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.
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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