Unfortunately, it's been a while since I've posted because I think the world has started spinning faster lately. Anyhow, we are now just completing week 4 of the quarter and preparing to start Clinicals. In Practicum, we've "mastered" (and by mastered, I mean bumbling through like.....):
*general assessment
*heart, lung, & bowel sounds
*vitals (BP, Pulse, Respirations, Temp)
*making an occupied/unoccupied bed:
*turning & transferring a patient from bed-chair, etc
*bed baths (clean to dirty, folks!)
*oral care, dressing a resident/client/pt, feeding a resident (it's actually harder than it looks b/c when you do it on classmates, you start laughing too much & spill the water! and trying to pull pants onto a partially paralyzed person who's sitting is super hard!)
*peri care (that means cleaning the nether regions--clean to dirty, front to back, inside to out)
*medication administration (don't forget the 6 Rights! That'd be right pt, time, drug, dose, route, documentation!)
*checking blood glucose...on a banana (b/c we're not allowed to poke our classmates, or ourselves). 1st reading looks goofy? (too low/high) recheck. 2nd reading the same? panic! no, just kidding...report to the doc, so she/he can panic...
*IM (intramuscular) injections on some sort of 'realistic' squishy pad (don't forget: IM-deltoid: 2-3 fingers widths below the acromial process, and throw it (the needle) like you're playing darts in a bar...well, not quite that hard and w/o the influence of alcohol.
And after all this learning, the confidence meter reads:
*going through all the steps in my head or on a classmate = probably 8-9
*on a resident who might be in pain, or heavy, or paralyzed, or not able to communicate well, or grumpy = 2.
Watch out folks...here we come! Well, in all honesty, we're actually doing really well. I think it will be much better when we get to our Clinical site & see what it's actually like. Then I'm sure my confidence will be at least, at least...2.5
We have head-to-toe physical assessments & Morning Care checkouts next week, so we better be 4th Week Masters by now...riiiight.
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1 comment:
i can't believe i actually watched that whole video
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