Final Refection


Liza Topping
Mrs. Morgan
Senior Project
29 April 2016
Internship
Wow! I’m so glad that I did my senior project. This was an incredible opportunity. It allowed me to experience the medical field before actually being apart of it. Before this project I had never really been in a hospital or medical environment unless it was to visit or get a check up.  I loved being apart of the fast pace environment, everyone around me was working very hard and deliberately but no one seemed unhappy or sad to be at work. Of course on the days that I stay longer towards the end of shift the nurses definitely got antsy to go home but that is expected. The working schedule for a nurse is three twelve-hour shifts. However if their replacement does not show up they have to keep working. They cannot leave just because his or her shift is over. However a nurse cannot exceed a shift of longer than sixteen hours, after sixteen hours they have to leave. Other than the three shifts a week a nurse can also chose to pick up more shifts but they cannot exceed sixty hours a week. That means that nurses can pick up two more twelve-hour shifts but after that they are working way into over time. Many people do not see the problem with people working into overtime. Overtime causes the nurse to be tired and fatigued it also increases the rate of making mistake dramatically. At Piedmont there was an incentive program in place to keep the Piedmont staff working well and efficiently. The rotating schedule for most of the nurses was 7 am to 7 pm then from 7 pm to 7 am. The nurse needed to check in by 6:51 or they would be considered late and get points deducted. There were other rules that the nurses needed to follow in order to get points deducted. For example one day I had a water bottle and one of the nurse told me that if they got caught with that it would deduct points from the incentive program. The program was there to help promote a good work environment while simultaneously making the hospital cleaner and better off. Ultimately the staff receives a bonus at the end of the year if they had enough points at the end of the year.
While I was at Piedmont I learned a lot of what it took to be a nurse as I talked to different nurses and learned about their experiences. When I told many of them that I was going to school to get my BSN in nursing they looked at me with very compassionate eyes and said simply, “good luck.” That was a bit concerning but not something that I have not heard before. I have heard from many people that this is a very hard course to study and exceed in. That was another major reason that I decided to do my senior project. I figured if I was about to bust my butt in this for the next four years I might as well be sure that it is something I want to do once I graduate. After they told me, “good luck” they affirming that gong straight to my BSN was the best course of action. There are about four degrees in nursing before receiving a BSN in nursing. Along with that after receiving a BSN students can continue their studies to get an MSN degree, which includes specialties like nurse practitioners and certified midwives, and then beyond that students can decide to get a doctorate degree which allows them to be a doctor of nursing. My mother really wants to me to go straight through to being a nurse practitioner but when I was talking to nurses and nurse practitioners they told me to first get my BSN then work for a couple of years before going for my nurse practitioner degree.  A nurse practitioner is a nurse that has almost all the freedom to work as a doctor. The nurse practitioners described their jobs as being able to see patients just like doctors and prescribe medicine without the liability. Meaning they are technically shadow by doctors but can do almost every they can do. Doctors just have to sign off on the prescription they prescribe.
            During my time at the Good Samaritan I shadow a doctor and a nurse practitioner for a day. Both of them did almost the exact same thing. When shadow the nurse practitioner we saw the little girl coming in for her 6-month check up. She was adorable but her story was heart breaking. Her mother was homeless and worked very hard to make ends meat. The baby however was so cute and sweet but the mother said that the baby was still not sleep through the night. Therefore waking the mother up multiple times a night to eat. I felt so bad for that mother and so did the nurse practitioner that was see the baby. After shadowing the nurse practitioner for the day it was interesting to see how she handle everything she was much more caring and compassionate than the doctor I shadow at the Good Samaritan. It was quite evident to see the difference in the way they these two professionals were trained. Nurses are general trained to be more caring and focused on the patient while doctors are more just there to figure out what’s wrong and prescribe medicine.
            Back at Piedmont I did not talk to any nurse practitioner because I was in the postpartum unit so many of the nurses there were simply nurses. I would say about half of them had their BSN in nursing and the other half had lower degrees. All of these women were sweet and very thankful for my help. Although I was just doing the little things they were thankful that they did not have to do it. During my time at Piedmont I talked to a woman with a specialty in lactation. She was super interesting because there are so many different circumstances and things that are involved in breast-feeding. She was a lactation specialist before she was a nurse, which is slightly weird because most of the time people become nurses before progressing to lactation consulting due to getting certified in that field. It was cool to see how she viewed things now verse how other normal nurses did. The other cool thing about working in the hospital was I got to see what it is like to work out of the nurse’s station. I really enjoyed the environment around me especially in the unit I was in. People were never bored and always doing something along with that everyone seemed happy and content with their jobs.    
            This made a really positive impact on me because although I did not get to work directly with patients I was around them on floor. I was also excited to work on the postpartum floor because I plan to go into this field of nursing either on that side or across the hall at the labor and delivery wing. I really enjoyed getting to know the pace of things and how people on the floor operated. The other nice thing about this job is that once you leave after your shift you do not have to think about it or do anything for it unlike other jobs where you have to take your work home with you to completely stuff for deadlines etc. Another reaction that I have received a lot when I tell people that I want to go into nursing is that it takes a special person to be a nurse. Many people say it takes a compassion, caring, outgoing person to become a nurse. After mentioning that they usually follow it up with but it seems like you will be just fine. Overall I am glad that I did a senior project but it was definitely lonely at times since I was surrounded by people much older than me I got kind of bored talking to them. I missed my friends at school a lot so I’m glad I got to come to back to school for most of senior week. Originally I did not plan on coming back but Mrs. Greer made a great point she said looking back I’m not going to want to miss these last couple of days as a senior. The other thing that got boring was the work I was doing everyday was pretty repetitive. I did the exact same jobs everyday, which I got super boring lots of grunt work as my cousin said. At the end day I am glad that I did it and if I had the chance to do it again I definitely would.

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