NURS 149 – Kaiser Permanente Puyallup Reflection Journal Charity Rominger
Kaiser Permanente’s clinical rotation is like a peek behind the curtain – an opportunity to see the inner workings of a doctor’s office. From previous personal experience, I have only seen the hallway and specific assigned room after being called back for a doctor’s visit. It was intriguing to see the rest of the operations, various roles, and responsibilities.
On my first day at Kaiser, I was able to observe both the PA-C and MA as they saw new and existing patients. They saw a variety of patients with complaints including congestion, fatigue, depression, anxiety, recent suicide attempt, stitch removal following a lipoma removal and more. The day was a great opportunity …show more content…
Wondering before this point as to what the LPN and RN nurses did in the office since I did not see them working directly with the doctors, I learned that they have their own list of patients they see for chronic disease management and other treatments. Additional treatments are placed on their schedule as the doctors in the clinic call upon them to do treatments for patients currently in the clinic. One of the doctors I had worked with on the previous day asked me if I knew how to do an ear flush and I told her I had not done one before, but the nurse I was with said she would help me do it. She showed me the tools they used and how she mixes water, peroxide, rubbing alcohol and liquid Colace for the flush. I was then able to view the cerumen in the ear canal. After watching her flush the ear, she gave me an opportunity to try it. Quite a bit of cerumen was removed from the ear canal and the patient’s hearing improved. I was also able to observe as wound care was performed on 2 different individuals who had ulcers on their legs and feet. One wound was dry and only needed some cushioning and protection. The other wound had an open weeping area that needed skin barrier cream on the surrounding tissue, an alginate pad and a silicon protection over the open area. In our lab, we had discussed and practiced different wound care, but it was helpful to see a real wound and what techniques the nurses used to dress it. I was also able to perform several immunization injections, such as shingles, flu and hepatitis A on a teenager and on an older adult. This was my first opportunity to give intramuscular injections as I had only done subcutaneous insulin injections before. I was so able to observe as the nurse performed allergy shots. The nurse showed me the various protocols that they have and how they use sarna cream and ice packs on the injection site to reduce irritation and discomfort. I had not heard
Kaiser Permanente’s clinical rotation is like a peek behind the curtain – an opportunity to see the inner workings of a doctor’s office. From previous personal experience, I have only seen the hallway and specific assigned room after being called back for a doctor’s visit. It was intriguing to see the rest of the operations, various roles, and responsibilities.
On my first day at Kaiser, I was able to observe both the PA-C and MA as they saw new and existing patients. They saw a variety of patients with complaints including congestion, fatigue, depression, anxiety, recent suicide attempt, stitch removal following a lipoma removal and more. The day was a great opportunity …show more content…
Wondering before this point as to what the LPN and RN nurses did in the office since I did not see them working directly with the doctors, I learned that they have their own list of patients they see for chronic disease management and other treatments. Additional treatments are placed on their schedule as the doctors in the clinic call upon them to do treatments for patients currently in the clinic. One of the doctors I had worked with on the previous day asked me if I knew how to do an ear flush and I told her I had not done one before, but the nurse I was with said she would help me do it. She showed me the tools they used and how she mixes water, peroxide, rubbing alcohol and liquid Colace for the flush. I was then able to view the cerumen in the ear canal. After watching her flush the ear, she gave me an opportunity to try it. Quite a bit of cerumen was removed from the ear canal and the patient’s hearing improved. I was also able to observe as wound care was performed on 2 different individuals who had ulcers on their legs and feet. One wound was dry and only needed some cushioning and protection. The other wound had an open weeping area that needed skin barrier cream on the surrounding tissue, an alginate pad and a silicon protection over the open area. In our lab, we had discussed and practiced different wound care, but it was helpful to see a real wound and what techniques the nurses used to dress it. I was also able to perform several immunization injections, such as shingles, flu and hepatitis A on a teenager and on an older adult. This was my first opportunity to give intramuscular injections as I had only done subcutaneous insulin injections before. I was so able to observe as the nurse performed allergy shots. The nurse showed me the various protocols that they have and how they use sarna cream and ice packs on the injection site to reduce irritation and discomfort. I had not heard