 is my new job this week. I've just been sat trying to work out the computer system because it's a different computer system to what I'm used to. Not gonna lie, it's really confusing. My brain is fried. But it can only get better. That is me finished and home. I'm so tired. Oh my god. Why is it when you learn new things it drains your mind. I get home and I'm just like I just want to switch off now and just go to bed and it's only like five o'clock. But yeah great day today. Learning the new computer system is okay. It's just not what I'm used to but I think the more I do it the better it's going to get. It's going to be fine. Tomorrow I'm going to sit with one of the other nurses so I'll learn a bit more on the computer system and what they do and how they do the stock and things like that. It's all just learning little things that I don't know about the new practice and Thursday I'm going to go and do COVID vaccine clinic because they need someone to do that so I was like yeah I'll do that with my broken foot no problem. Be fine. Solid. Solid as a rock me. And then Friday I've got my own clinic set up so I'm going to do baby immunizations and I've got a cheeky smear test that's been thrown in but I did that myself with the nurse today because we couldn't do it today for the patient so I said I've got a clinic Friday just put them at the end of the clinic somewhere so that's what we did. So yeah so that'll be interesting because for baby immunizations Friday I say it'll be interesting it's a little bit scary because I'm on my own whereas at the last clinic we were very pampered. We had our wonderful Jessica who did everything for us. All of the IT systems she did. All of the ordering. All the stock takes. She did everything. I just had to show up, inject babies and leave. That's literally all I had to do. I've got to do everything myself. I've got no idea how this is going to go but it's going to be hilarious. But as long as I you know I know what I'm doing I know what I'm giving to the baby that's the main thing. It's just the after bits the computer system documenting it making sure I put the right dates and everything do the right templates and things like that is the the bit that I need to get right but yeah I will get there and I will let you know how I get on as I go. So yeah that's it for today. See you tomorrow. Hi everyone it's Friday I'm at the end of the week. I've been busy I haven't been able to do any videos I'm so sorry. Wednesday I was just doing PGDs paperwork sat in with the nurse had a really good day actually learned quite a lot from this nurse and then yesterday I was on COVID vaccine clinic which was really good really interesting nice to see how other practices do things differently so that was really really good. But yeah all in all had a great day and today it's Friday it is 9.44 I'm just getting ready for my first patient at 10 o'clock I've got baby ins today on my own. This is a little bit nerve-wrecking for me but I've literally I've just gone through the list now I've got all my lists I've got eight I've wrote down what they're all here for what ins they need I've got my schedule because this is what I did at the last clinic it was organized and this is the way I need to be today I've gone through the care records of all the babies just to make sure that they're all okay no problems no allergies stuff like that prepare them before they even get into the room so I've spent half an hour literally doing that before I even start today and hopefully it's going to be a good day but I will let you know as I go fingers crossed everyone I'm nervous I'm not I'm not a nerdy person but I'm nervous for this one but I'll let you know how it goes guys and yeah fingers crossed it's gonna be okay oh my god you just had the cutest little preschool booster ever who sat on their own they had their injections they picked some stickers and they left it was so cute not even a little tear nothing didn't even flinch she was solid as a rock this little child I'm just so impressed right now I love it I don't know how some of them are so brave and some of them just go to mush but that's me done that's me done for the morning it's 10 past 12 now so I'm just gonna do all my admin bits finish all them bits up and then I'm gonna have some lunch and then do it all again for the afternoon so it's the end of the day that is me done for the day I'm just finishing off some paper stuff and I'm out of here afternoon went well a couple of no shows which is a shame so I rang them no answer so I've sent the text but apart from that it's been all right it's been a good day I've survived I can do this um I've got no idea what I'm doing with the red book stuff for the babies so I made a small error not a small error but I wrote it in the wrong bit it's still in in the immunisations bit but I know for next time don't I but apart from that it's all good it's all good and I am out of here ready for a good weekend so I'm off and I can actually do a vlog properly I've got Wi-Fi in the house now so I can upload the vlog because I haven't been able to upload vlogs properly which has been the bane of my life the last vlog I did the life updates took two days to upload on my normal phone Wi-Fi in this flat never again anyway works so yes I've started a new clinic I'm not gonna lie it's very very different to the last clinic I worked at but that's not