Friday, April 7, 2017

Surveys, Getting Lost, and the PACU!

Hey everyone! Welcome to the second to last post!


Anyways, this week at the NICU I spent a majority of my time getting more surveys done. For that reason, instead of observing at CCN units, I observed in a bedside ICU pod, where there were about 10 babies and at least 6 nurses. It was a pretty regular day at the NICU, with continuous feeds and cares going on every few hours, the ophthalmologist (specialist in the forms and diseases of the eye) taking eye exams of the babies, and family members coming in and out to visit their child.  After I finished interviewing the majority of the nurses who weren’t busy in that pod, I went over to another pod to interview more. Also, for those of you asking about the patient who had a loss of breath last week, the baby is fine and now in a better condition than before.


At the Pediatric Surgery Clinic this week, I went early to conduct more surveys with people who work there but I don’t normally see, meaning the physician assistants who work with the other surgeons or the clinic staff who I hadn’t met before. Along with that, I actually interviewed another surgeon of the clinic while he walked from the clinic to the OR unit, which was slightly stressful because I had to look at the questions off my phone and memorize his answers while trying to remember the halls that we were passing and turning through. Although I did manage to remember his answers and write them down before I forgot, I did forget the way that we walked, so I spent about the next half hour trying to navigate myself back to the clinic. Banner Desert Medical Center is HUGE, so it’s not easy to try and find your way once you get lost in those dozens of hallways. I felt like I was in a maze of white painted hallways with confusing signs and repeating walkways.

The most interesting day of the week was definitely the last one where I got taken to the PACU and the pediatric OR. In order to get a new perspective on the surveys, Dr. Vegunta suggested that I interview healthcare personnel who care for adults, because everyone I had interviewed so far with the survey worked within pediatrics. A lovely nurse at the Pediatric Surgery Post-OP area led me down those dozen hallways once again to the PACU, the post-anesthesia care unit, an area where patients come to recover and wake up directing after a surgery or other type of procedure requiring anesthesia. It surprised me how different the environment was of the adult care area in comparison to the pediatric care. The pediatric care area is so much brighter, colorful, and relaxing in comparison to the adult recovery area. The PACU was huge but it was also packed, as it was a busy day in the operating room.  Although I didn’t want to disturb anyone who was with patients or blatantly very occupied, I managed to get about 7 surveys from nurses there.
This is a picture that I found similar to what the PACU looked like, but without the beds. 
After I came back to the pediatric OR, I scrubbed up into appropriate attire and observed a appendectomy (surgery to remove the appendix). The appendectomy was actually a lot larger than I imagined, I was surprised at its length when they removed from the patient’s body and put it in the container.
In total, this week was highly concentrated in getting as many more surveys done as I could possible. I’m currently working on compiling the results and finding more patterns, which I will show you all next week, in the last week of the SRP!
Thanks for reading :)

21 comments:

  1. Hi Urmi!

    It's great to hear that the baby is doing much better this week! I think that interviewing nurses who work with adults is a great way to develop more facts for your surveys. Do you feel that there is any major difference in the service patients get as infants and as adults? If so, in what ways? Also, why do babies have to get their appendix removed? Many adults have their appendix removed if it bursts, so is this the same for infants? Anyways, it must have been really cool to see a real life surgery! Hope you have a great last week! Try not to get lost this week ;)

    Bhumika

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    1. Hey Bhumika! There is somewhat of a different in between adult care and infant care in that it is a lot more likely within the pediatric department and that more of the family is allowed in the back to participate in the care. Also, babies can have their appendix removed if infected, however the appendectomy that I observed was that of a 13 yr old boy, sorry I didn't clarify! Thanks for the comment :)

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  2. hello urmi!!! sorry you got lost!!:) im really glad to hear that the baby is doing better! i was wondering if removing the appendix was super common and if the removal was messy?

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    1. Hey Siena! An appendectomy usually isn't very "messy" as the surgeons and their assistants are very professional and experienced.

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  3. Hi Urmi. Your research is outstanding! What are some cases that a patient might need an appendectomy?

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    1. Hey Ethan! The most common reason is that the appendix could get infected (mainly called appendicitis).

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  4. Hey Urmi, sounds like you had an efficient week. Could you tell of any immediate differences with the surveys of people from adult care?

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    1. Hey Luke, from what I noticed immediately, not all of them were clearly aware of what family centered care was. It was surprising to me but is also slightly understandable.

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  5. Hey Urmi! It sounds so amazing to be able to witness an appendectomy! Is this a fairly basic procedure even in babies, and are the reasons for it the same as those in adults? My only knowledge about it comes from watching eleven seasons of Grey's Anatomy, from which I'm led to believe that it occurs frequently? Also, what exactly is an ICU pod? Thank you!

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    1. Hey Esha! Yup, appendectomys are pretty common and are usually done because the appendix is infected. The procedure is pretty much the same as that in adults. An ICU pod are just the few main rooms that is divided within the NICU. (Also, 11 seasons, wow, I'm impressed with that commitment)

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  6. Hey Urmi! What is your opinion on the blatant differences between adult and child care? The way you described it made it sound dreary and hectic in the adult PACU.

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    1. Hey Adam! The main difference that I saw immediately was that not everyone knew what "family centered care" was exactly. The adult PACU was pretty hectic when I was there, sorry if I made it sound overly sad!

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  7. Hi Urmi! It sounds like you got many surveys over the week. Did you notice a significant difference between pediatric and adult care after asking some nurses in those specific areas? Also, it is so interesting and amazing that you can observe produces like the appendectomy! I look forward to see next week's post!

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    1. Hey Madeline! I did actually, the answers were somewhat different within the two departments from what I expected. Thanks for your comment!

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  8. Hi Urmi! It seems that you've had an exciting week! I'm just wondering, did the healthcare personnel you interviewed give similar answers to previous professionals you interviewed? Also, I got lost too the first time I tried getting to the School of Human Evolution and Social Change at ASU:)

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    1. Hey Nichole! Everyone gives slightly different answers depending on the department, but this week was definitely filled with surveys of a huge range of answers. Also, you did? It's really funny when I think of it now!

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  9. Hi Urmi! It sounds like you had an amzing week. I dont really have any questions this week, but thank you such an amazing post!

    Pooja

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  10. What an incredible experience, Urmi! Your on-site mentors are so wonderful in providing these opportunities for you! You have already been able to witness and experience so many things within the medical field. I can't wait to see how your project comes together.

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    1. Thanks Ms. Conner! I was only able to do all of this because of your help! Thank you so much for guiding me and helping me when things got rough :)

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  11. Hi Urmi! After 9 weeks with the Senior Project, it is amazing to hear read about all these seemingly one in a lifetime opportunities. I am impatient to hear about your final results!

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