Phanie's blog

Tuesday, February 28, 2006

Yesterday=rough, Today=great

Things can sure turn around fast....
Yesterday
-very busy day, couldn't get a handle on everything, many dismissals and admissions (very time-consuming) and spent 3 hours in MRI monitoring a patient with sedation

-while I was in MRI, the JCAHO lady interrogated me for 20 minutes. (JCAHO determines accredidation of institutions). They target employees and grill them with questions. This lady was very rude, and I almost cried while at the same time I was trying to continue monitoring my patient. I answered the questions pretty well, just couldn't remember the "A" in RACE in cases of a fire. When she and the other hospital officials finially left, some techs/etc came back into the room who fled when they saw this lady coming. I said "well thanks guys" jokingly and one of the techs told me that next time she does that to me, I should grab my butt and say "I have to take a poop!" and run out frantically. I liked his advice.

-I had a new admit at the time of change of shift who was life-flighted into the hospital. This family spoke no English.

Today
-I inserted a nasogastric tube (it's the one procedure I was most afraid of doing and hadn't done yet, so it felt good to have that under my belt.)
-I was supposed to help with holding a toddler while she received an IM shot. The nurse who was supposed to administer it graduated a semester before me, and was visibly shaken as we were preparing to give the shot. She finally said "I just hate giving shots. I'm so nervous." I jumped at that opportunity and said "I'll do it!" She was thankful that I volunteered, and it all went well.
-I administered chemotherapy for the first time.
-Two of the nurses plus my preceptor had to leave the floor for various reasons, so at one point this afternoon, I was in charge of 9 patients at one time.
-This afternoon, we had clinical students from UNMC-Lincoln (my alma mater!) I knew 2 of the girls in the class. It was so comforting to see the familiar faces from my home territory.
-I started calling my preceptor mom today...she has been such a mother to me and is very protective of me...she's great (don't worry, Mom, she doesn't replace you...she's just a fill-in while i'm at work:))
-I had quite a bit of autonomy today and made many decisions independently, and I felt competent in doing so.
-I talked to Gracie, my 3 year-old cousin on the phone tonight
-I have time to do a load of laundry
-I'm going to Oklahoma to see my sister in 1 day!

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