MY ICU CLINICAL EXPERIENCE // LETIFFANYSHOW✨

hello friends 12Welcome back to my blog!

I usually vlog my clinical experiences but unfortunately, I caught a cold and it’s been really difficult to speak without coughing so I apologize for that! I also have a lot of phlegm and…that’s too much info. So today, I thought I would talk about my ICU experience!

I am currently in my adult health II clinical rotation. This rotation is mainly on the medical surgical floor but my professor assigns us to different departments like the intensive care unit (ICU) or the emergency department (ED) on some days. The thought of going to the ICU made me super uneasy so I didn’t plan on going but after a small pep-talk, I decided to try it out. I mean, when will I ever have a chance to go to the ICU as a nursing student? Today’s blog post is about what I learned from the ICU and a collection of thoughts about working in the ICU.

Disclaimer: I’m not very knowledgable about different departments so I’m practically clueless whether all ICUs are similar or not lol but this is what I saw that particular day.

Coming from 4 days at the med surg floor, the ICU was very quiet. Everyone was critically ill and I wasn’t used to it. I felt really sad/concerned for the patients and I wanted to get out of there. But I knew I had to stick it through so I followed my nurse around and helped her with anything she needed. At one point, I just stayed in the room with the patient’s family member cause we knew she just wanted someone to talk to. It was nice that even though I couldn’t physically help her, just by simply listening to her was therapeutic (or at least I hope so)!

It was really interesting to see how ICU nurses work vs. med-surg nurses. In this particular ICU, the nurses only have two patients but it is all total-care, meaning there is no CNA assisting you. It’s just you and your two patients. In med-surg, you have 5-7 patients but you have a CNA helping you out with vitals and helping the patients go to the bathroom or bathing them. Two patients sounds nice but you have to remember they are critically ill patients so I learned that it’s important to have amazing time management. My ICU nurse didn’t really have much time to sit down as she was walking back and forth between rooms to check on vitals, replacing IV lines, replenishing IV fluids/medications, administering medications and providing patient care. In between all of that, she was also comforting family members and keeping the rooms organized and clean. It’s amazing what she does! And this is random but I can’t stop wondering why my nurse’s rooms weren’t right next to each other. She had to walk across the hall to get from one room to another…

One thing I noticed is that the ICU nurses really help each other out. There was an emergency in one of the rooms across the department and my nurse disappeared. I had no idea what was going on but it turned out that the patient was going into hypovolemic shock. He was bleeding internally and was in need of replacing a lot of things like fluids and blood products! Everyone swarmed in and out of the room to help the nurse caring for this patient. People were coming from left and right to grab supplies for the emergency and the doctor popped out of nowhere started to insert a central line. I felt bad because I was kinda just standing there being in the way so I tried to make myself available for anything they needed! The charge nurse had me hold pressure on the wound so I was standing in the center of all of the chaos. I watched the doctor up close insert that central line and it was a lot of to take in. But it was amazing to watch everybody come together as a team. Even when there wasn’t an emergency, I saw the nurses helping each other out. Like if another nurse saw something about one of my nurse’s patients, she would come and let her know and vice versa.

In the end, I thought the ICU was great and I really liked it. It was really hard to be surrounded by critically ill patients but they say you get used to it. After all, the healthcare team is working very hard to help them recover and be more comfortable. After observing my nurse’s skills and abilities, I don’t think I’m there yet but maybe one day! Who knows!

And that is what my ICU experience was like! This week, I’m going to the ER and I’m super nervous about it. It’s another department that I get nervous when thinking about it. But again, when will I ever get to go there as a student? Wish me luck!

Thank you so much for stopping by and reading this blog post! If you liked this post, please like and follow my blog! Hopefully I’ll get to vlog again now that I’m recovering from my cold. It came at the worst time possible -.- POR QUEEEEEEEEE?!!??!?!?!?

Signing off from this blog post… I hope you have a beautiful day and don’t forget to shine bright, you’re beautiful. Thanks for reading!

 

Peace out.✌

❤ , TIFF

Real Nurse (R.N.) in the making.

 

psst… check out my last post here!

psst… I’m need a nap.

 


Where to find meh  :

Youtube: @letiffanyshow

Pinterest:@letiffanyshow

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Twitter: @letifffanyshow

RECAP: Adult Health Clinical Rotation// LETIFFANYSHOW✨

hellofriends15

Wow! It’s been a hot minute since I’ve written a blog post. I’ve been neglecting this website and focusing on my vlog channel. I know i know, all you’re hearing are excuses.

