MDS 6 Experience Record

Technology Observed

• The IV pump was new to me because I never knew what it looked like or what it was called or what it was used for. A mongol is a machine attached to the IV pump depending on how many bags or pumps are connected to the patient. First, pull the pump open and connect it to the tube, also hang it on the IV pump and then put how many mL the patient is going to use and how fact the pump is going to go (ex. 100 mL/hr) then open the tube so the liquid can start running into the patient.

Diagnostic Procedures Observed

• This patient was really dehydrated. She was checked in because she fell and got dehydrated

Therapeutic Procedures Observed

• The nurse gave the patient .45% sodium chloride to hydrate her again and she was planned to go into surgery

Medical terminology/abbreviations encounters

• TKO: to keep open
• KVO: keep vein open
• NPO: nothing by mouth

MDS 6 Learning Report

• The responsibilities for this week were to observe med surgery and to learn something out of it
• I pretty much learned what a IV pump is. I'll be honest that I did not know what a IV pump was used for or how it looks like but I learned a lot of information I would need to know about an IV pump
• I got to see how the patients showered since I've never seen that before and the IV pump
• We only got to see one patient and the nurse was charting the whole time
• This week was fair because I felt like I saw the same thing I always to when I go to med surgery

Day Surgery Experience Record

Technology Observed

• There was barley any technology used in day surgery. The only time technology was used was when we were checking up on the second patient and the nurse took her vital signs on those carts and then the nurse used the portable computers to ask her question before she went to surgery.

Diagnostic Procedures Observed

• The first patient had a wound on her foot but then she got an infection that was so bad it got to her bone. The second patient was going to have a right breast autopsy

Therapeutic Procedure Observed

• The first patient had her dressing taken off so the nurse could clean it and then after put another dressing sponge to help the surrounding skin around the wound, Then she puts a tube which connects to a machine that clears out the drainage which helps the tissues come back together

Disease/Disorders Observed

• The first patient had wound that got infected really bad that she lost her small toe. The second patient got out of chemo therapy but the nurse never mention what she had

Day Surgery Learning Report

• My responsibilities were to observe day surgery
• Day surgery is where the patients that are getting ready to go to surgery stay or if they are just doing a minor surgery. Also learning how to wrap a third degree wound around it
• The first patient was very interesting because she has a wound that got really infected and i saw how the nurse took care of it. Even though it looked disgusting, I was amaze and interested when I saw how big and deep her wound was.
• The nurse I was with first was done for the day so I followed another nurse but she was just prepping the patient to go into surgery.
• This week was fair because I felt like I actually saw something from the first patient but barely saw anything with the second. I thought I was going to see more surgery related stuff in this unit.

GC 2.9.14

• Older American Act: originally enacted in 1965, supports a range of home and community-based services, such as meals-on-wheels and other nutrition programs, in-home services, transportation, legal services, elder abuse prevention and caregivers support
• Omnibus Budge Reconciliation Act of 1987:  creates a set of national minimum set of standards of care and rights for people living in certified nursing facilities
• Ombudsman: an official appointed to investigate individuals' complaints against maladministration, especially that of public authorities

Radiology Experience Record

Technology observed

• The only equipment I got to see the nurses use in radiology was the x-ray and the ultrasound. two women in from the emergency room were taken into here to have their sides checked out so I got to see how they move the x-ray equipment and the procedures they do when they take a x-ray. 
• Just like the x-ray, you can see images but instead have beams that pass through certain tissue and are echoed back to the instrument by denser organ tissue Also the procedure can be record and see images in real-time.

Diagnostic procedure observed

• The patient that took a upper gastrointestinal tract radiography has scarring but she felt like it was getting worst. I think she also had inflammation of the esophagus.
• The patient that took the ultrasound came from the emergency center. She was in pain and the pain came from her pelvic. The nurse checked it out with the ultrasound and try to look for unusual stuff.

Therapeutic procedures

• Mostly what we did in radiology is help their doctors find the reason of their patient's pain. In radiology they help by taking images of the problem to the other nurses can find the problem and give them the right treatment. 

Disease/disorders observed

• The patient came in to do upper gastrointestinal tract radiography had scarring and probably inflammation of the esophagus
• The patient that came from the emergency center had pain in the pelvis so she could have an inflammation 

Radiology Learning Report

• My duties for this week were to observe radiology
• I learned the different stuff that they do in radiology like x-rays, mammography, MRI's, ultrasounds, and CAT scans. I also saw how they prepare everything and how they used the computers and save the images
• An interesting thing I saw in here was a upper gastrointestinal tract radiography. They gave a lady something to drink and we could see the drink go down her throat when she drank it on the screen and i thought that was awesome to see
• The x-ray department were done looking at paitients for the morning
• they send me to ultrasound
• This week was fair because I saw and learn new stuff but at the same time I did not see as much stuff as i wanted to

GC 2/2/15

The basic types of assistive devices for individuals with disabilities are objects like cane, walker, wheelchair, slip-resistant flooring so they can walk easy, get around better and to keep their balance. For bathing, dressing, preparing for food, enjoying hobbies, and even using the phone have a different type assistive device and it is used the same way as the normal ones. A long-handled shoe-horn and velcro fastening are are used to help to dress themselves. Height-adjustable cupboards and counters, automatic-stop kettle, pouring aid are all used for helping disable people to serve themselves to eat. 

GC 1/29/15

Social Worker

• Gerontology is the study of the aging process and the problems that elderly individuals might encounter
• Geriatrics is the medical care of older adults. A geriatrician is a doctor who is specially trained to evaluate and manage the unique healthcare needs and treatment preferences of older people. They work under geriatrics
• Geriatric nursing assistants are also known as geriatric aides and they work directly to supply care to elderly patients
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