Wednesday, March 30, 2011
Tuesday, March 29, 2011
Thursday, March 24, 2011
Another experienced nurse and myself tried to figure out how many times we have attended these classes on CPR. We used to have to go yearly ~ now we go every other year. Plus in my department we are required to be ACLS (advanced cardiac life support) certified. We figured we have probably attended more than 18 classes on how to perform the first steps of saving a person's life. That is alot of re-newing. I'm not complaining. I think it is important that we, as professionals keep up our skills. Luckily, I don't have to perform CPR very often...but I could if I needed to! And they keep changing things as evidence shows things need to be change.
For years and years, we have practiced the ABC's of life support:
and the ratios of breaths to compressions for adults and children were different as well as one and two man CPR ratios.
Now the American Heart Association has come out with a new acronym...
Basically - you asses the patient, call for help and go straight in to giving heart compressions.
Once you have given 30 compressions - then you give 2 breaths.
The ratio remains 30 to 2 even if there are two people performing the CPR. That is so much easier to remember.
Studies have shown that we were wasting time in giving breaths in the beginning, for the patient probably still has oxygen in their system - so the premise is that you need to get that oxygen circulating - hence - straight in to the compressions. My brain can remember the 30:2 ratio so much better also. I don't have to thing about how old the person is, one man or two man...I just have to do the same ratio~
These little gadgets also need to be readily available:
Using an AED (Automatic External Defibrillator) has shown to increase the chances of a person's survival. It is easy to use. You place the pads on the patient, the machine analyzes for the heart rhythm, tells you if a 'shock is advised' and walks you through how to give that shock. Often times this can put the heart back in to somewhat of a workable rhythm, buys some time until the paramedics can get there and hopefully shocks that person back to life. Any place where people gather really should have one. Gyms, schools, theaters, etc. I wonder if there is one at my church? Though I am hoping that I never have to use one while I am church!!
After I attending my class, I admitted a new patient in to our perinatal hospice program. Sometimes we go months without a referral, but lately we have always had a patient or two on service. We really need to hire a Spanish speaking nurse though. It is so hard to admit a mom using an interpreter, and the subject can be quite sensitive since you are talking about their baby's little life.
This particular patient has known loss before, and I am sure that she will be able to teach us a thing or two about how to love and care for a baby that is only expected to live for a short while. We gave her lots of information and set up our next appointment where we will work on her birth plan. We will offer as much support as we can. Hopefully she will find the program helpful and will have a better experience this time than she has had in the past.
My goal ~ to help her celebrate this little life....
Saturday, March 19, 2011
Today we did 8 deliveries.
Somehow the 10 we did the other day seemed so much worse...
And we did more c/sections today, (4 c/sections and 4 vaginal deliveries). which takes more man power to get done...so why is it that the days were so different? We were talking about it at work today...I think it has to do with outpatient visits and just the sheer number of patients that are on the unit. We always say that there should be a way to even things out so that things were always nice and smooth instead of crazy one day and manageable the next. Any ideas on how to do that??
What a difference a day makes!!
"Johns Hopkins Students Design Cervical Monitor for Premature Labor Detection
Preterm labor detection commonly relies on an exterior device that picks up contractions when attached to the abdomen. With more than 500,000 premature births being recorded each year, obstetricians are constantly on the lookout for improved means of detecting preterm labor earlier in hopes of stopping labor before baby is born. A group of Master’s degree students from Johns Hopkins University set out to change how contractions were recorded and in the process created a viable solution that could change how babies are born.
CervoCheck is the device created by the student team. The device is implanted in the vagina with three probes contacting the cervix and vaginal walls where contractions are strongest. The device has been tested in animals and successfully recorded preterm contractions. The idea behind the device came when students were doing rounds in an obstetrical unit in search of ways to better the patient care experience.
Since the development of CervoCheck, the students have won numerous awards. All have since graduated with their Master’s degrees. Two of the students are currently working to promote CervoCheck, one is going to medical school and the final student took a job in the health technology field.
CervoCheck has yet to start human trials, but the team is working with doctor’s at Johns Hopkins University Hospital. With additional funding, the team hopes to soon offer CervoCheck for use in a clinical setting across the United States and abroad."
