It was 2am in early August of intern year and I was awakened by a call from a nurse. My 80-year-old patient with pneumonia was hypotensive and saturating in the 80s. I immediately jumped out of bed and started heading in their direction while frantically trying to find my senior’s number on my phone. As I reached the patient’s room I felt lost and intimidated; he was already on supplemental oxygen, what else could I do? The room quickly became busy as more and more people showed up to help. While other people were busy doing, my senior stood quietly assessing and thinking about the patient. He calmly lead the team in stabilizing the patient. What had impressed me the most was not just how knowledgeable my senior was, but his calm and collected …show more content…
I had had a series of respiratory infections, and after a severe episode where I found myself short of breath, I was diagnosed with asthma. I was extremely worried as I understood asthma was a disease, unlike bronchitis, that was never going to go away. I’ve been lucky to not need my inhaler very often, but because of my experience i’ve always felt an affinity towards pulmonology. During residency I have seen that pulmonology provides a good mix of practice because it gives you an opportunity to work outpatient managing chronic lung issues, inpatient by treating acute exacerbation, and provides the perfect complement to critical care medicine. I also enjoy that pulmonology has a procedural side and hope to gain more experience with …show more content…
As a new intern I was worried that if I was not doing something I was not helping, and as such I threw myself into every rapid response drawing labs and placing lines. As a maturing resident I have realize that I was wrong and have learned to restrain myself. By utilizing my medical knowledge and training I can help piece together what is happening so that I can better treat my patient. One case brought to the ICU was a morbidly obese patient with COPD and chronic constipation that presented with dyspnea. There was no improvement with treatment. Though not ill appearing, his distended, almost tense, abdomen reminded me of a patient I had during medical school with abdominal compartment syndrome. Bladder pressures were measured and found to be elevated, and we deduced that the source of his dyspnea was increased intra-abdominal pressure transmitted through the diaphragm. Decompression and resolution of the constipation led to rapid relief of his symptoms. That was one of the first times I felt like I had truly applied my knowledge and it gave me a sense of pride and
On September 28, when we went to Tripler Army Medical Center, I was placed in the Cardiac Ward. At that time, I was able to learn so many diagnosis dealing with the patients. The nurse had briefly explained what was going on with each individual patient and the type of treatments they are doing to help. She had also neatly clarified each medication she was giving them and told me exactly what it was used for. I was able to get an experience of hands on by taking a patient’s temperature. I had shadowed as she did so many things to make the patient feel comfortable and did everything to the best of her ability to make them happy. She had taught me how to record every piece of information about the patients on the computer by showing me what
Having the opportunity to be versatile and face assorted challenges are some qualities that I have always yearned for in a career. The diversity that Speech-Language Pathology presents its clinicians in the forms of setting, areas of expertise, and ever-changing populations that we support is motivating to me because I believe that experiencing diversity is one of the most important things that a person can do to become a more accepting, well-rounded, and empathetic individual. Working at a day camp for children the past two years has given me a widespread base of experience working with some of the diverse populations that Speech-Language Pathologists see. The children at camp have been from varying ends of the cultural, socio-economic, and disability spectrums. The main premise of this camp was to get kids to enjoy being active and
I had a dream of a career that would allow me to utilize my skills, my motivation to help others, and would catalyze change. Speech-language pathology has allowed me to lead my life with purpose, the purpose of empowering others. This empowerment is gained by my assistance in overcoming speech related deficits and disorders as a speech-language pathologist
Since my first encounter with the ICU environment in the sophomore year of the nursing school, critical care has become not only my profession but also a life-long passion. I completed the diploma nursing program in 2006, and as a new graduate RN, I was fortunate to be hired in the intensive care unit immediately after graduation. Seeking to expand my professional knowledge and expertise I became critical care certified as soon as I was eligible. Eight years I spent in the combined cardiac/medical intensive care unit had been an excellent opportunity to provide care for the patients in various stages of critical illness, and gain invaluable experience. Exploring my interest in the critical care one step further, I ventured into a new professional
While maturing and gaining extensive knowledge in the ICU, I have been entrusted to precept new ICU nurses and take the role of charge nurse. Reflecting on my overall time in the ICU, combined with reading the book Watchful Care by Marianne Bankert and following several CRNA’s in multiple cases and settings, I have finalized my decision to pursue a career as a nurse anesthetist. My strong interest in hemodynamic monitoring coupled with respiratory and pharmacodynamic management has been a passion of mine since learning the material in nursing school. The well-respected field of nurse anesthesia truly encompasses these concepts, contributing to my strong desire in becoming a nurse anesthetist. I have been told by multiple peers to also pursue education, which is another strong interest of mine since I began tutoring nursing students.
Many times, I have been asked 'why speech pathology?' and I found myself answering with rehearsed responses such as, "I want to help people" or "I want to work with kids." However, as I have progressed through higher education, my answer has changed. I decided to pursue a career in speech-language pathology because I wanted to impact lives. Throughout my time at SUNY Buffalo State, I have had the opportunity to work with a range of clients.
His eyes told a story I wanted to hear. I grabbed his hand but his grip was weak. With a smile I got him to recognize that he was going to be well taken care of. I knew this because in the eye contact we had, I saw the relief in his face as his furrowed brow ironed out. He now understood that I was going to be looking out for him. I was going to be his nurse for the next 12 hours along with his primary nurse, my preceptor. I stated this information to him while placing the blood pressure cuff around his arm and giving his had just one more squeeze for the moment. I felt so purposeful in helping this man who clearly needed more than just vital signs checked and medications passed. He had been truly ill and his mental state seemed to take the worst beating.
