Med Surg floor 6

Learning Report

1. Med Surge nurses do a lot of jobs but the ones that my Mentor   

    did was administer medications, ease pain, encourage activity,            

    and prevent complications.

1. I learned how to manage all the different type of patients you could have at one time. My mentor had several patients at one time and at one point each of them needed her for something, so it was nice to see how to manage which order to go in because you want to be in so many places at once but you can’t. 
2. The best thing that happened was that I actually got to see several patients and it felt like a normal work day. My Mentor and I were making rounds to all her patients, and then she sat down to chart and some patients wanted ice so she let me get them ice. The whole time I was there all the health care workers were really welcoming. 
3. Nothing bad happened on the rotation.
4. There was no mistake.
5. Week: Good-It was really good. I got to see and learn a lot. My Mentor was great, and she really explained things after we saw each patient. Then like I said before I was able to get ice cubes and such for the patients. All the health care professionals were great and they even asked me questions of what I had seen or experienced which was nice.

Learning Experience

1. The technology I observed was charting of each patient. When they chart you can see any doctors orders, medications, what time those  medications were given, how much, the last time they showered, pain scale, ect. It is very time consuming, but needs to be done so that the doctor can look and see what is happening with their patient and make changes. 
2. For diagnostic procedures there was patient that we checked on that was getting his gallbladder removed. Reasons to have your gallbladder removed would be an infection, gallstones, or the gallbladder is not working normally.
3. For therapeutic procedures the same patient was having pain which is normal when dealing with the gallbladder, so the nurse gave him some pain medications but a very low dose since he was on the list for the surgery. Also, another patient was in his process of getting up and walking around so the therapist came up and worked with him, and actually got him sitting up in the chair talking with his family. 
4. The patient who saw the therapist had a Pacemaker. A Pacemaker is a small device that’s placed in the chest or abdomen to help control abnormal heart rhythms. This device uses low-energy electrical pulses to prompt the heart to beat at a normal rate. 
5. No medical terminology 

Journal

The environment when I got on the floor was very busy and you could tell that it was busy.  Several nurses were coming out of rooms, quickly charting and moving on, and there was one patient that was going  to a small surgery procedure. The personnel was great. They asked my questions about what I had seen and what I plan to do in my future. My mentor had the typical charting cart that you could roll around the floor, which is the same technology that was utilized. 

With the staff some were sitting at the nursing station charting, and some were treating and going in and out of patient’s rooms. The teaming skills were okay. All the nurses were kinda just trying to finishing the charting and trying to get doctors orders through, so there weren’t really teaming skills. The mentor that I followed really communicated with me really well. We would go into a patient’s room-treat the patient-then we would leave the room-then she would explain what she was putting into the charting and what she was going to ask the doctor for. 

I learned how busy it can be, and how to manage that at times. Cause at one point where all patient’s were needing us and so we kinda had to organize what was more important. There was no medical terminology used. 

The time I had on that floor was great. I didn’t really get to see a lot of interest things like people who had came, but I got to see a lot of patients. I got to see affect of the surgery and the post part of surgery which was cool.