Learning Report:
1. I got to help on of the technologists to write down info and to help transport patients.
2. I learned that dye makes an x-ray way clearer and that there are technologist only take pictures and radiologist interpret them.
3. The best thing that happened was that I got to see a myelogram.
4. The worst thing that happened was that there was down time at the end of my rotation.
5. This week was good because I got to see multiple things and help out.
Experience report:
Technology- The radiology unit is the unit with the most technology in my opinion. There are multiple machines that take pictures, such as an x-ray and a CAT scan machine. They also have the computers and the drug cabinet with the fingerprint system.
Diagnostic-Almost everything they do in radiology is diagnostic procedure, every picture and frame they get is to determine what is wrong in the body of the patient. There are multiple ways they can look into the body and the most common is with an x-ray and take a one dimensional picture. They can also take Ultra sounds, MRI, CAT scans and myelograms.
Therapeutic- The radiologist barely do anything that is included in therapeutic care. They do give numbing drugs before shots into the spinal cord and other procedures. There are certain drugs they can give but they are usually given after their procedure.
Diseases- The main patient I observed was a patient with lower back pain and trouble moving. Another patient had drug withdrawals or drugs in his systems (different nurses said different things), those were all the patients I saw.
Medical terminology-
MRI- Magnetic Resonance Imaging
CAT- computed tomography scan
Experience Journal:
I. This unit is well lit in all the rooms except the rooms were the pictures take place. There are no patients staying in the unit so its more important with a good work environment for the staff. It also doesn't smell as sterile as the other units and is louder than the others. The staff is talking to each other or the patients, there is almost always some noise.
II. The staff in radiology is very nice and willing to help. They all worked well together and helped each other out, they also greet each other in the hallway which is something that I haven't seen in the other units. They were all very skilled but not afraid of asking for help.
III. I learned that dye makes the pictures of an x-ray appear a lot clearer. I also learned that a technologist is the one that take the pictures but the radiologist is the one who interprets the pictures. I also did not know how many different procedures that included in a radiologist spectrum, there are so many.
IV. I really enjoyed this unit, and I learned the most in this unit. The reason I learned was that I got to see things, as well as, getting taught the things by the staff. For these reasons it is also my favorite rotation I have been to this year.
Friday, March 27, 2015
Saturday, March 7, 2015
ICU
Learning report:
1. This week I barely had any responsibilities, but I did get to grab and open biohazard bags for the nurse and take notes over everything.
2. I learned how the oral cleaning is done when a patient is intubated and I learned that nurses have to walk feces down to the lab, they can not just send it.
3. The best thing that happened this week was that I changed nurses multiple time to be able to see many different things.
4. The worst thing that happened was that I only really saw one patient.
5. This week was fair, I really liked the staff in this unit but I also realized that I do not wanna work were most of the patients are passed out the entire time.
Experience report:
Technology-
There are many different types of technology in the ICU, it has the computers and the scanning system for drugs and materials like every other unit for charting. It also has ventilators and IV and blood transfusion machines for therapeutic care. They also have the warmer for the wipes.
Diagnostic-
In the ICU the diagnostic care include taking samples of blood, urine and feces and send that to the lab for examination. They can also do arterial blood gas tests and if the patient is awake and has a special diet they can provide food for them.
Therapeutic-
In the ICU the therapeutic care include changing sheets and the patients linen, also cleaning of the patients. They also do oral cleaning to prevent infections of patients that are intubated.
Diseases-
Most of the patients in the ICU have either had a serious surgery or had something happen to them that made the body freak out. Some of the diseases I saw were patients with severe asthma that had lead to them passing out and that could have lead to neurological problems and one patients had too much CO2 in their body so they tried to fix that. There were also patients with surgeries, and one patients had a chest tube and tubes to drain the lungs of fluid.
Medical terminology-
ABG- Arterial Blood Gas
ICU- intensive care unit
Experience journal:
I. In the ICU the environment is pretty calm until someone codes, it is the unit were critical patients try to recover so it needs to be calm. The lighting is bright in the halls and a little dimmer in the rooms, but not as dark as they are in other units because most of these patients aren't awake. The smell is just like the rest of the hospital, it smells sterile. It is not a loud unit, the only thing you can hear are small beeps and nurses talking.
II. This was easily the best staff I have been around, they all got along and helped each other out. They also tried to make this experience good for me, which I appreciated! They are also extremely skilled, they have to be able to act quickly to stabilize someone who is coding, but also be patient because this is were most families loose a family member.
III. I learned how much teamwork goes into a staff in a medical unit. I also learned how to do oral care when a patient is intubated and how important it is to prevent pneumonia. Something that shocked me was that patients can eat by themselves in some occasions, I though everyone had feeding tubes in the ICU.
