Friday 23 November 2012

A rant about the treatment of HCAs in Residential Homes

I'm sure you knew there had to be a rant at some point!

Well, I was just thinking about the shift I'm doing on Monday and got my self a bit wound up. Over the years that I've worked in care settings I've come across more brilliant HCAs than I have poor. My rant is not about how HCAs treat patients, it's about how HCAs are treated by management and the companies that they work for, often private.

I have worked in several homes and honestly, every single home is full of people who want to do the best that they can for every resident there, and they do (most of them!). They literally do not stop for 12 hours, even with the things that people would consider smaller details, like making sure that Mr. Smith's tea is at the right temperature, Mrs. Cole's bed is made to her liking, ensuring that fashionable Ms. Layton's skirt and top match and supporting and reassuring Mr. Bartlett's family. They put every ounce of energy they have into making patients' lives as happy and comfortable as possible and yet they are paid an absolute pittance! I work for a care agency and hate the fact that I get paid more than them - at least 30p an hour more in most places. This is disgusting and it amazes me how people can live on such a small wage, especially given the amount of work they complete in 1 shift. Many of the people I have worked with complete 60 hour plus weeks with no thanks. Is it any wonder that morale is through the floor?! I think it's time that people took a step back and took notice of the work that these admirable people do.

Massive respect to those out there who put their heart and soul into their work every day.


Books I'm reading before I start

Well, as I have previously said (I think...), I'm a mature student and so I haven't studied or looked at science for a wee while...8 years to be exact, eek! So before I start the course (and make a bit of a fool of myself) I am aiming to learn as much anatomy and physiology as possible and to do that I have recently purchased the Ross and Wilson books. I've heard/read a lot about these books and was very intrigued by them. I must say, what people say is true - they are fab! So detailed, great pictures/diagrams plus the added bonus of giving you access to some online content via a code in the front cover of the text book. I also purchased the colouring and work book which is very good. There are so many different interesting tasks to complete which help to shape your learning and prevent it from becoming as monotonous as it could. So far I haven't done anything too strenuous - a little bit of how the body is made up and some processes. I surprised myself a little with what I have retained from school...then I went a little further into the book and discovered that was the extent of my knowledge, ha! Oh, well, I suppose I can only get better.

A friend of mine, who is now a qualified midwife, gave me a thing called "The Visible Man". It's a model of the human body that you have to put together, including bones, muscles and organs. It looks pretty complicated so I think I'll do a bit more reading and revising before I tackle that!

Aside from A&P (Anatomy & Physiology), I've been flicking through some other books that I'll list below:

The Student Nurse Handbook (2nd Edition) by Bethann Siviter. So many students have raved about this book and I definitely support their raves. This book is so helpful. Before purchasing it I had so many questions and this book more or less answers them all...except for University and course specific ones obviously. Other than the fact that it's helpful, this book is also making me more excited to start the course. Only 4 months to go! Anyway, I would definitely recommend student nurses purchasing this one :)

The Royal Marsden Hospital Manual of Clinical Procedures (Student Edition - 8th Edition) by Lisa Dougherty and Sara Lister. This book has also been highly complimented by the nursing and nursing student world. It is sooooo heavy and literally has everything in it. Just like the A&P books I mentioned earlier, there are also online resources to go with this book, which admittedly I haven't used yet. When I do, I'll update :) As for the detail in the book, it's very good. Everything is written so that it's easier to understand, with diagrams, step by step guides and quite simplistic language. There's also a handy list of abbreviations and their meanings at the front of the book - excellent given that I have absolutely no idea what all of these daft letters mean!

That's all of the books I have at the moment, and honestly I don't think I'll be purchasing many more. I'll probably be getting a book about calculations and drugs later on when I can actually understand some of what they are referring to. Let's not push ourselves too hard before we start sorta thing ;) My University has an excellent library and given that I've studied before, I have learnt not to make the fatal error of paying £££s for books that you may never use or use very sparingly. I think the best idea is to see which books you use the most and find the most helpful over the course of the 1st year and purchase them as you go. At least that's what I'm telling myself now.

