Day 11 of my Acute Care Placement and my return to Surgical Ward. After a wonderful, if not busy 8 days in Medical (Days 2, 3, 4, 5, 6, 7, 8 and 9). My day was less about assigned patients, as I was buddied with another EN, and more about getting things done, getting exposed to some new procedures and supporting the team.
The EN I was buddies with was great, they had recently been employed by the Facility following their placement with the facility some months prior. They were knowledgable, friendly, respectful and willing to educate on some local procedural things and Nursing tips in general. We worked well as a team, dividing and conquering where we could, and buddying up where appropriate. We admitted patients, discharged them, prepped for theatre, observed, documented and generally Nursed away the day, which seemed to evaporate again. They were a pleasure to work with, and look forward to spending time with them tomorrow.
I had the opportunity to remove a Jackson-Pratt drain from a patient, following their abdominoplasty. The procedure is simple enough, it involves releasing the vacuum from the drain, cutting the anchoring stitch, and removing the drain by pulling it out of the body. Simple enough. Only the Facility I am at perform the task differently. Instead of using the wound tray and tools inside to handle the drain, wound or otherwise, they add in Sterile gloves and a whole new series of steps. With normal gloves, you prepare the area, move your drains around and other dirty tasks. You wash and don new gloves, open your wound pack and clean the area with saline and swabs. You then de-glove, scrub up, and don sterile gloves, which you then use to hold the drain with a pair of forceps, cut the stitch, pull the drain, cover with gauze to ensure there is no leaking then bandage appropriately. Because this procedure was different to what I was expecting, I looked the right goose in front of the patient as I was almost coached through the procedure by my facilitator. Lesson learned, talk before the procedure to ensure there are no massive differences in technique.
I felt accomplished by the end of the day, despite the fact that I don’t know where the time between 0930 and 1430 went. Tomorrow promises to be not only a good day, but an even busier one, with one of the Surgeons returning from leave and taking up patients again. I am looking forward to the challenge.
Maintain the Rage