IV. This week was one of the better weeks at the hospital because I got to see the perspective of the unit from multiple nurses. It was also good because all the nurses were extremely nice and interested in what I wanted to do in the future and told me stories. the things i saw were also interesting, I wasn't just standing there by a computer this time.
1. This week I barely had any responsibilities, but I did get to grab and open biohazard bags for the nurse and take notes over everything.
2. I learned how the oral cleaning is done when a patient is intubated and I learned that nurses have to walk feces down to the lab, they can not just send it.
3. The best thing that happened this week was that I changed nurses multiple time to be able to see many different things.
4. The worst thing that happened was that I only really saw one patient.
5. This week was fair, I really liked the staff in this unit but I also realized that I do not wanna work were most of the patients are passed out the entire time.
Experience report:
Technology-
There are many different types of technology in the ICU, it has the computers and the scanning system for drugs and materials like every other unit for charting. It also has ventilators and IV and blood transfusion machines for therapeutic care. They also have the warmer for the wipes.
Diagnostic-
In the ICU the diagnostic care include taking samples of blood, urine and feces and send that to the lab for examination. They can also do arterial blood gas tests and if the patient is awake and has a special diet they can provide food for them.
Therapeutic-
In the ICU the therapeutic care include changing sheets and the patients linen, also cleaning of the patients. They also do oral cleaning to prevent infections of patients that are intubated.
Diseases-
Most of the patients in the ICU have either had a serious surgery or had something happen to them that made the body freak out. Some of the diseases I saw were patients with severe asthma that had lead to them passing out and that could have lead to neurological problems and one patients had too much CO2 in their body so they tried to fix that. There were also patients with surgeries, and one patients had a chest tube and tubes to drain the lungs of fluid.
Medical terminology-
ABG- Arterial Blood Gas
ICU- intensive care unit
Experience journal:
I. In the ICU the environment is pretty calm until someone codes, it is the unit were critical patients try to recover so it needs to be calm. The lighting is bright in the halls and a little dimmer in the rooms, but not as dark as they are in other units because most of these patients aren't awake. The smell is just like the rest of the hospital, it smells sterile. It is not a loud unit, the only thing you can hear are small beeps and nurses talking.
II. This was easily the best staff I have been around, they all got along and helped each other out. They also tried to make this experience good for me, which I appreciated! They are also extremely skilled, they have to be able to act quickly to stabilize someone who is coding, but also be patient because this is were most families loose a family member.
III. I learned how much teamwork goes into a staff in a medical unit. I also learned how to do oral care when a patient is intubated and how important it is to prevent pneumonia. Something that shocked me was that patients can eat by themselves in some occasions, I though everyone had feeding tubes in the ICU.
IV. This week was one of the better weeks at the hospital because I got to see the perspective of the unit from multiple nurses. It was also good because all the nurses were extremely nice and interested in what I wanted to do in the future and told me stories. the things i saw were also interesting, I wasn't just standing there by a computer this time.
Friday, February 27, 2015
Med. Surgery 7
Learning report
1. My responsibilities included holding the patient up while changing diaper and linen.
2. I learned how to give a bed bath.
3. The best thing that happened this week was that the nurse, as well as, the patients I met were really nice and funny.
4. The worst thing that happened was that it got extremely awkward while the nurse was given the bed bath.
5. This week was fair because I did get to see multiple of different things, but it is not what I want to in the future.
Experience report
Technology:
The main technology that I observed was the vital sign machine, this machine takes pulse, BP and temperature, it also documents all this information. The IV and blood transfusion equipment was yet another technology I observed. The computer and the heating/cooling machine for the wipes were also technologies observed.
Diagnostic:
I observed my nurse use the vital sign machine on 14 patients and that is a diagnostic procedure. Taking the BP, pulse and temperature to update the chart and keep all the factors under control.
Therapeutic:
The major factor of therapeutic procedure I observed was when the nurse gave one of the patients a bed bath. She also changed his diaper and his condom catheter as a therapeutic procedure. The IVs and the blood transfusion of the patients is another procedure.
Disease:
I did not see any specific disease, but I did observed patients with different surgical procedure. There was multiple patients with knee replacements and hip replacements, I also saw a younger guy in my age that had had a respiratory surgery to improve his breathing. The nurse also told me they get patients with surgeries on arms and shoulders, so in conclusion most patient have surgeries on their extremities.
Medical terminology:
There was no medical terminology, this week was more interactive with the nurse, patient and I. The terminology was not there, because all the procedures that she told me about was common sense or i already knew the term.
Experience journal
I. The environment in this unit is very calm and healing for the patients. The lighting is bright in the hallways, but can differ in the patients room; some are dull and some are bright. This unit smelled like the rest of the hospital, a clean smell. It is barely any noise, there are only some random beeping of the machines when something is disconnected and some talking between nurses.
