Wearing a white lab coat and rounding with the trauma team, I got numerous quizzical looks from my coworkers! It was like, "Who does she think she is? She's only worked here for a year, and now she's walking around with the doctors?"
On Tuesday, I shadowed Ann, one of the nurse practitioners on our trauma service. We met at 6am to get report from the residents that were there for the night, then the day resident, nurse practitioners (
NP's), and physician assistants (
PA's) went to make rounds on their patients in the ICU and on my floor of the hospital. At 8am, everyone met with the consultant (head doctor) to go over all of the patients. During that conference, they went over what's going on with the patients, treatment plans, discharge plans, etc... Several phone calls were made to consulting services in order to coordinate plans and assure the things are happening that need to in order to get patients' surgeries or be ready for discharge. Next, the whole team made rounds together with the consultant. We were almost finished with rounds when the trauma pager went off.
We ran to the ER to prepare for a category one patient from a vehicle collision. The patient went unconscious and
pulseless soon after arriving. I saw several firsts, such as the insertion of a couple of chest tubes, CPR for 10 minutes, confusion and trouble shooting as to where the patient was bleeding, and massive blood transfusions. After transfer to vascular radiology, they were able to identify where the bleeding was. In the operating room, they uncovered where the bleeding was and packed it with gauze to stop it. After 60 units of red blood cells + 24 litres of fluid and other blood components, the patient did not survive. The rest of the day gave me a chance to see Ann make phones calls, talk to patients, and write orders and prescription. I also got to ask more questions to help me understand the work of and NP, PA, and resident as well as how we as nurses can interact more effectively with the team. For those of you interested in NP or PA, I would be more than happy to tell you more about what I learned.
AFTER a nap, I went to
L'Abri for a movie night. The main issues discussed were pacifism, violence, and nonviolent resistance. Afterwards, I had an interesting talk with
Ubng, a guy from Sudan. Just to hear his story after reading the book,
A Long Way Gone
, was interesting. He was first being introduced to the alphabet when he was around 12 or 13. Someone told him he should learn it because people could send a letter with him telling someone to kill him without him even knowing it. Later, he saw the letters somewhere else and realized that he could recognize them. He then walked hours to get to a school where he progressed through the 7
th grade. In order to keep from being forced to fight, he left school and eventually escaped into Kenya. He and his brother made it to the states, but his brother was on dialysis and
Ubng did not make enough money to pay for that. Eventually, he donated a kidney to his brother, who has now finished a master's degree.
Ubng is going to college now taking general classes and ESL. His dream is to be able to help his country find peace by means other than the gun. He says that even if some of us can go over there for just a week it can be a big encouragement.
Yesterday, I went to
L'Abri again to watch part of the video series called "How Should WE Then Live" narrated by Francis
Schaeffer. I hope to go back and watch some more when I get the chance. It was so much fun to help Rachel and Jo make supper. I guess I really do miss getting to cook with others instead of just by myself. We had
excellent carrot soup, bread machine baked bread, and salad with lettuce from the garden and homemade dressing. Maybe the best part was that a lady, Gloria Petersen, Ph.D., head of genetic research on pancreatic cancer at Mayo, came to eat supper and discuss DNA, RNA, her research, and all kinds of issues within the field of genetics. She is so enthusiastic about what she does, making the discussion very interesting and insightful as we talked about everything from genetic testing and its implications, gay genes, God/religiosity genes, microwaves, the Hiroshima bombing effects. The best part was just boggling our minds with the seemingly infinite detail of God's creation as we continue to discover more of what He created and knew long ago.