This week was easy but nice at RRMC. Thursday my patient was 47yo male with Acute Pancreatitis. He was a great experience for me in that I got to mix up some drugs for an IVP (Demerol with Phenergan) and also gave a pneumonia vaccine. Wonderful teaching experience because he has a hx of ETOH use and smoking (up to 1.5 ppd) We had an interesting discussion about his drinking being r/t exacerbations of his disease and he did admit that he had been drinking heavily when his abdominal pain started. Also I did some teaching about smoking cessation because when I did my assessment he had some wheezes. Overall this guy was VERY receptive to my information. That afternoon I D/C'ed him home (took out IV, did D/C record and teaching, etc).
Friday. My patient was in for bacterial pneumonia. She had a PICC line and a chest tube, which I'd never seen before and I got to see how it drained the fluid from her lungs to these glass bottles. This lady had an extensive hx and I was looking forward to talking with her about it since she was extremely knowledgeable about her condition(s) and care...but the day just wasn't long enough! I have to say though that this Med-Surg rotation was by far the best experience. The nurses were all so helpful and really into teaching and offering help whenever they were needed. Mrs. Zimmerman you are so AWESOME and thank you sooooo much for all the experiences (yes, ALL of them hehehe) and for making sure that I was getting everything. I certainly do feel like I am an expert at charting and everything is really coming full-circle.
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