25 September 2008

3rd week

I can't believe how quickly the time has passed by. It's taken me a while to get settled into the ward routine and even longer to stop feeling so scared and useless all the time (though I do still have my moments). So I wanted to do something positive to help other would be nursing students. So basically it's advice:

1. Learn what the ward routine is.
2. Keep a reflective diary of one occurrence every shift.
3. Get to grips with the equipment, look at what nasogastric tubes, cannulas, catheters, central lines, infusion (drip) pumps, intra venous lines, blood glucose monitors, needles, syringes etc are used for (VERY important). - I bought this kit before I started university and have found it quite useful
4.Learn what conditions you are most likely to see on the ward.
5. Take a bottle of water with you for your shift - you'll need it.
6. Plan what you would like to learn each week but make sure it is relevant to your competencies, accompanying a stoma nurse is a good idea but only if you can get quite a few competencies fulfilled for it.

Your mentor is not there to teach/train you by spoon feeding you what you need to know. Your learning is entirely up to you, no one will tell you you need to do better until it's becoming too late but do ask for feedback regularly.

It sounds scary but if you can get your head around all of this you'll do fine!

11 September 2008

A busy shift

Well today was my second shift. They are 12 hour shifts excluding time out for breaks. But I have experienced a whole range of learning opportunities,.

For instance, today I was given permission to accompany a patient to the operating theatre. I have heard some scary stories of students fainting and I was nervous that I too would faint and embarrass myself. When I asked the operating nurse about it she said it is healthy people who are very concerned for the patient, who have not had a drink or something to eat and who have a normal to low blood pressure who experience syncope (fainting). But luckily I was fine. I found the scrubs comfortable but I don't think the hat or mask suited me :) . I was standing right beside the surgeon and could see everything. I was fascinated. I was especially lucky as the registrar was happy to explain the procedures that were being performed and the reason behind it. I was able to ask the staff members questions in between operations and just get a general feel for the theatre.

I left my placement today and yesterday with renewed determination (not that it has wavered since I started the course). My placement is an absolute pleasure to work in and the staff are lovely. I know I'll be sorry once these next seven weeks are over.

09 September 2008

preparation for placement

Well I start my second placement tomorrow so fingers crossed I stay healthy this time :) .

It's in a surgical ward for babies so I'm smitten (I'm going through a broody stage which is scary lol).

Anyway I've rang up the ward, visited, met my mentor and co mentor and both are lovely.

I was able to look through their Portfolio Of Learning Opportunities (POLO) booklet which has given me some great information on the work that the ward does and the types of operations they treat. I've then been able to learn a little more about these operations by watching Campbell training video clips on youtube and by finding patient information sheets.

I then wrote down other areas I'd like to visit, skills I'd like to learn (I just jotted the three I thought were the most important) and some questions I'd like to ask. I bought this diary so hopefully it will help with the reflective essay I need to write before Christmas :P .

As the ward has a microwave, and you only get 1/2 hour per break (you get 2) I bought some microwave meals today, also most wards don't have a lot of tea and coffee etc. so I think it's a nice way to introduce yourself to the ward by bringing tea, coffee and sugar for staff to share - it kinda says thanks in advance.

And I got a tatty teddy badge yesterday for my uniform.

My bag is packed: my fob watch which is vital for doing obs, a little calculator on a keyring with helpful cards I made with info such as drug calcs ect (let me know if you want a copy - you'll have to laminate them yourself) my RCN pin, 3 pens, 2 notebooks, my name badge, my uniform + a spare set, my gel hand cleaner and my comfy shoes which I keep strictly for on the wards. I have a map of the hospital site too in case I need to visit the pharmacy etc.

02 September 2008

Back after the holidays

Well I returned to uni yesterday after a lovely 4 weeks off. I've had more lectures on public health and the nurses role with regards to educating people to live healthy lives.

I enjoyed the practical we had on de-escalation skills, I feel I learned some very valuable tips if ever a serious situation arises. I'm also looking forward to the first aid practice we are having tomorrow.

I visited my next placement today, which I start next week. It was a lovely ward and I got a lot of useful information in the Portfolio Of Learning Opportunities. Looking through the book I was able to see what ailments are treated the most on the ward and have been able to find information about them so I can start my placement better prepared.