II. The staff at this unit was really nice, the nurse I followed was extremely nice and wanted me to see and get to do as much as possible. There were a lot of Hispanic nurses so many of them spoke in Spanish, so it was a little confusing when they talked between themselves. Other than that all the nurses worked well together and covered for each other if needed.
III. The major thing I learned this week was how to give a bed bath; it includes taking hot and cold wipes and basically wipe down the patient. This is used to clean the patient when they can not shower. I also learned what heavy work the nurses have to do, for example lifting and rolling patients to change diapers or linen. Another thing I learned is how the nurses take vital signs and document them on one machine and then have to transfer that information to their chart.
IV. This week was good, I got to be active for the entire hour, that means no sitting down. I also got to see multiple things which all were important things to see. The fact that I had a great nurse and her patients were all funny and nice had a major factor to how well this week went.
1. My responsibilities included holding the patient up while changing diaper and linen.
2. I learned how to give a bed bath.
3. The best thing that happened this week was that the nurse, as well as, the patients I met were really nice and funny.
4. The worst thing that happened was that it got extremely awkward while the nurse was given the bed bath.
5. This week was fair because I did get to see multiple of different things, but it is not what I want to in the future.
Experience report
Technology:
The main technology that I observed was the vital sign machine, this machine takes pulse, BP and temperature, it also documents all this information. The IV and blood transfusion equipment was yet another technology I observed. The computer and the heating/cooling machine for the wipes were also technologies observed.
Diagnostic:
I observed my nurse use the vital sign machine on 14 patients and that is a diagnostic procedure. Taking the BP, pulse and temperature to update the chart and keep all the factors under control.
Therapeutic:
The major factor of therapeutic procedure I observed was when the nurse gave one of the patients a bed bath. She also changed his diaper and his condom catheter as a therapeutic procedure. The IVs and the blood transfusion of the patients is another procedure.
Disease:
I did not see any specific disease, but I did observed patients with different surgical procedure. There was multiple patients with knee replacements and hip replacements, I also saw a younger guy in my age that had had a respiratory surgery to improve his breathing. The nurse also told me they get patients with surgeries on arms and shoulders, so in conclusion most patient have surgeries on their extremities.
Medical terminology:
There was no medical terminology, this week was more interactive with the nurse, patient and I. The terminology was not there, because all the procedures that she told me about was common sense or i already knew the term.
Experience journal
I. The environment in this unit is very calm and healing for the patients. The lighting is bright in the hallways, but can differ in the patients room; some are dull and some are bright. This unit smelled like the rest of the hospital, a clean smell. It is barely any noise, there are only some random beeping of the machines when something is disconnected and some talking between nurses.
II. The staff at this unit was really nice, the nurse I followed was extremely nice and wanted me to see and get to do as much as possible. There were a lot of Hispanic nurses so many of them spoke in Spanish, so it was a little confusing when they talked between themselves. Other than that all the nurses worked well together and covered for each other if needed.
III. The major thing I learned this week was how to give a bed bath; it includes taking hot and cold wipes and basically wipe down the patient. This is used to clean the patient when they can not shower. I also learned what heavy work the nurses have to do, for example lifting and rolling patients to change diapers or linen. Another thing I learned is how the nurses take vital signs and document them on one machine and then have to transfer that information to their chart.
IV. This week was good, I got to be active for the entire hour, that means no sitting down. I also got to see multiple things which all were important things to see. The fact that I had a great nurse and her patients were all funny and nice had a major factor to how well this week went.
Saturday, February 14, 2015
GC-Garden Bridge
Acute dementia is a sudden onset of dementia, but the symptoms can range from mild to severe. Chronic dementia is a long-term dementia and has severe symptoms. Acute dementia can be caused by depression, excess use of alcohol, thyroid problems, and vitamin deficiencies. Chronic dementia can be caused by brain injury, alcoholism, drug abuse, and smoking, diabetes, high BP and cholesterol if this disease run in the families history.
Friday, February 6, 2015
Physical Therapy
Learning Report:
1. My responsibilities this week included timing the patients while doing exercises.
2. I learned new ways to stretch and strengthen the knee.
3. The best thing that happened was that the patients that I observed had just had a knee replacement and that is something my grandparents have done, so now I know how to help them.
4. The worst thing that happened was that I only got to see one patient in detail.
5. It was a fair week because I only got to meet one patient and I was mostly standing there and talked to the patient.
Experience record:
Technology-
I observed multiple things that land in this category. I saw all the different work out machines including a treadmill, bicycle and a leg lift machine. I also observed the vital sign machine and the computers.
Diagnostic-
There are not that many diagnostic procedure in a therapy room, because what they do is therapeutic care. I did see when the physical therapist went and got their patient and explained what is going to happened and why they will be doing it, that is diagnostic care.
