MSU 5
Assessment of the Environment
MSU is a very fast paced moving environment. All the personnel are kind and caring of their patients.They keep them comfortable and relax while they wait for their surgery or to be discharged. They have tons of important equipment that they carry around with them while they take vitals and distribute medicines. I got o help a nurse take vitals on all her patients.
Observation
I got to watch my nurse do a discharge on a patient going home from having low blood sugars. She talked to him about all his papers. She helped him remember all the medicines he needs by giving him a list. She also made sure he knew the signs and symptoms of low blood sugar so he doesn't wait like he did last time. He needs be swear because it is a dangerous problem.
Knowledge
I learned that Trilipital (spelling not my strong suit) is a seizure medicine that causes low sodium. this one patients doctor wanted to lower her dose but when they lower it she has seizures because of the low sodium in her body. I also learned that Glidieride (spelling not my strong suit) is a low blood sugar med that keeps blood sugars up.
Evaluation
I got paired with a nurse this time and i learned so much more than i ever had! they really make a difference. I learned a lot today that will help me later on in my career!
Thursday, April 2, 2015
Thursday, March 19, 2015
Emergency room! 3-6-15
My responsibilities this week were to assess patient needs, give medication, comfort patient and family, and react quickly and effectively to critical situations.
One new thing I learned is that when patients ask for pain mess after their loved one has left the room they are most likely addicted.
Watching the nurse do an physical assement of a patient who had just came in. She was basically treiaging the patient for the emergency room.
The worst thing was that honestly, I didnt get to see anything because the ER was being evaluated by the hospital people that are up there on the food chain. I felt like they didn't want me in the way to screw anything up.
This week was bad, I was really looking forward to the experience and I didn't get anything out of it.
Technology observed: they have a huge screen with all the patients names, room numbers, and if they were given mess or anything on it.
Diagnostic procedures: they took a man to radiology to get an x Ray because he might have broken his wrist
Therapeutic procedures: they gave a lady something like pepto bismal because she was having tummy problems.
Diseases/disorders: one lady was addicted to pain mess and was a "frequent flyer" at the ER.
Assessment of environment
The ER is a very fast pasted moving place. The room just feels very intense. There are buzzers going off every each direction. It smells of disinfectants. And the people there are rock stars. They are very nice and cool, calm, and collected.
Observation
They have a huge screen with all the patients names, room numbers, and if they were given mess or anything on it; therefore, any nurse that gets to that patient in an emergency can know what meds that patient has had.
Knowledge and evaluation
Mrs. Nguyen, I honestly was not taught anything. They were all focused on the evaluation that they briefly answered my questions and basically put me in a corner of the room.
My responsibilities this week were to assess patient needs, give medication, comfort patient and family, and react quickly and effectively to critical situations.
One new thing I learned is that when patients ask for pain mess after their loved one has left the room they are most likely addicted.
Watching the nurse do an physical assement of a patient who had just came in. She was basically treiaging the patient for the emergency room.
The worst thing was that honestly, I didnt get to see anything because the ER was being evaluated by the hospital people that are up there on the food chain. I felt like they didn't want me in the way to screw anything up.
This week was bad, I was really looking forward to the experience and I didn't get anything out of it.
Technology observed: they have a huge screen with all the patients names, room numbers, and if they were given mess or anything on it.
Diagnostic procedures: they took a man to radiology to get an x Ray because he might have broken his wrist
Therapeutic procedures: they gave a lady something like pepto bismal because she was having tummy problems.
Diseases/disorders: one lady was addicted to pain mess and was a "frequent flyer" at the ER.
Assessment of environment
The ER is a very fast pasted moving place. The room just feels very intense. There are buzzers going off every each direction. It smells of disinfectants. And the people there are rock stars. They are very nice and cool, calm, and collected.
Observation
They have a huge screen with all the patients names, room numbers, and if they were given mess or anything on it; therefore, any nurse that gets to that patient in an emergency can know what meds that patient has had.
Knowledge and evaluation
Mrs. Nguyen, I honestly was not taught anything. They were all focused on the evaluation that they briefly answered my questions and basically put me in a corner of the room.
Thursday, February 19, 2015
Blog #5- Pharmacy
1. My responsibilities in pharmacy were..
to help the pharmacists distribute and keep innovatory of the medications.
2. New knowledge I learned this week were learning the names of some of the drugs and what categories they fit in. I also learn how to distribute medication to different parts of the hospital with the tunnel system.
3. The best thing that happened was being able to stand with the pharmacy tech and help her put medications into bags and bottles.
4. The worse thing that happened was being in a very slow and dull work environment, because you really don't get to see any cool things in pharmacy.
