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Adventures of a smart-ass - Back to Clinicals
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Fri, Apr. 4th, 2008 08:55 pm
Back to Clinicals

 This week was supposed to mark the beginning of my second round of clinicals for this semester - Pediatrics. Which it did...sort of.

The Monday before Spring Break we had a meeting to prepare us for clinicals and to meet our instructors. At this meeting we had a small bomb dropped on us (it was dropped on the clinical instructors as well) - the school had to pull all clinical groups out of SFGH due to low census numbers (not enough patients for the 10 students) and therefore had to move them to all the other clinical groups. Which is fine..except that my clinical already had 10 people, and now had 13. And Children's Hospital Oakland (CHO) only allows 8 students at a time on the floor. So there was a problem.

And how did the School of Nursing address this problem? They decided to launch their Simulated Lab a semester early...which means I got to spend two days this week in a trailer with 9 other classmates running simulations with a computer and a robot baby. Which could be very cool except this is the SFSU School of Nursing we are talking about here...and they really weren't ready to do this, thus we are their guinea pigs as they develop this program. (Oh, and the husband and wife team are too much...and not in a good way. She's the nurse, he's the techie. And he is one big annoying fuck. Ugh!!)

Also this week was supposed to be two days of Orientation at the hospital itself. But thanks to this new Sim Lab thing, we missed the first day yesterday (we're actually not supposed to go to clinicals AT ALL the weeks we are doing the Sim Lab). But the 4 of us who missed yesterday went over this afternoon for the last day of Orientation.

OH MY GOD!! After 4 hours with the instructor, I am SOOOOOO excited about this clinical. Yes, I will get less time on the unit than I would like, but at the same time I can see that I am going to learn so much. Today she spent over an hour doing something no instructor yet has done - she showed us how to fill out the paperwork, how to properly do all the documentation we need to do. 

And then she handed out the schedule for the semester. Unlike many of my classmates in this clinical, I get to rotate off the unit to do two days of observation, in the two areas I wanted most - Pediatric Intensive Care (PICU) and Pediatric Oncology. Yeah, I know neither is going to be particularly easy, but I do know that after my time in the NICU earlier this semester I had to experience the PICU. And at the same time there is something about Pediatric Oncology that I'm drawn to...as hard as it may be at times, I also know that I will learn so much from the kids and their families. And in both cases, there is something about knowing these children (and their families) need excellent care and attention that appeals to me. Plus the fact that I HATE seeing any child suffer and would do all I could to help fix that.

Stay tuned...

Tags:
Current Location: home
Current Mood: jubilant

9CommentReplyAdd to MemoriesTell a Friend

hotelbearsf
hotelbearsf
Mark
Sat, Apr. 5th, 2008 04:31 am (UTC)

You rock! Glad it's all working out for you!!


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nakednsf
nakednsf
nakednsf
Sat, Apr. 5th, 2008 04:48 am (UTC)

Thanks!!

Me too! Now we just have to see how it all REALLY unfolds...


ReplyThread Parent
kitchenbeard
kitchenbeard
KitchenBeard
Sat, Apr. 5th, 2008 06:01 am (UTC)

I'm stunned that this is the 1st time they reviewed how to do the paper work!


ReplyThread
nakednsf
nakednsf
nakednsf
Sat, Apr. 5th, 2008 06:08 am (UTC)

well, yeah, us too.

before this we all had to grab our nurse to show us how to do our documentation. and at UCSF it was all on the computer - at least this clinical it's still paper. now we each have a template to carry with us to help every time we document.

i get the sense that i'm going to really like this instructor as well - and perhaps it will help with a future job or my last semester placement...


ReplyThread Parent
dc_gay_man
dc_gay_man
dc_gay_man
Sat, Apr. 5th, 2008 09:17 pm (UTC)

Hope you can share some information about the definition of pediatrics (from the nursing perspective). Congress and the FDA define pediatrics as someone 21 years of age and below. Some physicians define it based on Body Mass Index which means that very small 24 year olds are pediatrics.

What is pediatric mean in your context? What is the upper age limit or upper end of the definition?


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nakednsf
nakednsf
nakednsf
Sat, Apr. 5th, 2008 10:48 pm (UTC)

For us (and for Children's Hospital) Pediatrics generally ends at 18 - that's when most people start going to see a General Physician. Now, in some cases, adults still go to the Pediatric Hospital - those who have had a chronic childhood disease (like sickle cell, childhood cancers, etc). This is primarily because they want to not only remain with the care team they've come to know and trust, but also because most health care teams at regular hospitals don't have the experise in these areas as those working in Peds.


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dc_gay_man
dc_gay_man
dc_gay_man
Thu, Apr. 10th, 2008 12:35 am (UTC)

Thanks, I am coming to town next month and heading to RANGE which you two seem to enjoy. Would welcome any other cuisine suggestions while in town. Thanks again, your journey is worth the read. - Joel


ReplyThread Parent
nakednsf
nakednsf
nakednsf
Fri, Apr. 11th, 2008 05:28 am (UTC)

Range has quickly become one of our favorites! Three times there, three great experiences.

As for other places, there are lots of great places here - is there a type of cuisine you prefer? Do you want more casual or more upscale? Or both?

For upscale, two of our faves are Boulevard and Gary Danko (pricey, but worth it). If you can get a reservation, Slanted Door is always amazing as well - and a great location/view. If you are a big meat-eater, Incanto in Noe Valley is a great choice. Catch in the Castro is a pretty good seafood place.

Hope that's a good start! How long are you in town?


ReplyThread Parent
dc_gay_man
dc_gay_man
dc_gay_man
Fri, Apr. 11th, 2008 03:56 pm (UTC)

I am in-town for a conference on Monday, May 12th - Saturday, May 17th. I've been following both of your leads - Enjoyed Gary Danko last year based on your recommendation.

I don't have a price point for a meal nor any preferences. I just want the best experience while I am in town. Appreciate the insight on restaurant choices!


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