Tuesday, February 21, 2012

Intensive Practicum @ICU Week 1


LEARNING FEEDBACK DIARY
By
Mary Julia An BSN 4E

FIRST WEEK: Who we are?
Caring for patient whom are critically ill is both challenging and interesting job. It entails a lot for responsibility, carefulness and struggles. This is how I view the work done in the Intensive care unit. Before, I always had this fear being assigned in the ICU because of such occurrence of medication error, negligence and misconduct. Patients in the ICU are really sick and I fear that I might worsen it. But now that I stepped into another level of my nursing career, I find it very interesting and challenging to be assigned in the ICU. I’m very glad that my clinical instructor is Sir Amer de Castro as the Nursing Service Director it gives me more advantage and confidence to do my task. In our first week of duty, we had a theme: WHO WE ARE. It was more on knowing ourselves like using the strategy of SWOT analysis thereby revealing what is within us. Our goal was to know our clinical instructor, our colleagues and who we are. We were able to know and meet our colleagues by knowing their name, hobbies, experiences and plans for the future. Most of us have identical plans like pursuing the board exam, searching for jobs and working abroad. It was very comforting for me to share whom am I and what are my plans to the group. I specified that one my plans was to pursue my Master’s degree and also to work abroad but I emphasized that I really want to work in the ICU or the ER. In my duty in the ICU, I was then faced with so many struggles. One of which is I still find it hard to adjust on my rotations. The past weeks I was circulated at the OR and DR. In these areas, we seldom do chartings and now I still adjusting on doing my nurses notes. Almost 3 months of duties without nurses notes, I say! Secondly is I really find it very crucial when I deal with the relatives of my patient. I somehow had this conflict against the relative of my patient because after suctioning that patient’s tongue protruded and the response of the relative was somehow negative against me. I was like depressed for a day and disturbed by the incident. But then after that incident, the relative approached me and told me that “ Mas Kampante ako pag ika ang nurse kang mama ko.” I was really touched and my routines in the ICU went smoother and organized. Recognition is really effective! By that moment, I was relieved and my mood starts to be better unlike before. My goals for next week is for my duty to be more organized, knowledgeable in all my medications, improved therapeutic communication, familiarized with all equipment  and improve my skill in doing such procedures. May God be with me!