What up fellow bloggers. Hope all is going well on prac.
Pretty interesting day at the Quad Centre today. Went to visit the two ventilated patients, watched on as our supervisor suctioned and used the assissted cough machine. we will be expected to do it on our own next week, which is pretty cool and also a little scary. Because during these processess the patients ventilator is disconnected and so they cannot breathe.So have to move pretty efficiently and precisely. and as we found out today things can go wrong-when the ventilator was reattached after suctioning the alarm on the machine went off because the ventilator wasn't working-anyway for about 30sec the patient wasn't breathing before the nurses got him bagged(attached an oxygen back to his trache). Bit of panic but all was fixed pretty quickly.
working fairly independently-just about mastered hoists and wheelchair positioning and transfers. Wheelchair positioning is really important with quadriplegics because they are unable to shift their weight and thus pressure sores are a major risk.
learnt quad cough technique today. Thought i performed pretty well at it. attached the nebuliser prior to doing it. just with saline solution to assisst with sputum removal. quad cough involves a forced compression of the patients abdomen during expiration to force the diaphragm up and move the sputum. can definitely get a lot better with my timing of the compression, hopefully that will come with practice.
but all going well and feeling much more confident.
over and out.
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