Theraputic-
Almost everything a therapist do is therapeutic care, every activity and advise is to improve the health of their patient. I observed multiple different exercises for the knees, both to strengthen and stretch them. The strengthening exercises included leg raises, laying on the side and doing leg raises, and bicycling. The stretching exercises included bending of the knee by heal sliding, swinging of the knee, and high stepping.
Diseases-
I only met one patient today and he had had a knee-replacement done and was now going to therapy to get back the strength and flexibility in it. I did see other people in the room, one patient had an amputated leg and was strengthening that, there was other patients with knee replacements as well.
Medical Terminology-
TKR- Total Knee Replacement
TID- Three times a day
Experience Journal:
I. The smell in the therapy room was one thing that stood out to me, it did not smell the same was as other places in the hospital, not as sterile but it did not smell like sweat. The room is very well light and things are put in specific places to create walking room. This room is also one of the louder rooms in the hospital, people are talking; patients and therapist, as well as, the therapist among each other. There is also music playing in that room, I believe it is used to be a distraction while the patients are exercising.
II. The staff in this unit is very skilled medically and knows exactly what to do for the different patients. The staff is not as uniformed as in other units in my opinion, everyone works very individually and do not ask for help from others. The staff is not very talkative either, they do talk when they have to, but the most of them do not try to make small conversations and make the environment more comfortable.
III. I did learn some new exercises to strengthen and stretch the knee, but I knew some of them because I had to do them for my knees in the past. I learned that you can slide your heal to improve the bending of the knee and do high stepping to improve bending, strength and balance of the knee. I learned that the knee is very stiff after a knee replacement, it can not go in circular motion and bend fully.
IV. The rotation was good, I got to see multiple exercises and the patient I observed was really nice. I wish I saw more patients with different issues, so I would see different selections of therapy. I realized that I do not want to become a physical therapist, I did want to become one for a while but not after observing what they do. I feel like I can help more people if I am a cardiologist so that is what I am going to try to become.
1. My responsibilities this week included timing the patients while doing exercises.
2. I learned new ways to stretch and strengthen the knee.
3. The best thing that happened was that the patients that I observed had just had a knee replacement and that is something my grandparents have done, so now I know how to help them.
4. The worst thing that happened was that I only got to see one patient in detail.
5. It was a fair week because I only got to meet one patient and I was mostly standing there and talked to the patient.
Experience record:
Technology-
I observed multiple things that land in this category. I saw all the different work out machines including a treadmill, bicycle and a leg lift machine. I also observed the vital sign machine and the computers.
Diagnostic-
There are not that many diagnostic procedure in a therapy room, because what they do is therapeutic care. I did see when the physical therapist went and got their patient and explained what is going to happened and why they will be doing it, that is diagnostic care.
Theraputic-
Almost everything a therapist do is therapeutic care, every activity and advise is to improve the health of their patient. I observed multiple different exercises for the knees, both to strengthen and stretch them. The strengthening exercises included leg raises, laying on the side and doing leg raises, and bicycling. The stretching exercises included bending of the knee by heal sliding, swinging of the knee, and high stepping.
Diseases-
I only met one patient today and he had had a knee-replacement done and was now going to therapy to get back the strength and flexibility in it. I did see other people in the room, one patient had an amputated leg and was strengthening that, there was other patients with knee replacements as well.
Medical Terminology-
TKR- Total Knee Replacement
TID- Three times a day
Experience Journal:
I. The smell in the therapy room was one thing that stood out to me, it did not smell the same was as other places in the hospital, not as sterile but it did not smell like sweat. The room is very well light and things are put in specific places to create walking room. This room is also one of the louder rooms in the hospital, people are talking; patients and therapist, as well as, the therapist among each other. There is also music playing in that room, I believe it is used to be a distraction while the patients are exercising.
II. The staff in this unit is very skilled medically and knows exactly what to do for the different patients. The staff is not as uniformed as in other units in my opinion, everyone works very individually and do not ask for help from others. The staff is not very talkative either, they do talk when they have to, but the most of them do not try to make small conversations and make the environment more comfortable.
III. I did learn some new exercises to strengthen and stretch the knee, but I knew some of them because I had to do them for my knees in the past. I learned that you can slide your heal to improve the bending of the knee and do high stepping to improve bending, strength and balance of the knee. I learned that the knee is very stiff after a knee replacement, it can not go in circular motion and bend fully.
IV. The rotation was good, I got to see multiple exercises and the patient I observed was really nice. I wish I saw more patients with different issues, so I would see different selections of therapy. I realized that I do not want to become a physical therapist, I did want to become one for a while but not after observing what they do. I feel like I can help more people if I am a cardiologist so that is what I am going to try to become.
