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Taking a nap at work

2015-10-10

Did you know that there are studies who have been made with doctors if it is good to take a nap at work when you work a long shift? These studies have shown that it is good, and that you can gain back your concentration. Here at the ward they have the modell to take a 30-minute nap at working hours sometimes. I know that not everybody is doing it every day they work, but I know that my supervisor e.g. does it sometimes. I was allowed to do that too one day and I can tell for sure that this is a modell I would like to have at my future-working-place. I felt so much better and stronger afterwards again. Just 30 min in a nice room with beautiful lights and calm music. This is actually something I want to take with me to Sweden, not just for doctors and not just for people who work long hour shifts!

 

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The end of my trip

2015-10-08

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.

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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.

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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!

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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.

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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.

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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.

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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!

Two weeks, one big post

2015-09-29

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Week 2 started out good. I found to a barn and some horses. It is hard to be away from my animal-friend, a horse namend Lovely who lives in Sweden. Happily Jennie (one of my roommates) helped me to find a place called ”Horse Dreams” which is really close to where I live. At Horse Dreams they work with having 2 horse-camps for children in the summer – all for free! For children an families that can’t efford their children to ride. So during the rest of the year the 18 horses that Mrs. Paula owns have to be feed and exercised. At it is here she has a lot of college-students helping here with that in exchange for riding.

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And than Walmart. Again. I love Walmart – the big store that has everything! In this picture you can see crazy scrubs that the nurses have to buy by themselves. I learned during the last week that the nurses here have to wash their own scrubs. I also learned that the nurses don’t use aprons, only if their patient having diseases that their know about. I have even seen nurses not wearing anything besides their scrubs when helping a mother giving birth to her child. I also learned that Georgia is a State where forbidden by law to teach anything else than abstinence from sex as contraceptive, which means that people can’t have sex if they don’t want a baby. Or at least it means that the schools don’t teach about condoms or other contraceptives.

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In this picture you can see what it takes to buy a weapon in Georgia. You have to be of a certain age and you have to show a by government issued identification, preferable the drivers license. That means that everybody in the State of Georgia can buy a gun. I know though from my roommates that you need a certain license to be able to carry a gun with you. But it is easy to get that from what I have heard. One night there was a shooting near our house. I still do not know why, but my roommates told me that there are gang-issues and have been all summer long.

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Of course I had to bake a “kladdkaka” or as I call it in english “mudcake” for my kind and always helping roommates! I am actually allowed to borrow their cars sometimes which makes it easy for me to get to the barn, the gym and, of course, Walmart! I am pretty proud of myself to find myself through the jungle of streets here. But it helps that the streets are so big, it makes it easier to drive and see the traffic.

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One of my days at the university I was allowed to spend with eldery people who where bicycle-racing. Not so harmless I have to say… One broke his wrist, one crashed is bike and probably his hip too and one made it as only male in 90+ to the gold-medal. The 90+ man you can see in this picture. He said he didn’t think it was so hard though he hadn’t any competition, but he waits for the next year for someone to claim his prize.

 

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This travel has so far been a cultural challenge for me. There are many things I’m not always sure about. But sometimes signs help me to know how I should behave or dress. For instance this sign which explains the dress-code for the gym. I was by the way able to buy a membership for the gym for the time being in Milledgeville. The gym is really nice and modern. It has 2 swimming-pools, 2 big sports halls, a big gym and is all green, which means they don’t have any emissions. E.g. they use the energy the students make by riding bicycles and running on the thread-mill.

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There are a lot of interesting animals here! I have not been able to catch all on camera, but they will always be there in my memory. Or at least as long my memory works as it should. In the first picture you can see a Mantis, in the second you can see a cockroach. The worst thing with cockroaches is that they can fly too… And one night one ran over my foot when I opened the door just for one second… I washed off my foot afterwards. I’ve seen big spiders and caterpillars too, but also a lot of birds, e.g. the big white Egret, such a beautiful bird!

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Everything in the U.S. is possible to get by car, even medications, coffee and money from the bank – drive-thru! In this picture you can see a drive-thru pharmacy. Medication here is not the same as in Sweden. There are some painkillers, stomach-medication, antibiotics (for the skin) and even some sleeping-pills you can get easily without any prescription. In the next picture you can see all the medications I just described below, all for under 1 Dollar at Walmart. Even ointment for smoother muscles.

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Between the days at the university I am able to take a swim in a outside pool as well. The day I took this picture was unfortunately one of the last days I saw the sun. The weather is still humid, but it is starting to get more cold though fall is due here too.