Source: Phil Sneiderman - John’s Hopkins University - 21 July 2010
Wednesday, March 16, 2011
Ok - that may be an exaggeration, but is was pretty busy.
I went back to work after having almost 3 weeks off. I was ready to be back with my friends.
I was even ready to be working with the patients.
My first two days back ~ I was 'in charge". The first day wasn't bad. A couple of nurses were home, 'on call', and we had a few patients.
My nurse friend, Kim said, "we have been pretty slow for awhile. It scares me for it is going to bust".
The second day...I could barely get every one a break, every nurse was maxed out. Doctors would call and tell me they were sending in another patient...my response, "you have got to be kidding me!" to which I heard.."nope, they are really 6-7 centimeters so they are coming." Now where am I suppossed to find another bed?? One doctor said, "oh it doesn't look bad here"~ I almost strangled him...come on it is 3pm and people still have not had lunch! Another one, I had to ban from going in to the patients room...he had sent a mommy in who was having her second baby and she was pretty far dilated. We had not even put the patient on the monitor and he wanted to go in and break her bag of water...Hello...can we get her admitted and be sure all is ok first?!?!?
I think we had 10 babies and I left the night shift with 14 patients still on the board.
I made calls - people came in to help us.
Had one patient in the operating room, one ready to move to the next room, when of course we had to 'crash' another (emergency c/section).
Nurses would call for delivery and I had to search for the helper nurse to take care of the baby.
Nurses would ask me to do an ultrasound to check the babies position....and it took me an hour to get in there.
I tried to get the nurses on break - I'd watch their patient while they went, even though it meant I left the desk at one point and my manager couldn't find me (guess my little pocket phone had turned itself off....ooops!!)
One nurse called to tell me the computer wasn't working - I fixed it...a plug in to the electrical outlet does wonders!!
But the computer in the recovery room, I never did get around to fixing.
Luckily though - I did meet some really neat patients and we had nice deliveries
I'm still recovering today.
I think I want to be on vacation again!!!
Saturday, March 12, 2011
They only bummer part of the class is that our instructor wanted us to have a PC running laptop plus Office 2007.
I have been using a MAC laptop for awhile now - still have a PC desktop with Office 2010 so I debated on what I should do...should I muddle through the class with my MAC? Should I run a PC program on my MAC (cost about $200 for that program), or should I just buy a new lap top for all of my school work and keep the MAC for my personal use?
I finally decided to just buy a small laptop. I felt I could do all of my homework for the class on this then give it to my son when I am done with it. Off to Best Buy we went. We shopped around, found a mid priced laptop and purchased this new baby.
I loaded Office 2007 on to it (I had a disk from the IT department) and now I'm ready to tackle this class.
If you know any thing about me...I LOVE to get A's in my classes so I'm willing to spend whatever it takes to help me get there.
So.....I go to our first night of class.
I open the computer.
I push the power button.
The computer starts to load up.
Oops! Someone knocks over a coffee cup....right on to the new keyboard...
I so wanted to say bad words, but since I am attending school at a Christian university I decided to keep those feelings to myself.
The person who spilt the coffee felt horrible.
I felt horrible.
I don't have the kind of money to rebuy a new laptop - nor do I ever buy those extended warranties that businesses sell.
Now how am I going to pass this class with an A??
I stressed about it all week while we were gone.
I went back to Best Buy after we got home...
They took it back, no questions asked and let me get another one to replace it. I was shocked!
Now I can do well in the class. I didn't have to spend extra money....and I won't let anyone set any liquids close to me for the rest of my school life!
Thank you Best Buy for being so customer friendly. I realize that all you do is send the other back and it gets refurbished...but for a starving college student, you saved the day!!
I HEART Best Buy!
Thursday, March 10, 2011
Wednesday, March 9, 2011
Tuesday, March 8, 2011
Monday, March 7, 2011
This is our view from the first morning...quite different from our beach sunset a day or two ago! Yes, that is snow on the ground. It is bright and sunny - but that is deceiving! We went to go out and it is only 25' ~ one definitely needs a coat and mittens - HA!
The current view of Lake Erie...BRRR..Off to the track meet we go. I love these national meets. There are so exciting and only the best in the league get to attend. There are some great athletes here...but of course we have our favorites.