MH due FEB 20

Learning Report

1. The nurse I followed was responsible for care for one baby in addition to helping during an emergency C-section.

2. I learned that I love the nursery and could defiantly see myself working there one day. 

3. The best thing that happen was getting to see all the new born babies and going to look into the OR.

4. The worst thing that happen was I was not allowed to hold a baby.

5. The “worst” was not a mistake.

6. Awesome, I loved watching all the babies sleep and taking a look at the OR while the nurses were prepping for an emergency C-section.

Experience Record

1. The healthy babies were in a tiny bed that had a heater on the top. If a baby was getting to cold the machine would automatically start to heat it to the correct temperature. The sicker babies were put into their own incubators that recorded the vital signs.

2. I spent most of my time in the nursery where most of the babies were healthy. I did see some of that some of the babies were born prematurely.

3. The nurse I was following, bathed the baby with warm water and baby soap. This was the first bath after birth so she made sure to get all the nooks and crannies. In addition, she motored his temperature.

4. The baby was healthy and waited in the nursery while the mother took a much needed nap. The nurse made a comment that they would rather have the baby in the room, so it can bond with the mother.

5.  I heard the term ET tube use while they prep the OR. It means endotracheal tube and is a specific type of tracheal tube that is inserted through the mouth or nose.

Experience Journal

I.                    When I first arrived I saw 5 babies all wanting me to hold them. The room was also super cute with little ducky sticker that record the temperature of the new born. It seems like all they were was babysitters because the really sick babies were transferred to other hospitals. The NICU was interesting to look around however the staff was busy and didn't pay much attention to me.

II.                  The staff seemed really fun to work with even when thought one nurse said the only reason she is in nursery is because she hate adults. She gave me advice to start out as a flout nurse because it would be easier to get a lot of experience through the hospital.  I observed the nurse trim the umbilical cord to make it easier on the family when they bring the bay home. She wanted to use a blade but could not find any so she use a pair of scissors. After she had to put in the sharps container which she thought was a waist.

III.                I got to go into the OR which meant I had to put on a mask and cap. I watched as they restocked and confirmed that everything was in place for the emergency C-section. Once the labor and delivery personal remove the baby the nursery staff helps with the care of the new born. However I was not allowed to see the operation because there was a new nurse still learning and with me it would have been over crowded.

IV.                I love the nursery but I fell I would not be challenged and it would become boring. I see myself leaning more toward labor and delivery unit. There is action and babies what more could I ask for! 

MH Blog due: Feb 12th

Learning Report

Responsibilities:

•          Care for 1 patients
•         Wake patient
•          Administer pain medication

I learned that if a patient goes under anesthesia fighting he is going to wake up fighting. Also people act silly after surgery 

Best thing that happened was seeing a patient who had torn his pectoral while benching 300 lbs.

The worst thing that happened was waiting for the patient to come out of surgery and then waiting for him to wake up.

It was not a mistake.

Good, my nurse was very nice and slowed things down just enough to explain a few things.

Experience Record

Technology I observed was the monitor that took his vital signs every couple of minutes. They also use an EKG that was a part of the monitor that printed out his heart beats. In addition, she used her computer to chart what pain medication she gave to him.

I was in PACU which doesn’t involve diagnosing patient that often. However I heard the nurses say he was benching 300lbs. and tore his right pectoral muscle near the armpit.

My nurse had to administer pain medication to the patient recovering from surgery.  She also gave him extra pillows to try to get him in a comfortable position. He seem to want to sit in a recliner which he asked for 15 times. The nurse reassured him that the surgery went fine and kept telling him that they could not let him sit in a chair yet.

 I only saw the one patient because in the PACU it is usually a one to one ratio, so the nurse can focus on that one patient. Like I said before the patient tore his pectoral muscle and ha surgery to repair the damage.

I saw medical terminology like Q15 which means every 15 minutes. NKDA stands for “No known drug allergies.”

Experience Journal

                When I first walked in, I was introduced to Marium, who is a registered nurse that floats around to different units in the hospital. I saw that there was a monitor for each patient that would beep if the vital were too low or high. It was a little different seeing the nurses stand right next to the patient the entire time, instead of sitting at the nurse’s station.

