YuYu 2015 China

Nursing student final clinical training in Peking Union Medical College Hospital, BeiJing China.

Monthly Archives: April 2015

Weather and Fun in April

It is warm, sunny and beautiful in BeiJing at this moment. However, it is crowded, too crowded! The human jam is everywhere and it is driving me nuts! Here are some pictures from daily fun inBeijing.

QQ Photo20150421182254Human Jam in BeiJing!QQ Photo20150421181953

QQ Photo20150421182224Food In Beijing. QQ Photo20150421182126

 

QQ Photo20150421181435Crazy snacks in BeiJing. WangFuJing street!QQ Photo20150421182157

QQ Photo20150421182324Alcohol in the grocery store. CHEAP!QQ Photo20150421182052

IMG_1559Beautiful cakes. EXPENSIVE! IMG_1561

 

OLYMPUS DIGITAL CAMERASunny weather in April. OLYMPUS DIGITAL CAMERA

OLYMPUS DIGITAL CAMERAOLYMPUS DIGITAL CAMERA

OLYMPUS DIGITAL CAMERASubway map in BeiJing. It is convenient because it can take you anywhere with NO traffic jam BUT human jam. Hahaha.

Intensive Care Unit, Day 1

Intensive care unit in Peking Union Medical College Hospital is divided into internal medicine ICU and surgical ICU. In addition, Surgical ICU consists of ward one, two and three. I will be continuing my clinical training at surgical ward two for the following four weeks.

Surgical ICU ward two consists of 18 patients’ beds, it is all small single rooms with glass window connected with each other. It is a closed ward, and the nursing station is placed in the middle of the ward like a rectangle. Two of the rooms are isolation room, and the air flow is reversed. Nurses and doctors are available 24 hours a day. One nurse and one doctor is assigned to be responsible for one patient to three patients depending on the situation of the patients. However, most of the time they help each other. In a way, it is good that they have good  team work spirit, but sometimes it might be too confusing especially if you do not know the care system here. Aseptic techniques are highly required and strict in ICU.

Nurses share the work as two shifts, whether day shifts or night shifts. Day shift is from 7:30 AM to 8:00 PM, and night shift is from 8 PM to 8 AM. Nurses work about three to four days a week and 12 hours per working shift. So if you work three days a week this week (36 hours), then you work four days a week next week (48 hours). Enjoy my practice here in ICU.

First Two Weeks in the Emergency Department

Time flies, two weeks practice in the emergency department has gone. As l have explained in the previous post, there are six wards at the emergency department, and l have been to all of the units for at least one day. Eventually l decided to stay at the resuscitation unit for the next two and half weeks, because this is the most unpredictable ward where l can practice quick nursing interventions and see something new.

There are about twenty-one beds at the resuscitation unit, and all of them have monitors, oxygen and other emergency equipment. Patients who are admitted in the resuscitation unit are mostly suffering from severe infections, pulmonary diseases, cancers, severe cardiovascular diseases including transit ischemic attack, myocardial infarction and other life threatening diseases. Sometimes there might be emergency events. Some of the clients are in coma or unconscious when they arrive. They may come from home with their family members, transfer from other hospitals, or come with paramedics with ambulance.

Nurses are classified into four levels, from the lowest level one to the highest level four. Their level is qualified by the examinations and working experiences. The nurses with higher level are mainly responsible for the medication and nurses with lower level are mainly responsible for morning nursing care, including urinary catheter, oral, and nursing care for the tracheotomy etc. The nurse helpers are responsible for bedding changing, and other basic nursing care. Doctors visit patients from bed to bed every morning and they are available at the nursing station 24 hours. Patients have their family members outside at the corridor 24 hours every day, they are there for signing the treatment agreement if needed, communicating with physicians and buying food, drinks and other daily necessaries (tissue paper, towels, wet paper, etc.) for their patients.

The hospital system here in China is different for Finland, patients’ medical documentation in China is mostly paper copies and in Finland it is all electronic.   The nurses use the paper forms to record patients’ vital signs and fluid balance. When the patient’s condition gets more stable, or certain diseases get confirmed then they may be transferred to the Intensive Care Unit, or to the specific wards such as internal medicine or cardiac unit etc. In general, it is a great place to learn and I am grateful as well as appreciate my time here at the resuscitation unit.

 

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