Monday 24 March 2014

Nicola Credland's Uganda blog - entry 5

I have had another eventful day spent mostly  on ICU teaching and working with students, nursing and medical staff. I taught ABCDE assessment and management of airway obstruction. The doctors were equally as excited about learning this as the nurses. I also showed the nursing staff how and why to document vital signs in the ICU observation chart. 
I watched a dressing change for a grade 4 pressure ulcer. The patient had been on ICU following a motorcycle (boda boda) accident. He had a GCS of 7/15. The patients’ family undertake all personal care with no direction from the nursing staff. This patient had a huge sore to his right hip approximately 25cmx20cm and down to the bone which the doctor scrubbed with a scrubbing brush and then soaked with non sterile gauze and hydrogen peroxide. Finally he packed it with vinegar soaked gauze and non sterile dressing!  All of this with no analgesia.

1 comment:

  1. Informative article. Follow this guide and stay on the right track for higher chances of acceptance in an observation program. Write an amazing observership personal statement!

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