 So it's the day after placement the same as last week. I was so tired at the end of the shift I didn't get home to quarter to ten. It was way too late to vlog So here I am the next day day off. Yes. I've been revising with my day at the time You watch this it's going to be Monday Tuesday Wednesday Thursday So placement on Friday. I'm not gonna lie last week. I didn't do a lot We had I think nine patients and about three nurses That's quite a lot. So What was it 12 patients? It might be 12 patients. Sorry 12 patients and three nurses. So that that's quite a good ratio So I was sort of a bit lost because everything was okay. Nothing went wrong Nothing really had to be done. Just the the main patient care observations Medications, but I haven't done anything Unusual that I haven't done on other placements yet. So that was last week and then yesterday Okay, where do I start with yesterday? So yesterday We went round we did our medication round in the morning And then if there was anyone left to get up and dressed I helped them to get up and dressed and washed And then I went on a break. I come back I went round and did all of the observations and then spent time with the patients sat and spoke with them for a while and Then after that it was lunchtime lunchtime is between 12 and 1 we help residents to eat if they need assistance We do that and do medications and then we had a very poorly patient so During lunchtime I did this one patients Observations I did his blood pressure his temperature his respiratory rate his pulse All of that jazz and it was a little bit off. He was scoring a 4 now if you are familiar with the News charts that we document all of this on if you score a 4 or more It has to be escalated and then the observations are then done hourly to make sure this patient's okay to recognize for any more deterioration basically So I was like oh scoring a 4. Okay sorted. I got went and got my mentor showed of the chart I said so his respiratory rates off his pulse is high his oxygen is okay, but it's sort of on the low side of okay What we're gonna do and his temperature was up So Okay, she said check his observations again in an hour. We'll see how he is So then I checked again in an hour another hour another hour So it was from 4 to a 4 to a 5 to a 7 to a 8 to a 9 to a 10 10 10 he was at so I was like, oh my god Patients now at a 10 not only that he's vomiting Wow, so then I ran to my mentor again. I said you're not gonna be happy with this No, don't kill me the patient score at 10 now. He's really poorly and then luckily she's already called the doctor She was on the ball my mentor was on the ball. She had already called the doctor made him aware So then the doctor come along I luckily had done a few things for him ready because as we were taught at university always try and be one step ahead Of the doctor so that when the doctor arrives, you're saving time So instead of waiting for the doctor to say okay get your and sabot okay get a finger-prick test or Blood testing and his x-rays whatever you have to be one step ahead and think okay What will the doctor require of me and get it ready? So I went and I got the urine sample I thought I had just thought I'd get the urine sample because it could be a urine infection His temperature is up. So there's some sort of infection somewhere. That's what that tells us So I did that we can't physically do blood tests as a student nurse So I couldn't do the blood test. So the doctor did that. He had all the stuff ready Doctor did a blood test and luckily the patient had already had some other observations that day done So we didn't have to do those. So that was a bonus and Then the doctor had a look at the patient assess the patient listen to the patient's chest and did all of his assessment on the patient and He's prescribed some antibiotics. He said it could be a possible chest infection So yeah, so my doctor prescribed the antibiotics for the patient which we give straight away The doctor cannulated the patient them antibiotics were in within five minutes of the doctor assessing him So that was happened and then by the end of the day He went from a 10 to an 8 again So he did come down a little bit But his respiratory rate was still high his temperature was still high and then because he was on oxygen With the new news to charting you always score for oxygen So he was scoring for that. So his observation were still high and But I did leave the shift happy knowing that the patient is already on antibiotics and he's being treated and hopefully today I'm off. So I can't see what's happening. But hopefully today My patient's gonna be okay and hopefully I'm gonna go in tomorrow and he's gonna be well happy and scoring hopefully a zero Will see what happens tomorrow, but I will let you know and I will update you tomorrow with what's going on That patient took up all of my day because he then went because he was scoring such a high news chart score We had to then monitor him every 30 minutes So I was routinely with him and then by time you've finished the observations You've only got like 20 minutes left and then you have to go back