StudentNurse
Friday, October 13, 2006
Week 3 Med-Surg clinical rotation
Thursday was really long and tiring and sickening. Got to the hospital at 7am. Didn't go into cath lab until 9am. I got dressed up in cath scrubs and hit the radiation room. There was a pt lying on the surg-table all prep'd up for her procedure. Suddenly we get a code blue. Code blue means pt is dying. So we had to get the other pt out of the room for the code blue pt to be brought in as an emergency and a more priority case.
My assigned cath RNs told me to stay with them as they ran upstairs to the E.R. The code blue pt was getting a heart attack. I trailed along them as fast as i could. We got to the E.R. We walked into a room full of RNs and doctors all busy yelling and passing stuff around, everyone busy trying to keep saving the pt going. It was successful, she came back, she was talking. We wheeled her out and into the eleveator and down to the cath lab. A sterile field was quickly set-up. The procedure was on. I had to wear the lead-gown on top of my cath lab-scrubs to prevent radiation cancer and some collar around my neck to prevent thyroid cancer. Twas awesomely xciting watching at what pace the nurses and doctors move to do whats necessary to save a pt's life and health. How flexible they also are was amazing. Utterly impressive. Definitely God-given gift and patience and talent and you call it whatever you please. The pt lived and twas awesome!
Today, Friday was short and now long. Got to the hospital at 7am. Went in met my assigned nurse. She had 4pts. I took vitals and removed a foley cath from a female pt. That was exciting though twas really easy thing to do. It's easier than taking BP for reals. Given half a chance i'd always use the machine to take BP morning or no morning b/c taking a pt's BP gives me hell but oh well with time i'll come around it. Help me God.
I came to the comp lab at school aferwards to do my daily journal. It's due by 5pm every friday. I'm done with it and i sent it to M already. I gotta read for my midterm which is on Monday night. I have to work on finishing my careplan.
I got hours tonight, thank you Jesus, I love you with all my heart, mind and strength, help me God to live and praise you always.
"I CAN DO ALL THINGS THROUGH CHRIST WHO STRENGTHENS ME!"-my big sis (world's best big sis) always tells me this :)
My assigned cath RNs told me to stay with them as they ran upstairs to the E.R. The code blue pt was getting a heart attack. I trailed along them as fast as i could. We got to the E.R. We walked into a room full of RNs and doctors all busy yelling and passing stuff around, everyone busy trying to keep saving the pt going. It was successful, she came back, she was talking. We wheeled her out and into the eleveator and down to the cath lab. A sterile field was quickly set-up. The procedure was on. I had to wear the lead-gown on top of my cath lab-scrubs to prevent radiation cancer and some collar around my neck to prevent thyroid cancer. Twas awesomely xciting watching at what pace the nurses and doctors move to do whats necessary to save a pt's life and health. How flexible they also are was amazing. Utterly impressive. Definitely God-given gift and patience and talent and you call it whatever you please. The pt lived and twas awesome!
Today, Friday was short and now long. Got to the hospital at 7am. Went in met my assigned nurse. She had 4pts. I took vitals and removed a foley cath from a female pt. That was exciting though twas really easy thing to do. It's easier than taking BP for reals. Given half a chance i'd always use the machine to take BP morning or no morning b/c taking a pt's BP gives me hell but oh well with time i'll come around it. Help me God.
I came to the comp lab at school aferwards to do my daily journal. It's due by 5pm every friday. I'm done with it and i sent it to M already. I gotta read for my midterm which is on Monday night. I have to work on finishing my careplan.
I got hours tonight, thank you Jesus, I love you with all my heart, mind and strength, help me God to live and praise you always.
"I CAN DO ALL THINGS THROUGH CHRIST WHO STRENGTHENS ME!"-my big sis (world's best big sis) always tells me this :)
Labels: Medical Surgical Nursing 1
posted by Student Nurse at 4:02 PM
Friday, October 06, 2006
Clinical Rotation week 2
Week 2 of NSG 205A clinical week went greater than i thought. I was also fretting because we were suppossed to be more serious this week seeing that last week was our first rotation week so M was a bit easy on us. Thursday i got assigned a nurse and patient. My nurse was great preceptor, overly receptive, cheerful, funny and walked me thru everything she did, explained to me why, how and the best way to do all the clinical procedures she did and the meds she administered to my assigned pt.
