Tuesday, June 22, 2010

just a little pinch

I gave my first shot today. Subcutaneous heparin in the abdomen for DVT prophylaxis, since surgery can put you at risk for DVT and my patient just had a gastric bypass. She's nice as could be, doing remarkably well for her first day postop. And when I gave the shot I didn't hesitate and I didn't hurt her, aside from the pesky pinch. Thank you God! I get to do another tomorrow. Subcutaneous shots seem relatively easy. Honestly if I can do it, and I worry about everything, then they're relatively easy to do. The real challenge will come with intramuscular injections, which are your immunizations and flu shots. Longer needle, a little bit trickier in terms of the areas you inject in and apparently some nurses and nurses in training have hit bone. The person receiving the shot never realizes this because the bone has no nerves on the exterior. But for the person giving the shot, it's a feeling they never forget (one student said it's like putting your needle into a rock). Our instructor said she could always tell who hit bone during flu clinic by the look on the students face, they get wide-eyed real quick. So I've removed an IV, removed 2 foley catheters, given the subQ shot, emptied a Jackson Pratt drain and flushed an NG (nasogastric) tube. Oh and I started passing oral meds last week. It's hard to believe I'm doing all this stuff four months into school! And I've been up since 5 this morning and have to wake up at 5 tomorrow so I better stop blogging and start winding down for bed. Hope you all are well and that no one needs a catheter anytime soon.