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16 September 2008

DAY 18

finally actual clinical starting!! hmmm so abt 615 me n mj left the house..angela's clinical starts later..it was so cold outside lor..the weather turning cold i guess..hopefully!!so ya..saw a different scenery today..too bad quite a no of dark clouds cant really kan de sunrise..

reach the ward..have pre conference w Marybeth (my Clinical Instructor)..here they jus address name de..so ya..she go through our patient with us..and tell us wat to expect b4 the start of the day..here students are allowed to choose their own pt to care for..ya but the cases they pick all abit chim de lor..lotx of past history n stuff..but when come to actual nursing care actually there is nth much for us to do..jus vital sign physical assessment hypocount NGT feeding..tts all..sponging is not done by RN..and the rm is like in a mess la..so i help to clear lor..not used to going into a messy rm..all this is done within an hour la..the rest of the time slack!!

then oso went in to listen to their discharge round..where the doctors, APN(advance practice nurse), pharmactist, social worker n the nurse incharge sit down n tok abt the care of the pt n whether they fit for discharge n the goals for them...there is alot going on the..every1 will voice out they opinion lotx of critical thinking going on..tts so different frm sin la...

nearing to end of shift..one of my clinical mates fainted along the corridor..the nurses' responded very fast..but is like abit kua zhang i tink..they even call up the rapid respond team to come n look at her..she is all right la..jus tt nvr take her breakfast..so set plug put on IV..her bp got back she is fine..ya..

hmmm manage to took the pic of the ward n rooms..but i dont tink can post la..ya..got to know abt the nurses pay here too!!is like so much higher than us la!!so irritating..they work 12hr shift..3days a wk..and earn 70k a yr!!nurse pt ratio 1:4..no need serve diet, do sponging or make bed..they can jus eat at the nurses' counter anytime they like..maybe i shld really consider working overseas nxt time!!

anyway tml got test..time to study..

signing off @ 15:02 

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yvonne
upenn
30 aug - 120ct'08


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