Clinical journal Essay Example | Topics and Well Written Essays - 250 words

Clinical journal - Essay Example hebdomadally skin assessment was done during shower. One of the medical atomic number 101s came to assess the new residents. Previous nurse told the doctor that the patient on Cipro did not know that it was Bactrim DS for UTI. Order was clarified by MD, besides it said that it was ok if it is Cipro has to be given to empty stomach 1 hour earlier meals. The wound doctor came to check the wound once per week. The patient with the wound needed to be assesed was target back to bed. One patient was admitted 2 days past with wound on the right squinty ankle. The nurse documented unstageable wound. However, during the interview, the guest informed the wound doctor, he sustained the wound because he was tot up by the Hoyer lift during transfer from the previous facility. The wound doctor stated that it is not unstageable but a trauma wound. There was a confusion with the location of the wound as well. Some nurses documented left-hand(a) ankle, age or der was stated right. Therefore, the wound doctor asked me what I would do in that situation. I told him that I would assess the patient myself to clarify the confusion and make a note on the TAR and wisecrack on the oncoming nurse. There is no 24 hours report shift for you to read. Therefore, you have to listen guardedly to the report in order not to miss anything. In-service was given to diabetic mellitus that afternoon as well. A man from Lilly, the company that makes insulin, came to conduct the in-service. The topic that was discussed is rapid acting insulin much(prenominal) novolog, Humalog was discussed, long acting, for example, levemir and Lantus and peak time. The mental faculty were able to differential between the type 1 DM of the pancreas which does not procedure insulin at all, while with type 2 the body produces insulin but the body cannot properly used it efficiently. Many years ago the body did not produce insulin for instance with type 1 diabetes you die becaus e there were no such thing as insulin to give. And now hemoglobin HA1c is done to