 There are two things that I've learned so far being a GP nurse number one is you really have to be an FBI agent to find out What the patient's here for sometimes and the second thing is that you should never think Let me just see this extra patient because it's only going to take a minute because it never takes a minute And the patient is never there for what they say they are there for Hi, everyone, and welcome back to another vlog. My name is Claire Carmichael. I'm a newly qualified nurse working as a GP nurse I know absolutely can work as a GP nurse if you're newly qualified De-spelling that move straight away in this vlog right off So this is my second week as a GP nurse today is Tuesday. I My shifts are half 8 to half 6 Monday Wednesday Friday, and then Tuesday Thursdays I'm in at 1 to half 6 which is when I'll be doing my vlogs in the mornings Get it done in the morning just to update you what I'm doing where I'm at and how my week's going So Monday Monday started off amazing I had so I do at the minute Just the blood testing and the wounds because that's pretty much what I can do in GP right now Once I get trained how to do the ECG machines I can set those up and do those on patients and then as I progress and do more training I'll be able to do more like smear testing travel vaccines baby vaccines all those sort of things So yeah, I'm just doing what I can as I can if that makes sense So yesterday I had all blood tests and Wound management. However, one of the wounds was my traumatic wound from last week I can't remember if I put this in the vlog I can't remember. I'm so sorry guys if you hear heard this story last week in a vlog Let me know because I haven't got a clue but last week I had this patient come in I was on my own do my own patients do my own clinic and the reception come in and said There's this patient at the desk. He's got this traumatic finger wound And I was like, oh, okay. Let me just have a look at it because If it's just a simple cut or something I can do that that's quite simple But if you needed to go to A&E or something then I could send him there So I thought let me just look at it because without looking at it. I'm not going to know what to do with him So, um, the reception booked him in for me. I sat down looked at it And it was actually quite simple. The person had just sliced the tip of their finger So there was like a flappy skin bit hanging off. It wasn't very deep. It's quite superficial I felt happy to do that. So I did that and I managed that wound I used all of my knowledge from university from district nursing placements and I used that knowledge to sort of put in that situation at that time and luckily it worked So what I did I just literally put a stereo strip over it to keep the flap down and secure and in place So it didn't fall off Um, and then I just put like a little soft pore dressing on top because It's just a superficial wound. It wasn't really oozing. It wasn't exudating Nothing like that. There was nothing that told me that it needed um, a more Complex wound dressing if that makes sense So put a bit of soft pore on it put a bit of tape round to keep it in place just in case it fell off And I said just leave it however in a few days you can take it off and check it if you want to If you don't feel comfortable doing that just come back into clinic However, I want you to come in monday to see me. I want to review it again Make sure what I've done is the right decision and just make sure you're okay. That's all right So this patient booked in with me yesterday took off the wound it healed So I was there like this is amazing my judgment was right. Thank you. So yes, I looked at it I like this is amazing But just because it was a bit sensitive still I thought just put a little soft pore just over the top Just to keep it um protected just in case it's still healing a little bit And I said to him you can probably take that off in a couple of days and that'll be just fine However, if you have any problems signs of infections, you always have to advise patients what to look for Come back if you've got any problems, but I don't think I need to see you again because this is healed I'm just literally putting this on for a little bit of extra protection for the next couple of days. So yes I am chuffed. So that was my day yesterday. That was that one of the highlights of the day yesterday Now as I said at the start of the vlog you have to be an FBI agent sometimes with patients Especially more so around blood testing I've found in GP because they'll be booked in for a blood test But you really have to dig through the notes to see what The blood tests for because sometimes it's not on the notes. There'll also be blood tests that I've never heard of I haven't heard of some of the blood tests things like Fatility check blood tests. I've never done anything like that before So just a little things like that. I had to double check with the doctors with And make sure I was doing the right blood test for the patient Because the last thing I want is to do the wrong thing and the patient has to come back and go through all of that again So it's always better guys if you don't know say something and check however Being an FBI agent is yeah, I love it. I don't tell anybody this but I do love it I love like looking through the notes and trying to work out what the patient is there for and then when you get it Right, it's like yes. I got that right. It makes you feel good because you've you've done your work You've you've done that independently and you've got it right So it's a really nice feeling and yeah, I kind of like it But it can be frustrating when you can't literally cannot find what this person's here for and that's when you need to find out Who saw them last and um what they're here for basically, but yeah, but I love it. This isn't a moan This is I love it and just leading on from that. So I've in my gpe placement My mentor was incredible. She was so knowledgeable. She was fantastic and I remember her saying to me Sometimes, you know, it's about