Monday, March 29, 2010
sixth observation
My sixth observation was unexpected. This past friday my team and I were in Fellsmere, Fl for our fourth race this season. The first half of the day went smoothly but it was brutally hot and humid outside. Our athletic trainer walked around constan to make sure we were hydrating and staying out of the sun. When we were done racing, one of the girl on my team had unexpectedly gotten a charlie horse in her leg. And afer it happened the first time, it continued to painfully reoccur. There is always an ambulance on site for races, especially in weather like this. When the emt's came over she was laying on the floor in pain with ice on her leg. he EMTs came to the conclusion that maybe she was hydrated. They calmly told her they were going to give her an IV to help with possible dehydration. She didn't take it so well but they said they had to do it. They prepared a stretcher for her and brought her into the ambulance. I asked to go inside so I could observed a possible job interest. As my coach tried to take her mind off needles, which she made clear she wasn't too fond of, they proceeded to insert the IV. I always thought that it took at least an our for the IV to be fully done but I learned from te EMTs that it just depends on the person. It also depends on the case and the patients condition in general. For her, it took, tops, 45 minutes. They said at the rate the bag was emptying, she must have been dhydrated. They considered doing another one so she tried to persuade them that she was fine and didn't need one. I also learned that up until a few years ago, an EMT could put an IV in a patient but by state law only an MD could remove it. Now that has changed and an EMT can put in and remove one, but cannot put in another one. That would have to be done at the hospital. After the first IV, they made her walk around for a few minutes, saw there was no sign that she needed a visit to the hospital, and let us leave. Although it was an unexpected observation, I was really interested to see another type of job in the medical field. It really opened my eyes to all the different possiblities and options I have.
Fifth Obso
For my fifth observation I went to the doctor with my dad. Although it was not in the emergency room scene that I am really interested in, I thought it would be a good idea to get another outlook on different types of nurses. Now I have experienced both E.R. nurses and ones in the doctors office.
Since his appointment was at 9am, we left the house a quarter to and arrived five minutes early. When we walked in, he immediately signed in and we waited for the front desk to call his name. Standard procedure was to fill out basic forms. I asked the women at the front desk why it was necessary to fill out the same for and she bluntly told me it was policy to fill one out every appointment. Once he filled out all of the information we waited another ten to fifteen minutes before a nurse came through the door with a clipboard. She called us in and we walked into the hallway. To the left was the other side of the front desk and to the right was a hallway. She led my dad to the scale to be weighed; this is also standard procedure. I learned that although they ask every patient to step on the scale for a record of their weight, it can be refused by the patient and he nurse has no choice to move on with the rest of the exam. She also had my dads eye sight checked by him resighting the letters on a poster on the opposite side of the hall.
We were finally led to a small room where she checked his vitals. She checked his blood pressure, pulse, heart beat, eyes and nose and then told us that the doctor would be with us shortly.
After witnessing a nurse in a doctors office, although every office may be different, I know that I may want to go into more of the Emergency Room type of job. I like a more upbeat work rather than the standard procedure, preparing the patient for the doctor.
Since his appointment was at 9am, we left the house a quarter to and arrived five minutes early. When we walked in, he immediately signed in and we waited for the front desk to call his name. Standard procedure was to fill out basic forms. I asked the women at the front desk why it was necessary to fill out the same for and she bluntly told me it was policy to fill one out every appointment. Once he filled out all of the information we waited another ten to fifteen minutes before a nurse came through the door with a clipboard. She called us in and we walked into the hallway. To the left was the other side of the front desk and to the right was a hallway. She led my dad to the scale to be weighed; this is also standard procedure. I learned that although they ask every patient to step on the scale for a record of their weight, it can be refused by the patient and he nurse has no choice to move on with the rest of the exam. She also had my dads eye sight checked by him resighting the letters on a poster on the opposite side of the hall.
We were finally led to a small room where she checked his vitals. She checked his blood pressure, pulse, heart beat, eyes and nose and then told us that the doctor would be with us shortly.
After witnessing a nurse in a doctors office, although every office may be different, I know that I may want to go into more of the Emergency Room type of job. I like a more upbeat work rather than the standard procedure, preparing the patient for the doctor.
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