Wednesday, February 23, 2011

Take over?

So why didn't I post anything yesterday? Probably because I was utterly exhausted. Since my preceptor was gone yesterday, I did the entire position all by myself. Yep. Everything. I did the daily monitoring, reassessments/assessments, TPN orders/recommendations. Let's just say that my brain hurt. It was good to know that I understood everything, but just the daily steps and tasks and in what order threw me off. 

But if anything, this rotation has exercised my practice with TPN the most. Especially the way that it's ordered and how to regulate labs with what's in the order. I learn best by being thrown into things and finding my way out by learning how things are done, and that's completely what this preceptor did yesterday. I really don't think I'd have as much improvement with my understanding of TPN if it weren't for yesterday.

Luckily my preceptor was back today. I was able to ask questions from Tuesday and get feedback. After going to rounds again this morning, it wasn't quite as overwhelming as it was on Monday. I finally got the idea of what to listen for, what to write down, what to be thinking about. I'm excited for tomorrow as I think I'll be able to think of recommendations as we go along. It helps a lot more too that I'm getting a better idea of each patient, what their medical issues are, what they're nutritional past is, etc.

Otherwise, I'm just getting ready for the weekend. I get to take my car into the shop again. GRR. Just what I need is 60 hours a week of unpaid work and my car acting up. It's wonderful. *Insert sarcasm*

It's crazy to think that I'm almost halfway through my clinical rotation already. These weeks are really flying by. It seems as though I just start one rotation and then a few days later I'm emailing my preceptor for the next week and starting the homework. Although I'm not complaining! The faster this internship goes, the more I learn and the earlier it seems I can start applying for jobs. 

Anywho, what's even better? 128 days.

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