Today was our designated day to create a "comprehensive care plan" for any patient on the tele floor. I picked a sweet LOL going in for a mitral valve replacement tomorrow. She let me do a complete workup on her, including history, complete physical exam, patient teaching, nursing diagnoses, et cetera. She said that she was "bored, so why the heck not!?" I love patients like that. You get to learn SO much from them.
I even got to do something helpful for her- I was with her in the Echo lab when her REAL nurse called in- her APTT was over 150, meaning DISCONTINUE THE HEPARIN!!! IN A HURRY! So I did so, and felt, for about a tenth of a second, like a Real Nurse. Then it passed.
We've started learning about EKG interpretation in class, which is totally and completely awesome. I used to be able to only read Very Bad Things, like Torsades des pointes, v-fib, v-tach, and of course, asystole. Now I can read PVCs, a very few kinds of bundle branch blocks (assuming NO other complicating factors), and junctional rhythms. Very Very Cool.
What I DONT understand is one of my fellow students. I asked the professor if I could go hang out in the telemetry room once all my charting was done, and before she could answer, Fellow Student says "WHY would you want to do THAT?"
Me:"Um...because they show you lots of neat things about cardiac rhythms"
FellowStudent: "Who CARES? Its not on the TEST!!!"
It boggles the mind. I want to know, because i DONT KNOW IT. That's actually reason enough for me to want to learn about it, setting aside altogether the fact that I want to work in an ER, and they dont HAVE telemetry techs to read all the monitors down there. Grrr. She has NO curiosity whatsoever. And she's lazy. I wouldn't want her taking care of ME.