winging it and at the time and actually a few nurses have said this A lot of my mentors have said most days it is about winging it and I always thought that's a really strange thing to say Because surely we should be going on research and evidence-based practice and things like that And at the time I didn't really think anything of it, but now I'm there. I'm working in gp I can absolutely see what they mean. They don't mean winging it like just guess and No, they're the way that I interpret that now is sometimes you don't know what the patient's there for and you're literally winging it because You're becoming that fbi agent. You're digging and delving into what this patient's here for But you're also using your common sense and your knowledge on top of that So the whole three are working together to provide the best care for that patient And then obviously if you need the evidence-based practice the research you go in and look for that as well Obviously always go by that but I can absolutely see now what they meant by that. They don't mean Oh, let's just wing it and hope it's okay It is all about putting all these different things together and little pieces to complete your sort of jigsaw for the patient If that makes sense really hard to explain, but I understand it now So yeah, so that was really interesting My next event of the day was there was I can't go too much into detail about this because of confidentiality But there was a patient at the desk wanted to be seen for something And the reception come and asked and wondered if we could do the thing that he was here for Or if he needed to be sent to A&E or minor injuries and I thought well, this seems quite simple What is he there for because I didn't see the patient. I was just taking what the receptionist was saying So I was like that sounds quite simple. I'm free for like the next half an hour I may as well just maybe like assess it before booking him in or anything Just have a look and see what it is because if I can do it then that'd save him a four hour wait at A&E And in my head I was thinking this is a really good thing. I brought the patient in No, it wasn't a simple thing I looked and I was like, oh, I said I'm really really sorry to the patient that said I'm really not happy and I'm not comfortable doing this It's really out of my expertise. I do think you need to go to A&E with this because if I Did what you're asking of me and you killed over and died or something as a result That's on me and I'm really not comfortable with that And they're like, oh, it's easy. You just do this. You do this. It's simple I could do it myself and the patient had that sort of mentality and I said But actually it's a little bit more serious than you're saying and that you think it is So I really think you either I'll give you two choice two choices. You can go to A&E And there might be a bit more of a wait time. I don't know or you can go to the minor injuries unit And a lot of patients have said that the minor injuries you do get seen a little bit faster And they can do that sort of thing there where I was sending him for So, yeah, he was okay with it in the end the way it explained it and stuff. He was okay and he left the building So, yeah, so if patients are here for just a quick minute No No, just be careful is what I'm saying. Be careful what you're doing and what you're saying. I learned a lot from that mistake I probably won't make that mistake again So that was my day guys at the end of the day. I think it was about 440 or something like that. I was blocked out to half six to do some e-learning So I sat and I did my safeguarding manual handling infection control all of that sort of thing on the e-learning I've got a load more to do. I didn't have time to do everything So I'm going to do that bit by bit this week as a girl I think they've blocked out some spaces for me to do my e-learning, which is really really good And yeah, that's it. So today I'm in one to half six Oh, I blocked my uniform. Sorry extra thing I've finally tracked down the lady to do my uniforms. I should have my new uniforms. Hopefully by the end of the week Maybe next week But it's as obviously, you know obligatory obligatory. Is that right? Anyway, uniform selfie is coming I can't wait Morning everyone. So it is Thursday morning. Now in my last video I think I said I need to go back and watch it. But I think I said something like I love being an FBI agent Absolutely regret every decision I made that morning Oh, I so jinxed my day So I went into work on Tuesday and literally every single patient that come in bar one, maybe two I had no clue what they were there for they had the wrong forms with them There was nothing on the computer systems and I sat there. I was like, so every patient So all my patients are booked in 10 minute slots for their bloods And so it's it's taken me longer than 10 minutes to try and work out what every single person was here for And it just put me really behind and I had to apologize to every patient I mean, I wasn't too far behind They're only waiting like an extra 10 minutes But still 10 minutes even one minute when a patient is one minute too long Waiting in that waiting room. I'm so apologetic because I'm like, oh my god. I'm so sorry for your weight but calm It was okay The shift went all right. Nobody died. Everyone was safe and I think everybody got the right thing in the end We'll find out next week probably if anything was the wrong thing, but um What can I do? You can only do the best you can in that situation And it wasn't just me either I had to go and ask for advice and help from other people including the lab So I was on the phone to the lab pathology The other nurses sometimes the doctor I even asked the pharmacist at one point because I was just like, oh my god But no, it wasn't just me. Nobody had a clue either. So Thankfully, it wasn't just me and this is when I think the problem comes when patients come into gp Referred to someone else. I think that's where the problem lied that day Because they were coming in wanting these