They don´t allow photography at the hospital, but I hope at the end of the trip I can ask for one or two shots.
Day 1 at the hospital
My nurse Elizabeth is an amazing teacher! She oriented me on the ICU floor, which is a single room with 6 beds and the nursing station in the center. As she did her morning round she verbalized everything she was doing. Gestures and context helped a lot to fill in the words I did not understand. There are some interesting differences in the hospital:
They chart on large forms and use a huge clipboard (3 times the normal size) to write on. When they file the chart, they just role it up like a scroll.
Instead of using alcohol wipes, they dab betadine with gauze (gaza).
They do percussion and tampotment: Francisco, the certified respiratory therapist and nurse uses a vibrating machine and vibrates the patient´s thorax. He uses his hands to massage the patients' thorax.
They still recap needles in the hospital.
They have the same drapes, except they´re washable and have been sterilized with an alcove.
There are a lots of similarities too!
Elizabeth explained the 5 Rights to me: right patient, medication, route, hour, and dosage.
The pixes is a cabinet with various medications including oral meds (antihypertensives, ) and IV meds (solumedrol, prednisone, electrico ¨K¨).
They do IV pushes. They suction (but usually through an oral trach tube instead of a tracheostomy).
They have the same mechanical ventilator machine and ABG reader.
On the first day I assisted the nurses and doctors insert a central catheter into a patient (the doctor had to fish for the artery with the 2.5 inch needle since they don’t have ultrasound to guide them), insert an oral gastric tube into another patient, and empty a Foley.
I´m so sleepy.
Day 1 at the hospital
My nurse Elizabeth is an amazing teacher! She oriented me on the ICU floor, which is a single room with 6 beds and the nursing station in the center. As she did her morning round she verbalized everything she was doing. Gestures and context helped a lot to fill in the words I did not understand. There are some interesting differences in the hospital:
They chart on large forms and use a huge clipboard (3 times the normal size) to write on. When they file the chart, they just role it up like a scroll.
Instead of using alcohol wipes, they dab betadine with gauze (gaza).
They do percussion and tampotment: Francisco, the certified respiratory therapist and nurse uses a vibrating machine and vibrates the patient´s thorax. He uses his hands to massage the patients' thorax.
They still recap needles in the hospital.
They have the same drapes, except they´re washable and have been sterilized with an alcove.
There are a lots of similarities too!
Elizabeth explained the 5 Rights to me: right patient, medication, route, hour, and dosage.
The pixes is a cabinet with various medications including oral meds (antihypertensives, ) and IV meds (solumedrol, prednisone, electrico ¨K¨).
They do IV pushes. They suction (but usually through an oral trach tube instead of a tracheostomy).
They have the same mechanical ventilator machine and ABG reader.
On the first day I assisted the nurses and doctors insert a central catheter into a patient (the doctor had to fish for the artery with the 2.5 inch needle since they don’t have ultrasound to guide them), insert an oral gastric tube into another patient, and empty a Foley.
I´m so sleepy.
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