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.

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  
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.

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
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.