Posts Tagged ‘usa’

The end of my trip

Thursday, October 8th, 2015

My 5 weeks of clinical rotation are soon turning to an end. Today I will do my last day at the hospital MCCG (The Medical Center of Central Georgia) in Macon. There have been a lot of good bad also bad experiences. Though this is my second time doing a clinical rotation outside of Sweden I feel that this is normal, because the health-systems work different and different countries have different issues.

thumb_IMG_0570_1024

When it comes to obesity I haven’t actually seen so many obese people, more obese children. But when children are obese, they aren’t as obese as grown ups can be. Some of the students told me that it does not need much weight for a child to be obese, but it does for a grown up person. So I think the issue here is mainly children that have fast-food and a lot of sugar in different drinks. The typical drink in Georgia is sweetened-tea. It is tea that is boiled and than they put in a lot of sugar. After that it is served with a lot of cold ice. There is also a good lemonade that is typically for Georgia or you could mix both the tea and the lemonade to get a 50/50. But, there do serve unsweetened tea as well, which I am totally fine with drinking. And everybody drinks it with a plastic-straw. In a styrofoam-cup. From what I experienced here a lot of plastic-dishes are used here, instead of washing dishes. Even at the hospital everything that is used in patient care is basically one-way used. So a lot of plastic. Even the spoon, forks and knives are made in plastic and single-packed in plastic.

thumb_IMG_0569_1024

Fresh Donut after a long day of clinical at the hospital 🙂

When it comes to the patient care I see that the nursing-education is very anatomy- and physiology-focused. When I look at how the nurses work though, they do work a lot more with caring-sience, which is not much educated in school, from what I understood from the students. This is the total reverse from Sweden, where the nurse is the expert in caring-sience and the physician (doctor) is the expert in the medical field. I also saw that they use restrainment-orders on arms and legs for patients that are bed-bund and are in need of intensive-care. I recognize this from Vienna in Austria where this also was used for patients awakening from anesthesia from an organ-transplantation. It may seem strange for a Sweden like me, because this is not used in Sweden and totally banned. At the ICU in Kalmar they have nurses (LPN) who sit and wait on the patients, just holding down their hands if they try to fight the tube in their throat. I have been discussing this treatment with nurses in Austria, Sweden and the U.S. and I found that there are advantages and disadvantages. It is easier to work with restrained patients, but it is also a restrainment of one others life. I think here in terms of that another person must feel trapped while awakening, but is it better to hold down the hands and legs by e person? It probably is, yes. But it also needs a lot more staff and people who watch their patients 24/7, every minute of the shift. And after my summer at the ICU working 3-shift, I can tell that it is a HARD job!

thumb_IMG_0572_1024

Nursing-station in the hall-way at the pediatric-ward.

This clinical rotation was supposed to be a 5-week rotation in the community. With a community nurse. It turned out not to be exactly like that. I was the first student from Linneaus university to visit GCSU. There have been several students in Växjö at LNU’s campus, but none has gone over to the U.S. from my university. I have had issues with getting to places of my clinical rotations (everything is far away here, but thanks to ALL the WONDERFUL nursing-students I could get my way to all the rotations with them. I did organize a lot of those trips by myself and my roommate Anna which also is a nursing student. I think that 5 weeks is to short to come over to the U.S. for a clinical rotation, because there are a lot of preparations that have to be done while in the States. Their law HIPPA is for the patients safety and confidentiality and is hard regulated. I also heard that nurses have to prove their registration (legitimation in swedish) every other year at a board, so they still have the knowledge for their work. This law makes it hard to just get to a clinical rotation, especially because I am not American.

thumb_IMG_0571_1024

Treatment-room for children.

It has been of huge help to live with Anna, Jennie and Beth. They helped me with a lot of questions and also allowed me to borrow their cars, which made it easy for me to shop groceries and get to barns where I spend some of my free-time riding. To live with local people is a easy way to get closer to the community and I think the whole travel mainly gave me a grate cultural experience.

thumb_IMG_0573_1024

Cars for children at the ward.

