responsibilities:

• observe what task are done in the ER
• watch how staff interacts with one another

new skills/ knowledge

• starting an iv on a patient.
• dealing with a patient with high sugar level when they weren't ale to get recordings on him because it was so high.

Best things

• trying to treat and care for patient right away and get to their medical issues as soon as possible
• there wasn't much drama on this day in ER like there has been in the past

worst thing:

• wasn't too busy so there wasn't much to watch and see

this week was fair because there wasn't anything interesting or out of the ordinary I have not experienced yet.

1. There is always lots of technology in the hospitals. When patients are hooked up to the monitors they are attached to technology. I got to watch them check for sugar levels on a patient.
2. There was a patient there that had came from a elderly home. He had diabetes and they had to send his blood to a lab so they could figure out his sugar level because it was so high.
3. While in ER I didn't observed any therapeutic procedures because they were still trying to figure out what was wrong with all the patients
4. Diabetes- a metabolic disease in which the body's inability to produce any or enough insulin causes elevated levels of glucose in the blood.

   The environment in the ER was pretty calm because there wasn't many patients there. The service provided in the ER was very good. The RN nurse i followed was very very friendly with the patient. he was sure to left their spirits. There was lots of technology around, all the way from how the nurse charted the patients to how doctors helped assist the patients.
   At  first the nurse all were silly, even playing around with some of the equipment near. They all communicated well with each other and I liked how they would triple check with one another in order to make sure they were doing the right procedures on the right patient. The only safety procedure I  came in connect was making sure patients had bed rile up when they were sleeping. There was  a patient that came in with the ambulance because they couldn't bring his sugar level down
   I learned how to interact with patients that had emergency problems. I also got to experience how patient must get ready in order to go into surgery. This included patient having to completely undress and only have a dress gown. Also patiens had to wipe entire body down with wipes. I didn't get to experience any knew medical terminology.
   Although I  know ER can be a pretty crazy unit at times I can never see me working in this kind of area. At times I could see how it could all be a disaster because nothing seamed to be in order. But it did look like the staff in ER was well used to it and to the commotions they can have at times.

·        Responsibilities: none; only observing

 

·        New knowledge: I learned about how nurses chart mothers, and what happens while mother is in labor

·        Best thing: Getting an idea how women prepare to give birth

·        Worst thing: Didn’t get to actually watch a patient due to mothers wanting to be alone

·        Overall: fair , didn’t get to actually see much only hear scenarios

 

·        While in labor and delivery most nurses were charting mother and baby.  They had many monitors that were able to watch mother and the baby that was soon to be welcomed into the world. The nurse informed me where the pads were placed on mother in order to tell them all the info the needed. There was a really neat device that was able to find veins fast and easy. All you had to do was hover over the skin and you could see every vein in the body making it easier to draw blood. All nurses thought this was very useful.

·        There was no diagnostic procedure that I got to experience while I was there. Nurses told me there are treatments that can be used to stop premature labor. The also told me that the opposite of that would be prolonged labor which was labor that does not progress as fast as it should.

·        Nurse told me they keep good communication with the mothers doctors. If necessary doctors will give IV fluids to keep mother from getting dehydrated. If the mother isn’t contracting the way she should doctors will give mother a drug called oxytocin. Other options doctors will give is if mother will need a c section if cervix stops dilating.

·        There were no diseases or disorders I heard of or got to experience.

·        Oxytocin- drug that promotes stronger contractions

Amniotomy- defined as the artificially rupturing of the membranes.  ( breaking mothers water)

 

 

 

1.      The labor and delivery was different from other units. You first had to be buzzed in if you wanted to go pass the double doors. The nurses here always had to be on call in case the mother needed something right away. If any monitors would go off the nurse was sure to quickly figure out the problem.  While at the nurses’ station the nurse would keep a close watch at the mother’s monitors and contraction to see how far apart they were. And also note any abnormities.

2.      The nurses communicated well in this unit making sure all the mothers were taken care of. They also had good communication with the doctors in case mother was ready to push any second. This unit was sure to be relaxing in order to keep mothers calm. All the nurses seemed enjoy and liked to be there and help each other and the mothers.