GC-Rehab
There are multiple devices for assistance that help individuals with disabilities some include a wheelchairs, walkers and crutches, hearing aid and reacher. A wheelchair is used for people that can not walk, this allows them to be able to get places without walking. A walker and crutches are also help for walking, but this is aid for when the person is able to walk by themselves but need some help with balance or support. A hearing aid is a devise that help people hear better, pretty obvious. A reacher is usually a stick with some sort of grabber at the end; this allows individuals to reach and grab something from longer distances if they are unable to walk.
Sunday, February 1, 2015
Pharmacy
Learning Report
1. I did not have any specific responsibilities this week, but I had to ask questions and take notes.
2. I learned how many different medication there is and how many different sizes/amounts there are of the same drug.
3. The best thing that happened this week was that the technician I followed was nice and good at explaining things while he did them.
4. The worst thing that happened was that I did not see any medical procedures on patients.
5. This week was fair because I got to talk to cool technicians but the unit itself was not interesting.
Experience Record
Technology- I observed several different types of technology in this unit, on of them was the cabin that contain all the drugs; it calculates the amount of drugs in it and opens the doors needed for what drug you are looking for. The shooting doors that leads to new hallways with drugs where another type of technology that i saw. I also saw the computers and the labeling machines that they use to know what drugs that are needed for what patients. The machine that sends the different drugs up to the floors in a little tube was that last technological thing I observed.
Diagnostic procedures- The pharmacist and the pharmacy technicians do not do anything that is diagnostic procedures for the patients. The only diagnostic thing they do is prepare drugs and IV bags.
Therapeutic procedures- Everything they do in the pharmacy is for therapeutic help for the patients, every drug given is a therapeutic procedure. They make all the IV bags and every drug to help a problem that a patient has.
Disease observed- In the pharmacy you do not see any diseases directly but we see medication that could go to so many different diseases. There are medication specifically for babies, pregnant women, medication that can only be taken by mouth and heart and lung disease medications.
Medical terminology-
BP- blood pressure
Px- prescription
Experience Journal
I. The environment in the pharmacy was clean and strict but messy at the same time, for example it was sterile and everyone did their job in an orderly matter but there were drugs everywhere and for an outsider it looked messy. The smell in there was not different compared to the rest of the hospital and it was a lot brighter light in there than the rest of the hospital.
II. The staff in the pharmacy was really nice and willing to teach, if you started talking to them. They were not as strict and "boring" as I had imagined, they were fun and helpful people. They also worked as a team; covered and helped each other when needed.
III. This week I learned that there are many shapes and sizes for the same drug, and that it because different cases need different amount of the drug and it can also depend on the way they are giving the drug to the patient. I also learned that the pharmacy technicians have to have everything approved by the pharmacist before they can send the drug away. I learned that the drugs can be send up to the different floors in the tube machine, but if the drug cabinets on the different floors need to be filled the technicians walked them up to the floors. The technicians know what drugs and the amount needed because of the labeling machine that prints out prescriptions every time the nurses send what they need, that is another I learned.
IV. This week at the hospital was okay, I learned a lot about the technology in the pharmacy but because there was no patient interaction it wasn't that fun. I did enjoy talking to the technicians because they were really nice and liked to teach. What I learned from this week is that I do not want to work in a pharmacy, I want to interact with patients.
1. I did not have any specific responsibilities this week, but I had to ask questions and take notes.
2. I learned how many different medication there is and how many different sizes/amounts there are of the same drug.
3. The best thing that happened this week was that the technician I followed was nice and good at explaining things while he did them.
4. The worst thing that happened was that I did not see any medical procedures on patients.
5. This week was fair because I got to talk to cool technicians but the unit itself was not interesting.
Experience Record
Technology- I observed several different types of technology in this unit, on of them was the cabin that contain all the drugs; it calculates the amount of drugs in it and opens the doors needed for what drug you are looking for. The shooting doors that leads to new hallways with drugs where another type of technology that i saw. I also saw the computers and the labeling machines that they use to know what drugs that are needed for what patients. The machine that sends the different drugs up to the floors in a little tube was that last technological thing I observed.
Diagnostic procedures- The pharmacist and the pharmacy technicians do not do anything that is diagnostic procedures for the patients. The only diagnostic thing they do is prepare drugs and IV bags.
Therapeutic procedures- Everything they do in the pharmacy is for therapeutic help for the patients, every drug given is a therapeutic procedure. They make all the IV bags and every drug to help a problem that a patient has.
Disease observed- In the pharmacy you do not see any diseases directly but we see medication that could go to so many different diseases. There are medication specifically for babies, pregnant women, medication that can only be taken by mouth and heart and lung disease medications.
Medical terminology-
BP- blood pressure
Px- prescription
Experience Journal
I. The environment in the pharmacy was clean and strict but messy at the same time, for example it was sterile and everyone did their job in an orderly matter but there were drugs everywhere and for an outsider it looked messy. The smell in there was not different compared to the rest of the hospital and it was a lot brighter light in there than the rest of the hospital.
