Normally, I started work at 2: 30 pm yesterday and got off work at 8 pm on time, but I didn't leave until 10 last night. Now let me talk about my workflow.
As a nurse, although many people go to work every day, their responsibilities are different, and everyone has their own needs to do different things.
At 2: 20 p.m., I have changed my clothes and checked at the nurse's station to see if there is a shortage of various instruments and spare emergency medicines in the department (if there is a shortage, I must ask my colleagues in the previous shift where the missing things are, whether they are borrowed or used by patients, and if they borrow them, they must have an iou, and if the patients use them, they must also ask the doctor to return them).
It's about 2: 30 after checking the items. I began to send all the information of patients who need infusion tomorrow to the pharmacy, and then I began to check the doctor's orders of all patients in the department with another nurse. I took the blood pressure register and looked at the doctor's orders in the computer one by one. She looked at the printed list and the blackboard and checked them one by one. The content of the examination is what the patient is doing every day during his hospitalization. What treatment do you need tomorrow, what medicine do you need to use again, what medicine have you stopped using, and whether the stopped medicine has been signed. Sometimes doctors have to remind doctors when they forget their orders, and doctors have to remind them when they make mistakes.
The relationship between doctors and nurses is cooperative, complementary and indispensable. However, there have been some misunderstandings about nurses in society, and nurses and doctors are subordinate.
Take the patient's temperature after the doctor's advice is checked. Everyone in the ward needs to take a temperature check every afternoon. After the measurement, all the data need to be input into the computer. Just as I was about to input the data into the computer, an operation came back. At this time, I have to leave work to deal with the doctor's advice of the surgical patient. I must send the medicine she needs to the pharmacy in time and inform the patient's responsible nurse what medicine to use at this time. When the pharmacy brings the medicine for the operation patient, I must use it in time.
At this time, all the medicines have been brought back, mixed with the medicines of all patients in the department and the medicines just returned from surgery. I need to separate all these drugs into individuals. In order to avoid mistakes, I need to check and reorder these people's medicines according to the delivery list and doctor's order.
While I was busy, another surgical patient came back. Look at the time. At this time, it is about half past three. The patient undergoing the operation is still in the charge of the last nurse in charge. I am only responsible for telling her what medicine to use and what treatment to do according to the doctor's advice. As usual, I need to do some treatment and send the medicine to the pharmacy. Just ten minutes ago, I heard the nurse who received the operation say that the patient was bleeding and immediately reported it to the doctor. They are busy in the ward. I shuttled back and forth between the nurse's station and the treatment room, while handling the doctor's orders, while the pharmacy kept sending medicine here. For this bleeding patient, we continue to give her medication, hemostasis and blood transfusion. Back and forth, the patient was busy until five o'clock, and the family members especially thanked us. At this time, the patient's condition is stable and all vital signs are stable. As a result, I came back from surgery again. We were busy for a while, and it was no problem to have an operation as usual, but there was a rescue today, so all the treatments were chaotic. I've been sorting out drugs in the treatment room. Although I have interns to help me, they are interns, so I have to do everything myself.
It's 5: 30, and everyone has started to get off work. The nurse on duty and I need to shift at the bedside. We should check every new patient admitted to the hospital today, patients undergoing surgery today and special patients one by one to see if the situation has improved and if there are any special patients. By the time I got off work, it was already six o'clock in the afternoon.
After the shift, the nurse in charge of the operation did not leave in the afternoon. Instead, everything she did today was recorded in the computer and she didn't finish her work until eight o'clock in the evening.
After 5: 30, I was the only one on duty with a rotating student. In the afternoon, the unfinished work of temperature admission began. At the same time of inputting body temperature, there is a bell ringing to change water. I have to deal with the doctor's advice. Some patients need infusion, so I continue to work repeatedly until 8 pm to take over.
Like the last class, my night shift colleagues and I also need bedside duty. From the first shift to the last shift, it was already 9 o'clock, and I started to work overtime. I also record everything I do during the day in the computer case. I also need to record the personal situation of new patients and special patients today in a paper book. After working overtime, I finally finished my work. As soon as I looked up, it was already 10, so I washed my hands and went home.
When I get home, I think all medical staff should take a bath and remember whether there are any omissions, mistakes and failures today. This is a habit.
It's early in the morning when I'm ready to sleep. My family asked me if I was hungry after not eating all night. I said I was just thirsty, not hungry at all, and I drank a cup of boiled water before going to bed.