and do the observations I had to keep apologizing to the patient. I was like, I'm so sorry I'm gonna have to do your blood pressure again and again and again until you're better because Your observations are off and as long as you explain everything to the patient the patient is marvelous The patient was okay with all of that. Thank God But I was kept really really busy right up until the last minute of my shift when I did his last set of observations before I left So, yeah, so that was a busy day But what it has made me realize is I really enjoy taking care of poorly poorly patients. I Don't know if that means anything. I don't know. I love all of my patients But I really enjoy putting the theory into practice so everything I learned from university I love putting into practice and I love that Assessment and judging patients deterioration and recognizing the signs and the symptoms and knowing what to do It makes my day when you can do that and you can physically assess a person you think I get this I understand this the penny drops is the most magical moment of all and it's something that I really really love and I find myself That's where I'm in my element and I don't know what this means But I love it So today is Friday and you have to excuse this real student look that I've got I'm in my PJ still and I don't plan on Moving today. I Plan on recruiting the full slob mode all day It is my day off. I've got three days off now I've got Friday Saturday and then I'm back Monday and then I've got another few days off ready for the exam so I'm gonna have fully plan on relaxing and spending some time out this weekend and Yeah, because because I am exhausted. I went back to Placement and my patient was better. He was so much better Oh, it's so nice to see that the antibiotics had kicked in his temperature had come down It's where spirit rate come down. It's oxygen levels were good on air not even oxygen Oh, it's the best feeling in the world when you see that happen and your patient. It's amazing You have to excuse me for a minute because I've got a friend who keeps distracting me. Let me show you Dylan Dylan. You've been a good boy. What do you want? What do you want? Where's your toy then? Good boy Sorry about that. We're back to it So, yeah, I'm spending the weekend with a couple of dogs. It's gonna be Fantastic dogs are really therapeutic. Don't you think I absolutely love dogs if you've got a dog Let me know what dog you've got what their name is. How much you love them. Let me know So yes back to it So my patient was amazing. I was so chuffed to see that he was alright as soon as I went in on shift I checked and asked about him So it makes you worry when you have a day off and you don't know how the patient is after they've been so poorly So it was really nice to go back and see that he was actually doing really well. So that made him a day So what else have I done? So on Wednesday? I did So I did some wounds did two wounds one was a pressure saw on somebody's hip and the other one was a nice Skin tear on the leg which is a really juicy one because it was previously infected not so good for the patient but really good for me to see and We had a bit of trouble Sort of getting the the old dressing off because it had stuck to the wound a little bit It was good for me to sort of have that challenge and try and get the previous dressing off without Hurt in the patient even more doing more damage to that wound So we literally just threw a load of saline onto it and just had to try and peel it off bit by bit Luckily the patient wasn't in pain and it went well and we redressed it and it was amazing So anybody who does a septic technique to do their wound dressings, which most people should be doing Does anyone else have the problem where you can't get your gloves on? Because you have to do it in a way where you're not touching the gloves So you have to try and get it on for those you haven't done it yet And it always ends up a mess like your fingers are like this and you're like I did it perfectly earlier When no one's watching me, but now that somebody's watching me my glove has gone to pot What's happened? I saw a really good post which I posted on Twitter and On my Instagram story, I'm gonna put it here so you can see it And that's exactly what happens and I thought that post was just so funny because it's so relevant It did make me laugh so other than wounds my Mentor gave me a discharge Letter to do which I'd never done before I've assisted with discharges and I've had a look at the discharge process and things But I've never been left to my own devices to do this on my own So I did that that was really really good I was sort of panicking a little bit because I was like I haven't done this before I don't a hundred percent know what I'm doing But just from what I've been taught uni and looking at the notes and making sure he's made this patient was medically fit for Discharge making sure everything's in place the TTOs are in place the transports booked any Referrals to district nurses and everything they are all booked luckily everything was done for this patient So I just had to