first big girl job
I am 4 weeks into my first job and I am slowly liking it. When I first started, I was very not used to the environment and the dynamic of people. I guess I was very spoiled by Rush where everything in the EMR auto-populated and calculated kcal, and where Rush has so many services and research, and where Rush has the new beautiful butterfly building... none of these existed in my new workplace. I was very used to handling 4 different things at the same time, so I wasn't used to just doing one thing the whole day -- patient care (but now I understand, I do need most of the day to see and chart on patients... I do take my sweet time though)
Now on average I see 15-20 patients a day, do multiple education mainly CHF and DMT2, do some TF, go to huddle/rounds... Sometimes I wonder if these patients are actually listening to me, but that's the challenge in inpatient setting. Everyone is so into their medical problems but nutrition problems are left out. I hope by the end of the education, they can still get key points out of it and be curious and get more information for their own.
I hope I can be involved in the outpatient clinics when the new building is done. My hospital is not that bad and actually does a lot for the community. However, it's in a bad neighborhood so people always assume it sucks. Some nurses and doctors are lazy and mean to patients, but most of them are really nice. They do try their best to make them feel better but what can we do when the patient kept refusing care. IF you don't want to be taken care of here, then go somewhere else and do not complain!
Some difficult patients I had encountered so far:
1. Renal patients with multiple wounds -- protein? no protein?
2. Patients who are not aware of their own medical diagnoses and I had to break the news in in someways that I am not diagnosing them
3. Malnourished old patient with dementia -- gtube or not?
Now on average I see 15-20 patients a day, do multiple education mainly CHF and DMT2, do some TF, go to huddle/rounds... Sometimes I wonder if these patients are actually listening to me, but that's the challenge in inpatient setting. Everyone is so into their medical problems but nutrition problems are left out. I hope by the end of the education, they can still get key points out of it and be curious and get more information for their own.
I hope I can be involved in the outpatient clinics when the new building is done. My hospital is not that bad and actually does a lot for the community. However, it's in a bad neighborhood so people always assume it sucks. Some nurses and doctors are lazy and mean to patients, but most of them are really nice. They do try their best to make them feel better but what can we do when the patient kept refusing care. IF you don't want to be taken care of here, then go somewhere else and do not complain!
Some difficult patients I had encountered so far:
1. Renal patients with multiple wounds -- protein? no protein?
2. Patients who are not aware of their own medical diagnoses and I had to break the news in in someways that I am not diagnosing them
3. Malnourished old patient with dementia -- gtube or not?
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