bloods for the hospital or for ongoing Queries and things like that and we had nothing on our system to say this and that's where the problem lies I don't know what the answer is to this but there needs to be better communication Somewhere along the line. Oh god But anyway, I think everyone's got the right things. I'm hoping that it went okay I spoke to a nurse yesterday because um, I was panicking about it. I was like, oh, I was manic yesterday I didn't know what people were coming in for and she was like, don't worry about it. Honestly, this happens to everybody It's not you. It's just the system and you have to be an fbi agent sometimes Yeah, it's not just me. Thank you. So I had a manic day. However, yesterday, wednesday was amazing So I was in my usual half eight to half six yesterday I had an amazing day. All my patients were seen on time Bar maybe one or two which I was like one or two minutes late for picking them up from the waiting room And that's purely because I was looking into what forms they needed like the day before but apart from that Everybody knew what they were there for what they were expecting. I knew exactly what tests to do. It was amazing It was perfect. Absolutely fantastic. And then in the evening from four o'clock Half four, sorry from half four. I was blocked out to do my e-learning. So I did my pgds which took Oh my god forever the e-learning I sat there and because they provide links and stuff to look at as well It's not just a knee learning package. You have to go and look at the competencies framework You have to look at the nice guidelines on pgds. I advise you to go and look at those if you're interested So I was there for hours like from four o'clock till six o'clock four five six two hours And I'd already started this last week. So I'd already been through the first couple of pages But yeah, it took me a long time. However, I am more aware now about pgds If you don't know what they are, please go and google pgds nice guidelines and just have a look This vlog is going to be too long if I start explaining what pgds are But maybe I'll do a separate vlog at some point on that and now I've done my e-learning I can have a look at the pgds I can look at the competencies framework and I can get my pgds signed off So I can start giving these to patients once I've signed off the pgds and I've been signed off the competencies Then I can give the flu vaccines. I can give the shingles vaccines I can give a current member what else I need, but yes, I can give things like that Basically, so I'll be able to see a little bit more patients than blood, wounds, and palpated e-cgs Oh my god, that's the other thing So I was with the other nurse yesterday in the afternoon as well as my e-learning And just before I started my e-learning we had a couple of e-cgs to do and I'm okay setting e-cgs up I know where to be where to place them all the 12 is 12 lead e-cg So I know where to place them all It was just getting my head around the computer system and how to Access the bits that are needed and how to record the e-cg and how to print the e-cg for the patient And then what to do next if there's a problem. That's what I didn't know So I set up the patient did all that and then the other nurse showed me how to do All of that and now I can do them. Yay So I can do e-cgs now. So now I can see bloods wounds and e-cgs so far. Yay So, yeah, so yesterday's amazing day all in all a winning day. Absolutely loved it I am exhausted if you can't tell by these bags under my eyes that because you're exhausted on my face I'm so tired. It is so busy those people that say it's somewhere to retire to no It's busy guys. It is so busy. I was non-stop patient after patient after patient And it's not just physically draining. It is mentally exhausting because you're trying to work out all of these different things It's just it's amazing. Um, this isn't alone. Like I absolutely love in life. I love my job This is the best career I've ever been in. It's fantastic But just word of advice it is busy and you will be exhausted at the end of the day You will get sort of really tired. You will sleep very very well. I sleep really really well at night now So, yeah Anyway, I'm talking too much. I'm wrapping on the video is now seven minutes long. So I'm going to stop it here So, hi everyone. Sorry. I'm just going to add here about my uniform. So this is a temporary uniform that I've been given It's a tunic, but it doesn't have the um Buttons I always think of these like dentists or beauty therapists kind of uniforms I don't know why but it looks very very smart and I'm happy with it. That's the main thing But this is my temporary uniform someone has loaned me their uniform so I can feel part of the team Which is amazing. So a massive massive. Thank you to that nurse. She's fantastic So, yeah, this is my uniform until my official uniform comes when my official uniform comes I'm going to be blogging all about it. So watch this space I hope you all have an amazing week Watch out because I'm going to do the q&a answers that I put on my instagram So I'm going to do a q&a vlog if you've got any um questions that you want me to add in there Put them below and I will try and answer them I'm going to put the cut off for this video as Tuesday first thing Tuesday morning because I want to record the q&a on Tuesday And then get it posted ideally by Wednesday or Thursday. But if not, it might be Friday Saturday Sunday, but anyway next week will be the q&a vlog either way So, yeah, have an amazing week guys, and I shall see you next time Guys half the front door. Guess what's just come? Excuse this vlog is not ending here I'm going to get changed and show you. Oh my god. As you can see, I'm ecstatic Here we go Nurse Carmichael Is officially here. It needs a bit of ironing, but I don't care. I'm seeing patients in this for the rest of the day Oh my god. So as a GP nurse Some of you will wear navy blue. That's me. Oh, I'm here. I've arrived Excuse her. I know I got ready so quick that yeah So happy guys. Have a great week