necessarily a bad thing it's just getting used to the new system getting used to the new routine the patients there's such a difference in patients and how things are run and things like that so for example at the last surgery I worked at and some of you might have heard like GP's GP surgeries have what they call GP partners so they are the top dogs in GP basically they come up with the decisions the contracts the money side of things the funding what they want to buy for the clinics all the little management type of stuff and at this clinic that I'm working out they don't have GP partners so our practice manager is basically the manager and they deal with everything there's no partners at this clinic which is is really interesting actually to see unfortunately the practice manager is amazing and so lovely like I get on so well with her so I'm really excited for that at the minute they've got locum nurses and I'm just working with the locum nurses and the healthcare assistant to sort of get trained up and on the systems and how things work there and things like that but come December time the locums are leaving and then it'll just be me so it's just going to be me as a practice nurse there's going to be a healthcare assistant there's going to be an apprentice I know I'm so excited to meet the apprentice and see what sort of roles and stuff that they do because you know I love student nurses and apprenticeships and all that jazz I love helping people so that is going to be right up my alley we've got a paramedic who I sat in with as well on one of the days so the paramedic is has a little clinic room and she is amazing her knowledge is so good she seems to get a lot of things like chest infections and things like coughs ongoing stuff that that she can see but then if she's got any problems then she will refer back to the GP so they have gaps in in their day as well that they meet up and talk about patients if they need to and if they need any antibiotics subscribing or anything like that which I think some really really good way of working and she can do and see so so much so it's really interesting to see the sort of things that she does basically and what else to do oh yes I had the COVID clinics that went really really well it was run very different to what the last practice was like so this COVID clinic was run from the reception of a GP surgery and we had little boobs that we both sat in there's two of us and then one of them had one of the clinic rooms it's just a little surgery and then there was a one-way system so they had a tent at the back in the back area that people were waiting for 15 minutes because it's the Pfizer for the boosters everyone's boosters as Pfizer because the research says that it's just way more effective as a booster and a third dose and all that jazz and if you're worrying about mixing vaccines it's okay research shows that it's okay to have AstraZeneca and Pfizer or Moderna Pfizer whatever it's not really going to make much difference to you apparently so yeah so that was really interesting to see that so yeah back to what I was saying so this practice is very different to how it's run I am going to be one of the only nurses there come December so I'll be in charge of everything basically I'll be doing everything which is scary but actually exciting because I'm going to be learning so much more now I'm gonna have to be doing diabetes some of the reviews so the cardiovascular reviews things like that just like the basic reviews that we do and then if we have any problems we obviously refer to the GP and things like that I'm going to be doing all the auditing the stock takes I'm going to be keeping on top of things like the PGDs which I did yesterday oh my gosh so yesterday I sat and I went through all of the PGDs got rid of all of the old ones well not got rid because you have to keep them for so many years so I took out all of the old ones I need to find a folder for them I haven't done that yet because the stock room was closed and I didn't know where the key was and everyone had left by the time I'd gone so I've got to do that when I'm next in so I sorted out all the PGD folder it is all organized it's looking fresh and clean I've put it into little divide I've put little dividers in so it's all numbered I've put a front sheet to show the numbers and the correspondence to which PGD is what I think this is why they hired me because I'm so organized so I sat there for hours it took me hours to do this guys and then I had to go on and update the excel spreadsheet because I hadn't been updated for a while and then I updated the vaccine schedule which is at the front of the PGDs that shows when things go out of date so you can monitor it so I updated all of that folders looking amazing I just need to on Thursday organize the old PGDs into a folder which I'll do so another big difference in this clinic is the patients so where I was working before down in Portsmouth it was very much an elderly population and it was very much a lot of leg dressings a lot of wound care there was so much like every single day we would have that whereas this clinic I'm not doing as much I haven't seen a single wound dressing yet so this is going to be interesting so and the population in the area that are a lot of refugees a lot of asylum seekers a lot of interpretation needed and interpreters coming in and things like