Sunday, February 7, 2010

Intern . . . a recent medical graduate receiving supervised training, sometimes without pay, at a trade or occupation to gain work experience. As a Verb: Confine (someone) as a Prisoner

This has been A CrAzY Week!!

Patients were insane!


  • A drunk man that filleted his finger with a machete 3 days prior to us getting there. And, he still had blood on his clothes from the incident . . . . just giving you a taste of his hygiene habits. Lets just say, He didn't smell like roses. He was hilarious though and drunk as a skunk! 
  • Two full arrests. 
    • The first one. We got an organized rhythm back at a rate of 81, but no pulse. They pronounced her dead in the ER after they worked on her for a good 30 minutes. Then, while they were prepping her for the family to come in and see, she started breathing spontaneously, the nurses thought that it was just her final gasps of life, but then, SHE LIFTED HER HEAD OFF OF THE TABLE!!! So, they worked her for another hour, and then finally pronounced her dead again. 
    • The next one, we got a pulse back, began pacing his heart, got a heart beat that synchronized with the electrical impulses from our monitor. Got him to the hospital, the nurses unhooked the pacer!!!!! And, his heart stopped beating . . . BECAUSE They unhooked it! And they accused us of never having a heart beat or a tube correctly placed! When, we were getting capnography readings of 35-40 on the way to the hospital! And, in order to have that high, your heart pretty much has to be beating, and you pretty much need to be exchanging oxygen. I guess it didn't matter anyway though. Because about twenty minutes later they had gotten a copy of the DNR form that the family had signed Earlier that morning. So, then they terminated all treatment anyway. So, kind of an odd situation.


Lets see.
I am most likely switching preceptors this week. So, we will see how that goes. Which means I may possibly switch shift schedules. For multiple reasons.
But, basically I am stuck at where I am at with this current preceptor, and do not feel like I have progressed in my medicine for the past 3 weeks. She takes her job very seriously, and likes things done in a precise manner, as she should, but she takes control of EVERYTHING! Which, is not conducive to my educational well being. I have told her this, she said she would back off a bit, but, inevitably, that has not been the case. I have tried to push my way through it, but it is just not getting better and I am fighting a losing battle while getting run over and put down time and time again by my preceptor. I realize an internship is a learning experience, I knew from the get go it was going to be hard, and if it were easy, it wouldn't be worth it. But, its not worth it when the people that you are working closely with, that are telling you "yay" or "nay" are digging you into the ground, pushing you out of the way, and telling you in vulgarity and profane language that she won't step in until she feels like you have 'messed' up, or are going to slow. Which, the patients that we had for these situations, were NOT going to die by the time we got them to the hospital, because they were -- in part -- fakers, so, super easy to treat, but she gets fed up with them and starts cussing at them and carrying on, while I am trying to do my assessment and get things done, and then she will tell me to get out of the way, just because she is fed up with the BS calls that we get. Honestly, they are the easiest calls you will run, and the best experience FOR A STUDENT to find out the underlying events that made them actually call the ambulance. Which is usually mental disorders or med refills. She is super scary to even try to stand up to, she gets this untamable fire in her eyes that I don't even want to go up against. Especially because she doesn't really care. She already has her Gold Patch and a job that she has had for 12 YEARS! So, at this point, she would probably actually prefer to get fired, for it is an excuse for her to finally get out, for she is totally burnt out. So, I have chatted with the supervisor, taken his advice for the week, but I will be chatting with him again tomorrow on seeing what can be done about the situation. So, kind of a scary little plunge at the moment, but, it will all work out. And hopefully I can become everything that I need to while I am out here. Everything that is supposed to happen will. And, the Lord is looking out for me. Besides, I have learned SO MUCH about quite a variety of topics--especially myself-- since she has been my instructor. But, now, I just need someone that will let me spread my wings and get in there and actually LET ME mess up so I can LEARN from my mistakes and progress to better things.

Outside of the MEDIC life.

Brittany and I are in THE BEST singles branch family EVER!! There is a bond and a knit tightness that I can already feel so strongly! I went to a University Singles Ward activity yesterday with 5 of the kids from my branch. We went bowling. AND .. . . .

I WON QUEEN of the Bowling Extravaganza! I got the highest score out of the girls! And got a sombrero with "QUEEN" written across the front! It was super awesome and totally unexpected. We ate tacos afterwards and did some karaoke afterwords. Then, I went to IHOP with a couple of friends later that night. And the best part about yesterday . . .

STETSON MADE IT TO TOWN! Happy day! I gave him a much needed hair cut and a little tour of the essential spots he would need to know around the city. Like where work is, where Britt and I live. that's about it and that's about as VITAL to life in OKC as it gets.

So, another week down.
It is my half way evaluation this week for my internship. And, we'll see how it goes.

Got a branch bon fire outing lined up for this friday! Super Stoked! It's gonna be BIG!! So, I just need to make it through the next 96 hours. And . . . . All will be well!

Love you all!

1 comment:

Anonymous said...

Oh karli! I'm so sorry!!! I'm glad through all of the struggle with ur "instructor" or sorts u r at least learning more about itself...and u r an amazing person! I'm so proud of u for pushing through this hardship. "I never said it would b easy,I only said it would b worth it" u r my hero and even though u r 6yrs younger...I look up to u and I'm proud if u. I love u so much and u know u will grow and learn and make this experiance worthit:) I love love love u and I miss u even more! Wish I could come visit!

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