Well, until next time, TTFN!

Preparation is Everything!

Since I've got such a long wait before I start the course in March, I figured I'd use the time wisely. I've been doing a few things to help me understand the things that I'm going to face over the next 3 years:

Vlogs/blogs: I LOVE reading blogs or watching vlogs about other nursing students' experiences, which is partially why I made this blog really. It's so interesting knowing how other people prepared, learning what I may come up against, what I might see on placement, things I have to learn, how people come through struggles and hearing success stories. I hope that somebody else out there will get some enjoyment out of reading my silly banter also :) I usually get quite distracted though, especially by makeup tutorials. My latest find is a girl who is also a student nurse who happens to record makeup tutorials - doubly brilliant! I can see it being an issue when I have actual work to do though.

Books: Anatomy and physiology books, advice books, clinical texts, etc. I'm going to write another post about the specific books I've been reading which may help.

Talking to current students/health professionals: I think this is the one that I'm finding the most helpful, after all they've already experienced all of the things I'm researching first hand.

Work: I'm working in care homes at the moment, specifically EMI residential homes. EMI stands for Elderly Mentally Infirm - I hate that name but don't know what else to call it :0/. Every time I go to work I have a million more questions to ask the in-house nurse, who must be very fed up of me by now! I feel very lucky that I'm going into this course with quite a lot of experience in health care under my belt. So many people have to start from scratch and honestly the first time you carry out personal care or feed a very ill person can be quite upsetting and feel strange. I'm glad I was able to do these things in my own time without the worry of being assessed.

Life preparation: I'm thinking a lot about how my life is going to be once I get in to the course. The PGCE completely took over my life and I was so unhappy, so this time I want to make sure that I make time for myself and my family/friends. I have to figure out how I'm going to afford to live. Luckily my boyfriend is amazing and he has said that he'll support me financially. He's a bit of a gem :) I'd like to keep up my agency work but it's very rare that they offer shorter shifts, they're usually 12 hours which I think would be impossible to fit in. I've heard that a lot of students take on some bank work after a round 6 months into their 1st year so that might be an option.

Lists: I am one of those sad creatures who enjoys writing lists - it's literally how I live. Everything goes on my list or in my diary...to then be added to my list, ha! So I've been writing lists of things that I need to research or purchase. Very exciting! I'm not really sure if I need the really nursey things like a stethoscope and a sphygmomanometer (copy and pasted as it's a ridiculous word!). I want them, but do I need them? Perhaps to practice manual BPs - look at me sounding like I know what I'm talking about - I don't by the way ;)

And finally, looking at course content, modules and timetables: All very important things so that I know what the hell I'm going to be doing for the next year. The timetable was an eye opener mind. It's going to be very interesting starting the term in March too.

That's about it for now. Until next time, TTFN!

The Nursing Application Process

I'm not even going to try to sugar coat this. I HATED the application process! Oh my GOD it was stressful, but so worth it when you see that status change on UCAS (that's the University and College Admissions Service to all that don't know). It was the best day of 2012 so far!

So the first thing you have to do, aside from actually deciding that you want to do the course and which branch/field (adult/child/mental health/learning disability), is think about where you want to study. My choice was always set in stone. I have several commitments at home, as many people do, so moving was never an option. Besides that, I have one of the most prestigious universities on my doorstep. So that was decided. Then you have to start to compose your personal statement. This is so important as it's the university's first impression of you. You can only use a limited number of characters so everything you say has to be concise and important - if it's not going to really convince them that you want it and that they should take you, then you don't need to say it. There are so many sites for advice on completing your PS (honestly Google it! 3, 470,000 results) that I'm not going to go into detail but I will say this....Show how passionate you are about nursing and definitely mention your chosen field. Nursing courses are so competitive now that you have to show that you know what you want and are committed to a certain field. If you want to study child nursing then make sure you say it and be absolutely positive that this is what you want to study for the next 3 years, as well as work in for the next 40. I would also advise to start your PS with something that will catch their attention. Admissions read sooo many applications that I'm sure they get sick of reading, "I want to study adult nursing because..." - be original! Remember, this is their first impression of you and you need to make it count. Also, in many uni selection processes, each section is pointed, including the PS so it needs to be good to get you further.

