The pharmacy was real lax when I went in. There were two techs and 1 pharmisist in.This was my second time, but Imet whole new people. The tech let me log in medications and log them as well. I got to use the pill packing machine too.

It wasn't busy at all. It was really only me and the lady there playing with pills! She showed me where they keep the chemo stuff. Personally I found everything about the place boring. I got to exhibit my glove skills when we played with the pills.

I learned that the hospitals expiration date is different then the manufacturers date. The lady didn't speak English that well so it was a struggle at times. I got to change the trays for pills, and race to stack them all on them before we ran out of time.

Pharmacy is not my game. It wasn't a busy day either so that probably contributed to why it was so boring. Ines would probably have loved it(a room full of drugs to herself!)

Responsibilities: I had to follow around a respiratory therapist as he checked on patients.

Knowledge: I found out that for patients that are having trouble breathing it isn't always oxygen in the ventilators. They put a muscle relaxer so that the patients throat will allow an easier flow of air.

Best: I got too encounter more patients this time. I saw the therapist clean out a couple patients mouths.

Worst: It was my second time following a respiratory therapist, and the field has been pretty boring both times.

This week was fair. I did gain more experience in the subject, but there wasn't much to see.

Tech:I saw ventilators that were only assisting the patients breath but not completely breathing for them. I saw a couple other cool looking machines at the foot of the beds that no one seemed to know what they did.

Diagnostic: We looked at the breaths per minute and compared them to earlier data and saw that one of the patients was improving. The therapist said that if he could continue to strengthen his lungs then he would be completely off the ventilator.

Therapeutic: I watched him put a muscle relaxer into the ventilator to loosen up the throat muscles. He also brushed and sucked out the saliva of a couple of patients.

Diseases: I saw that a couple patients had gotten pneumonia from being immobilized with saliva in their mouths. The respiratory therapist wasn't looking so hot himself.

Terms: Renal failure- kidney failure  ABG- arterial blood gas

I walked in and all the therapists seemed to be under the weather. I thought it was kind of dangerous for them to be around people with weak immune systems. the therapists were going around and cleaning mouths and adjusting ventilators. The equipment that they work with include mainly the monitors and the ventilator. The guy I folloewed was in charge of flushing them out.

Their job seems kind of repetitive. The only excitement seems to come from the codes. They seem to work on their own thing and are good with working alongside the ICU doctors and nurses. I had to wait outside one of the precaution rooms as the therapist did an abg on a patient. He was one of  the only people of whom I've followed that has washed his hands after every patient he saw. Wecdidn't do very many hands on things as he only cleaned out ventilators and mouths.

The ventilators apparently vapor out a muscle relaxant to allow for an easier flow of air to the patients hooked up. We visited a guy who had renal failure meaning that his kidneys stopped working.  He looked like he was in a lot of pain , yet he  was semi conscious. His eyes followed me the whole time. The therapist talked to him like a normal person, and that was pretty cool.

I thought that it was alright. It wasn't my favorite , but that might have been because I came at a boring time. I saw Amanda during my rotation and made some weird faces at her which was fun, as I waited for my guy to finish charting. Respiratory isn't for me.

Responsibilities: My responsibilities this week were to follow the administration lady.

Knowledge: I learned how to navigate through health quest. It made me realize just how important the administrative position is.

Best: The best thing was that I got to hang out with Jasmine. She was real chill as one of my peers would say.

Worst: I got the smell of breakfast burrito all over me.

Tech: The database the use is called health quest and it is pretty simple. Jasmine said that it was outdated.

Diagnostic: Checking people into the hospital. Other than dealing with insurance there wasn't anything else they do that's therapeutic.

Therapeutic: Checking people into the hospital. Other than dealing with insurance there wasn't anything else they do that's therapeutic.

Diseases: They see all the types of diseases as well as people coming into surgery who need to get checked in.They see almost every patient in the hospital.

Terms: EKG- They put electrodes over and around the heart to monitor it for irregularities.
Patient- A person who is admitted into the hospital and is in need of treatment.


When I walked in the smell of breakfast burrito hit me in the face. It was only Jasmine who was in charge of admitting patients into the hospital as well as answering patients questions. The program that they use for the hospital is health quest, and Jasmine taught me how to use it. It's a lot of computer work.

The only team work is from the people in the back who actually deal with the insurance companies. They then make a packet with all the information then people like J-girl explain it. The only safty they deal with is patients and people harming themselves or others. They really don't diagnose or give any therapy.