II. The staff in the pharmacy was really nice and willing to teach, if you started talking to them. They were not as strict and "boring" as I had imagined, they were fun and helpful people. They also worked as a team; covered and helped each other when needed.
III. This week I learned that there are many shapes and sizes for the same drug, and that it because different cases need different amount of the drug and it can also depend on the way they are giving the drug to the patient. I also learned that the pharmacy technicians have to have everything approved by the pharmacist before they can send the drug away. I learned that the drugs can be send up to the different floors in the tube machine, but if the drug cabinets on the different floors need to be filled the technicians walked them up to the floors. The technicians know what drugs and the amount needed because of the labeling machine that prints out prescriptions every time the nurses send what they need, that is another I learned.
IV. This week at the hospital was okay, I learned a lot about the technology in the pharmacy but because there was no patient interaction it wasn't that fun. I did enjoy talking to the technicians because they were really nice and liked to teach. What I learned from this week is that I do not want to work in a pharmacy, I want to interact with patients.
GC- Activities
Myths:
Dementia is a normal part of aging.
Depression is a normal part of aging because it is depressing.
The older a person gets, the less sleep he or she needs.
Heart disease is a man’s disease and osteoporosis is a woman’s disease.
Facts:
Dementia is not a normal part of aging, elderly tend to forget things earlier but dementia is a disease and it is not a part of aging.
There are cases of depression in elderly, but there are cases of depression in every age group.
An elderly person is like a young child, they do need a lot of sleep.
Heart diseases can occur in both sexes, it is not more common in one sex. Osteoporosis is more common in women but there are about 5% of the patients with it that are men.
These are just a few example of some myths and facts about aging, there are tons of them. It is important for health care personnel to know the difference between facts and myths because they need to stay around the facts. They need to know if it is a medical issue and in that case find a solution, but if it is a myth they need to be able to provide the right facts for their patients.
Dementia is a normal part of aging.
Depression is a normal part of aging because it is depressing.
The older a person gets, the less sleep he or she needs.
Heart disease is a man’s disease and osteoporosis is a woman’s disease.
Facts:
Dementia is not a normal part of aging, elderly tend to forget things earlier but dementia is a disease and it is not a part of aging.
There are cases of depression in elderly, but there are cases of depression in every age group.
An elderly person is like a young child, they do need a lot of sleep.
Heart diseases can occur in both sexes, it is not more common in one sex. Osteoporosis is more common in women but there are about 5% of the patients with it that are men.
These are just a few example of some myths and facts about aging, there are tons of them. It is important for health care personnel to know the difference between facts and myths because they need to stay around the facts. They need to know if it is a medical issue and in that case find a solution, but if it is a myth they need to be able to provide the right facts for their patients.
Saturday, January 24, 2015
Cardiopulmanary
Learning Report
1. My responsibilities included asking questions and listening to stories.
2. I learned the difference between entubation and tracking.
I learned how you put the entubation tube in.
3. The best thing that happened was that the nurse I followed was extremely willing to teach and was great at telling her stories so I understood.
4. The worst thing that happened this week was that I did not get to interact with any patients or see any procedures done.
5. This week was fair, because it was one of the most interesting units for me, but it was not good becasue I did not see anything.
Experience Report
Technology- I observed their technology of their computers and their charting program. Other than that I was told of the technology of an EKG and an ECMO.
Diagnostic procedures- I was told about an aterial blood gas test that measures the oxygen level in the blood. I was also told about an EKG that would measure and document the heart rhythm.
Therapeutic procedures- I was told about three different resperatory thereputic procedures; entubation, tracking and non-invasive ventilation. I was also told about the importance of oral health while a patient is entubated. CPR would also be one of the therapeutic procedures in this unit.
Diseases- The only disease I observed and was told about was pnemonia. I was also told about this one condition where there was a mass on the vocal cords which caused complications while entubating, this was not common but one of the nurses had observed it but did not remember the name for it.
Medical Terminology-
I. When I walked into the cardiopulmanary unit it was extremely calm and quiet, that was because nothing was going on in this area. One of the nurces walked me up to the meeting area for the resperatiory nurses and in there, there was more noise beacaue of all the nurses on breakfast break that sat in there and talked. This room had bright lightning and smelled like food and coffee. When you walked out of that room you came to the ICU and in there it was quiet and dimmer lightning. It also smelled sterile in there because of all the cleaning they have to do for of all the high infection risks on those patients.
II. I did not observe any of the staffs skills but from their stories and their ablitlity to explain things for me, I believe they have great medical skills. I talked to them about soft skills and they gave real like examples with the patients they had now, so to them it was important to have those skills. I did observe the dynamic of the staff and it seemed great, it seemed like all of them got along and was able to help each other with all their daily tasks.