Next, reference - Make sure you ask your chosen referee as early on as possible to ensure they have time to complete a quality reference for you. I'm sure no one wants to be a few days from the deadline, flapping because their referee hasn't submitted a reference yet. And you definitely don't want them rushing it - it has to be as amazing as you, right?

Interview - ARGH! Even the word sounds scary. Usually, universities send out some information about the structure and content of the day. Mine sent an email, generally outlining tasks and such. All universities do things differently - some have group interviews, some have individual ones, others have both. Some have literacy and numeracy tests, some have 1 or the other, others have both. Most universities have a little information session though, to break you into the day and help you relax - and obviously to give you more information about the course! At my interview we started by registering. We had to take photographic ID and certificates to prove our qualifications. Following this we gathered into a room where we watched a powerpoint and listened to a talk about the course. The tutors are very friendly and put you at ease straight away. I think the biggest misconception people have with interviews is that they're trying to catch you out. They're definitely not - they want to bring out the best in you. So, anyway, after this we watched a short video (2 minutes) about a lady's negative experience in hospital. We had a 10 minute written activity about the video and had to write about any issues and how we would improve her experience. This was quite simple and was mainly to test your ability to write. This aspect is pointed in the same way as the PS. After this we were put into groups of 5 and had a short break before our group interview. We had the chance to get to know each other a little better and feel a bit more comfortable before being plunged back into the testing conditions again.

Group interview - This was basically a group discussion that lasted for around 40 minutes. Firstly, we talked about the video we had watched in the previous session. The interviewers (2 of them by the way) threw in questions to keep the conversations flowing. It's important to remember that this group interview is not just about what you say, which is obviously important, but the interviewers are looking at how well you can communicate. Communication is HUGE in nursing (or so I've been told :0p). They want to see that you don't sit silently and let other people control the entire discussion, or that you don't completely dominate the discussion and drown others out. You have to find the middle ground with this one. Another thing - make sure to make eye contact and talk to everyone in the discussion, not just the interviewers. I made sure to build on other peoples' points, agreeing, disagreeing, adding my opinion or experience to things mentioned. The best thing to do is to not over think it. Try to be as natural as possible. It's just a conversation - no pressure :0/ ha! To prepare I made sure that I had read up on relatively recent changes or important things within the NHS and in the media. I went in with a general knowledge of several things, but in depth knowledge of around 3 different issues. You don't have to know the ins and outs of everything or know everything that is going on in the world of health. They aren't looking for ready-made health professionals - just show that you've taken the time to read up on a couple of things.

The final part - the individual interview. We were told that this would be very short but I wasn't expecting it to be as short as it was - 5 minutes if that! They asked me one question - ONE! I had answers prepared for at least 40, including what was the last book you read and which bloody super hero would you most like to be! I'm glad I had prepared anyway, just in case. So the one question: which qualities/skills do you feel you could bring to nursing? A question you would expect and should definitely prepare for. I said communication, caring and compassionate nature (cliché but very important), experience in a caring role and adaptability, all very important in nursing. Following this, they asked if I had any questions and then if I'd applied elsewhere - I hadn't. I left, fumbling with my scarf that I almost tripped on, dropping my bottle of water and wishing the door wasn't so far away from my shaking hands. I never get that nervous in any situation, and honestly I didn't think it had gone overly well.

So I was left with the inevitable wait. I received an email from the university a few days later telling me that I had been successful at interview and that I was going to be short listed - fantastic!! I had to send them a second reference and then they were going to take my application and total score to a selection event, where a group of admissions tutors look at applications and decide whether they are strong enough to be accepted. I emailed admissions every few days, phoning them just to be sure they received my email, praying that I'd hear soon. I was told that it would take them until around Xmas time to make decisions and inform everyone, so you can imagine my surprise when I received an email from UCAS telling me that my status had been updated only 2 weeks after the interview. I logged in apprehensively to see the word "Conditional" beside the university name. To say that I cried with joy would be an understatement! 