The administrative positions are really important to the hospital. The programs they use help the hospital to run so efficiently.  There wasn't any med terms being thrown around. I did learn how to use their programs.

It wasn't as boring as I expected. The person was really cool and fun to talk to. It was good to go to see that you don't have to be a doctor or nurse to make an impact in health care. I do know that it is not an area that I would want to work in.

Responsibilities: To observe the RN as well as observe the surgery.

Knowledge: I learned all about the process of the contractions a woman goes through, and how it affects the baby. I also learned how it is possible to halt contractions with magnesium sulfate and when it is necessary to have a c-section.

Best: The best thing this week was I got to watch an emergency c-section. I got gowned up and even got to hold the placenta!

Worst: The only bad part was that I didn't get to stay longer.

This week was good! It was by far the best week of clinical rotations I've ever had.

Technology: I saw these monitors that show the contractions and vitals of the mother and baby. When they took the baby out I got to see a specials pump they use that gets all the gook out the babies mouth.

Diagnostic: The pads they use to monitor the discharges during contractions showed lots of blood meaning that something had ruptured and she needed surgery. They also measured the distance away the baby is from being birthed. (10 cm)

Therapeutic: The anesthesiologist numbed her torso and tested her to see if the anesthesia worked by poking her with something sharp. They worked very quickly during the operation so the mother wouldn't have too much discomfort.

Diseases/ Disorders: She had ruptured something while in labor. The baby wasn't reacting well to the pressure changes during the labor process.

Terms: C- section- Emergency surgery to remove the baby by cutting it out.
Umbilical  chord: chord that connects the mother to the baby supplying nutrients.

When I first walked in the nurses looked kind of bored. After the nurse answered a few of my questions, all hell broke lose and everyone was rushing around yelling. A bunch of doctors and nurses were arguing on weather they could send one of the soon to be mothers by life flight to downtown MH, but ultimately decided to deliver the baby here. I had been watching the contractions chart the whole time and saw how after one contraction the baby had freaked out. Apparently the woman had ruptured something during the contraction.

At fist everyone was arguing and it was pretty hectic, but once they decided on a course of action everything and everyone fell into place. The communication between the nurses, doctors, and anesthesiologist was absolutely perfect as everyone knew exactly what to do. I got gowned up and got to be in the operating room and got to see the c-section from the beginning all the way through. I saw the anesthesiologist give her the good stuff and how the doctors made the first incision. At the end, the nurse let me hold the placenta and umbilical chord!

I learned how a good labor can turn bad in an instant. I also got a pretty general sense of how to deliver a child through a c-section. This really helped to solidify the career I want to go into. I also learned just how connected the mother and baby really are during pregnancy.

The labor and delivery area is super fun as you never know what can happen. I enjoyed watching the c-section and it amazed me of just how cool it would be to be an obstetrician. The nurses actually seemed to want to give you a glimpse into there field of practice. It was a really cool experience that I will take with me for the rest of my life.:)

Responsibilities: To follow the nurse and observe.

Knowledge: Post pardom is just about managing pain. The mothers are asleep a lot of the time and you have to document changes in them.

Best: The best thing that happened was that I got to go in one patients room.

Worst: The whole thing was amazingly boring. I had a new nurse to the unit and she really had no clue what she was doing yet because it was her second day.

This week was bad because no one was awake, and the person I was following had very little responsibility.

Tech: The only thing I got to see was the charting that looked complicated and the nurse was having some trouble with it. I also got to see a bed.

Diagnostic: I saw a women coming back from a blood or urine test. I didn't see that much as there weren't that many mothers, and the ones that were there were asleep.

Therapeutic: Instead of waking patients up for tests you are suppose to let them sleep. The women are given vitamins and pain meds.

Diseases: They can have vaginal bleeding or an infection from the c-section incision. They can also have their organs shut down during pregnancy or pneumonia.

Med terms: Hysterectomy- the removal of the uterus. Morphine- a strong fluid painkiller.

When I walked in it was super quiet until about 10 minutes in when the construction workers made as much noise as humanly possible. I was amazed at how the mothers could sleep through it. There was barely any nurses, and the one I shadowed was a new one who had only 2 patients. She charted the whole time as well as tried to discharge a patient, but kept messing up. The only other equipment I got to see was a hospital bed. We only got to see one of her two patients and she didn't even need us

The job of a PP nurse looks extremely easy as a large majority are healthy young women who really just want to be left alone with their babies. The communication skills I observed was the nurse asking another for help during charting. We went to give the one mother vitamins, but she had taken her own from home before we got there so we left her room. They occasionally get hysterectomy patients but they control their own morphine pumps.