III. I learned that an entubation is when a tube goes down the patients throat into their lungs and forces oxygen into them to help the patient breath. I also learned that tracking is to help the patient breath, but is a tube that is surgically put into the throat, this means that the patient does not have anything in their mouth. A non-invasive ventilator is yet anithing thing that helps a patient breath but it is in a form of a mask that forces oxygen at a high pressure. I was also told how important oral care is while the patient is entubated, so the nurses do oral care once every shift. I also learned that an ECMO is a bypass machine that takes the blood out of the body and filters in and then give it back to the body, this is to help when the heart and lungs do not function as they should.
IV. Even though I did not observe anything in this rotation I think I learned the most in it. I think this is the most interesting unit I have been to so far, because this is the unit I believe I want to work at in the future. I also followed the best nurse that I have so far, she actually wanted to teach and that was much appreciated. I had a lot of fun this week in cardiopulmanary.
1. My responsibilities included asking questions and listening to stories.
2. I learned the difference between entubation and tracking.
I learned how you put the entubation tube in.
3. The best thing that happened was that the nurse I followed was extremely willing to teach and was great at telling her stories so I understood.
4. The worst thing that happened this week was that I did not get to interact with any patients or see any procedures done.
5. This week was fair, because it was one of the most interesting units for me, but it was not good becasue I did not see anything.
Experience Report
Technology- I observed their technology of their computers and their charting program. Other than that I was told of the technology of an EKG and an ECMO.
Diagnostic procedures- I was told about an aterial blood gas test that measures the oxygen level in the blood. I was also told about an EKG that would measure and document the heart rhythm.
Therapeutic procedures- I was told about three different resperatory thereputic procedures; entubation, tracking and non-invasive ventilation. I was also told about the importance of oral health while a patient is entubated. CPR would also be one of the therapeutic procedures in this unit.
Diseases- The only disease I observed and was told about was pnemonia. I was also told about this one condition where there was a mass on the vocal cords which caused complications while entubating, this was not common but one of the nurses had observed it but did not remember the name for it.
Medical Terminology-
- EKG- Electrocadiogram
- ABG- Arteial blood gas
- ECMO- Extracorporeal Membrane Oxygenation
I. When I walked into the cardiopulmanary unit it was extremely calm and quiet, that was because nothing was going on in this area. One of the nurces walked me up to the meeting area for the resperatiory nurses and in there, there was more noise beacaue of all the nurses on breakfast break that sat in there and talked. This room had bright lightning and smelled like food and coffee. When you walked out of that room you came to the ICU and in there it was quiet and dimmer lightning. It also smelled sterile in there because of all the cleaning they have to do for of all the high infection risks on those patients.
II. I did not observe any of the staffs skills but from their stories and their ablitlity to explain things for me, I believe they have great medical skills. I talked to them about soft skills and they gave real like examples with the patients they had now, so to them it was important to have those skills. I did observe the dynamic of the staff and it seemed great, it seemed like all of them got along and was able to help each other with all their daily tasks.
III. I learned that an entubation is when a tube goes down the patients throat into their lungs and forces oxygen into them to help the patient breath. I also learned that tracking is to help the patient breath, but is a tube that is surgically put into the throat, this means that the patient does not have anything in their mouth. A non-invasive ventilator is yet anithing thing that helps a patient breath but it is in a form of a mask that forces oxygen at a high pressure. I was also told how important oral care is while the patient is entubated, so the nurses do oral care once every shift. I also learned that an ECMO is a bypass machine that takes the blood out of the body and filters in and then give it back to the body, this is to help when the heart and lungs do not function as they should.
IV. Even though I did not observe anything in this rotation I think I learned the most in it. I think this is the most interesting unit I have been to so far, because this is the unit I believe I want to work at in the future. I also followed the best nurse that I have so far, she actually wanted to teach and that was much appreciated. I had a lot of fun this week in cardiopulmanary.
GC- 1-22-15
This time at GC, Andrea and I were together in the dining unit. We started out helping putting tablecloths on all the tables. We also folded and put out the napkins and all the glasses. While we were in this unit we talked to two different women; one of them was ready to go back to school to become a nurse and the other was getting ready to retire.
Saturday, January 17, 2015
GC - Physical Therapy
This week at GC, Christina and I were in physical therapy. They were not busy in physical therapy this week, so we could not help with many things. The things that we did help with included cleaning a domino game and rolling the wheelchairs behind the residents while they were walking. We also talked to some of the physical therapist about their job, as well as our futures in the medical field.
There was one resident that stood out, one lady had broken her kneecap. I got to be the one pushing the wheelchair behind her and talk to her. She said she was in a lot of pain but that she did not take pain medication for it. She had broken her kneecap by falling, her hand was also totally bruised. I hope to see her again and see her fully recovered!
