StudentNurse
Saturday, September 30, 2006
Medical-Surgical First Clinical Day
My first day of clinical was thursday, 09/28/06. I was fretting out. I was so freaked out. I called the bf and let him know how i was really feeling and of course as always he was his great supporting doll-self :) But seriously i wasn't looking forward to this clinical for so many reasons. First off it was going to be just J and I from my previous clinical group. I know it's never about the poeple it's all about me but still there's a way you get used to some people and just get along right? Secondly in my previous clinical placement my L.I was super cool like she wasn't like extra easy on us, she made sure we did the right thing and what we were suppossed to but still let us be you know what i mean? like we had enough breaks and she was just too friendly, in short she was like one of us and for a tr that's way too cool. Thirdly my current clinical placement is in an even bigger hospital let's just say that wasn't sitting too damn well with me. Anyway before i left the house thursday morning i did what i know is the best and only thing i can always count on and what the thing i try to do best, I prayed. I told God unless He went wit me i'd be bummed out so i prayed and let God know if i was gonna go alone then i might as well just not go and i was serious for unless God be ANYWHERE with me nothing will be well.
I left the house and was at the hospital by 6:28am. Bummer! Yes,that early. I had a good 32mins to chill before my other classmates go there. I sat in the lobby flipping 'the newyorker' My L.I. was second to get there.Common courtesy, said hi, introduced myself. She seemed ok, based on first impressions, not like i really care about those anyway lol. By 7am all the studs were there, she gave us the names of our assigned nurses. We went to 5E out floor and 'hunted' them down . My nurse was called J,she was cool. At first there was the will i handle you phase?? but i remained assertive until we built a comfortable r/ship with each other. She had 4 pts.
D, who had just had her endoscopy done that morning, she also had an esophagus ca and had bloody stool. She was really nice, she and i had an instant theraupetic r/ship . I did her all 'bad questions' interview lol. I took her vitals and listened to her heart and lung sounds. I also gave her IV meds, which was super cool. On my first attempt i was abit shaken and dropped her IV-push med-syringe, now that's shady. My nurse was of course not happy with it but she was very understanding, we went back to the meds room, got some more and came back. This time i took my time and screwed on the syringe well into the IV-entry thingy and did fine. I learnt that I have to make sure all the air's out,clean out the IV-push hole with an alcohol swab before i push in the med. I should also push in the med slowly making sure there's no leak and to avoid burning the pt. I also have to flash the IV w/NS in between meds admin to avoid meds mixing. I gave D, Hydromorphone(Dilaudid). I also learnt that 1mg Morphine=3mg Hyrdromorphone.
The second pt, B had Bulimia Nervosa, she weighed 73lbs. She has asthma and had gotten a seizure. That's the reason she was transferred from the 'Behavioral' floor to 5E. She had a brain MRI which showed -ve acuity. I did her vitals and listened to her heart/lung sounds. She also had a J-tube. I hang her J-feeding bag and started her feeding. I also hang and started her IV bags. I also d/c an IV on her leg and started one on her hand. It was all very interesting.
The third pt, C, had a chest tube and thyroid ca. I took her vitals and listened to her heart and lung sounds and watched J change her chest tube.
The last pt,G, had a CABG(Coronary-Artery Bypass Gastric). He was interesting because he had a wire hooked up to his 2 atriums and ventricles and had had his inner thighs grafted to replace his heart. I watched and helped J do wound care on him. His wounds were very well healed w/well-approximated edges. I watched his doc pull out the blakes and wires. That looked very painful needless to say. He also had a murmur which was super cool to listen to. And guess what? I can finally use my STETHOSCOPE,yes blondie me can *woot, woot* woohoo!!! I can FINALLY tell what direction faces my nose, hahaha
J showed me to chart(seeing my clinical placement there is 2mos long i might just as well learn how). She also showed me different meds and explained what they do and i remember Proxin(sp) which is given to all pts b/c of the stress they get into while in hospital and Proxin helps pts relax. I miss J and i'd love to have her for my whole clinical placement there. Oh well next clinical day is fast-approaching. I hope it goes great too. I'm more than graetful to God for how my first week turned out, i owe it all to Him. I'm trusting Him to see me thru my whole placement there, as i do my careplan and weekly journals, i hope and pray to excel.