My pt, M was also ok. She was a psych eval pt so sometimes she'd be all cheery and talking then the next minute she'd be yelling obscenities. She had almost all the diseases i know. Literally. She has CHF, CVA, Asthma, Severe COPD,Pneumonia,CABG,Dementia, Pacemaker Placement, GERD(Gastroesophageal Reflux Disease) and Dyslipidemia. I got to do alot of interesting hands-on on her. I was on time to observe the MD do a Bronchoscopy Procedure on her. He even let me look through the bronchoscope to see what her bronchi looked like. During procedure, i gave the pt IV meds, lots of morphine and kept flushing it w/NS. I also kept oral-suctioning the pt. It wa totally awesome :) I also administered meds and charted. I also shadowed my assigned nurse to her other 2 pts and helped one of her other pts take a shower. I also got to administer a SUB-Q injection, the right way woohoo. I drawed the 5ml insulin from the ampule, made sure all air was out, used alcohol swab to wipe the lower abdomen where i was going to give it, walked my pt through what i was doing, inserted the jab and gave the insulin and let it stay put for 10secs then witdrew it. For Heparin(which i observed J do) you first insert air into Vial then draw the Heparin, make sure there's no air then clean pt abdomen w/alcohol swab, insert injection into pt and aspirate, if no blood is present during aspiration continue giving injection but if blood is present d/c injection, then hold it in there for 10secs before withdrawing injection. WOOHOO! I'm loving this :)
I just did my weekly journal and sent it to Prof. I gotta start on my Care Plan and read for my monday quiz. My this weekend's hours have been cancelled. I'm sad but i know God has better plans for me. I can do all things through Christ who strengthens me.
Go me!
My pt, M was also ok. She was a psych eval pt so sometimes she'd be all cheery and talking then the next minute she'd be yelling obscenities. She had almost all the diseases i know. Literally. She has CHF, CVA, Asthma, Severe COPD,Pneumonia,CABG,Dementia, Pacemaker Placement, GERD(Gastroesophageal Reflux Disease) and Dyslipidemia. I got to do alot of interesting hands-on on her. I was on time to observe the MD do a Bronchoscopy Procedure on her. He even let me look through the bronchoscope to see what her bronchi looked like. During procedure, i gave the pt IV meds, lots of morphine and kept flushing it w/NS. I also kept oral-suctioning the pt. It wa totally awesome :) I also administered meds and charted. I also shadowed my assigned nurse to her other 2 pts and helped one of her other pts take a shower. I also got to administer a SUB-Q injection, the right way woohoo. I drawed the 5ml insulin from the ampule, made sure all air was out, used alcohol swab to wipe the lower abdomen where i was going to give it, walked my pt through what i was doing, inserted the jab and gave the insulin and let it stay put for 10secs then witdrew it. For Heparin(which i observed J do) you first insert air into Vial then draw the Heparin, make sure there's no air then clean pt abdomen w/alcohol swab, insert injection into pt and aspirate, if no blood is present during aspiration continue giving injection but if blood is present d/c injection, then hold it in there for 10secs before withdrawing injection. WOOHOO! I'm loving this :)
I just did my weekly journal and sent it to Prof. I gotta start on my Care Plan and read for my monday quiz. My this weekend's hours have been cancelled. I'm sad but i know God has better plans for me. I can do all things through Christ who strengthens me.
Go me!
Labels: Medical Surgical Nursing 1
posted by Student Nurse at 1:42 PM
Tuesday, October 03, 2006
First NSG205 Quiz
The second lecture night of NSG205 was yesternight. Before lecture we had our first quiz which was based on what he lectured last monday. I read alright but it was just too much information to digest all at once. Pretty interesting stuff though to do with the Cardiac diseases(heart). The quiz was a 10-questions only and it was of course multiple choice. I thought i didn't know one question right lol. Seriously, yes i read but i gotta read more. I sat there as i read my questions, closed my eyes and asked God to show me the answers b/c i didn't have the slightest clue. I got my score this morning and i did fairly well based on my thinking i didn't know jerk. I got a 6/10 not good but not bad. I need to pull up my socks though. My next one is on Monday. This morning on my way to work on the bus i read. I hope to excel in it and the all of them. It's going to be on Respiratory diseases and its so interesting it's totally blowing me away.
I'm looking forward to rotation this thursday. It almost feels like its going to be the first day of clinical to me. First off, i have to be there by 615am to get assigned a patient. It's also the same week i start putting information about my patient together for my care plan. I also start getting the journal homeworks. I can't wait to see how it all goes and how it works out in the end. I trust God to show me the best way to do it all and on time and in the best way. I have a plan in my head, only i hope to do it in God's way so my prayer is His plan be mine.
"I can do all things through Christ who strengthens me"
Go me!
I'm looking forward to rotation this thursday. It almost feels like its going to be the first day of clinical to me. First off, i have to be there by 615am to get assigned a patient. It's also the same week i start putting information about my patient together for my care plan. I also start getting the journal homeworks. I can't wait to see how it all goes and how it works out in the end. I trust God to show me the best way to do it all and on time and in the best way. I have a plan in my head, only i hope to do it in God's way so my prayer is His plan be mine.
"I can do all things through Christ who strengthens me"
Go me!
Labels: Medical Surgical Nursing 1
posted by Student Nurse at 10:35 AM