The application process was difficult, the wait was even worse but finding out I was in was absolutely amazing. 

If anyone has any questions about the application process or needs some clarification on any aspect, please feel free to leave me a comment or send me an email.

Until next time, TTFN.

Monday 19 November 2012

We all make choices, but in the end our choices make us...

Many people come to nursing later in life so I thought it might be helpful to explain where I came from and why I made my decision to pursue adult nursing.

I started out, at a very young age helping to care for my family. I'm the youngest of 5 siblings; 4 girls and 1 boy (bless him!). My Mam is an absolute inspiration and has devoted her life to bringing up her (very complicated!) children and caring full time for one of my sisters. She was born perfectly normal but at the age of 1 she had the Measles vaccine, which caused severe brain damage - the technical name is vaccine encephalopathy. This meant that a very normal little girl, who spent the small amount of time she had on her feet being mischievous, was no longer able to function in the way that she had. Her behaviours changed and she lost the abilities that she had developed in her first year. She never developed the ability to walk, talk and feed herself and became entirely dependent on our family to complete daily tasks. I was born several years later and as soon as I was old enough, I threw myself in to caring for my sister - aiding her with all of the things she needed. Of course she never lost her mischievous side and took every opportunity to knock my dinner from my lap, trip me up, laugh at me when I fell/bumped into things/generally injured myself, and all other sorts of naughty behaviour - evil little sense of humour she has! :) Now she is 32 years old, still being cared for by my Mam and my family and still causing mischief. Of course caring for your family is very different to caring in the public/private sector. But nonetheless, this is where the first urge to work in care came to me. Later on something big was to change my direction in life...

When I was 11 my eldest sister suffered a major stroke, aged 22. This experience shook me to my core. I looked on, too young to do anything substantial, as another blow struck my family. As I explained earlier, my Mam literally is a hero and refuses to let anything get her down. She powered through. I did my best to follow in her footsteps, although honestly at such a young age I hardly knew what was going on. My sister lost her motor skills and had to relearn everything, which, with the help of health professionals, rehabilitation teams and family she did (and is now a high calibre graduate to boot!). It was at this point that I discovered a path that I would pursue in the future - teaching. I helped my sister regain her abilities to read, write and talk and thoroughly enjoyed the experience. Following this I took on every teaching or mentoring role I could throughout school. My friends would pile their work onto my desk so that I could proof read it for them and give them pointers to improve it. I loved being helpful in this way. I had also trained in Aikido for many years, achieved black belt and began teaching classes. Everyone told me how good I was and encouraged me to pursue a career in teaching.

To cut a long story short I was accepted onto a teaching degree but did not achieve the A Level results to continue with it. It was around this time that another challenge was sent towards my family. My Mam was diagnosed with MS (multiple sclerosis). Admittedly, I lost my way a little, confused as to how all of the other people at school and sixth form 'seemed' to glide through life with a normal family experience. Why was my road always so bumpy? I couldn't focus on anything and went through a stage of going out a lot, drinking, as some form of escapism. When I finally let reality back in, I took a good look at what I had. I'm pretty sure you've gathered by now that I think rather highly of my Mam (as most people do, obviously!), but she has more fight in her than anyone I have ever known. She was what I had, my siblings were what I had. I had to do something, if not for me, for them, after all, my Mam had sacrificed so much for me, I had to give her something back. I made the decision to complete a degree in English Literature and Education with the idea of completing a Primary PGCE afterwards, and so, I plugged away and worked hard to achieve a 2:1. I don't think I'll ever forget how proud my Mam was at my graduation. Shortly after, I applied for the Primary PGCE but did not gain a place. I was devastated but took it as an opportunity to gain some work experience. After trying to gain a position in a school environment and failing, I noticed a job in a care setting, specifically supporting the needs of disabled adults - an area where I was very comfortable given my experience. After about a month I became very good at this job. I loved the ladies I worked with and had developed such a great bond with them, however after around a year the council started to make massive staff and budget cuts. It was at this point that I realised I had to look for something more stable.

