Thursday, February 5, 2015

Floor 5 please


Learning Report

1. Med Surg nurses provide adult nursing care before and after medical procedures, and as pateient's conditions and case load will vary daily, med-surgical nurses must be confident in managing complex and differeing care. 
2. I obserced several things that were in the medical book, example how to make the patient's bed.  I also learned that floor 5 is never really calm. Usually they are packed with patient's and going every which way.
3. The best thing that happened was that since the floor wasn't very busy I got to visit with the nurses. It was cool to do that, because last week I was in ER and ER doctors/nurses are different from everyone else, in result of that, I got to see how much they really like their job. 
4. Nothing really bad happened. 
5. There wasn't a mistake. 
6. This week--fair: It was fair because since there wasn't many patients we really just talked. I would have liked to be shown around or something. I missed the actual patient treating of patients. I learned that even though this floor can be exciting it's not where I need to be. 

Experience Record

1. The technolohy I observed was the online charting at the nurses station. There is one big nurses station, and then there are severaly smaller nurses stations around the floor. There two nurses can sit and chart their rounds, and also some nurses will use the station outside their patient's rooms so they can be right there.
2. I did not see any Diagnostic Procedures.
3. I did not see any Therapeutic Procedures.
4. There weren't really any diseases/disorders, but the patient's that I did see had a stomach surgey, and the other looked like she had cancer.
5. I did not encounter any terminology/abbrevations.

Journal 
   When I walked on to the floor it smelled very clean, and very orderly. I saw several nurses making their rounds, charting, and talking to doctors.  There were two crash carts in the major nurses station, and several doctors doing paperwork. I also noticed that on each door their were signs that said if the patient was a falling risk or a health risk (and you need to put on PPE).
   When I reached the nurses station their were several nurses their answering phones and arranging rooms so they can discharge and accecpt patients in. All the nurses were very kind, and whent hey talked about things going on at the hospitaly they always paused and explained what they were talking about, so I could join. The nurse that I followed and I changed several beds, cleaned up a room, and she started to help a patient in the shower, right before I left. 
   I observed how to make a bed, which was kinda cool, because I read it in the medical booklet and then I got to see it be done. I also got see how the nurse needs to be the advocate for the patient. A doctor wanted to release a patient, but the patient had high blood pressure. The nurse was saying if that if a patient with that good of health, and then having a simple surgery, and in result having blood pressure...isn't good. I saw how to use the proper tone, and maybe some good words that I could say to the doctor if I am ever in that spot.
    What I learned was that this floor was not for me. Even though I did have a good time visiting with the nurses, that I want to be involved with the patients. I don't think I could handle having several patients; I think I am more like 2 patients. I want to help with patient's and really be able to help them get to where they need to be. 

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