Update for G.C.

 

 

G.C. For the Week

 

   This week at G.C. was most likely the best one had in awhile. First, I was in LTAC and the Nurse that unit let me go around the unit and take the blood oxygen levels for some patients, and take other small vital signs. It was really cool to see how I would report back to her, and she would say that isn't normal range for that patient. You could tell that she liked working there, and she knew her patients. I think that is a major of working at any medical facility is that you need to know your patients, and sometimes at G.C. I have noticed that some health care workers there do not know their patients. The nurse knew normal levels for every patient I took, and very receptive of me doing that. She was kind a amazed that I knew how to do that.

   The next time I was at Dining. There it is kind a of hard to get them to help, or show something. There I stabled the lunch menus with the G.C. patients lunch information cards. The Chef told me that it is required by the state to have a information card. The card lists:

• The name
• Room
• Allergies
• Dislikes
• Likes 

With this system he can cook with a variety, and keep them safe. After that I did not have anything else to do, so I went G.B. There I got to see Mrs. E. She always is wearing her katy red. She is only in G.B. for 20 more days. Then she will go back to LTAC. When I was visiting there, a light when off telling the nurses that the patient in that room needed attendance. I was amazed at how quickly the nurses responded. It turned out that the lady in that room just couldn't find her special blanket.

  This week at G.C. was great. I got to show my skills of a little bit, and brought a smile to Mrs. E. So I guess I say that it was very productive week.

The emergency life

The Emergency Life

Learning Report

1. Responsiblites: Emergency nurses specialize in assessing, intervening and stabilizing a variety of trauma and illnesses with decisive action.

2. I learned the steps or observed the steps taken when a patient walks in to the E.R., transportated by ambulance and arrived, and when a patient comes back from testing.

3. The best thing that happened was that I got to see the treatment of a homeless patient, a stroke patient, and a patient throwing up blood.

4. Nothing bad happened.

5. There was no mistake

6. Overall: Good- I got to see and experience a lot. The hospital staff was very recepetive of me, and was very willingly to let me jump in. They also were very good about after preforming a procedure they explained it to me. I learned a lot, and was very excited about the time I had there.

Learning Experience 

1. The technology I observed was an E.K.G. and an X-Ray. They have a tech that comes in and does the testing. An E.K.G. is a test that checks for problems with the electrical activity of your heart. An EKG translates the heart's electrical activity into line tracings on paper. The spikes and dips in the line tracings are called waves. An X-Ray is an electromagnetic wave high energy and very short wavelength, which to pass through many materials opaque to light. 
2. With the patient regurgitating blood, since he walked into the E.R. I got to witness the questions and timeline of the patient's history. I was able to see how the medical professionals listened to the patient, and really pined pointed the right information that they needed. After coming up with 2 main ideas of the patients chief complaint.
3. With the stroke patient, in his medical history it stated that he had a a stroke in the past and is very receptacle of having stokes in the future. After, he came from a C.T. Scan I observed the E.R. Nurse diagnosing the problem. You could really tell that the patient had a stroke, so the patient and the nurse came up with a plan. In result, they would together tell the family the plan and the steps to get the patient back to stable condition would begin.
4. I observed 3 main patients. The first patient woke was vomitting blood at home and was continuing while in the E.R. room.  That patient had a history of 2 cancers, but no other medical diseases or disorders. The second patient was a homeless patient. With that patient I only witnessed taking his blood. Due to the fact that it could turn in to an unsafe environment. The third patient was the Stroke patient. A stroke is a sudden diminution or loss of consciousness, sensation, and voluntary motion caused by rupture or obstruction (as by a clot) of a blood vessel of the brain. 
5. There wasn't any used. 
6. I loved the E.R. floor. They were very receptive of me, and very willingly to let me learn and ask questions. It took a while for the floor to start getting busy, but in that time they talked to me about what has happened, their favorite part, and other hospitals. It was a great time and experience, but people need to know is that you are not going to have the same experience unless you take your education into your own hands. 

Journal

   When I first started to head to the E.R. I got lost, lucky another student found me and helped me. When I finally arrived and I walked in, you could smell coffee, heard laughing, and beeping of monitors. The Nursing Station had several nurses around checking on patients and visiting. They were very welcoming, and talked to me about the unit. There was a portable X-Ray machine in one room that was easily to get to and move around. When patients started coming in I saw the use of an E.KG., the X-Ray machine, and the taking of blood. 
   When the Nurse I was following started to treat the patients I observed the way that the whole E.R. really works together. It was a great learning expeirnce to see how the tech, the nurses, and the doctor all work together in one room. I was just sitting there watch all these health care professional amazed. When one of the patient's ex-wives arrived I got see how the nurses handled the family situation. She was very kind and thankful for all that they were doing for her ex-husband. I saw several Therapeutic and Diagnostic proceduces done. I saw the drawing of blood, the E.K.G, and the portable X-Ray machine. It was very cool to see how fast they all go and how the patient can say one thing and then the doctor will change his thoughts of what is wrong. It was very cool. 
   I learned so much on this unit. I learned how to handle so many situations and procedures, and skills that are needed to really diagnois the problem. Like I said before, the nurses would handle a situation and then later described me why they did that test and what that test will tell them. The Nurse told me that people on this unit sometimes get burned out but later will come back. For a student they need to understand that you need to be able to jump right in. They will help you don't get me wrong,but if you want to see something or something like that you really have to take it in to your hands. I really understand now that my education when it comes to or clincal rotataions is really in my hands. The health care professionals liked how much I liked being there. For like the first 15 minutes we talked about E.R. shows, and injuries I have seen being an athletic trainer. It was a a great educational experience.
   I think I have said this a million times on this blog, but I have truly had the best time on the E.R. unit. Not just for educational, but also personal experience. I have watched Grey's Anatomy, New York Med, and Untold Stories of Life in the E.R. and for someone to have watched those shows for years and then fianlly you get to see it is a great feeling. When I came back to our classes meeting spot I and the biggest grin on my face. I had that smile on my face all day. It was great cause I left there knowing that even I didn't help out a lot but that I was a part of their first steps heading toward getting back to a stable condition.  The professionals there were great, and they were very willingly to let me be in rooms and listen and take notes. I had a great experience, and I am so blessed that I was able to go and that kind of experience.

