Now that all the practice is almost over I’ll say some words about the intensive care units where I have been. There is at least three different intensive care units in the hospital: neurointensive, general intensive and pulmointensive including lungs etc. Besides, there is also own intensive to heart things and to children, if I have understood it correctly. I spent at least one week in every of those three units, but with small differencies, they are basically quite similar. In neurointensive concentrated more on neurological problems (brain problems, spinal cord problems, etc.), pulmo intensive in lung problems (like pneumonia, care after lung surgery, lung cancer, many patients withdrawing from the ventilation machine, etc.) and general intensive in all the others like organ transplantations, cancers, etc.
Anyway, all the units were interesting places and I was received there very friendly, even though at first I wasn’t even supposed to do my practice in intensive care but in operating theater as a scrub nurse trainee, like Jenna has done. I don’t know very much about how things are done in intensive care unit in Finland, so it’s difficult to compare but now I have seen how it is here. In units there are 10-12 patient places including 2 isolation places for patients needing isolation (contagious diseases, or weakened immune system), and every nurse can have maximum 2 patients at a time. Shifts are usually 12 hours: 7-19 or 19-7, only the nurse who is assisting the procedures done during the day, has a 8 hours’ shift from 8 to 16. In every unit there were “hospital assistants” who worked somelike as practical nurses: feed, washed and took care of the hygiene of the patients. Nurses just helped with washing and turning the patient. In addition, nurses take care of the medicines, possible iv. cannulations, suctioning, using of nasogastric tube, monitoring, fluids, blood transfusions, changing of infusion/artery systems, measuring CVP & IAP, taking samples (blood, urine, sputum, etc.), and assisting doctor in procedures like putting central venous catheter, arteria cannula, pleural punction, tracheostomy, etc.
All the hours soon done, two days to go! 🙂
It our last week here, next week we’ll be back in Jyväskylä which feels strange and raises mixed feelings: it is kind of sad to think that this time will be over soon. It has been a great experience to live abroad, meet new people from different countries, learn in the Estonian hospital with the ways they do things ( it is not that different), learn Estonian language, learn about Estonian traditions, get to know this pretty town as a home town for a while, and enjoy the cheaper public transportation, hair dressers (7 e hair cut..) and food. It has been great to get to know Estonia better because to be serious, I did not know very much about this country even though it is our neighbor. One weekend at Tallinn that I had spent earlier did not teach me a lot, these three months did. We were also able to see many places of this country: Pärnu, Saaremaa, Peipsi lake, South Estonia… This country is so much more than just Tallinn tourism and Pärnu’s spas.
At the same time that it feels sad to leave soon, it also feels so good to know that soon we’ll be at home, sleeping in the own bed, surrounded by own stuff, back in finnish routine: no more small shared room with shared kitchen and toilet altogether with 6 people, no more making coffee one cup at a time because at home there is a coffee machine! The last times have gone so quickly. I think the first half of these three months’ period went slower, when everything was new, but the last half has gone like flying with the routine we have here. Today was our second last time in crossfit. Kind of wistful feeling. We wrote to their guestbook and took a picture together with one teacher. It has been so great part of this time.
On Saturday we’ll go to Tallinn, on Sunday back to Finland. It is so soon!