Personal Narrative: My Visit To The Urgent Medical Center

It was the worst thing in my life. One sip of the wrong drink and my best friend, Brady, was in the Intensive Care Unit, with a small change of survival. How was I supposed to know that his ex-boyfriend was going to poison the water supply? No one is supposed to know about that, until it already happened.

My second clinical day at Mercy Defiance Hospital, progressive care unit, was overwhelming but rewarding and very educational. Through the 8 hours I was there, I learned a lot. I engaged myself in many self-directing learning practices to futher promote my professional growth. My first time interaccting with my patient,I was joined with my clinical instructor. While in the room, I got to listen to to my patients heart, lungs, and bowel sounds. I was able to see and examine the patients ostomy bag, as well as help them to the bathroom. There were ways that I can improve my professional growth, suchas,having the confidence to not second guess my self about things to do in assessments. For example, I know how to assess the lungs, I should not second guess where to listen for the sounds. One of my goals for next week dealing with professional growth would be to have the confidence to know what I have learned and use it. My second one being to go into the room with a confident attitude and believe in myself.

Mercy Medical Center is where it all started. On August 4th, 2004, 6:47 p.m. I was born. My name all started as a simple idea 4 years before I was even born. It originated from an American singer-songwriter Shannon Hoon, the lead vocalist of Blind Melon. Eventually, Shannon had a daughter, and named her Nico Blue. My mom liked the name and decided she would name her first child that. Though my first name isn’t actually Nico, it’s Nicolynn. She added her middle name to the first half, leaving me with no middle name.

I had such a great day at clinical yesterday. I was finally able to see a vaginal delivery and that entire process. When I arrived in the morning, the mom had just received Cytotec, to help induce labor and ripen her cervix. She was forty-one weeks and zero. Around ten thirty in the morning, she asked for her epidural to manage her pain. We bolused her with fifteen hundred milliliters of lactated ringers to prevent hypotension. Shane was the certified registered nurse anesthesiologist (CRNA) who administered the epidural. It was very cool watching him administer all the needed pain relief medication before he administered the epidural to make sure that it would be placed in the epidural space in the spine. Then administered a small test dose, waited till a few blood pressures were taken, then administered the remaining about through an epidural pump. After the epidural was administered, I was able to administer her foley catheter. I was so happy that I was finally able to place one. I learned a few tricks from Maura (my nurse) as well. She taught me that it was easier to take the top off of the lubricant syringe and to place the tip of the foley inside of the syringe, that way it will not wiggle around and become unsterile. She also taught me to grab from the bottom of the labia and pull up, that way it ensures that I will have a clear entrance to

I was born on June 26, 2002 in Albany, NY. I lived there until I was about 5, then we moved to Edinboro. For about three years of my childhood I maintained to average an emergency room trip a year. First when I was in Kindergarten my brother accidentally shut a door on my face. The edge of the door knob hit my lip and cut it in half. I started gushing blood. I was crying because that bad boy hurt and then my mom asks, “do you want some Tang”. I didn't want the Tang because my lip was gushing blood. So we went to the emergency room and I got eight stitches. My next injury happened the summer of me going into first grade. We had this croquet set, and me and my brother were pitching an exercise to each other and hitting it with the croquet mallet.

The hospital room is a cream color and gave off a depressing mood. Faint noises of crying come from other rooms. Picking up my arm to stretch, but unable to move as thoughts start rushing to my head. A familiar face steps into the room. Her eyes a red color from crying I can tell. She has wavy brown hair and an hourglass figure. Small and tan she hesitantly walks closer and lies a small hand on my head. That's the last thing I remember before I black out again.