So let me catch you up on what’s been happening! On the last post, I talked about remediating and the pains of it. NEVER AGAIN. And my wish came true! I passed assessment two by only missing 4! It was a miracle! After the exam was over, we were given a week off from school. Technically, that was the week for “block remediation” but if you didn’t have to block remediate, then you could relax. I honestly had no idea we even had a week off or else I would have planned to go somewhere or would have gone home. Oops! After that week, we started clinical rotations! And that is what today’s blog post is about. So.. lets taco about it! I vlogged about it so here’s the first two weeks of vlogs! 👇

This clinical rotation was 3 weeks long. My assigned days were Monday, Tuesday, Wednesday and it was 7am-7pm. Time went by so much faster this rotation. It’s probably because we were able to do so much more than just stand there and watch our nurse chart. In this rotation, I was allowed to start IVs, pull IVs, hang IVs, pass out medication, give shots and of course provide all basic patient needs.

I also got to see more things! I got to see a PICC line insertion and that was really cool! The PICC line nurse was so kind and taught us why a PICC line is preferred over an IV for some patients. She also explained to us what she was doing step by step! I also had the opportunity to adventure out into different departments. I got to see the Interventional Radiology department where they do minimally invasive procedures using x-ray imaging. I also got to work in the ER, which was intimidating. It’s really interesting to see the nurses role in different departments. For example, the interventional radiology nurse does mostly paper work and monitors the vitals signs. In the ER, its interesting to see how the nurses prioritize, especially when its hectic and new patients keep rushing in.

I really struggled with IVs. In med surg, there weren’t many opportunities to put in IVs since most patients that were transferred to the floor already had one in. You would be lucky to get one if your nurse happen to have a patient who needed one. I was not one of the lucky ones. It wasn’t until I got to adventure down to the ER where I got IV experience. In the ER, every patient admitted needed one so I got plenty of opportunities. Let. me. tell. you. How they teach you in skills lab is so different from real life. The skin/veins on the fake arm is so much more firm whereas real skin is more soft and I guess…jiggly. OH and I guess the fake arm doesn’t scream either… so… sticking in the needle feels different and of course each patient has different skin texture. I got to attempt an IV on four different patients. It’s funny because they teach you to not tell them it’s your first time doing an IV.

Patient: Is this your first time?

Me: I’ve done it a hundred times (…in lab..) 🙂

I only got 1 out of 4 IVs in successfully. It got a little discouraging every time I failed but my nurse was very supportive and gave me insight on how to be successful. It’s something I wish I could practice more on but I’m afraid to hurt people or break their veins. Since I only had so many opportunities to do an IV, I hope I don’t forget the skill in the future.

On the bright side, I saw myself improve in patient communication. I remember in my first rotation, my professor stuck me in a patient’s room and I literally had no idea what to do so I just stood there. This rotation, I was able to go into a patient’s room and have a proper conversation with them. I still struggle when a patient starts talking about their feelings or cries. You know, they teach you these things in the ATI modules and the book but like in real life, it feels different. Like I look at those readings and it’s like common sense. But when a patient cries, I suddenly don’t know what to do.  I just stood there and held her hand and listened to her talk/cry.  I tried?

So all in all, this was a pretty good rotation. Time went by so much faster and I didn’t feel the dread of going to the hospital. I guess the only thing I really dreaded was driving to the hospital but that’s the reality of having a job…the drive.. My professor made this so much more worthwhile as well. She was so kind and I could tell she wanted us to succeed. If we didn’t know something, she would have us research about it and report to her at the end of the day. At the time, it probably felt a little embarrassing and intimidating but in the long run, I think it’s worth it. I find that researching the topic sticks to my brain longer than someone just telling me. It just goes from one ear to the next haha.

Anyways, that was pretty much what my adult health clinical rotation was like! I vlogged about it here and there and went more into depth about what happened each day so check them out above! For the next two blocks, it’s all didatic (online) so a lot of my colleagues are going home. But for me, I’m just going to stay here because I can’t study at home. Thank you so much for stopping by and I hope you enjoyed this recap of my clinical rotation!

Signing off from this blog post… I hope you have a beautiful day and don’t forget to shine bright, you’re beautiful.

 

Peace out.✌

❤ , TIFF

Real Nurse (R.N.) in the making.

 

psst… check out my last post here!

psst…So you know how in my last post I said I loved the resident? I found this video of a real doctor watching the resident and it’s the funniest thing ever. I wanted to share it with you here!

 


Where to find meh  :

Youtube: @letiffanyshow

Pinterest:@letiffanyshow

Tumblr: http://teafaakneeshow.tumblr.com

Twitter: @letifffanyshow