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LeadershipJournals

Journal1(6/21/16)
Today was my first day in the ER at Jackson. I was so excited that
words could not describe, from day one of nursing school I was
interested in working in the emergency room and it finally happened in
the last clinical of school. When we arrived we did a little orientation,
we were also given a tour by June, the director of the ER. We then split
up into pairs because we were going to rotate through 4 different parts
of Jackson Memorial Hospitals ERs. The first area I got to rotate in was
ER-E which was the express ER. We saw patients that could be treated
in 90 minutes or less. I spent the day mostly giving injections of toradol
for pain or tetanus boosters for people who had burned or cut
themselves. The nurses name I followed was Fiji and we worked
alongside of three ARNPs who saw most of the patients (similar to how
a doctor sees patients) I also got to try to draw blood, but I didnt get
the vein and would have to try again another day. I also got to watch
one of the ARNPs put stitches in to a mans back who had a laceration
from tile that fell on him. The patients we saw ranged from back pain
to lacerations, to broken bones. I had a great time and by the time I
knew it the day was over. I felt like I found the place I want to work in
when I become a nurse.
Journal 2 (6/22/16)
I was still excited about the second day; I was still in ER-E and helped
out in triage (where a fellow classmate was) I got to give more
injections today. I also wrapped a few feet that needed to be
bandaged. It was good practice. Today wasnt as busy as yesterday so
we didnt see that many patients. I still worked with Fiji and alongside
three ARNPs (two of them were different). I again got to see stitches

be put in, his time in a young mans face that fell at work. I was able to
explore a little but of the rest of the ER because we had time to help
bring patients to the different parts. I was able to see ER-A, ER-B, and
ER-C, as well as ER-F. They were all different and I will see most of
them in the future for clinical. Today I took a lot more vital signs than
anything else. I also helped make up the beds that needed to be
turned over. It was nice to experience a slow day after a fast day to see
the comparison of how it can be to be an employee in Jacksons
emergency room. I didnt get to attempt any blood draws or IV;s but
there will be plenty of opportunities burring the rest of this clinical. I
still enjoy the ER and still want to work there.
Journal 3 (6/28/16)
Today was a new week so we rotated into a new area; today I was in
ER-A, which specialized in STEMIS (ST elevation myocardial infarctions).
I was excited to see a new area of Jacksons ER. WE started off with a
huddle and I was assigned to a nurse named Rosemary, our patients
werent very needs based so I followed the techs around a lot. I learned
how to do a 12 lead EKG on a patient and did about 5 of them today. I
also got to attempt a blood draw, which I was successful in. There was
also a STEMI that was flown in from the Keys by helicopter that we got
to watch how that process worked. I also got to see a dislocated
shoulder be put back into place, which looked like it hurt. Rosemary let
me chart on the computer and I performed around 6 or 7 assessments
then documented them (she looked over the documentation before
signing it.) I believe today was an overall successful day, it wasnt too
busy but I got to see and do a lot. I still enjoy being in the ER and look
forward to another day in ER-A tomorrow.
Journal 4 (6/29/16)

I was in ER-A again today and it was just as exciting as yesterday. I


worked with Rosemary again and I was able to pass meds, do blood
draws, and even put in a few IVs. We didnt get anything too exciting,
just the regular patients for ER-A. I was able to do more assessments
and documentation; I was also able to do a few finger sticks. I still
enjoy working in the ER and hope to secure a position at Jacksons in
the future. I will continue to work hard until then and am looking
forward to the week after next when we get to be in ER-B.
Journal 5 (7/12/16)
After a week of review for NCLEX we are back in the ER. Today I was in
ER-B, which is where all of the strokes go. I worked with the nurse there
and was able to practice blood draws and IVs; I was also able to attend
a stroke alert. They called in the stroke alert when they were on their
way to the hospital, they went straight to CT where the nurses from ERB put in lines, took, blood, and did an EKG while the doctor was asking
the patient questions. It all went pretty quickly and smoothly. The CT
was then done and the stroke was ruled not a stroke so the alert was
called off. We went back to ER-B and most of our patients either signed
an AMA and left or were discharged. I liked ER-B a little bit more than A,
it was a little more hectic and busy but the time seemed to fly by. I am
looking forward to being there again tomorrow.
Journal 6 (7/13/16)
Today I was in ER-B again and was paired with Miguel. I was able to
help out around the unit because it wasnt as busy as it was yesterday.
Miguel let me do most of the tasks. We had three baker acts today, two
were suicidal and one was acting out. We also got an opioid overdose

patient, the guess was heroine, narcan was ordered. Right after the
overdose patient another stroke alert was called, I got to go down and
help, this time I did the EKG on the patient while the other nurses did
the needle work. The gentleman had to go down to MRI after CT so I
stayed in ER-B. The overdose patient was awake and wouldnt listen to
any of the nurses. Security was called and he was given ativan and
also put in wrist restraints. By this point it was time to leave. There
never seems to be a dull day in the ER. I still enjoy being there and
hope to get a job in the future at an ER.
Journal 7 (7/19/16)
Today we had to draw papers to see where we would all be going
because the ER had new nurses training and with students it would be
too crowded. Only 6 people were able to go to the ER and we couldnt
go to ER-C, which I was disappointed about because I wanted to
experience all that the ER had to show me. I got ER-A and was paired
up with Rosemary again; she let me do everything that I had done with
her a few weeks ago. It was busy and there was a patient with active
TB. He was the first TB patient I have seen and everyone who went into
his room had to wear the N95 masks and he had to be placed into an
isolation room. I also had a blind patient, he was the first blind person I
actually got to know a little and he asked my why everyone said sorry
to him when they found out he was blind, I found that question hard to
answer and it made me think. I am very thankful for my experiences in
the ER and all of the great nurses that I have been able to work with
and learn from and I am looking forward to my last week in the ER next
week. We are also presenting our project next week on Nursing
Burnout. It should be interesting and informative.

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