Nursing Journal Day 4

For my May term course I have to keep a journal of daily events. It’s our first course that’s hands-on with patients. In the end we will qualify as CNAs. That’s the frame of reference for the journal, just so you don’t expect too much. Since I have to keep a journal, why not share it on my blog?

Added this morning: NANDA nursing diagnoses, objectives, interventions, evaluations, and IV information.

Today we were all supposed to perform and observed, graded shift assessment. This is the assessment the nurse does on the patient when they first see them at the beginning of the shift. Unfortunately, not everyone got to finish their assessment for a grade today because of timing.

I was given the opportunity to see a PICC line inserted today, but apparently the person performing it was new and a little student-shy. Hopefully we get to see the process tomorrow instead. It will be good to get ourselves used to these procedures.

I assisted a physical therapist who was trying to get a patient to stand and possibly walk using a walker. The patient was having none of the standing part, especially since his hospital stay was due to a fall. He did try to bite me twice, though he didn’t seem to serious about it.

I helped my patient get ready for her bed bath, and I changed her sheets when she was done. I also performed an ungraded shift assessment. Luckily it was ungraded, because I probably would have failed. Checking pulses is kind of a big deal. At least it should help me remember tomorrow. Also tomorrow I hopefully remember turgor. I have forgotten that the last two days.

I am impressed with some of the questions I hear my classmates asking and some of the observations they make. They seem like they will make really good nurses.

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