5. This week was fair, because I'm more interested in the more fast paced medical jobs.
Technology observed
The tunnel system, and The IV room (I didn't get to go in but she showed me things through the window)
Diagnostic Procedures
I saw where they keep the clot busters, and the stuff the inject into veins to see if you have a blood clot, these are both used in diagnostic procedures.
Therapeutic Procedures
I was basically surrounded by them, inhalers, allergy medications, chemo, and many pain medications.
Disease/disorders
One of the techs was getting some chemo packaged for a cancer patient
Medical terminology
Rx, antihistamine, diazaphram, and many more medicine names
Assessment of the Environment
All of the personnel are ready to work, they keep their desk very neat and organized. The counters where they package the meds is very clean and neat. They have to constantly keep innovatory on their computers to make sure they always have the right number of meds in the system. If someone needed chemo and the computer said they had a dozen pills, and they only really have 2, this would be a major issue.
Observation
The personnel are very open to teaching you. This one lady kept asking me questions that I had no idea of. But of course she told me the answers. They are very open to the idea of us their, they really like teaching kids about the pharmacy.
Knowledge
I learned that for oral meds they use amber colored casing so the nurses know this is for oral use ONLY and really dark bottles used for meds are for meds that can be deactivated by light.
Evaluation
My personal experience was not as great as some of my previous weeks. The pharmacy is just too slow paced for me. I'd rather be running to the ER with the respiratory Therapists. It was a very good educational experience though, I learned a lot about different drugs that i might need to know later on in my career.
1. My responsibilities in pharmacy were..
to help the pharmacists distribute and keep innovatory of the medications.
2. New knowledge I learned this week were learning the names of some of the drugs and what categories they fit in. I also learn how to distribute medication to different parts of the hospital with the tunnel system.
3. The best thing that happened was being able to stand with the pharmacy tech and help her put medications into bags and bottles.
4. The worse thing that happened was being in a very slow and dull work environment, because you really don't get to see any cool things in pharmacy.
5. This week was fair, because I'm more interested in the more fast paced medical jobs.
Technology observed
The tunnel system, and The IV room (I didn't get to go in but she showed me things through the window)
Diagnostic Procedures
I saw where they keep the clot busters, and the stuff the inject into veins to see if you have a blood clot, these are both used in diagnostic procedures.
Therapeutic Procedures
I was basically surrounded by them, inhalers, allergy medications, chemo, and many pain medications.
Disease/disorders
One of the techs was getting some chemo packaged for a cancer patient
Medical terminology
Rx, antihistamine, diazaphram, and many more medicine names
Assessment of the Environment
All of the personnel are ready to work, they keep their desk very neat and organized. The counters where they package the meds is very clean and neat. They have to constantly keep innovatory on their computers to make sure they always have the right number of meds in the system. If someone needed chemo and the computer said they had a dozen pills, and they only really have 2, this would be a major issue.
Observation
The personnel are very open to teaching you. This one lady kept asking me questions that I had no idea of. But of course she told me the answers. They are very open to the idea of us their, they really like teaching kids about the pharmacy.
Knowledge
I learned that for oral meds they use amber colored casing so the nurses know this is for oral use ONLY and really dark bottles used for meds are for meds that can be deactivated by light.
Evaluation
My personal experience was not as great as some of my previous weeks. The pharmacy is just too slow paced for me. I'd rather be running to the ER with the respiratory Therapists. It was a very good educational experience though, I learned a lot about different drugs that i might need to know later on in my career.
Thursday, February 12, 2015
GC 2-9-15 & 2-12-15
--Dementia--
Acute- also called delirium, disorder of attention and global cognition (memory and perception) and is treatable.
Causes: Age, medications, existing brain damage, and drug abuse
Chronic- various underlying brain disorders or damage can have with their memory, language and thinking
Causes: alcoholism, B12 deficiency, aging, and family history
--Dementia--
Acute- also called delirium, disorder of attention and global cognition (memory and perception) and is treatable.
Causes: Age, medications, existing brain damage, and drug abuse
Chronic- various underlying brain disorders or damage can have with their memory, language and thinking
Causes: alcoholism, B12 deficiency, aging, and family history
Blog #4--Cardiopulmonary
1. My responsibilities as a respiratory therapist this week were, diagnosing lung and breathing disorders and providing treatment, managing ventilators and other artificial airways, responding to code blues, medical response teams, and urgent calls for care, and educating people about lung disease to prevent it.
2. This week I learned about clot busters, the man I saw having CPR done to him, had a history of pulmonary embolism in his lungs. The nurse told me they were going to give it to him to see if it could help. This showed me how knowing patients history could help.
