StudentNurse
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
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