The knowledge I gained from this is that I for sure am not going to be a PP nurse. She couldn't tell me anything I didn't know except that when the new mothers start farting they can be discharged. If a women has a child that is in the NICU the mother will be discharged before the baby and has to go home without her child.She also told me that they will either use glue or tape to keep the c-section incision closed kind of like an arts and crafts project.

I thought I would get some educational value out of it but I was sadly mistaken. It is a branch off of the field I look to pursue though it is not the branch I want to go to. It seemed to me that it is a super easy job that the nurses from other units go to too get a brake. 'Twas not a fun time.

GC: Gerontologists are doctors that have specialized in the care for the elderly as well as the end of life process. (dining)

GC Jan 23

Cerebrovascular accident- Blood flow to the brain is stopped by a blockage or ruptured blood vessels. Brain cells die and the damage is permanent.
Transient ischemic attack- Blood flow to the brain is MOMENTARILY stopped. A person will have stroke like symptoms for up to 24 hours, but symptoms usually last for 1-2 hours.

Tech:  There was a photo therapy light that was for a baby with jaundice.Other than that the only other technology there were the computers because you have to chart almost everything.

Diagnostic procedures: They did a car seat test on a baby to see if it would lose circulation while sitting in a car seat. The baby would sleep until it began choking on its own spit, then wait for the nurse to get it out then fall back asleep again every five minutes.

Therapeutic: The nurses changed a lot of diapers and rocked and swaddled a lot of babies. A majority of the things done in the nursery are therapeutic things because they mainly are trying to just babysit until the mother wants them back.

Diseases: I didn't see any sick babies but babies can have birth defects. An example is down's syndrome which a baby is born with.

Terminology: Erythomyacine (probably misspelled)- Is a medication put on the babies eyes after birth to prevent against the baby from getting an infection in the eye and going blind.
Vitamin K- Is an anti blood clot given within two hours.

Responsibilities- My responsibilities were to follow the nurse around as she taught me about the babies. I even helped her to wheel a baby to its mother.

Knowledge- I learned about some of the medications given after birth such as vitamin k and the hep. b vaccine. I also learned how the treat jaundice with a light.

Best thing- The best thing was getting to see all the newborn babies, and to see how they act. This is the field I want to go into and it was really cool to see what it is like.

Worst- The worst part was not getting to hold any of the babies. The nurse said if one cried I could hold it, but they were all behaving that day.

I would have corrected it by poking a baby, but I think that would be frowned upon in the hospital.

I had a good week because I was locked in a room with a ton of babies.



The nurses on the nursery unit are a lot nicer than on the previous units I've been on. When I first walked in I noticed that it smelled pure. They had nonstop Taylor Swift playing and the babies were all asleep. The nursery nurses mostly are there to make sure that nothing catastrophic occurs, but other than that they take some vital signs, chart a lot, and mother the babies. One baby was in a photo therapy machine for jaundice all the while he slept and occasionally punched the cradle he was in.

Some of the babies will belong to one nurse practitioner who will take the vitals of only the babies who were delivered by a certain doctor. The pediatric nurses will come and work in the nursery if there isn't much action in there areas. The nurses have to be soft and gentle from  caring for the baby to communicating with the mother. I got to see the photo therapy and also a car seat test. They put a baby in a car to see if the baby will lose circulation from sitting in a different position.

I learned about all the different tests and medications they give to the babies. Within two hours of birth the babies get a vitamin k shot which is an anti blood clot. Another medication is erythomyacine which is put on the babies eyes to prevent blindness. The babies also get a hep. b vaccine which i got to watch. the nurses do a ton of charting and do a hearing test by using electrodes. Babies don't know to swallow spit, so the nurse had to constantly suck out one babies spit with a syringe.

This is what I want to do in the future so I thought that his unit was very interesting. The nurse I met was very informative and friendly. This was by far my favorite unit probably because of how cooperative the patients were. The highs are high and the lows are low on this unit, but I think its worth it because you are bringing life into the world.

Responsibilities: To follow around the RN and observe.

Knowledge learned: I learned that the post anesthesia unit is primarily for pain control coming out of surgery.