3. The best thing that happened was being able to watch CPR in action and watching nurses and EMTs in action trying to save a life.
4. The worst thing that happened was watching the man die and his family being really emotional. This experience was a lot to take in at first, but looking back I'm glad I had the experience.
5. This week was good! I got to witness some amazing things first hand, and learn a lot about CPR (The chest really sound like the clicking the mannequins make).
1. The nurses gave the man a ultrasound on this heart to see if there was any rhythm; unfortunately, there was none.
2. A diagnostic procedure I saw was when they went to give the man a clot buster, because he had an history of a PE in his lungs.
3. Unfortunately, I didn't see them do any therapeutic because he died, or if you found CPR as therapeutic.
4. Pulmonary embolism (blood clot) CPR (cardiopulmonary resuscitation) Thrombolytic therapy (clot busting medication)
Assessment of the Environment
The personal are very professional, but like to have fun. They joke a lot. They work in the ICU a lot, their office is right next to it. They help try to educate people and their families about lung diseases to prevent. They are very compassionate about what they are doing.
Observation
I saw how they have to work together as a team, and put other peoples lives before theirs. They work well as a team by making sure everyone is doing their job to the best of their ability. They communicate well to make sure every job gets done. They gave him clot busters and did CPR.
Knowledge
This week I learned about clot busters, the man I saw having CPR done to him, had a history of pulmonary embolism in his lungs. The nurse told me they were going to give it to him to see if it could help. This showed me how knowing patients history could help. Knowing past history of a persons medical conditions.
Evaluation
This rotation was an amazing experience. I got to see something i never thought I would be able to see. The experience was defiantly worth a lot. I learned so many new things. This experience was a lot to take in. Watching someone die takes a tool on your body and mind for the first time.
1. My responsibilities as a respiratory therapist this week were, diagnosing lung and breathing disorders and providing treatment, managing ventilators and other artificial airways, responding to code blues, medical response teams, and urgent calls for care, and educating people about lung disease to prevent it.
2. This week I learned about clot busters, the man I saw having CPR done to him, had a history of pulmonary embolism in his lungs. The nurse told me they were going to give it to him to see if it could help. This showed me how knowing patients history could help.
3. The best thing that happened was being able to watch CPR in action and watching nurses and EMTs in action trying to save a life.
4. The worst thing that happened was watching the man die and his family being really emotional. This experience was a lot to take in at first, but looking back I'm glad I had the experience.
5. This week was good! I got to witness some amazing things first hand, and learn a lot about CPR (The chest really sound like the clicking the mannequins make).
1. The nurses gave the man a ultrasound on this heart to see if there was any rhythm; unfortunately, there was none.
2. A diagnostic procedure I saw was when they went to give the man a clot buster, because he had an history of a PE in his lungs.
3. Unfortunately, I didn't see them do any therapeutic because he died, or if you found CPR as therapeutic.
4. Pulmonary embolism (blood clot) CPR (cardiopulmonary resuscitation) Thrombolytic therapy (clot busting medication)
Assessment of the Environment
The personal are very professional, but like to have fun. They joke a lot. They work in the ICU a lot, their office is right next to it. They help try to educate people and their families about lung diseases to prevent. They are very compassionate about what they are doing.
Observation
I saw how they have to work together as a team, and put other peoples lives before theirs. They work well as a team by making sure everyone is doing their job to the best of their ability. They communicate well to make sure every job gets done. They gave him clot busters and did CPR.
Knowledge
This week I learned about clot busters, the man I saw having CPR done to him, had a history of pulmonary embolism in his lungs. The nurse told me they were going to give it to him to see if it could help. This showed me how knowing patients history could help. Knowing past history of a persons medical conditions.
Evaluation
This rotation was an amazing experience. I got to see something i never thought I would be able to see. The experience was defiantly worth a lot. I learned so many new things. This experience was a lot to take in. Watching someone die takes a tool on your body and mind for the first time.
Thursday, February 5, 2015
GC 1-26-15 & 1-29-15
Rehab: Define Nocturia, Cataracts, Dysphagia, Glaucoma, & Incontinence
Nocturia- a condition where you wake up in the middle of the night to urinate, the condition becomes more common as your age increases.
