This week for clinical I had the opportunity to watch a vac dressing being used on a patients wound. This was a new and exciting experience that I was able to witness which I found very educational. Today I was able to watch a vac dressing being placed on a patients wound. I had little knowledge about the vac dressing before going into this situation, it was interesting to see the situation in a real life situation first before doing research on it. There were two doctors in the patients room who were setting up the vac, one of the doctors was very good at explaining what they were doing and explaining how the vacuum dressing works. When they began to remove the old dressing I was surprised at how much packing the wound had. It wasn’t until all of it was removed that I noticed how large the wound actually was. We were able to get a nice view of the wound while the doctors were examining it. As they began to repack the dressing they …show more content…
It was an exciting opportunity to watch them set up the vac, and have an opportunity to interact with the doctors. I felt good during this situation, the doctors made me feel comfortable while in the room with them, that I was able to even move in and get a better look at the wound, as well as confident to ask questions. Throughout the situation I kind of felt bad for the patient, he was definitely in some pain during the dressing change, and the doctors didn’t really address it. However they did include the patient and did not treat the patient like he wasn’t even there. Overall I felt good about this learning experience, it was a great opportunity I was glad to be a part of especially to be able to watch the doctors work. I also enjoy watching dressing changes like these to compare them to what I have been taught in my clinical lab. While I had little knowledge about the vac dressing, I did watch to see if the doctors follow all of the sterile field and sterility rules I had been
After 12 hours of surgery, assisting in a large operation for a young guy with "Treacher Collins syndrome". It was aw-inspiring how the team of OMS approached the patient, constructing his orbits, grafting and correcting his dentofacial deformity. Although I was exhausted, but I enjoyed every second of the operation and felt really proud and I knew that this is what I want to do for the rest of my life.
On Friday, I was tasked to carry out nasal tube feeding after having been taught how to do so earlier on. During a canine orchiectomy plus dental and canine mastectomy, I monitored the parameters of the anaesthetized patient throughout the entire procedure, ensuring that it was stable and on the right plane of anaesthesia. After which, I was assigned to take care of the patient recovering from general anaesthetic. The remainder of the day was then spent doing basic housekeeping around the
My favorite part of the day was a woman thanked us over and over for relieving her sore tooth. It had a gapping wipe hole in it. We were able to see the pulp of her tooth. She has so much missing tooth structure, we had to extract the tooth. It's a real skill to be able to be a dentist, because it's as much of an art as it is a science. I look forward to being in that position and having that doctor patient
I interacted with a man who explained to me that he had never had a good experience at the dental office. He told me that he always had pain when dealing with the dentist and that they never stopped the procedure when he was in pain. He explained how they never gave enough anesthetic, so he felt everything. Immediately he went into comforting himself by putting some earphones on and just talking to me. We held a good conversation. When the dentist came in to see him she immediately noted that the patient had very thick skin. He was a deeper toned person with dense bone. She knew that she was going to have to use a special technique to anesthetize the patient enough to where he wouldn't feel it. She was nice enough to have explained to me the procedure she was going to use and that it was better for patients like him. I was a little confused as to what she meant and some of the terms she used were little tricky to understand but as the procedure went on it became very evident of what she was trying to say. The patient was in tears, not out of pain, but out of sheer joy because he had never experienced a procedure that was as painless as he experienced today. I've never seen a grown man cry like a baby so hard, it was just the most rewarding experience. This experience solidified even more that I am definitely going into the right field. I've never felt so sure of anything before. His tears almost brought me to
Certainly, I began with the goal getting of his vital sign and giving him a bed bath. Fortunately I had practice how to take a vital sign and giving a bed bath before my first clinical at the university skill lab and I had developed this confidence before my clinical tour. That day will be mastering the skill which I had just learned in manikins, and applying in real human with huge safety precaution. In between morning my instructor was giving me a brief before I getting to the patients room. From her experience she knew what kind of challenges and a patient behavior can be I face. As I proceeded to my own patient, I hit a roadblock that would give me a flat tire for the rest of the shift.