Sports Medicine 101

Learning Report 

1) The physical therapist took a diagnosis report on a patient. A physical therapist help injured of ill people improve their movement and manage their pain.

2) I learned that the therapy that takes place at Memorial Herman is more with the elderly, and the Adult population.

3) The best thing that happened was that I followed was great, and I got see her preform a Diagnostic and Therapeutic procedure. 

4) The worst thing that happened was that I really missed the rue medical surgical patients.

5) There wasn't really a mistake but after being not really being accepted by the P.T. I had to re-evaluate myself and my goals for that rotation, and then when I did that I ended up having a great experience.

6) This week was good because I was in an area that I really liked and was familiar with. Plus, the P.T. did a great job by including me in with what she was doing. 

Experience Record 

1) The technology observed was the use of laptops. Each P.T. had the same laptop, and each one had their own. With their patient the P.T. would insert the patient's status of how their exercises went, what they did that day, how the patient felt after, etc. The laptop's also has the patients diagnosis plan and background, so the P.T. and the patient can keep on track.

2) Sheri, the P.T. I followed, preformed a background information and diagnoses test. She tested the patient's dysfunctional movements by observing the patient stand or walk and by listening their concerns.

3) For Therapeutic procedures Sheri set up a plan of care for the patient, outlining the patient's goals and the expected outcome. Also she use exercises, stretching maneuvers and hands-on therapy to ease patient's pain. 

4) The patient did have neuropathy in the legs. Neuropathy is damage to nerves in the nervous system, and so it affects nerves outside of he brain and spinal cord.

5) I did not see any use of medical terminolgy. But, when Sheri was diagnosing the patient she used a spinal cord model to help explain to the patient what his injury was, and how the stretching was going to help. 

Journal

  When I walked on to the unit it smelled very sporty, like academy. There was a check in desk and across from that there was a small waiting room. When you continued in to the unit there were several tables all around, riding bikes by the window, and a swimming area at the back. Everything was very neat and organized.

  Each physical therapist had their laptop which contained the patients background, therapy plan, and exceeded given. There was soft skills going on between patient and therapist, which is really key on this unit. The P.T I followed preformed a therapeutic and diagnostic procedure on a new patient. In result of those producers they P.T and the patient set goals, and pain relief dates, and starts updates, so the therapist and the patient stay on track. 

  I learned that in memorial Herman the patients they see is mostly elderly, and adult population. I also learned how to make the therapy for the elderly more attentive and more fun rather than feel like it's a chore. I learned how to give a diagnostic and therapeutic procedure, by observing Sheri. 

  I had a great time being in sports medicine, and I learned a lot. At first Sheri was not very receptive to me observing, but after talking to her she saw how excited I was to be in the unit. I could tell that not just Sheri, but ally he Phsycial Therapist really liked working there. They were wa and welcoming to each patient, and they seed like they really liked their job. At the end of my time there, I could really see myself in that occupation. 

G.C. Week

My Week at G.C

   This week at G.C. I was in dining. It was very different from what I have been doing at G.C. The first day we were at G.C. I went to dining and they were not very receptive of me being there. I went in to the kitchen and I introduced my self and in response I got, "Sit at the table right outside and someone should be to help you." I sat, and sat, and sat, and nothing happened. So instead I went to go find my instructor and she said for me to go to G.B. I love being at G.B. because I had to deal with elderly grandparents I know how they should be treated, and the workers at G.C. are not really excited about their jobs. So it thrills me that I get to bring a little sunshine into their lives. 

 I think everyone in their lives should spend time with the elderly. They need has much as everyday patients and maybe even more. The fact that some workers are not very receptive and we see some examples of that, it gives me more drive to become an amazing medical professional in the future.

My Week at G.C.

My Week at G.C.

   

   I can truly say that I am starting to really like going to G.C. I like going and seeing all the grandma's and grandpa's with smiles on their faces. With my health not where it should be right now, it makes me want my grandpa here even more. In result of that, holding a hand of resident that is most likely the same age of my Poppy when I lost him, makes it seem like all the problems in the world have gone away.

   This week when I went into G.B the nurses were very receptive of me being there and very welcoming. A resident would ask me to go get something for them and then the nurses would tell me where to find it. Even though we are only there for an hour, it makes me feel good that for that hour I am making those residents feel loved. With their memory gone, I don't believe that any family members come and see them, which breaks my heart. So, it brings a smile to my face when I walk up to Mrs. E and she says, "I have missed you!" 

   G.B  has taught me a lot, The key thing I learned this week was that those residents need as much attention maybe even more than the ones in the hospital. The residents at G.B have been taken from their normal routine in the outside world and have been placed in this place where their normal routine isn't normal anymore. They are dealing with memory loss, which I was witnessed of. Mrs. P and I have had a great connection since me working there, and this week when I walked in she knew who I was, but this week it was very opposite. She seemed like:

• 1. she didn't know who I was
•  2. she kept saying I can't talk to you, Daddy wants me to pack. 

That was hard for me because it brought back some memories, but in my head I talked to myself and realized that this is part of life, and at least I have memories of her remembering me.