Best Thing: My nurse really wanted to teach me. She even let me have some of the OJ they give to the patients.

Worst Thing: The hospital wasn't really busy.

This week was fair because there wasn't really much action.


Tech observed: There were a lot of heart monitors next to all the patients beds. IV pumps were hooked up to all the patients administering pain meds.

Diagnostic Procedures: She had to take vitals every 15 minutes which were automatically updated through all of the machines that were already reading her vitals. She manually took the temperature as well as checked the IVs.

Medical Terms: Hydromorphone-  a pain medication that is stronger than morphine.
Vikadin- A very strong pain med.

At MHKH the pacu wasn't very crowded. The people who were there were moaning in pain. The room smelled nice and it was kind of warm. There were a lot of doctors and RNs in the room caring for the patients. All the patients were hooked up to heart monitors and being heavily medicated.

The nurses and doctors work close together after surgery for the best possible care for the patients.They are able to joke around with each other because most of the patients are drowsy or asleep. While the patient are still there, the nurses keep a close eye  on all the monitoring systems. The nurses are very sympathetic yet have to be strong as most of the people when they wake up are moaning in pain.

I learned how medicated the patients have to be and also that the medical field is a painful place. The nurse put a needle into the IV bag to administer hydromorphone which is like morphine but stronger. They also prescribed a lot of vikadin, vallium, and hydrocodone. I also learned that some people react differently to anesthesia than others.

Overall the pacu was a pretty laid-back place. Most of the time they are either charting or giving medication. I had a good time talking to the nurse whom I was easily able to relate to. The place wasn't too busy so I didn't get to see everything I had hoped for. The pacu seems like a fun place to work.

1/9

Responsibilities: Follow around the RN, and observe.

What new knowledge did you aquire: Comfort care is important. It is almost like being a mother. There are negative pressure rooms for TB.

Best thing: I met some cool nurses!

Worst thing: I wasn't able to go in a droplet precaution room. 

This week was good because I got to see more patients than usual, and got more out of it.

Technology observed: I saw the IV monitor and this handle for obese patients who have trouble getting out of bed. I also got to see the negative pressure room for patients with TB.

 Diagnostic Procedures: I watched her fix an IV monitor. 

Therapeutic Procedures: She put an immobilizer on a patients elbow because the IV was irritating the patients arm as she bent it. I also watched her assist an elderly patient go to the bathroom.

 Diseases: One patient had a nasty case of pharyngitis.The other had an unknown virus and congestive heart failure.

 Medical terminology: Hydrocodone- an intense painkiller. Pharyngitis-The infection and swelling of the pharynx.

1/8 grace care admin.

This week in Grace Care I was in administration with a very professional nice lady. I sat through a progress meeting with a long term resident who chewed out the staff for not doing anything about her complaint, but it was about another resident so if the reacted they would be violating the rights of the other patient. I realize how hard it is for administration workers and have a new found appreciation. I could never do what they do and I even started laughing during the meeting, but not at the resident; I was laughing at how stressful it is for the workers.

1/9 med surg 6 journal

This week I was on the Med-surg 6 unit. I followed around an RN who was not a part of the regular staff at the hospital, but someone who just worked where needed. She had to adjust one patients IV because it irritated her and she continually bent her elbow causing the needle to dig into her. She didn't really use any technology except for the heart monitor on one patient and the blinking lights that were on each room after they hit their call buttons.

The nurse was very compassionate. She didn't enjoy her job as much as she enjoyed helping and developing a trust factor with the patients. She communicated with the dietitian effectively and followed most safety procedures... I wasn't allowed to go into the droplet precaution room, but I did stick my head in at first and was greeted by one of the worst smells ever! One therapeutic procedure was using aloe spray to help comfort a patient with congestive heart failure. A diagnostic procedure she used was putting a splint on a patient so she wouldn't bend her arm and the IV machine would stop beeping.

I learned that that the ratio on med surg floors are much higher at 5:1 patients to nurse care. There was a negative pressure that was especially designed for patient with TB. One patient we visited had pharyngitis and had to take dat good shizz (hydrocodone) because her throat almost was swollen shut, but her doctor didn't want to admit her. I guess he thought it wasn't that severe even though she almost died.

Overall this was a fun week as I actually got to see some cool things. The best part of the rotation was being able to meet and talk with the nurse who was awesome! Really the only bad part was not being allowed in the droplet precaution room. I think I got a good professional value out of it because I now know i want to get my doctorate degree.