I interned a cardiologist where I got to see the life of a physician as he went about his daily routine. I achieved getting my Certified Nursing Assistant license after assisting patients at a nursing home. I became a camp counselor for the Muscular Dystrophy Association, where I took care of a 10-year-old child during a summer camp. Through these experiences, I gained confidence in my character and purposefulness. Furthermore, I went on a mission trip to Kenya where I experienced life in a third world country. It was here where my eyes were opened to see a world that is in dire need of help. These people are malnourished, living in detrimental conditions without accessible health care. The experiences I had in Kenya reminded me to never take anything for granted. My engagement acting on all these opportunities fueled my perseverance to pursue my career in health
This last week I got to spend time in the Radiology Observation Care Unit and learn about experiences that happen within that department. I have had such an adventurous experience in this care unit. There are many different people come in this department such as doctors, registered nurses, radiologic technicians, and of course that patients. It was amazing to see what each individual person in the department had to deal with and the obstacles they had to overcome for the day. In the Radiology Observation Care Unit the clinical staff would take care of patients for a few hours before and after procedures. Before a patient would come in they would get a bed ready with sheets and a pillow to make the patient comfortable. When the patient arrives
This time, I decided to be more talkative and ask more questions about the patients. My senior nurse showed me a patient who fell down a couple flight of stairs and due to his accident, he injured his brain severely to the point where he couldn’t speak anymore. She explained to me all the medications that he had to take and how she had to look up the patient’s lab report because the medications he takes might affect him in different ways. After she was done with looking up his lab reports, I watched her feed the patient for an hour and thirty minutes. During this time, I really felt bad for the patient because he was half-awake and half-asleep while eating. It saddened me how we had to disrupt his resting time to feed him before he could take his medication. After the patient was done eating, I watched the nurse give the patient Lovenox, which I learned was given to patients who are immobile in order to stop blood clotting. After giving him his medication, we had to transfer him off the bed and into a chair, which was my favorite part about this clinical observation. I got to physically help move him off his bed and into a chair. This took 3 nurses, including myself to move him and it made me realize how nursing really requires teamwork. I then got to help clean him up and after changing him, it was time to leave the hospital. This clinical observation made me really excited to be a nurse because I
They were eager for me to help and I was equally as eager to learn. The patients always left thanking me for my service but I was grateful to them for giving me the opportunity to expand my character and develop my passion for medicine. Being as involved as I was for those three weeks, I left the trip completely certain that becoming a physician is the right choice for
The OR team worked together to prepare the surgery, ensure everything was correct, assist during the procedure, immediately after the surgery, and maintain patient safety. The patient was then given the anesthesia and his site was prepped. I thought that the patient was treated very well during the surgery and I could only hope that all teams work this well
I undertook work experience in the Audiology department at The Queen Alexander Hospital. This is something I have always endeavored to do, I learnt that it would help develop my passion and hunger for Audiology. It also enhanced my knowledge and gave me plenty of hands on experience, such as using an Otoscope to examine a patient’s ear. It also allowed me to understand the use of medical equipment within the field. I learnt how hearing aids are tuned and how different software on a computer can be programmed onto it.
Our approach in managing wounds was far from being optimal in our own setting. After having read the article of Sibbald et al (1) and assisting to presentations during the first residential week-end, our approach at St. Mary 's Hospital Center 's Family Medicine Clinic must change. We were not classifying wounds as healable, maintenance or non-healable. We were always considering the wounds in our practice as healable despite considering the system 's restraints or the patients ' preferences. In the following lines, I will define and summarize the methods one should use in order to initial management of wounds and how to integrate it better to our site. The first goal we need to set is to determine its ability to heal. In order to ascertain if a wound is healable, maintenance or a non-healable wound.
Time out was done by the anesthesiologist, the circulating nurse, the surgeon, and the scrub tech all pausing before the surgery and verifying the patient’s name and date of birth, the procedure being done, the site and location on the body in which the procedure was being done, and documented the count of all the equipment the scrub nurse had before surgery to compare to after surgery. 5. The patient’s privacy was protected and respected throughout the whole surgical procedure. The staff was very professional and I felt I learned a lot from them during my OR experience. 6. A sponge count is when the scrub nurse counts the sponges that are unused before the surgery she relays this to the circulating nurse and it is documented. After the surgery the count is redone to make sure that there are no sponges left in the patient. 7. The circulating nurse documents the information and signs the chart in the operating room. From pre-op to the operating room the nurses in pre-op gave off report to the circulating nurse by SBAR. From the operating room to PACU the anesthesiologist went with the patient and handed off the patient’s condition and information to the nurse in there. 8. There were no ethical or legal issues that were raised during my observation in the whole surgical process. 9. I learned how the whole operating procedure works from start to finish, all the legal paperwork involved, and how the team interacts and helps each other out to give the patient a safe and
I went to the operating room on March 23, 2016 for the Wilkes Community College Nursing Class of 2017 for observation. Another student and I were assigned to this unit from 7:30am-2:00pm. When we got their we changed into the operating room scrubs, placed a bonnet on our heads and placed booties over our shoes. I got to observe three different surgeries, two laparoscopic shoulder surgeries and one ankle surgery. While cleaning the surgical room for the next surgery, I got to communicate with the nurses and surgical team they explained the flow and equipment that was used in the operating room.
Although students were not allowed in the recovery unit, I was able to talk to one of the recovery nurses. I learned that a nurse’s duty of care includes monitoring the patient’s vital signs and level of consciousness, and maintaining airway patency. Assessing pain and the effectiveness of pain management is also necessary. Once patients are transferred to the surgical ward, the goal is to assist in the recovery process, as well as providing referral details and education on care required when the patient returns home (Hamlin, 2010).