Friday 5 December 2014

Fridayyy

We started our day by being introduced to 'short' Hynie who most definitely personified in character and appearance what you would expect of an in-charge nurse.

I spent my day between Triage, spying on the Resuscitation room, and Urgent Care (the green zone). In triage wads of documents are produced, of which half a page is filled out, and on every patient data sheet is an OR code - very forward if you ask me! I assisted the triage nurse with taking patient's blood pressures and evading the eyes of injured Romanians who poured forth torrents of information in words I couldn't make any sense of. I handed over a couple of these patients to the relevant ED section and found that I couldn't really follow the ISBAR or IMISTAMBO format when the only info you have is their BP, pulse and oxygen sats! I still haven't even found a manual sphygmo in the hospital.
In the Resus room, Jason and Amanda experienced their first cardiac arrest and were the main ones carrying out CPR on the patient - both exciting and ironic seeing as I'd discussed this 'goal' with Amanda only 2hrs earlier at lunch! It was really cool that they could be so involved because our scope of practice as non-Romanian speaking students is so far not excellent.
Tori also had a good day on the ambulance, following the Doctor and bringing a couple of patients from the city into SMURD. We both spent the last couple hours of the day in Urgent Care (which is fairly sub-acute) and were slightly shocked to see a complete tib-fib fracture, and a very intoxicated patient who refused surgery and decided to instead go home with only a plaster cast! Romania. I made the most of my last 5minutes of the working day to jump in and take the opportunity to cannulate with a new admission.
It's funny, the day can seem pretty ordinary and then one or two things happen and the day's transformed because you learn a significant lesson or practice something cool or add a new experience to our paramedic life!

Sharps disposal and gloves bin
It's the eve of St Nicholas's Day and since it's widely celebrated here the main street of town is completely lit up spectacularly. It's beautiful! Aushi and her boyfriend met us and we drank mulled wine and appreciated the lights and christmas spirit :)


Amanda, Hannah and myself

Mulled Wine



2 comments:

  1. Please translate ISBAR, IMISTAMBO, sphygmo - just trying to understand your post. Sounds like an amazing day - well done! love Mum

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  2. ISBAR = introduction, situation, background, assessment, request
    IMISTAMBO = introduce, mechanism of injury/medical complaint, illness/injury, treatment; allergies, medications, background, other info
    (essentially these are handover tools)
    sphygmo- sphygmomanometer = blood pressure measurement cuff

    thanks for reading! :)

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