YuYu 2015 China

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

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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