Previous to getting my job at Signature Healthcare, I was working at Beth Israel. I was a new grad at that time. I went to a job fair for Brockton Hospital. I wanted to move closer to home. I was hired Sept 2007. I worked the night shift. Around this time, nursing documentation were going computerized. I attained most of my med surge skills while working at Brockton Hospital. It was a busy 40 bed unit. The floor I worked on we received patients just undergoing gastric bypass surgery. Also assisted in caring for patients having hip and knee replacements. I've done peritoneal dialysis using sterile technique. The hardest part of my job in any of these position is when patients takes a turn for the worst. One particular even was a patient that just had surgery. He was stoic and claimed he was ok. I noted that he sweating. Took vitals and blood sugar. Blood sugar was ok but vitals were off. His bp was in the low 100's and his temp was 99 and hr 140. I did notify Dr, concerned pt may have complication from surgery and RN suggested restarted pt on IVF. Asked that Dr. come up and review patient. He ordered cbc, chemistry panel and a lactic acid. Ordered IVF be increases to 200 cc/hr and added broad spectrum antibiotic IV. The hct was low, so had to place a second IV and get unit blood started. MD ordered telemetry. Patient had unit blood running, and NS set to kick in once abx infused. It is always a good feeling helping pt stabilize.
Excellent learning experience
Wanted telemetry experience, and 12 hour shifts.