My first lecture night went great too. Great prof, F! But the terminology was too jargon but am sure with effort i will get around it. I have my first quiz this monday night already! I need to read, read unfortunately i haven't even started. I am such a dork lol. God please help me read and prosper me.
Go me!
I left the house and was at the hospital by 6:28am. Bummer! Yes,that early. I had a good 32mins to chill before my other classmates go there. I sat in the lobby flipping 'the newyorker' My L.I. was second to get there.Common courtesy, said hi, introduced myself. She seemed ok, based on first impressions, not like i really care about those anyway lol. By 7am all the studs were there, she gave us the names of our assigned nurses. We went to 5E out floor and 'hunted' them down . My nurse was called J,she was cool. At first there was the will i handle you phase?? but i remained assertive until we built a comfortable r/ship with each other. She had 4 pts.
D, who had just had her endoscopy done that morning, she also had an esophagus ca and had bloody stool. She was really nice, she and i had an instant theraupetic r/ship . I did her all 'bad questions' interview lol. I took her vitals and listened to her heart and lung sounds. I also gave her IV meds, which was super cool. On my first attempt i was abit shaken and dropped her IV-push med-syringe, now that's shady. My nurse was of course not happy with it but she was very understanding, we went back to the meds room, got some more and came back. This time i took my time and screwed on the syringe well into the IV-entry thingy and did fine. I learnt that I have to make sure all the air's out,clean out the IV-push hole with an alcohol swab before i push in the med. I should also push in the med slowly making sure there's no leak and to avoid burning the pt. I also have to flash the IV w/NS in between meds admin to avoid meds mixing. I gave D, Hydromorphone(Dilaudid). I also learnt that 1mg Morphine=3mg Hyrdromorphone.
The second pt, B had Bulimia Nervosa, she weighed 73lbs. She has asthma and had gotten a seizure. That's the reason she was transferred from the 'Behavioral' floor to 5E. She had a brain MRI which showed -ve acuity. I did her vitals and listened to her heart/lung sounds. She also had a J-tube. I hang her J-feeding bag and started her feeding. I also hang and started her IV bags. I also d/c an IV on her leg and started one on her hand. It was all very interesting.
The third pt, C, had a chest tube and thyroid ca. I took her vitals and listened to her heart and lung sounds and watched J change her chest tube.
The last pt,G, had a CABG(Coronary-Artery Bypass Gastric). He was interesting because he had a wire hooked up to his 2 atriums and ventricles and had had his inner thighs grafted to replace his heart. I watched and helped J do wound care on him. His wounds were very well healed w/well-approximated edges. I watched his doc pull out the blakes and wires. That looked very painful needless to say. He also had a murmur which was super cool to listen to. And guess what? I can finally use my STETHOSCOPE,yes blondie me can *woot, woot* woohoo!!! I can FINALLY tell what direction faces my nose, hahaha
J showed me to chart(seeing my clinical placement there is 2mos long i might just as well learn how). She also showed me different meds and explained what they do and i remember Proxin(sp) which is given to all pts b/c of the stress they get into while in hospital and Proxin helps pts relax. I miss J and i'd love to have her for my whole clinical placement there. Oh well next clinical day is fast-approaching. I hope it goes great too. I'm more than graetful to God for how my first week turned out, i owe it all to Him. I'm trusting Him to see me thru my whole placement there, as i do my careplan and weekly journals, i hope and pray to excel.
My first lecture night went great too. Great prof, F! But the terminology was too jargon but am sure with effort i will get around it. I have my first quiz this monday night already! I need to read, read unfortunately i haven't even started. I am such a dork lol. God please help me read and prosper me.
Go me!
Labels: Medical Surgical Nursing 1
posted by Student Nurse at 2:33 PM
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