Now the time has come for me to take some vacation. Since I have made all my time for my clinicals and I got signed all my papers, I will leave for Miami on Sunday. I booked a flight yesterday and I hope that I might even make it for a Cruise to the Caribbean. I still don’t know, but there are also other option, e.g. the network called “Air bnb”, which is a homepage where people rent their apartments for a good price. It also gives you the opportunity to meet local people. I plan on grabbing my bags and leaving them at the airport in Atlanta. I will than only travel with my backpack to Florida and later next week return to Atlanta for my final flight home.

I hope you had a great time reading my blog, I will return with some vacation pictures though.

thumb_IMG_0574_1024

Georgia is a State well known for casting movies. “Forrest Gump” and “Fried Green Tomatoes” are two movies recorded in Georgia. Anna and I went to “The Whistle Stop Café” which was build for the movie “Fried Green Tomatoes” and we had food with fried green tomatoes which was delicious. Even though the place is simple, it has outstanding food and is situated in a neat surrounding. And of course it looks just like in the movie! A special thank you to Anna Agyao, without here all this has not been possible!

See ya later!

The travel and my first days

Saturday, September 12th, 2015

After more than 20 hours of travel I arrived at Milledgeville, Georgia, USA. It was a long journey, but I tried not to sleep so it would be easier for me to come into the rhythm. At the hotel I jumped into the bathtub and right after into the bed. 10 hours later I had my first american breakfast: american pancakes, fruitloops, nice coffee and yoghurt. I didn’t realize that everything would be served on plastic plates and with plastic-silver – easy for the staff to take care of “the dishes”.

Bild 2015-09-11 kl. 14.35

After my breakfast I packed my bags again and Sallie Coke, my main contact in Georgia, picked me up and we drove to the university. Here she introduced me to everybody she knew and who I would have to know. I even got scrubs and the mandatory polo-shirt for working in the community. The students here wear scrubs at school in the clinical training center and at their clinical rotations at the hospital. They have a lab coat too, they can wear it when they sit in the classroom, over their scrubs when having lectures after/before training at the center. Because though the temperatures are warm and really humid outside, it can be cold inside because of the air-conditioning.

Sallie kindly showed me around in the clinical training center too, but I will tell you more about that with pictures when I get there, which will be on Monday.

I continued my day by getting picked up by my new roommate Anna. Anna is the person who so kindly answered to my add on the Facebook-group “Bobcats Exchange”, which is a group from students for students in Milly to sell and search for things. When I came to Annas house I met Jennie as well, who is the second out of three persons who live in this 4-room big house on one floor.

After I settled in the house and had talked to my wonderful boyfriend Emil on Skype, Anna had invited me to come with here and here friends and go eat at a place called Longhorn. Before entering the restaurant we went to a petstore where I found a newspaper just for bunnies (I am in loooove!) and this collar for dogs with a bottle-opener) –  I found that acctually really weird…

 

IMG_0167

At the restaurant I had a nice sallad, a really good soup, jalapeno-poppers and a bear. The girls told me that bear with oranges in it tastes really good, so I tried it and yes, indeed, I liked it! I had a really good time with the 5 girls who all where so nice and friendly to me. As they say: the Southern-manners are well known in this part of the country. As far as I have come everyone has been so nice to me and really openminded and happy to invite me into their lives, like I have been here for weeks. And at the restaurant I met my third roommate: Beth.

IMG_0168

After the visit at the restaurant I had to buy myself some food. I haven’t told you yet, but I have an own refrigerator in my room! That is awesome! So we went to Walmart. The famous Walmart I have seen on tv for so many times! And I can tell you that I got confused… there was just SO MUCH TO CHOOSE FROM! I had a real hard time to find what I want, because it is not always easy to see what’s in a product, especially not if it is a precooked product, e.g. a pizza. But finding fair-treaded meat from america was a hard nut to crack too. Not the fair-traded part (which I couldn’t find) but on the package they wrote produced in 5 different countries. So it was hard to find how and where the meat was produced, but instead it was much more easy to choose between different percentages of fat/meat, e.g.: 10/90, 15/85, 20/80, 30/70. And trying to find something simple as olive-oil was hard too… because their are 100 different brands and sizes! In the end I went for the organic coconut-oil to try something new. Because coconut-oil can be used for frying but also as a skin product 🙂

IMG_0169

Besides the collar vs. bottle-opener the americans seem to have a lot of cool inventions. This morning for instance I found this cooler in the kitchen of my roomies. I found this so cool! You could pull the cooler after you so you could take it to, say, a party!