She had 1 patients she was caring for but when he first arrived 3 other nurses came in to help take initial vital sighs ASAP. They were so fast and worked like a well-oiled machine. The surgical nurse was informing Marium of how the surgery went and what medications he received. There were no complication, but the nurse said he went down fighting and said that he will wake up fighting.

When the patient first came in to the unit nurses were trying to poke him or say his name to wake him up. However he was a big man and I took 30 minutes for him to come to. Other doctors and nurses from surgery came back to check on him. I saw medical terminology like Q15 which means every 15 minutes. NKDA stands for “No known drug allergies.”

I really enjoyed this unit because it was fast pace and interesting to a wide range of disorders or injuries. I was in awe when they were all doing seven things at once and remarkable well. I love being a part of the team, and I fell this would be a great place for those who like being a team player like myself.

GC (LTAC unit)

Sundown syndrome affects some people who have Alzheimer's disease and dementia. They get confused and agitated as the sun goes down, and sometimes through the night. Sun downing happens to nearly 20% of people who have Alzheimer's disease or other kinds of dementia. The causes are not well understood and there seems to be no cure, however there are some ways to manage it. Being more active during the day may help Alzheimer's patients sleep better at night. Also, Light therapy, Good sleeping environment, and Calm reassurance will help.

MH Report due: Feb 5

Learning Report

1. Responsibilities:

·         Care for 2 patients

·         Administer medication

·         Finish charting so 4 patients can be discharged

·         Inform the patient and their family

2. I learned that charting looks very hard and complicated, but it is easy once you are trained.  
3. Best thing that happened was learning that I don’t have to be great at spelling because when charting all you have to do is click on an option already typed out.
4. The worst thing that happened was hearing that some patient that are not in the right mind will sometime play with the own poop, and the nurse his to clean them up.
5. It was not a mistake.
6. Good, my nurse was not extremely enthusiastic, but she still taught me a few things.

Experience Record

1. Technology I observed was their COW or computer on wheels which she used to chart. She also had a scanner that looked like the ones at a grocery store that scans the medication and her wrist band which then send the information to the computer.
2.   The patient had just come back from Bronchoscopy where the doctors can take a look into the airway. They hope to get the results back to diagnose her lung disease.
3. My nurse had to administer blood pressure medication to another patient recovering from surgery.  She also assisted an older women take out an IV so she could get an x-ray downstairs. After one of the patients came back from surgery she helped them with ordering lunch and changing her status so she could eat.
4.  I observed a woman who had painful and labored breathing. She was waiting to hear what the Bronchoscopy looked like to diagnosis her.
5. I saw medical terminology like WDL’s when she was charting. It means “within defined limits”. I also heard her use Edema which is swelling caused by fluid retention - excess fluid is trapped in the body's tissues.

Experience Journal

                When I first walked in, I was introduced to Darleen,, a registered nurse who has only been a Memorial Herrman for 3 months. She had 2 patients she was caring for along with discharging 4 others. She was taking a break where she ate here breakfast of oatmeal and Doritos… weird. I got to see her chart on her computer and administer medication using a scanner. Also, a sales man came to demonstrate a new colonoscopy bag that came in different diameter to better fit the incision.

                The first patient we visited just came back from a bronchoscopy to determine why she is having trouble breathing. She needed another x-ray, so the nurse had to disconnect her IV. This allowed her to be moved from her bed room to the imaging room.  She also helped the patient’s family order food and changes her meal status, so she could eat after her procedure. Her next patient needed their blood pressure medication replaced. Her mother told Darleen to use a different medicine the patient used before that worked well. However, the nurse kept her on the original drug.

                I asked Darleen how she balances a family and nursing. She works the typical 12 hour shift, 3 days a week. In addition, she will work extra for overtime pay. WDL’s came up when she was charting she told me It means “within defined limits”. I also heard her use Edema which is swelling caused by fluid retention.  She made sure to use proper PPE when handling IV parts and used hand sanitizer when she came in contact with a patient or something they may have touch.

                Although it was not a horrible experience I still do not feel like I would enjoy going into the field of the surgical unit. The staff got to briefly talk to did not seem happy to go to work. I want to be excited and happy when a go to and leave work. Almost every rotation so far has pushed me to really look into the labor and delivery unit.