My First Day at Jefferson - Essay Example

Blood glucose was done, and coverage was given as per the sliding scale. A weekly skin assessment was done during the shower. One of the medical doctors came to assess the new residents. The previous nurse told the doctor that the patient on Cipro did not know that it was Bactrim DS for UTI. The order was clarified by MD, but it said that it was ok if it is Cipro has to be given on an empty stomach 1 hour before meals. The wound doctor came to check the wound once per week. The patient with the wound that needed to be assessed was put back to bed. One patient was admitted 2 days ago with a wound on the right lateral ankle.

The nurse documented an unstageable wound. However, during the interview, the guest informed the wound doctor, he sustained the wound because he was hit by the Hoyer lift during transfer from the previous facility. The wound doctor stated that it is not unstageable but a trauma wound. There was confusion about the location of the wound as well. Some nurses documented the left ankle, while the order was stated right. Therefore, the wound doctor asked me what I would do in that situation. I told him that I would assess the patient myself to clarify the confusion and make a note on the TAR and pass it on to the oncoming nurse. There is no 24-hour report shift for you to read.

Therefore, you have to listen carefully to the report in order not to miss anything. In-service was given for diabetic mellitus that afternoon as well. A man from Lilly, the company that makes insulin, came to conduct the in-service. The topic that was discussed is rapid-acting insulin such as Novolog, and Humalog was discussed, long-acting, for example, Levemir and Lantus, and peak time. The staff was able to differentiate between type 1 DM of the pancreas which does not procedure insulin at all, while with type 2 the body produces insulin but the body cannot properly use it efficiently. Many years ago the body did not produce insulin for instance with type 1 diabetes you die because there was no such thing as insulin to give.

And now hemoglobin HA1c is done to see if one is managing blood glucose properly. The high result of HA1C is an indication of poor management. The staff was very knowledgeable. The score was given if you answer the questions correctly. The wound round and diabetes in-service were very beneficial for me because they allowed me to see how much I learned on that topic. The giving diabetes insulin was marketing the product that 3ml is cheaper than 10ml vial since is a rehabilitation unit and the patient does not stay for a long time. If I have to grade him, I will have given 9/10. With no medical background, I think he did very well. The only problem is that he was getting the medical technology mixed up. Read More