ED practicum - page 2
I'm going to have my practicum at an ED both peds and adults. I would appreciate it if anyone would please let me know things that I have to be knowledgeable about to be a good standing student.... Read More
Mar 20, '11Quote from nursing.mypassionYou only really need the gray matter between your ears.
I'm a little worried however in terms of what to prepare for the 1st day of ED practicum. Do you here have any ideas
Get up early. Eat a good breakfast. Coffee optional. Pack a lunch
(you don't want to waste time getting it from the cafeteria should you actually GET a lunch)
Pack finger foods: Sandwich, SunChips, Chewy Granola bars, other snacky-things
that you can eat on the go. A water bottle or two in your bag.
Show up a little early.
Clear your mind of as much anxiety as possible so you can observe and learn.
Ask lots of questions. Thank the people that help out.
A thank you goes a long way in getting invited back.
Send a card when you're done. Again "Thank You"
Lastly- Have fun
Mar 20, '11I think MesaRN gave an excellent list. One more thing I would add for you is just be a go getter. In my few months experience in the ER I fine the nursing students to be a little hesitant at doing things. They tend to not want to get their hands dirty so much and sit at the nurses station. The EMS students are the ones on top of everything to say the least and asking every one if they need any help. Just don't be afraid to get your hands dirty and be ready to learn a lot. Don't sit at the nurses station the whole time. You'll do great! You already have a good start by asking what you should expect/do. Have fun!
Mar 20, '11Yes, I've started just bringing our disposable thermometers in to give to parents when they bring an afebrile kid in with a fever.
Also, had a patient recently who threw up. Once. That morning. And parents rushed her to the ED because "they take no chances."
The patient whose vision is blurry when they don't wear their glasses is still my favorite "OH NO THEY DIDN'T" story.
Strep throat is going around now, RSV is still strong in my ED.
Mar 28, '11Quote from MesaRNThis is what I send out to our senior students before their ER rotation:
Items to Review
Whether you have done a lot of IV starts or none at all, don't worry!! Learning is what the rotation is for! I just want you to be familiar with the procedures so you know how to measure the NG tube before we place it. Don't be nervous about skills, there will be ample opportunities to practice in a safe environment. Review these skills:
NG tube placement
OG tube placement (with a ventilated patient)
EKG lead placement
3 lead (red, white, black)
12 lead placement
Foley catheter placement
Straight catheter placement
Remember, just a few important points about each. Why would it be used it in the ER?:
Magnesium (what type of dysrhythmia is it used to treat?)
What drug do you use to reverse opioid overdose?What drugs on this list are narcs?What drug do you use to reverse benzodiazepine overdose?What drugs on this list are benzos?
Systems ReviewCardiac:Keep pathos short, I mean 10 words or less!!! Think about assessment!! You will be doing a lot of focused system assessments while in the ER.
Common signs of an MI
What is Troponin? What does it mean if it's elevated?
Be familiar with the following rhythms:
What does supraventricular tachycardia (SVT) mean?
Normal Sinus Rhythm
What is shock?
What are the four (major) types of shock?
What is anaphylaxis?
How do the kidneys regulate BP? (no long patho, just the big picture in 10 words or less)
Common signs of a kidney stone
How does the liver effect clotting (in 10 words or less!)
Common signs of appendicitis
Common signs of cholecystitis
What is DKA? What are the common sign and symptoms?
Common signs of a stroke
Differences in treatment of hematic stroke vs ischemic stroke
Common signs of herniation
What is involved in a nuero assessment?
What is a Glasgow Coma Score?
Common signs of pneumonia
Common signs upper respiratory tract infection
Croup, RSV, bronchitis, pharyngitis (we see a LOT of these!)
LOVE YOU LONG TIME
Apr 7, '11Another one for kids: CIAMPEDS
C: EC + duration of illness
P: PM Hx, Parents' perception of illness, Prenatal/birth hx
E: Events around illness, sequence
D: Diet, Diapers
S: Symptoms associated with illness / progression of symptoms