I decided to reapply for the PGCE and after a short wait, discovered that I had a place. With great sadness, I handed in my notice and said goodbye to the people I had grown so close to, preparing myself for a very challenging year ahead. As soon as I began the course I felt a bit lost but I kept on going, gripping onto the passion that I'd had for years. My first school placement rolled around - it wasn't great, but I loved working with children. My second placement was better, working with older children with SEN, an area of comfort. I loved helping them 1-1 and interacting with them. Third placement: this was the moment when I realised how much of an error I had made. As I said, I love working with children but I certainly did not enjoy shouting at, or telling them off, planning until 4am, getting back up 6am and generally teaching children in such a strict and constrained environment. I have never been a particularly authoritative person and really struggled with these aspects. I sat down and asked myself if I wanted to continue to put myself through it, and each time I told myself no. Could I see myself teaching in 40+ years? I couldn't even see myself teaching for the following 40 days! People always came back to me and told me to continue with it, my Mam included - "There's not long left!", "You can do it!", "Just keep going!", were the resounding cheers that everybody directed towards me. I pushed myself, wanting to make my Mam proud, defying my gut feeling, extended my study, tried my hardest to fit back into a school setting, refusing to give in, to complete the final 8 weeks of my PGCE...but my heart was not in it. My heart no longer belonged there. I don't think it ever did. It wasn't fair to keep doing this, for myself, for the profession and for the kids. My Mam agreed that it was wrong to do something that I didn't want to do, and supported me in the decision that I had to make. I decided there and then that I'd had enough of lying to myself so I quit. This was the biggest and best decision of my life. You can truly only see the light when you have taken steps down a path. If you simply look at a path without taking a step, you get a restricted view and cannot feel the ground beneath your feet. It is when you take steps on the road that you discover the truth. As cliché as it sounds, that's the way it was and is.

I had been working for a care agency for the last 2 years, prior to and during the PGCE. It was partially this experience that cemented the fact that I no longer wanted to be a teacher and admitted to myself what I really wanted to do - nurse. The memories that stick in my mind are coming home from teaching placements and being an emotional wreck vs. coming home from a care setting feeling fulfilled and happy. I spoke with several professional tutors, current nurses, my family, friends, my partner, researched courses and the realities of the profession, had a holiday to think about things and came out the other end with a plan firmly in my head and in my heart. I had to apply to undertake nursing training! It came to me that, after everything, the happiest I have ever been has been in a care setting, whether it be personal or professional. So I applied for an adult nursing degree at a prestigious University, something I should have done a long time ago. After around 2 weeks I heard back from the Uni - they wanted to interview me! I attended the interview, which went very well and heard back after 10 days that I had a place, and here I am!

I hope I haven't bored you with my long winded tale, but I just wanted to let people out there know that sometimes people come around to things after a long time, after pursuing several other things. That doesn't mean that you want it any less than the next person, nor does it mean that you won't get it. I've had a rather complicated personal/professional/educational life so far and finally feel that I am on the right path for me. I can always take forward the skills I learnt from teaching and will definitely use them for mentoring, teaching small groups or in martial arts teaching again, but I most certainly won't be going back into a traditional classroom again.

I urge anyone who is unhappy with their current path in life to take account of what you have and what you want. Don't lie to yourself. If you think you want to pursue something else, look into it, ask questions, research until you are blue in the face, make sure you are sure! You never know...it might be the best thing you ever do. I know it was for me.

Sunday 18 November 2012

A Novice Writes Her First Post - Hello and Welcome!

I am Carlene and am soon to be venturing into something that will occupy the rest of my life...adult nursing. I am hoping that this blog will not only help people on the outside, but also help me to reflect on what is sure to be a journey full of challenges. I am very excited to take my first steps...

If anyone else is in a similar position, already a health professional or just simply interested, please leave a comment. I'd be very happy to hear from you :)