There was one resident that stood out, one lady had broken her kneecap. I got to be the one pushing the wheelchair behind her and talk to her. She said she was in a lot of pain but that she did not take pain medication for it. She had broken her kneecap by falling, her hand was also totally bruised. I hope to see her again and see her fully recovered!
Tuesday, January 13, 2015
Experience Journal - Postpartum
The environment in the postpartum unit is very calm and quiet. The only sound you can here is hushed talking between the nurses, other than that it is quiet. The lighting in the hallways and the patients rooms are different, the hallways are brighter than patients rooms. Another thing that you observe when you walk in this unit is that there are pictures on the walls, but the pictures are always of babies. The smell on this unit is the same as the rest of the hospital; it has that hospital smell, the sterile smell. When you walk into this unit a safe feeling come over you, it is also a calm feeling. This unit does not give you any stress, it helps you calm down instead.
The staff in this unit is absolutely amazing, they are all nice and caring. All of them are also very helpful, they all help each other out to get things done and get the best care for their patients. All of them have great soft skills, and that is very important in this unit were most of their patients are women whom are recovering after labor. They also have good communication skills, between the nurses as well as to their patients. They obviously have great medical skills too.
On this rotation I did not learn that much because most of the rotation consisted of watching the nurse plugging in information into the computer. I did learn a new way to find veins in the hand; by making a fist and bending the hand down. I also learned how to drain blood; the needle in the hand, as well as filling different tubes with different amounts of blood.
This was the second time for me at this unit and this experience was better than last time. Even though I sat around for most of the time I still got to see one main procedure. The nurse that I followed around this time was also better at explaining things than the last. This rotation was more educational than last time at this unit, but I did not learn that many new things. If I was going to grade it between 1-10, I give this rotation a 6 because I have had better experiences at other units.
The staff in this unit is absolutely amazing, they are all nice and caring. All of them are also very helpful, they all help each other out to get things done and get the best care for their patients. All of them have great soft skills, and that is very important in this unit were most of their patients are women whom are recovering after labor. They also have good communication skills, between the nurses as well as to their patients. They obviously have great medical skills too.
On this rotation I did not learn that much because most of the rotation consisted of watching the nurse plugging in information into the computer. I did learn a new way to find veins in the hand; by making a fist and bending the hand down. I also learned how to drain blood; the needle in the hand, as well as filling different tubes with different amounts of blood.
This was the second time for me at this unit and this experience was better than last time. Even though I sat around for most of the time I still got to see one main procedure. The nurse that I followed around this time was also better at explaining things than the last. This rotation was more educational than last time at this unit, but I did not learn that many new things. If I was going to grade it between 1-10, I give this rotation a 6 because I have had better experiences at other units.
Experiance Record - Postpartum
Technology observed:
The technology I observed while I was in postpartum was mostly the computers they do the charting on. I also observed the technology in the drug cabin, as well as the transporting system of materials.
Diagnostic procedures observed:
The only diagnostic medical procedure I observed was the procedure of draining blood, that would later go to the lab to get tested. Then I observed the diagnostic procedure of charting.
Therapeutic procedures observed:
I observed a few theraputic procedures and they include the nurse giving different patients blankets, ice chips, and some warm drink. I also observed nurses helping a patient to the bathroom and to the shower. The most medical procedure I saw was when the nurse gave a patient morphine to reduce the pain she was in.
Disease observed:
The most of the diseases I observed was women that had just had their babies because I was in postpartum. But there was one patient that was 8 weeks pregnant but had stomach pains, the doctors did not know what the cause of them were so that is why she was taken care of in postpartum.
Medical Terminology encountered:
During this rotation I did not observe any new medical terms.
Monday, January 12, 2015
Learning report- Postpartum
My responsibilities this week at postpartum included helping a nurse clean and hold tubes while we drew blood.
I learned a new way to find arteries in the hand; by making a fist and bend the hand down, to stretch the skin so the arteries show better. I also learned how to draw blood and some new things for the charts.
The best thing that happened at this rotation was to see the nurse draw blood and also that she included me while she was doing it.
The worst thing that happened was that most of the rotation time included watching nurse Cameron do her charting of her patients.
This weeks rotation was fair, it was not the best rotation I've been to. It was only fair because most of the time I only got to sit and watch the computer while she was charting, not a lot of medical things happened. Meanwhile it was not the worst rotation I've been to so that is why it was fair.
GC 01-08-15
It was the first time back at GC after winter break, and I was in LTAC with Chloe. We started off filling cups with water and ice for the residents. When we had finished the nurses told us that there was nothing to do in LTAC, so we went to Garden Bridge and helped out with activities there. This weeks activity included a game and a parachute; the residents seemed to enjoy the game more than the parachute. This week at GC was fun, I like when we get to just hang out with them, not so much work for the nurses.
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