Posts Tagged ‘admission’

I’m starting to pick up loads of little things.  Such as … make sure everything is done before proceeding.

Like, when you get a new admission, and the patient’s family is waiting in the lounge to come in and see her when she’s all set up in the room … and you’ve put on all the leads on her and set up her telemetry pack and started her on cardiac monitoring … and you’ve set up her call bell and bedside table … and you’ve gotten her vitals … and you’ve gotten her blood sugar … and you’re pretty sure everything is all set up … and she asks to see her family …

And you go out, with a smile on your face, and say, “She’s all set up and ready to see you!”  And the family looks so happy, and they all start to file in, and you follow them down the hall.

And then you see the nurse about to walk into the room with the foley kit, ready to start her catheter, with a look on her face, like, “Why did you let the family in already?”

Oops.  Forgot about that part.

“Sorry, entire family, please go out to the waiting lounge again.  We’ll be with you shortly.”

My bad.

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Today was the magic day — first clinical.  This is how it was supposed to go down:

  • 12:45PM:  Meet as a group in lobby and head to computer/charting training.
  • 1:00PM-5:30PM:  Go through training on how to chart/document in the hospital.
  • 5:30PM-9:00PM:  Perhaps go to floor of hospital and orient ourselves and maybe see patients.

And this is how it actually went down:

  • 12:45PM:  Meet as a group in lobby and head to computer/charting training.  (OK, so far so good.)
  • 1:00PM:  Arrive at training room and see a room full of other students taking up every available computer.  (Uh-oh.)
  • 1:03PM:  Stand around awkwardly as instructors gather to figure out what’s going on.
  • 1:06PM:  Sit around the periphery as instructors decide that there’s some sort of scheduling snafu.  (Duh.)
  • 1:10PM:  Leave computer room and head back to building where we met.  (Nice sunshine today.)
  • 1:20PM-1:45PM:  Sit at a table and receive brief orientation to instructor’s expectations.
  • 1:45PM-1:50PM:  Walk to hospital.
  • 1:50PM-2:30PM:  Receive very brief tour of the unit we’ll be on.
  • 2:30PM:  Go home.

So yeah, so much for a big 8 hours of clinical my first day.  All in all a fairly disappointing day … but stuff happens, right?  So gotta roll with the punches.  Tomorrow will be a busy day:  4 hours of computer training and then a few hours of seeing our first patients.

The patient-seeing will entail a few things:

  1. Doing a “head-to-toe” assessment:  Basically a very thorough overall assessment of all body systems.  This is where I’ll take my vital signs and ask the patient a million questions and use my senses to assess the patient.
  2. Completing a Nursing Admission Form:  This is where I’ll ask the patient another million questions on a super-thorough form.
  3. Starting to learn how to document document document document document document document.  After that, we’ll document some more.  And then after that’s all said and done, it’ll be time to start documenting.

For the first month or so, I will get one patient to assess and follow.  After I get the hang of assessing my patient and charting everything, they’ll add in more tasks.  The instructor hopes to have us giving meds by the 4th week or so (we’re not allowed to give IV meds, I don’t think — only oral, intramuscular, and subcutaneously).  Also, each of us will have one week where we play the role of “charge nurse” in our little group, in that we’ll help schedule the tasks for our fellow students and basically oversee everything for that week.

I’m pretty nervous about tomorrow, because this will be the first time I’m actually talking to a live patient and performing nursing duties!  I’m ridiculously excited, however.  I know I’m not expected to do everything right at this point, but I’m still hoping I don’t mess up.

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