IMG_0171

So, this was my breakfast this morning. I couldn’t find a cheese-grinder so I am probably going to stop by IKEA in Atlanta one day so I can get one real for my roomies. Right now I use a carrot-peeler. Some Swedish inventions are really good I think. And of course it is Starbucks-coffe from a machine we have here, for my breakfast. Besides the Starbuckscoffe I was also able to buy swedish coffee from “Gevalia” for the instant-coffemachine. But, surprise, it is not for me. I bought it as a gift for my roomies.

IMG_0170

So this is all from me right know. I hope you could get what I was trying to say, I still feel a little bit restricted in my English.

This weekend I am invited to a bridal-shower by a stranger I met on my journey and on sunday I am going to “fika” (in Sweden that means talking a coffee with something to eat, like a cake or sandwich) with Emily, a former exchange student from Linneaus-university in Växjö. She found me on the internet – what a wonderful place to met people!

Next week is going to start with visiting the clinical training center for the day and get drug-screened and leave blood-samples so I can start my clinical rotation.

Have a good one!

On my way to the United States of America

Tuesday, September 1st, 2015

I am about to start a big journey, I am going to participate in an Exchange with Georgia College State University (GCSU). Due to the fact that English is the main language spoken in the USA I am going to write my posts in English.

As you may know a journey never starts when traveling to your destination. The journey starts earlier when you plan all the practical things and, of course, in your head.

The journey to Georgia and GCSU is going to be the biggest and longest journey of my Life. I am really looking forwards to it and despite all the work I already have putted into it, I am happy to travel in just less then 2 weeks: sept 10 this year.

Georgia is a State in the South-East of the US. The climate is warmer then in Sweden and the summer this year was hot. The temperatures I will expect during my visit are the ones we have had in Sweden this summer: between 24-28´C.

The capital of Georgia is Atlanta, which has the largest aquarium in the World. GCSU is situated in Milledgeville, which is app. 2 hours cardrive from Atlanta. I am going to live in Milledgeville for 5 weeks, a town with app. 19 300 inhabitants.

 

Here is a list of preparation I had to do before my clinical rotation i Georgia:

– apply at the university for an exchange through my university (Linneas university) and GCSU

– apply for an exchange at GCSU

– send a lot of documents to GCSU

– apply for a VISA (J-1) at the embassy in Sweden (or Denmark, but I choosed Stockholm in Sweden; that’s a VISA that is used for exchange students like me. Would I only visit as a turist I wouldn’t need that kind of a VISA) -> go through all the paperwork and questions on the internet, pay your fee, book an appointment at the embassy, visit the embassy, leave your passport and wait fot it to come back in the mail with your VISA (if they approve…)

– get an ESTA (so you are allowed to get into the US)

– apply for a scholarship from through my university

– apply for an extra student-loan

– get all the paperwork sorted

– get even more papers for the clinical rotation

– find a housing in Milledgeville

– book a hotel room in Milly (that’s how people living in Milledgeville call there town)

– continue the contact between GCSU and me for all details

– book a flight to Georgia

– have a plan for Lovely, my horse-friend and Illy, our bunny-friend

– buy a converter for the electric plug

– buy cloth and shoes that are comfortable to travel with and for a warmer climate than here in Sweden

– fill a lot of small bottles with my personal lotions and shampoos for traveling

– buy a travel-pillow, -mask and earplugs

– pack my riding pants and shoes (in case of any fantastic horse-adventures)

– buy a lot of chocolate for all the nurses I am going to meet

– buy a pair of kakis (brown-greenish pants) which they wear as a school uniform

– buy a book “English for healthcare-personell” and read it… and do the exercises in it too…

– talk to all teachers so my clinical training in the US is going to get accepted as a clinical rotation in Sweden for my nursing-exam

 

 

Yes… that’s about all I can remember for now… A lookout of stuff to do in less words…

I do now plan to starting to pack my bags, just so I remember everything I need to carry with me…

Love

Madeleine

 

Ps: Fun fact of this blog-entry: Georgia is the home-land of Coca Cola.

 

georgia-890614_1280

 

 

coca-736972_1280