Dr. Fried spent the morning catching up on one lecture then giving two more. It's interesting to have four interpreters that don't know medical terms so there are some difficulties with interpretation. We say a sentence and they interpret. It takes time and sometimes what the residents reply with is not interpreted back. For the most part though, it appears they are getting it because they're clearly engaged and interested and at times there is much dialogue amongst the group who take care of each other making sure one is getting it as much as the other. There is one Resident who speaks very good English who has graciously stepped in to interpret some of the more difficult lectures that the interpreters have a hard time translating. After lunch, Connor, Lisa and Kacie did case studies on trauma, respiratory failure and sepsis. Dr. Fried, Kaina and Mario taught the mechanical ventilation station. It was important to Patti to teach them as much of the VAP bundle as possible so she stepped in to teach suctioning Q4, oral care, HOB angle and turning the patient.
Kacie and Connor doing a case study on a critical patient
Dr. Fried calculating IBW
Connor, Kacie and Lisa presenting case studies
Dr. Fried and Mario at the ventilator skills station
Mario and Dr. Fried at the ventilator station. Notice the tall guy in the lavender shirt? He's one of the interpreters named Pickford. He's an electrical engineer who has not been able to find a job in his field. He, like the other interpreters are so engaged in our skills stations that they are yearning themselves, to get some hands on practice! At the airway station, Pickford was dying to intubate the mannequin, but he urged the residents, used hand motions to show them to pull the laryngoscope up and to watch out for the teeth! You could feel his anxiousness to do it himself! Pickford told me that he is so fortunate to get this one week interpretation stint. Any work is hard to come by. When I asked what most people do for money he said that families pool their money to take care of each other. If one of the 8 family members works, that money feeds the rest of the family. They take care of each other. We all have a lot to learn from them.
Patti teaching the VAP prevention bundle
We discovered yesterday that the basic tube securement that we used to do with tape is sometimes done with curlex wrapped around the tube then wrapped around the neck, sometimes tape but not securely. When Mario and I first assessed this patient the tape was half off his face, he was experiencing frequent tetanic contractions with full body, quite violent stiffening with sky high blood pressure, diaphoretic and the tube was barely staying in place so we retaped and secured his tube. Yesterday we looked at him, noticing his tube was freshly secured in the same fashion we taught the day before. I asked Mario, "did you retape his tube?" Mario looked at me and replied "No, I didn't, I thought you did." Wow! That was a defining moment knowing that what we taught yesterday at the airway station was actually applied! Yay! It seems like a small victory but any knowledge that sticks is huge!
No comments:
Post a Comment