that with patients so that's really really interesting and there's things that I just didn't know like things like when you get a new refugee to your clinic you have to do certain things like blood tests make sure they're up to date with their vaccine schedules and things like that if they're not then you give any vaccines that they need and a lot of them don't have this information so you've got no idea you're just going from a blank canvas so I'm looking at the unscheduled what's it called unscheduled immunizations list I'm going to put the link below so you can have a look at it so anyone that's got unscheduled or that you just don't know what they've had before that's where you start from so that's what we're doing by the looks of it and then it looks like they're doing some sort of blood test as well I haven't done this yet I just what I've observed from the other nurses so the doctors will request some blood tests as well just to check for diabetes cholesterol all the standard things just to make sure that they're healthy there's nothing going on underneath the blood-borne viruses as well things like hepatitis if they're from high-risk countries just to make sure that they're well and they're okay so that's really really interesting to see that side of things it's something I've never done before so I have been on Twitter this week just asking the question is there any policies procedures anything out there that I've just not finding at the minute because when I'm looking I can't find anything around new to the UK or refugees and that sort of thing so but it's okay as long as I know what I'm doing and you're acting in the best interest of your patient and you can justify your actions it's okay next problem I have is so down in Portsmouth I was obviously set up to do the cervical screening I had my pin code and everything like that that you need to take cervical samples because it's a completely different computer system and that however when I've moved up north it's all gone they can't find me on the system or anything I need to read register so I've been doing that as well yesterday sorting all of that I'll just admin things basically so I'm hoping today I'm going to have an email with my new registration and come Thursday when I go back to work it's going to be set up so I'll be able to take smears and blood tests oh just as I was doing a video some amazing amazing person thank you thank you so much to Zoe on Twitter has replied to my tweet about refugees and asylum seekers and there's a toolkit there's a toolkit by the British Medical Association it sounded like I said that really strange then I don't know how that's going to come out but we'll leave it in there for fun or BMA which might be easier to say for me yeah so BMA have done a really good toolkit I've literally just opened the link and there's loads and loads and loads of stuff on there I'll put the link below if anyone else wants to have a look at it it might be helpful for assignments or if you're dealing with refugees or asylum seekers anything like that I will put all the links below I'm so excited anyway yeah so I can't remember what I was talking about but any I'm settling in okay it's very very different there's so much to learn I'm so excited because I feel like I'm just upskilling all the time in general practice and I hate it because there's all these myths around that oh you're just gonna lose your skills and blah blah blah no I'm upskilling I'm leveling up at every single place that I've been to it's amazing like the first place you know I was doing all the basic foundations of general practice getting that foundation in there the second practice I moved to I stepped up I was doing asthma I'm a COPD I got signed off on baby aims I got signed off and cervical screening I'm stepping up again and now I'm going to be doing diabetes I'm doing refugees asylum seekers everything else auditing and all that jazz it's just amazing guys get yourself into GPs where it's at and not only that I heard down the grapevine that quite recently well I don't know why I'm excited about this because I missed the boat a few months ago they were looking for a sexual health slash contraception specific nurse for the air the whole area that I'm in but the vacancy's gone now and they were looking for someone to do it I was like why didn't no one tell me this is me I would do that this is me this is my love this is the perfect position this is what I wanted I wanted to do sexual health contraception GB all of the above but it's gone so manager knows that I am dead keen and dead excited for this so hopefully in the future I might be able to do something like that as well but I love it all there's nothing I don't really like about I mean the baby immunizations is a bit it's just heartbreaking and tricky sometimes and yeah but apart from that I love everything even baby aims I really like baby aims but it's just heartbreaking and it's complex that's why I don't like it but yeah I love everything GP it's amazing and like I said I'm upskilling all the time anyway I'm going to cut this short here now because this video is going to be 100 million hours long and it wasn't going to be it's only going to be a five minute quick video so bye everybody have a great week here's to week two of my new practice and here's to showing you all the amazing things we're going to be doing bye for now