Cataracts- clouding of the lenses of the eyes, looks like looking through a fogged up window
Dysphagia- difficulty with swallowing is the sensation that food is stuck in the throat, or from the neck down to just above the abdomen behind the breastbone
Glaucoma- damage to the optic nerve. This nerve carries visual information from the eye to the brain. In most cases, damage to the optic nerve is due to increased pressure in the eye, also known as intraocular pressure
Incontinence- when you are not able to keep urine from leaking out of your urethra, the tube that carries urine out of your body from your bladder
Rehab: Define Nocturia, Cataracts, Dysphagia, Glaucoma, & Incontinence
Nocturia- a condition where you wake up in the middle of the night to urinate, the condition becomes more common as your age increases.
Cataracts- clouding of the lenses of the eyes, looks like looking through a fogged up window
Dysphagia- difficulty with swallowing is the sensation that food is stuck in the throat, or from the neck down to just above the abdomen behind the breastbone
Glaucoma- damage to the optic nerve. This nerve carries visual information from the eye to the brain. In most cases, damage to the optic nerve is due to increased pressure in the eye, also known as intraocular pressure
Incontinence- when you are not able to keep urine from leaking out of your urethra, the tube that carries urine out of your body from your bladder
Blog #3 Med-Surg-7
My responsibilities in med surg are…
-assess patients; administer medications; ease pain; encourage activity; prevent complications; interpret rhythm strips; monitor labs; insert IVs; change dressings; educate patients and families; comfort the dying
-This week the nurse taught me how to take vitals and how to chart things with the computers
- The best thing that happened this week was being trusted enough to go around and take vitals for patients while my nurse was charting
- The worst mistake I made was when i forgot to take off my gloves after taking vitals on a patient and I touched the machine, so I had to clean off the machine and wash down everything
- This week was very good, because i learned new skills and my nurse was very open to teaching me new things
Technology observed:
-Learning how to chart, and seeing a dialysis machine
Diagnostic Procedures:
-They brought in a portable X-ray to check if a lady had kidney stones, and it turned out she had 5.
Therapeutic Procedures:
-Mostly just giving out pain medication, but I saw them take the kidney stone lady out to surgery to have them removed
Diseases:
-One guy had a heart attack, one lady had a mass of kidney stone
Medical termonolgy:
-cardic infarction
Assessment of Enviroment:
The environment is very clean and well organized. Each nurse has their own rolling desk with a computer. The floor is very hectic and busy. You see a lot more patients being taken up to surgery or coming back. There are a lot more critical cases on the 7th floor too.
Observation:
The nurses are very nice they all talked to me like I was older than I am and it made me feel well respected up there. They work well as a team and always appreciate others time, they have not problem helping each other out when the other is in need.
Knowledge:
The nurse taught me how to chart things like taking a bath and administering meds. She also taught me the importance of the reason to save the vital signs, so when they got to chart them they are all there on the log on the machine, so they can see if the vitals have changed for the patient.
Evaluation:
My experience on this rotation was phenomenal! I learned so many things i never knew I could know. My nurse really cared about teaching me too. I will be able to take these experiences and used them later on in life.
My responsibilities in med surg are…
-assess patients; administer medications; ease pain; encourage activity; prevent complications; interpret rhythm strips; monitor labs; insert IVs; change dressings; educate patients and families; comfort the dying
-This week the nurse taught me how to take vitals and how to chart things with the computers
- The best thing that happened this week was being trusted enough to go around and take vitals for patients while my nurse was charting
- The worst mistake I made was when i forgot to take off my gloves after taking vitals on a patient and I touched the machine, so I had to clean off the machine and wash down everything
- This week was very good, because i learned new skills and my nurse was very open to teaching me new things
Technology observed:
-Learning how to chart, and seeing a dialysis machine
Diagnostic Procedures:
-They brought in a portable X-ray to check if a lady had kidney stones, and it turned out she had 5.
Therapeutic Procedures:
-Mostly just giving out pain medication, but I saw them take the kidney stone lady out to surgery to have them removed
Diseases:
-One guy had a heart attack, one lady had a mass of kidney stone
Medical termonolgy:
-cardic infarction
Assessment of Enviroment:
The environment is very clean and well organized. Each nurse has their own rolling desk with a computer. The floor is very hectic and busy. You see a lot more patients being taken up to surgery or coming back. There are a lot more critical cases on the 7th floor too.
Observation:
The nurses are very nice they all talked to me like I was older than I am and it made me feel well respected up there. They work well as a team and always appreciate others time, they have not problem helping each other out when the other is in need.
Knowledge:
The nurse taught me how to chart things like taking a bath and administering meds. She also taught me the importance of the reason to save the vital signs, so when they got to chart them they are all there on the log on the machine, so they can see if the vitals have changed for the patient.
Evaluation:
My experience on this rotation was phenomenal! I learned so many things i never knew I could know. My nurse really cared about teaching me too. I will be able to take these experiences and used them later on in life.
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