Showing posts with label Clinical experience. Show all posts
Showing posts with label Clinical experience. Show all posts

Friday, September 19, 2008

first conversation

This week i officially working as a psych nurse (in training)..boy..i tell ya..is not as easy as i thought.
Well for sure we don't have to rush a lot as compared to medical unit except for morning 8 am meds.
But we do a lot of observation, brain-storming to guess our client's pyschosis behaviour.
Yesterday was a buddy-up with a staff nurse day..and i was having a great time. Learned a lot from her. Managed to spend time with one of this client...diagnosed with manic bipolar disorder. Poor man...he seems all right and very pleasant..due to he has been taking his psychotic medication to control the pyschosis symptoms.

He is telling me that he has a date and job interviews. These people are normal human beings..who wanted to be normal like anybody else..just that..they have no choice to get this sickness..and they are all in need of help.
Too bad..our society shunned them.... and isolate them.

Today i get to work alone by having one patient of my own. Doing meds and interviews for the first time..boy..i was nervous...
this client of mine...her diagnosis was schizoaffective disorder...her symptoms are not enought to diagnosed as schizophrenia..but she only a few of schizophrenia symptoms such as delusions, hallucinations..and disorganized thoughts.

She denied she has sickness..and believe everyone is. Having thoughts someone has broken into her house ..tampered with her stuff and food in the fridge.
FBI and terrorist ppl calling her and wanted her to open up a meat business..
very interesting lady...
Last week, when i was reading the text about delusions...i cannot have a sense of it..but today..i really do!
My patient's thoughts are very disorganised!

I find it psychiatry field is challenging..not only u need the med nursing skills...u need to have the "brainy" skills to deal with ur patients.
It is very rewarding to see patients getting better and discharged and go out to community and getting a job.
The feeling is hard to explain..just feeling great!

Thursday, September 11, 2008

Clinical tomorrow...

I am very excited now..coz i am going to visit Hamilton Center of Mental Health.. With the stories told by my intructor about schizophrenia clients overthere..i really want to experience myself tomorrow.
It will be very interesting to see with my own eyes.

I hope i really have a great time touring the place tomorrow and officially starts next thursday.

Monday, April 07, 2008

one more week

Wohoo..one more week, baby! I am counting the days... i am exhausted, gas running low here..but happy that i am almost finishing semester 2!

It has been a hell of journey so far, lotsa work!!

Last week clinial was alrite, THANK GOD! I was assigned with post operative day 1 patient on Thursday. I was freak out on Wednesday already coz she is just came out from oven!
FRAGILE! She had total knee replacement. Everything went well and on thursday, my instructor asked me to take up another patient on friday. So, 2 patients on Friday.
This means, stress level increased even more!

Praise the LORD! without HIM, i don't think i handled thigs so great that day. Everything went well, no complaints from my patients, medications administered correctly and on time even though i have 2 patients. I had a great nurse who incharged for my patients on Friday. Love her coz she taught me a lot!
I didn't get to have my break that day..but it was all worth it coz i learned a lot.

The best part of the day was...hahhaha..(warning-syiok sendiri case here)...as i was signing off my duty and taking elevator back to my locker, the elevator opens and there were like 4 residents or physicians from the surgery floor. They were wearing their scrubs and hat too.. and they were young!
As the door open, one of the physican got so excited seeing me and was like moving towards the front (they were all at the back-end of elevator). One of the physician said to the other "what u doing? Calm down...u r too old for her!" hahahahahha

what la... i am too old for him to be exact..kekekekeke... but i am happy at heart because ppl still think that i am young..hahahaah
(memang la syiok sendiri ni)

Anyway, i am just glad my clinical was great last week and I grateful to the LORD for watching over me.
No more broken bones or anything!

Monday, March 24, 2008

Post operative care

This rotation I am at the orthopaedic department in one of the Hamilton hospital. Boy i tell ya...this rotation is really challenging and nervewrecking!
My second day was really crazy..I was given a bone cancer diagnosed patient with just 7 days post-operative of her total right elbow replacement.
I have zero experience in taking care of post-op care patients...only books knowledge!

I was giving her a.m. care that morning..and was going to move to her left side to wash her back...a loud crack was heard! Omigosh..she had a fractured and i was freak out and just don't know what else to do. I called for help and i tell ya.. that day it was a hell of experience!

On top of everything, i have to give my patient medication, and taking blood pressure on her fractured arm... how challenging was that?

The whole day i felt so lousy and Thank God for my lecturer... she helped me alot!

I seriously don't like surgical floors as they are so fragile!

I prefer mental health patients better...maybe because i am one of them too..hahaahahah
Shall see which area i will be going into... :)