I was both excited and nervous for my first clinical experience. The alarm clock went off at 4:45am and too my surprise I had little trouble waking up that morning. The day proved to be a long day, but I am no stranger to working my butt off. I found many of the tasks I performed were similar to those of my daily routine and looking after my children, but on a much larger and more aseptic scale. I am familiar with constant hand washing, but still have to get use to the constant habit of changing gloves. I will tell you this; I will never again leave the ice scoop in the cooler. A CNA said to me, “Let me stop you there,” and I knew right away what I had done. Yup, I left the scoop in the cooler, closed it, and walked away. The CNA was nice in the way she corrected my wrong doing and I was happy to get any advice from anywhere that I could. Aside from forgetting my name tag and having to go all the way back to Ridgeway and get it before clinical at 6:45am, my day was fairly un eventful, but I did have some memorable experiences.
I spent a majority of the morning waking people up, cleaning their perianal areas, dressing them and then serving them breakfast. I did have the privilege of helping a lady that could not see with her breakfast. She did not say very much and had a hard time hearing, but I will tell you this, she loved chocolate milk. She had three cartons of it and kept telling me how delicious it was. I learnt a lot throughout the morning, but my real learning experiences were about to begin.
We had just finished helping the residents perform their morning routines and get ready for the activity of the day, which was cooking something in the activities room. Most of the residents were very excited about that. A CNA grabbed me and said, “Have you showered someone today?” “No, no I haven’t,” I said. “Alright, you can help Jessica with showering a resident.” So off I went to help with what is such a simple, personal task for me. The lady I got to shower was a character and a joy to work with. She was so patient and gave me much needed tips on my “technique.” She was a colorful individual without much shame. Washing her back and limbs were pretty straight forward and too my surprise somewhat easier then washing a stiff, helpless mannequin. I have that part down, but the mannequins back at the nursing lab at PHCC do not have cellulite rolls. I got to the point that I needed to wash the torso and the resident looked down at her breasts and said to me, “Here, let me lift up these big old things for you. Be careful, you might find a cornflake in there.” I was surprised at how straight forward she said it and it brought a smile to my face and helped to lighten the mood. The resident said the same thing about her stomach and instructed me on how she liked it to be cleaned and told me all about skin break down. When we had finished the shower, the resident said that she had a tip for drying people with big bellies. She picked up a towel and rolled it up, lifted up her belly and tucked the towel under her belly. “There,” she said, “just leave it there for a bit and it will dry it right up without causing irritation.” I thanked her for the tip and we finished with her powders and lotions. I must say that I was surprised with the use of powders on the residents because our books said not to use them.
We finished up with our resident, dressing her and helping her settle into her room. Just as soon as I walked into the hallway, Ms Hubbard grabbed me a said, “Go help Liz.” I see Liz walking down the hall and rush to catch up with her. I told her I was there to help and she was very relieved. One of the residents kept attempting to get out of her bed and Liz had been trying to figure out what the lady wanted. Scott had also come to try and decipher what the lady wanted. She was hard to understand and for the most part was incoherent and rambling random sentences; random to us, but I am sure significant to her. We thought that maybe she wanted to sit up and perhaps get in her chair and go for a stroll. We did everything by the book. Introduced ourselves, raised the bed to working level, and did a two person lift to assist her to the seated position. Once we got her seated, she said something we understood, “Dress me in something warm.” Liz then proposed that maybe she was just cold. It felt like it was 150 degrees in there, but hey who are we to argue. The resident was wearing just a gown, so we looked in her closet and found a warm robe and helped her into it. This task is completely different this dressing the mannequin and is fairly harder than dressing my children. It seemed like we fumbled our way through it and got her dressed, laid her back down, covered her and lowered the bed. We asked if that is what she wanted and got another random sentence. She looked at her robe and seemed to be pleased. She touched it with her hand and rambled off another sentence, but seemed more content. We were all getting ready to leave and the resident looked at Liz and said, “I love you.” She then looked at me and said, “I Love you too.” Last of all she looked at Scott and said, “I even love him.” I am guessing by this out pouring of affection and the fact that she stopped trying to get out of bed, that we had discovered what she wanted.
I will probably remember these to experiences, not only because they were my first official nursing student experiences, but because of the residents. I have had experience dealing with similar situations and I helped a lady out at her house once, but dealing with people who are in a place where they are reliant on others is a different story. Then vulnerability of these residents during these instances was really brought to light. The work we did was hard and tiresome and was by no means glamorous, but I actually enjoyed it for the most part, setting aside the perianal care of course. I am excited to go back and actually wish that I didn’t have to wait until Thursday. My first clinical experience has actually excited and encouraged me for what is to come. I knew that the work was going to be hard and know that it is going to get harder, but nothing worth anything in life comes easy and I am ready to work as hard as I have to so I can accomplish my goal of becoming an RN in 2013!