Friday, June 29, 2007

I East Clinical with Zimmerman

I had a very exciting week with Mrs. Zimmerman. My patient was a 48 years old and a complete mess, but with me wanting to go into ICU I was in heaven. She came in with a small bowel obstruction, but while she was there her labs were all out of wack and we couldn't seem to get her hemoglobin to come up off of 6. She had a hx of 214 surgeries from neck, back, abdominal, leg, and hip. You name it she's got it. They had already given her 10 units of blood whenI got report on Thursday morning, and were attempting to give her more. She had built up so many antibodies that the unit they had given her on Wednesday night she reacted to. Early in the week the doctor gave her 2 choices, either go to ICU or become a DNR and she choose the DNR.
Overall I really enjoyed taken care of her even though she had pretty much lost the will to live. I got lots of valuable nurisng skill practice from her like hanging IV piggy backs, setting the drip rate for TPN to slowly wheene her off of it, managing a PCA pump, drawing blood from a central line, taking out staples and applying steri-strips, inserting a foley......such great experience. When I left today my patient seemed to be doing better but she is just having a really hard time trying to get to feeling better. She told me that I brightened her day by allowing her to assist in her bath and seeing that she got up in the chair to eat her lunch. This made me feel good that I had done something good for this unfortunate lady. Clinical was awesome this week......thanks Mrs. Zimmerman for making this an awesome learning experience!!!!!!