I’m allocated to an orthopaedics ward that made me very anxious as I’m a medical nurse, however, 2 weeks later, I’m still breathing.
As a surgical ward, it is very fast and busy. People come and go. There could be 8 discharges and 5 admissions in a day. So just need to speed up yourself. Work is more like running on a treadmill.
The ratio of nurses to patients is about 2:8~12 , depending on the number of discharges.
07:00 Handover from the nurse in charge
07:30 Bedside Handover from the last shift
08:00 Meds run
09:00 Personal hygiene (May need to shower patients, depending on their mobility)
Tea break for 15 mins
10:00 Care plan/ risk assessment/ discharge/ ward transferring
Lunch break for 30 mins
14:00 Meds / hand over
My reflection (pros and cons) :
I like the design of “break” here. Although it’s a very busy day, you still can have your break. My mind is more fresher and relieved from being away of the environment stress.
Most of the patients are trained to be independent here.
Rights of the patients
The patients are very involved in decision-making. The explanation of every procedures are conveyed very well. Patients sometimes have better knowledge than you on medicine.
High quality of the dressing
Very rich and expensive dressing on the stock. Looks like it’s free for them, unlike we always have to charge extra on the patients in Taiwan.
Assist the patients for further health care
$5 meals + unlimited hot chocolate for employees
In contrast, I’m not fond of personal hygiene part as I don’t really expect this would be a part of RN role.
In my opinion, we have 1:1 Nursing assistant/ personal carer in Taiwan, so the patient can maintain better personal hygiene. ( But I suppose different hospital has different policies)
Sadly that I can barely read the order and other handwriting documents. I really need my imagination, but most of the time it just doesn’t work. Ppl say doctors hand writing is universal lol , is that true?
Non UDD system
Most of the medications are stored in the draw next to the patients or on the stock in the drug room.
It is already hard for me to read the orders, the medications are always on different brand or generic names. Non UDD system can really cause administrating wrong medication incidence for new staff.
IV route can be IV(intravenous) or IF (Intravenous infusion)
You need to check your med books!
Overall, it’s a whole new practice for me, and I do really enjoy it so far. 😀 I just need to build up more knowledge and experience to fit myself in the industry.
4 more weeks to go! To be continues…..