Reflection essay

Reflection essay

Parkway college student:

HU DIE (NNDN 108025)

This is my first time come to A & E department for attachment. It is very different from what I think it all about. We can see some "interesting cases" here. Like one finger been cut off, fall down lead to head bleeding, very bad fever and most excited part is I saw some prison case. This is I never saw before. And I heard CGH is the only place treat the police case.

First day we just do some orientation about this hospital. Know where is where, but I was very confuse that day. This area is very complicate for me. But second day I go to nurse station in the morning and observation room in the afternoon. In the nurse station, we do some treatment for patient. Like dressing, give nebulizer, give IM injection( e.g. ATT injection), do ECG, eye irrigation, sometimes fleet enema, guide the patients where to wait where to go for x ray, provide urine test bottle, and IV infusion Most time we are doing all this. The most impression case was the patient's finger be cut off, bleeding all over. He is really in pain. I feel very scared. Just stand there watch what the staff do. Stop bleeding. And send to the doctor.

Then afternoon i went to observation room, in observation room, some patient come for observe only, but some wait for admission, send they to the ward, during this period, we do vital signs, HGT, give oxygen, monitor ECG depending on the patients' condition. Really can see some patients are very sick. And scream all over. We should calm they down, support their emotion. Luckily I got chance to stand in minor operation room, see two minor operation there. A child's head was bleeding because of fall down. And another case was drainage out the pus from the buttock.

But I think one challenging place for nurses is triage, the nurse should ask every single patient about their history and current complain, pain score, then decide to send to which doctor's room. We must be very observing there. How the patient appears to you. Is he/she in pain? Or any other problems. Then the triage nurses will consultant the patient. Chart down the vital signs, if the patient has diabetes, check the hypocount, if blood pressure really high, we must check hypocount also. It's really a challenge place. If the patient is very sick, then the patient will be sending to resuscitate room straight away. I saw the nurses and doctors work together there. Resuscitate the patient, usually the patient in resuscitate room is very weak. And the doctors are very nice, teach us a lot, how to diagnose patient, assess patient. Most of the patients are elderly. Emergency case, the staffs there work very fast. Most of the patient will be done an ECG, vital signs, that's the basic things need to do to the patient there. We must learn to act fast there. Anything we do not understand must ask. The patients' life's are in our hands.

I got one chance to do CPR in a real patient. The patient needs to be resuscitated. Find that in real situation is different from the theory, we no need to count how many compression have delivered, just do, finally we cannot save the patient's life. I really hope the theory in our

book can happen, hope he can come back. But it never happens. Make me feel very sad. When the doctor said: wait for the line to be flat. Really feel