1) Today I learned how to treat a patient with hyperemesis and a hematoma. I also learned more about diagnosis someone with a stroke. I got to see an ultrasound. I learned that the dark spots on the ultrasound have fluid in them such as the stomach and kidneys. I got to see the FHR monitor in use. As well as the doppler. I learned that when the black blocks appear on the paper that only 10 minutes of the strip is left. I also assisted with moving a mother who had an epidural. My nurse also helped me understand how to read the FHR strips better. She explained to me that contractions need to be at least 60 seconds to count and that if you see a small contraction it can often mean the patient is moving. Professor Camack also explained that the baseline of the contractions need to be up at least 10 seconds. She explained that a flatline is not a baseline. I also assisted my patient’s family as well today by doing as much as I could for them. I learned somewhat about the Medicaid process and how the patient can get vouchers to get her prescriptions until her Medicaid is approved. I also learned about gas reimbursement for the patient who drives herself through certain companies. I also learned about TPA which a clot buster for strokes is and that it needs to be given within 4 hours. I also learned that pharmacy must make it in about 10-15 minutes.
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For example, when a new patient got admitted one of the nurses asked my nurse if my nurse would be alright with having her as a patient instead. She told my nurse that she had already assigned her to my nurse room, but she just wanted to make sure my nurse didn’t have to much work