In the beginning of my journal, I wrote few strokes about my journey as a nurse since it can reflect my understanding of the nursing profession, learning strategies and expectations.
Beginning of journey
Nursing is my second career and I did not work in the medical field while in nursing school. Finding the job with an associate degree without previous experience was not so easy. Applying to multiple hospitals brought no response, so rehabilitation facilities were my second choice. I received phone call next day I filled up the first online application and started working as an RN in a rehabilitation center in few days. Even though facility, where I work, includes subacute units and long term I can tell that my adjustment to a new role as …show more content…
The patient was diabetic with a history of kidney disease, HTN, HLD and heart failure, he had arterial ulcers on his feet, his weight were over 300 lbs. My assessment findings on admission revealed that patient was AOx3, BP was around 130/70, HR below 90 bpmin, BS was below 200, no complaints of pain or discomfort, no SOB, lung sounds were clear. Next day I received a report from morning shift nurse, the nurse told that new patient is stable. Then I checked my patients at the beginning of my shift. I came to the room of patient that were admitted on the previous day. The patient was in his bed, smiling, he was eating his snack, he told that he spent his night sleeping good and he does not have any pain or discomfort. The patient asked me to close the door when I was leaving the room. I explained to the patient that it is better to leave the door opened to provide his safety and give nurse and CNAs ability to monitor the patient. We agreed that door would be remained open. I left the patient in his room watching TV. In about 15 minutes CNA approached me asking to help with patient repositioning in bed. Nursing supervisor was doing rounds on my floor at this moment so he went to help me to positioned the patient. We found patient slid to 45 degrees from the center of the bed, he complained of difficulty breathing. While we were positioned patients higher in his bed he stopped talking and lost consciousness, his skin turned pale, we immediately started CPR. Unfortunately, we were not able to revive the
Beginning of journey
Nursing is my second career and I did not work in the medical field while in nursing school. Finding the job with an associate degree without previous experience was not so easy. Applying to multiple hospitals brought no response, so rehabilitation facilities were my second choice. I received phone call next day I filled up the first online application and started working as an RN in a rehabilitation center in few days. Even though facility, where I work, includes subacute units and long term I can tell that my adjustment to a new role as …show more content…
The patient was diabetic with a history of kidney disease, HTN, HLD and heart failure, he had arterial ulcers on his feet, his weight were over 300 lbs. My assessment findings on admission revealed that patient was AOx3, BP was around 130/70, HR below 90 bpmin, BS was below 200, no complaints of pain or discomfort, no SOB, lung sounds were clear. Next day I received a report from morning shift nurse, the nurse told that new patient is stable. Then I checked my patients at the beginning of my shift. I came to the room of patient that were admitted on the previous day. The patient was in his bed, smiling, he was eating his snack, he told that he spent his night sleeping good and he does not have any pain or discomfort. The patient asked me to close the door when I was leaving the room. I explained to the patient that it is better to leave the door opened to provide his safety and give nurse and CNAs ability to monitor the patient. We agreed that door would be remained open. I left the patient in his room watching TV. In about 15 minutes CNA approached me asking to help with patient repositioning in bed. Nursing supervisor was doing rounds on my floor at this moment so he went to help me to positioned the patient. We found patient slid to 45 degrees from the center of the bed, he complained of difficulty breathing. While we were positioned patients higher in his bed he stopped talking and lost consciousness, his skin turned pale, we immediately started CPR. Unfortunately, we were not able to revive the