3.      I learned that delivering a baby is a very painful thing but also is a great blessing giving life. The health care professional job was to make that whole process a great experience with not much pain and discomfort. I can see how the oxytocin was a very useful drug for the mother in order to speed up the process. The doctors had an estimated time they would want mother to give birth and if they did not start by that time the doctor would take measures that would speed up this process.

4.      This was a great area in the medical field I would considered looking at even more and research more on or even shadow a labor and delivery doctor. I think a lot of the nurses on this unit cam relate to many of the mothers and I believe many of the mothers can relate to the nurse because that have gone through similar situations.

 

                                                                            GRACE CARE:

The Older Americans Act that gives authority for grants to states for community planning, social services, research and development projects, and training on aging related issues.

The Omnibus Budget Reconciliation act of 1987 is an way to protect the rights of patients in long-term care facilities such as nursing homes, and assisted living homes. This act gave the Centers of Medicare and Medicaid Services and the authority to enact key measures to reduce unnecessary costs while improving the quality of patient care in these facilities.

Ombudsman- a government official who hears and investigates complaints by private citizens against other officials or government agencies.

RESPONSIBILITIES:

• observed what goes on in postpartum
• be familiar with the care mom has with baby after baby birth
• how mom reacts in situations
• how nurses help and teach mom

KNOWLEDGE:

• proper way to breast feed
• how to read heart monitor

BEST THING THAT HAPPENED:

• family able to be there with baby
• watching the baby connect with mother
• father very helpful

WROST THING:

• mom was in pain from breast feeding

~ This issue was resolved by nurses helping mom learn how to position baby and teach mom and dad right way to breast feed baby without pain.

• this week was FAIR due to there not being lots of mothers to observed and many of the mothers were resting

TECHNOLOGY:
Technology including electronic fetal monitoring systems, fetal monitors, and physiological monitors to equip the nursing staff with information,

Baby blues which is a common temporary physical state right child birth when a new mother may have sudden mood swings, feeling very happy then very sad, cry for no reason, feel impatient, restless, anxious, lonely and sad. There was some medical terms that the nurse would use and would explain it. Engorgement is swelling of the breast and tenderness in the breast. This may be caused by a blockage of milk ductor and infection.


While In postpartum is was quite and calm for the most part. Mothers and babies were usually sleeping or feeding. The nurses there were very attended to the families. They made sure to deeply and fully explain every procedure done. They would explain all the instructions on how to care for baby and mom. One mother there thanked the nurse very much saying this was the best nursing staff and hospital she had been at to deliver baby. There wasn't too much equipment in the room the mother was hooked up tp. Of course they had them right at the mothers bed sight in case of an emergency but there was no equipment the mom or baby was hooked up to.

While observing they were very good  about also explaining to me, the student, on everything that happened and why mothers were feeling the way they were feeling. The nurses there talked a lot amongst each other that had nothing to do with the procedure or task they were working on but they did get the job done. They did have good teams skills; once when the baby was crying one nurse asked the other nurse if she could help her and she then proceeded in helping the nurse tend to the crying baby. The safety procedures included making sure all babies were accounted for. By doing this the made sure that baby had on bracelet that monitored where baby was located. Common diagnoses mothers are diagnosed with are baby blues. Therapy can be talking by having good communication  with family and friends to get over the depressing and sad emotional stages.

I got knowledge in what care is given to the mother after the birth of their child and what medications she can take while breast feeding. I learned how to read a baby's  heart monitors and what to look for when baby isn't getting enough oxygen. Skills I learned was the proper way to breast feed and how to burp baby.

Evaluating the postpartum areas was pretty good. It was neat seeing how much mothers didn't know going in to having their first child. The nurses have a huge responsibility in teaching mom everything she needs to learn in how to care for baby. It was a great education experience  to have with me for the future.



GRACE CARE:
A hip replacement  is a surgical procedure that replaces the hip joint with an artificial hip joint.
the head of the femur, which is situated within the pelvis socket, is replaced with a metal ball and stem. This stem fits into the shaft of the femur. The socket is replaced with a plastic or a metal and plastic cup. After surgery you will most likely stay in the hospital for 4-6 days. Physical therapy usually begins the day after surgery. Within days you can walk with a walker or crutches. Therapy will continue for weeks to a month.