fill in a form I'm sure at some point. I'm gonna have to make those referrals and do everything for the patient I'm sure they're gonna get me to do that by the end of my placement So that's gonna be really really good and interesting for me to do because I haven't done that side of things yet I've never done a referral. So it's really really nice to do new things always makes me day And then yesterday so yesterday I was at the Birmingham City football ground because we had our student forum there I've never had a student forum in a football ground. It was amazing. So we were there nine till four and it was a proper training session It was really really good The first half of the day was all about lymphedemia which I knew sort of roughly what it was but not much and It was really good to learn about that and know about that and I might actually do a separate vlog on that because it was really interesting for me to To gain more knowledge on that and I think it'd be really interesting to do a video so that other people can be more aware about it and How to manage that patient effectively if you've got a patient like that and then the second half of the day after lunch We had all about clinical supervision So clinical supervision is something that we have it's a part of re-evalidation more so than anything You have to do it as part of your re-evalidation every three years with the NMC where you sit down with your clinical supervisor It's another nurse that's a clinical supervisor basically and they will go through a sort of reflection with you so it's a time to reflect on your practice and talk about anything that you need to talk about and To help you grow personally and divisionally I think so it was really good session and then after that I have come down towards London Way to spend the weekend with these dogs as I said and I'm gonna chill out And that's your lot for this week. Hope that's been okay. Next week is my exam and I'm hoping I'm ready for it. I've been revising solid I've been revising every single day going over and over and over this so I'm praying that come the exam I'm gonna remember it is gonna stick and I'm gonna be okay and hopefully not run out of time For this exam because it's a lot of writing in two and a half hours But I'll let you know next week guys if you're on my social media I will put it on social media. I'll put it on my Instagram story. I'll put it on Twitter And off-log me and Pooja at University. We usually have a little routine that before an exam we always Do a little video so I'm gonna grab Pooja in if Pooja if you're watching this be warned I'm coming for you on Thursday. I'm gonna have a cry together So yeah, so I see you all next week guys I hope you have an amazing week keep smiling keep being amazing and if you're having a rough time if you're stressed You can do this get motivated. You can do this. We're in this together and have a great week So I forgot to add to the end of the last video I've been nominated for an extra mile award at Benham City University Which was so exciting but not one award two awards two awards So I've been nominated by a couple of people So thank you so so much to everybody who nominated this because it's absolutely amazing And it's just made me so motivated to keep going Especially when I'm exhausted right now and I needed something to pick me back up And this is just the motivation I needed. So I was nominated for inspirational student of the year Oh, what wonder that happened? And then the second nomination We've got a team nomination for our bcu cavaltese team with kate mel and re dobson and myself For all of the hard work that we do and to be fair we are on it as a team We did snowden we smashed snowden if you haven't seen the vlog go back and see it Then we did our poster presentation at the rcm bristol And it was just amazing. We've done quite a lot. We raised a lot of money for cavaltrust We're looking to do our international nurses day bake sale at the university to raise some more money for cavaltrust We're going to do snowden again this year because we didn't get to the peak Last year because of storm callum as you'll see in the video, but it's a really funny video. Please watch it if you haven't watched it yet Um, and so we're going to do that again. We're going to smash it. So it's really really exciting It's exciting times as a team. We're really really excited about this and it's going to be really nice Motivating evening. It's just amazing to be nominated. I'm not expecting to win anything But I'm going for the food. You know me. I have this free food free drink I am there. It's the way to lure me into events. Okay guys get on the free food So there's going to be a really good spread like last year. Hopefully Come on bcu. Do as proud So that's why i'm going i'm going to get the free food have a really nice social evening take the time out and have a nice little evening with my team And it's going to be amazing. I'm really excited. So I spoke far too much longer about this these awards. So Anyway, that's it from me. I'm actually going now. I shall see you all next week. Have a great week guys