We have a big test tomorrow in Managing Care of Adults. It covers wound care, diabetes, seizures, eye and ear diseases, problems with immobility, and the nursing process. It really is a huge amount of material. As I read about pressure ulcers and look at the slides of how they look at various stages, I beg
in to squirm in my chair and wonder how long it takes for one to form if I am immobilized in front of my books. I feel my ischial tuberosity press on the thin little pillow on the chair and I quickly leap up and make sure I don't have any red non-blanching areas forming on my skin! I also have been so attached to my computer; taking notes, doing online tutorials and quizzes, trading questions and tips with my study group that I dream of having an IV pole with my computer on it to drag around with me wherever I go. It has become a lifeline feeding me facts, testing my knowledge, and allowing me to reach out to my new friends. We also have a lab practical on Tuesday; a head to toe assessment in 30 minutes. I'll practice that after tomorrows test.
This week we were in the hospital for our clinical rotation taking care of our first patient. My first patient was a very sweet man with cellulitis of the right leg. We spent the first day shadowing the nurse, learning where supplies are, how the medication cart works, what the routine for the day is. We got our patient and researched all their medications, and their diagnosis. Then the next day we did the assessment on them, I gave mine a bed bath and changed his bed, gave him his subQ heparin injection, hung some IV's, counted his I & O's and spent lots of time talking to him about his family and history. I also got to observe the placement of a foley catheter on one patient and do the removal of one on another patient! Wow, a lot of new things for the first couple of days. I learned a lot just listening to the nurses and watching them deal with the problems that came up. And there were many. We never stopped, and it was hard to take time for lunch except that I was starving! I loved the whole process. The patients were willing to have us students work with them and mine even asked if he could come to my graduation! I can see that this is where the major portion of our learning will take place. It is exciting to see the things we are learning about in the books, right in front of us. The whole nursing process is beginning to make sense, constant assessment of the patient and trying to come up with ways to make them comfortable at the same time providing what they need for their healing. I am going to like this job!
Well, back to the books, a little more review before bed.