understand I understand what that is but then when it goes into the more in-depth things because they were talking about intercranial pressure and then they were talking about calculations so maths equations of how to work out the mean arterial pressure and taking away the God I can't even remember the CPP and the cranial pressure and to get an overall an overall number of some sort so basically how you calculate the mean arterial pressure is you take the systolic pressure take away the dystolic divide that by three and then plus the dystolic I know my mind's blown please don't worry about this so yeah so once you've got the mean arterial pressure you take away the intercranial pressure and you've got that number they give you the number to take it away so you don't have to work out that part but you have to work out the blood pressure part and then you take away the cranial pressure and then that'll give you an overall pressure number and if it's lower it means there's an ischemic problem can't remember there's an ischemic problem if it's too high there's something else and all these different numbers and these maths equation is just blown my mind and I really really don't like Mary sorry Mary just for everybody's information this is not a real patient I would never say that about a patient this is a case to the patient but now she this this lecture every single student in that room was just like like this really blank expression and we were all like we literally have no idea what you've just said to us we have no idea what you've just told us and he had to run through it a few times for us to understand and we were all still like we give up we give up going back to work in a hotel I'm joking I'm really not but oh god it was so so tough it was the hardest lecture so far and I thought it was hard I really wanted to cry after that lecture and I just thought you know what I'm gonna fail if I've got Mary actually I've got a choice of Mary or Betty and I've got to do one of them I'm probably gonna fail this exam because the only one I can confidently say I can do is offer who had COPD and I really enjoyed that I understood it I got it I fully understood it then they throw this at us yeah so I'm not looking forward to it but I'm gonna keep some optimism because this is how we felt at the start of Phil so by the end of Mary's case study next week next Thursday so next Sunday you guys will find out what we've got please pray for me guys pray it's offer pray for offer pray for offer come on offer so next week is the end of Mary so they're cramming all of these lectures back to back and then we've got two weeks of free time where we can revise there's only a couple of sessions I think there's a Wednesday and a Thursday over the whole two weeks that we've got to go into university so we've got those two weeks free to get on it revise before our placement starts at the end of March oh my god my placement starts at the end of March guys my placement starts in like three weeks three weeks should I ring them oh my god no it's too soon I'll bring them next week I'll bring my placement next week and get my hours oh my god I'm not panicking I'm calm it's fine this exam's gonna be great but yeah so overall I can't even explain to you what that lecture was I'm really sorry because I still don't understand it I'm gonna have to revisit the PowerPoints I'm gonna do a lot of Google a lot of Khan Academy to work out what I've just been told I'm really scared for this exam now I was feeling confident now I'm scared I'm praying that one of the choices is offer and I'm praying the lecturers are gonna be kind to me or it was there's no point acts erase it there's no point in stressing right now because the exam's not here I can't change anything there's nothing I can do it's out of my control I just need to be the best I can be revise and know the stuff for the exam so that I don't fail come on change it around so today Saturday today we've got our Haas launch which I'm going to go and do and hopefully see some new students who are gonna sign up to Haas and take part in all of the workshops that Haas provides if you don't know what Haas is I'll put the link below so you can have a look at my vlogs that I did about Haas and yeah so that's that tomorrow I am off all day which I'm now probably gonna revise because I've panicked myself so probably gonna revise tomorrow guys I will spend the morning I'm gonna have a lion I'm gonna have breakfast in bed I'm gonna chill out and then I'm gonna revise in the afternoon gonna 50-50 you've got a balance these things work life balance so yeah so fingers crossed for me guys we can do this fingers crossed next week we've got some good news there should be a smile on my face in that vlog so thank you as ever for watching I'm gonna wrap this up because this vlog's been way too long and I shall see you all next week have a great week guys have a great Sunday pray for me pray for you if you've got exams and placements coming up and you're stressing let me know let's stress together and help each other out so yeah I'll see you all next week guys have a great week