Arrived at 6:45 and left at 8:30: 13 hours On February 5th Amannie and I had the craziest day we have had this semester thus far. We immediately got our assignment with 5 patients 2 who were suppose to be discharged. I already knew having this workload it would be a pretty hectic day. We quickly teamed up and got report from 4 different nurses this morning. We had a new diagnosed man (K.M.) with AML who needed to get a bone marrow biopsy, x-ray, blood work, respiratory testing, and 2 IVs started to prepare for the initiation of chemotherapy. Another patient (J.K.) had stage IV oral cancer with a j-tube who was NPO, needed blood work, a new IV for 2 units of blood, respiratory testing, and rectal swab. We had a 36 year old woman (A.A) with a past history of breast cancer who had a thoracentesis and a paracentesis (3.5 L) due to third spacing the night before
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Another one of our patients( J.A.) was suppose to go home and just needed pain medication. Lastly, our fifth patient (L.T) was also suppose to go home after we took her off the PCA pump and gave oral pain medications. Ammanie and I had to prioritize our care carefully to make sure our day flowed. I myself performed and documented every assessment on every patient as soon as possible. We checked on every patient initially and did our basic assessments. After we checked on everyone, we went to give medications to J.K knowing he would take some time to get situated. I got to administer medications through a j-tube which doesn’t happen too often. I learned to not over use flushing with water because it will make the patient bloat more. I will make sure to remember this once I become a nurse. I made sure I used the 6 rights of medication administration which includes the right
Another one of our patients( J.A.) was suppose to go home and just needed pain medication. Lastly, our fifth patient (L.T) was also suppose to go home after we took her off the PCA pump and gave oral pain medications. Ammanie and I had to prioritize our care carefully to make sure our day flowed. I myself performed and documented every assessment on every patient as soon as possible. We checked on every patient initially and did our basic assessments. After we checked on everyone, we went to give medications to J.K knowing he would take some time to get situated. I got to administer medications through a j-tube which doesn’t happen too often. I learned to not over use flushing with water because it will make the patient bloat more. I will make sure to remember this once I become a nurse. I made sure I used the 6 rights of medication administration which includes the right