A position in the audiology profession requires a wide variety of skills, experiences, and abilities. These range from basic skills such as compassion and ethics, to complex experiences regarding research involvement and clinical competence. I have a great number of these characteristics that can be shaped and molded into a full-fledged audiologist. The most unique characteristics I offer as an undergraduate student are my ability to empathize, my experiences in the audiology field, and my desire and persistence to become an audiologist. I have spent a great deal of my time trying to better understand individuals with hearing conditions.
The purpose of this journal is to reflect on my experience and skills gained during my clinical placement at Ben Taub Hospital. On my first clinical day, I was excited and nervous at the same time. My first placement was in the PREOP/PACU area. I was assigned to help a patient who had been in the PACU area going on 2 days. Normally, once the patient comes from surgery they are only in the PACU area for a short period of time before they are discharged home or given a bed in another area of the hospital. This particular patient still had not received an assignment for a bed. The physicians would make their rounds to come check on him daily. The patient was a 28-year-old Hispanic male, non-English speaking, he had a hemicolectomy. He had a NG tube, urinary Foley catheter, and a wound vac. My preceptor had just clocked in and she needed to check on the patient’s vitals and notes from the previous nurse. Once she introduced me to the patient and explained while I was there, she then asked me to check his vitals. (Vital signs indicate the body’s ability to regulate body temperature, maintain blood flow, and oxygenate body tissues. Vital signs are important indicators of a client’s overall health status (Hogan, 2014). I froze for a quick second. I have practiced taking vitals numerous of times and I knew I could do it correctly. I started with the temperature first, when I was quickly corrected on a major mistake I had made by my preceptor. I HAD FORGOT TO WASH MY HANDS and PUT
I am writing to express my interest in the graduate audiologist positions with Australian Hearing advertised on your careers website and disseminated via email to final year audiology students. I am currently in my final year of Audiology at Melbourne University. I have a long-held interest and passion for hearing health, having grown up around deaf and hard-of-hearing people. I went on to pursue this interest further, first studying Audiometry at TAFE NSW and then Clinical Audiology at Melbourne University. I have strong connections with Deaf community in Melbourne, with Auslan being the language used at home.
The call came, as it always seemed to be the case, minutes after crawling into my lofted dorm room bed. Without an available driver to the hospital that night I hopped on the bus giving me time to review my advocacy materials and imagine what kind of case awaited me. To my surprise, the patient was not being
For my seventh clinical shift at the Loma Linda Veterans Affairs Medical Center, my assigned preceptor Filipina Gumangan assigned me three patients on the 4NW unit. The unit where I precept is an intensive care step down unit. Filipina’s objective for giving me three patients this shift was to give me an opportunity to continue exercising my time management skills and to practice my reporting and charting skills, and wound care. This shift I was responsible for many clinical duties corresponding to the care of these patients. My patients this shift were Mr. B, a 72 year-old Vietnam War veteran newly diagnosed with colon cancer, Mr. S, a 65 year-old Vietnam War veteran in the hospital for complicated urinary tract infection, Mr. R, a 90 year-old Korean and Vietnam War veteran. Caring for these patients taught me more about the humanbecoming perspective of nursing and showed me about multidisciplinary coordination with peers, colleagues, and more.
My resume reflects my achievement of securing a Bachelor's degree in Linguistics and Psychology issued by Concordia University in Montreal. The registered courses such as language acquisition and descriptive and instrumental phonetics in my academic curriculum sparked my interest to pursue a career in audiology. Since then, I have gained an extensive amount of volunteer and work experience related to the field of interest. To pursue my future long-term goals of becoming an Educational Audiologist, I have chosen to undertake my postgraduate studies at the University of Queensland in their Masters of Audiology Studies. The University has an excellent team of hearing and healthcare leaders in speech and hearing sciences that are driven to improve
Through these experiences, I have gained a deeper appreciation for the indispensable role that biomedical research plays in developing and improving the national standard treatment streamlined for patients. In addition to conducting research, I have continued to pursue my interests in medicine by shadowing Dr. Carlos Evering, an Anesthesiologist at Saint Agnes Hospital. From him, I have learned the importance of establishing lines of effective communication not only with the patient in terms of the procedure but also with other medical staff that are directly involved with the patient care to ensure a smooth transition from the conscious to unconscious state. I have continued to stay active in the community through leadership activities such as tutoring and mentoring the inner city children of Washington D.C. Overall, my experiences since graduation —research at the NIH, shadowing and volunteering in the community— have continued to reinforce my interest in medicine and my desire to positively impact the health of communities that I hope to serve as a student, doctor, and one day, a
During my first semester student clinical rotation, I was introduced to patient, 76 year old AB who was being treated at an assisted living facility. She was a wonderful patient and someone I immediately connected with. AB had been medically diagnosed with COPD and displayed all the classic physical signs of the disease such as wheezing, deliberate breathing, severe shortness of breath and nutritional deficit. She was my first patient as a student nurse and the first person I was able to complete a health assessment and nursing care plan for. I recognized early on that AB was special and someone who would be a great person to communicate with. With the initial assessment she was a little scared, but