This week I had rotation at Genesis and also Cumberland Hall. Genesis was very different that what I expected. When I think of a “rehab” I think of people all sitting around with major withdrawal symptoms, a very strict schedule, multiple one-on-one session, and with no smoke breaks. At Genesis, throughout the day the client was able to do their own thing until the scheduled group session and smoke breaks. I was placed on the male unit and I was very surprise of the self-awareness that I experienced. Just listening men talk and tell their stories brought on a whole new prospective and quickly changed the image of the addict stereotype. While I was there we also established that all the clients was first timers and all fathers, and afterwards I was able to sit and think about how grateful I am to have my father who’s not an addict. I have had the luxury of always having a clean and sober father; which I had taking for granted.

I earned 14 hours for service for this activity. I continued working in my shift in the ICU. In the ICU, the main jobs are refilling the drawers in the not occupied rooms and ensuring that the supply closets are full. Sometimes, I clear the storage unit, that contains towels, sheets, pillow cases, and rags, from yarn. The yarn is used to tie the a stack of linen together and they are usually all over the place. If I get the chance, I throw out the excess yarn and untie the stacks. When I was doing this, a nurse thanked me because everyone is so busy and does not have time to clean up the yarn. I continued to do my jobs, but towards the end of my shift, I begin to become tired. I developed time efficient system that allowed me to maximize the

My wrists burned terribly and the stinging pain seemed to rivet through my entire body. I didn't mind it though,it gave me a sense of being alive, a sense of that somewhere in the midst of this all, I'm still human and even thought I feel dead, I know I'm not.

Throughout my clinical experiences I have encountered a large variety of school cultures and environments. I've been lucky enough to work with both public and charter schools and have first-hand experience with grades one through four. While I have taught and observed all of the typical subjects including math science, reading, and social studies, I have also worked in the schools to educate students in theater as well as health and physical education. From all of these experiences I learned that my greatest passion is in working with young students, grades K-2, in underprivileged schools.

There are many monumental events that have occurred in my life, but the incident that left me paralyzed and partial blind was the turning point.

Oh my sweetness, You always make my heart flutter... I enjoy our chat as well. Thanks for sharing with me, and I'm sorry once again... How was your weekend? I hope you had a wonderful one with your cute kids? My weekend is long and busy, today is my day off, but there is an emergency, and I'm recommended to work at the emergency Department; I hope I don't work late tonight. Despite my busy schedule, you never leave my heart. Time runs fast, and I'm patiently waiting to finish work and feel you next to me. I'm excited to have you in my world. I can't wait to meet you in person. You're incessantly on my mind

The first thing that comes to my mind about this clinical experience would be exhausting. I had only three hours of sleep because I had forgotten I had a prior obligation later in the evening, so was unable to leave Alamosa until 2100, so I did not get home till 2330. I had to get up at 0400 to then go to SCCF. Four hours asleep, while sick was not a good idea. It was an extremely tiring day that I feel like I am probably missing something in this journal.

Today, here in Ardmore we currently have two urgent care type facilities. One is owned by an investment group and the other by a group of local physicians, both have a steady stream of clients, however both tend to have a high turnover rate of employees. Both centers offer have limited on-site medical lab testing, x-rays. The closest after hours care, weekend care facilities, not including Emergency rooms to Ardmore is 45 minutes in every direction. The centers located in more metro areas offer the same or similar lab testing as well as complex labs and complex imaging with cat scans and MRI test.

“Oh, she’s the one who’s always injured.” That's correct, I have the luxurious ‘talent’ of finding myself in urgent care, usually with a little something either a bit broken or in need of stitches. I play a couple sports, so imagine how ecstatic coaches are when almost every year I wind up on the bench unable to play? Whenever I'm confined by a brace or crutches all I hear is "Again?" by my friends and family. Growing up with only ten fractures, some stitches on various parts of my face, and a few sprains, I learned to treat each impairment as a new experience. Rather than feeling down in the dumps because I couldn't do anything while hurt, my inner Black Knight thought "Tis' but a flesh wound" and I channeled my extra energy into finding ways to quicken my recovery. I still recall a time in seventh grade where I attempted to remedy my fractured ulna for