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The clinical rotation in the community at Georgia College also means that I have to gain knowledge from different activities in the community. One of my days with my fellow nursing students I spend at the Ocmulgee National Monument Park where Indians from all over the U.S. had a big meeting. In the first picture you can see how different the food is from the Indians usual food compared to our modern food-rations. At the park we students had to be in a first-aid tent waiting for people in need of first-aid. (Un-) Fortunately there where no people in need of care when I was at the station so I was able to go and see all the fun stuff the festival had to offer. In the second picture you can se an Indian mound, a hill build with clay by Indians. I was able to walk inside it and it is believed that the mound functioned as a place for rituals. In the third picture you can see the typical lunch here. As we where volunteers we got food for free. As a poor student I do not complain about free food, but I wanted to show you the picture of it because a lot of food over here looks just like that. I do actually cook a lot of food by myself, just because I like to know what’s in the food. In comparison here a picture of the food I made with food from a farmers market. I used potatoes, sweet potatoes, butternut squash pumpkin and Ocra. Ocra is a vegetable which is typical for the South of America. I really enjoyed my Ocra as my supervisor/teacher Sallie Coke (who got me to Georgia) recommended me to taste it. I think I liked it most as a raw vegetable, crunchy! In the 5st picture you can see me in front of the ambulance they had at the festival. Actually they did leave to motor on, because they’re otherwise afraid of the engine not to start again. It is still a car that need a lot of energy to work properly. The last picture here shows my little key-chain I bought at the market from a really, really nice and pretty dressed woman at a tent. Such a magnificent handcraft!

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Later in the week the students had to give each other and all people who came in and wanted, a flue-shoot. It is a vaccine against the influenza and is offered all students for free, but is mandatory for all nursing-students. Other people from different places in Milly can choose to stop buy and pay 20 Dollars for the vaccine as well. This gives the students a great opportunity to practice a intramuscular injection in the deltoid muscle.

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And than of course more horses again… I bought this wonderful leggings with horses, of course, at Walmart. And I rode in them, because it was to humid and warm to wear my usual riding-pants. You can also se Mrs. Paula driving here golf-cart on the trail. It was interesting to see how far the car could go, but there are so much stronger than I ever thought! It went a lot up- and downhill!

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The nature around here is also very beautiful. Here you can se the hibiscus, one of my favorite flowers when painted. thumb_IMG_0476_1024

On of my days at the students clinic I spent learning a lot about pediatrics and I also learned how to intubate a baby. Even if neither the nurses in the USA nor in Sweden are allowed to intubate patients if they aren’t an anesthesia-nurse, it is always good to have the knowledge of it!

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Georgia is known as the State where a lot of movies are recorded. One of them is “Fried Green Tomatoes”. I had the pleasure to borrow the movie from my roommate and I loved it! But of course I hade to try real fried tomatoes to and I loved them too! Here you can see how the look like for real.

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As a lot of my friends at home know I am a nurse to be involved in a lot of discussions about the future salary for nurses. Here at Georgia College there is a organization called “Start Smart”. They had a workshop about how to start smart with a good salary, because there is a huge gap between man and woman. During a lifetime a man can earn 1 miljon Dollar more than the woman…

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I don’t know why, but I didn’t believe that all the things I have seen on TV from America where for real. One example is here: they do play beer-pong at parties and there are people producing a spirituous called “Moonshine”. Moonshine is known as alcohol that is made outside of the borders of the law, it is forbidden do make your own alcohol in the U.S, just as it is in Sweden. But there are people (yes, in Sweden too) who make Moonshine. And then there is Moonshine that is sold legally. In the picture you can see Moonshine at a liquor-store.

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And here one last special picture. Buy wine at the pharmacy. You could buy all that is needed for the evening there: pills, DVD’s, toys for kids, candies, body-products… And of course wine…

Sunday, Monday and Tuesday – clinical training center, shopping, swimming and food

2015-09-16

Hi there far away and near!

Or whoever is reading my blogg. Sunday I spend with taking it easy at home with a lot of chatting with my roomates – the best girls I could find to stay with! Than in the evening Beth and I took a short drive to the mall and we found this funny thing, a fountain with a bible and a cross.

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Monday morning was my first day at school. My expectations where to found something like our clinical training center in Kalmar. I went to school in my scrubs I was allowed to borrow from the university. I have one set with dark-blue scrubs with the logo from the university, a lab-coat (when it turns cold in the classrooms they can use it there, the scrubs are for using at the clinical training center and when visiting at the hospital) and 2 polo-shirts for working in the community. This is me before walking to school:

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Here are some pictures from my 10 minute walk to the campus. This morning it was actually only 12’C, so a little chilli. But later on during the day it became nice and warm again.

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Here are some pictures from the day at the clinical training center. On the first picture you can see 2 students training with a teacher how to take a blood-sugar sample.

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In the second picture you can see another teacher take care of a decubitus-wound at stage 4 on a model.

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In the third picture you can see a doll with a stomach with four different ostomies. Besides the doll you can see the different intestines of the human body, but from another model.

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In this picture you can see a part of the university. The campus looks pretty much like this everywhere. After the clinical training (which was basically what we used to train in semester 2 and 4 at the nursing-program in Sweden, and I couldn’t find any difference between how they work and we), I had to go to the office for doing test on the computer for a hospital where I should go for some clinical training during my weeks in Georgia. It turned out to be a really big test and I felt totally overwhelmed – it was not what I had expected. The thing is here in the U.S you have to sign papers for everything you do and apparently do a lot of test on the internet too… I was about to start crying, because the first test out of 10 was over 100 questions, and even though I understand a lot of english and speak it pretty well too, I had hard times to understand some of it. Happily some of my new made nursing-friends from the clinical training center could help me out to do the first and biggest test. Man, what a day… I thought getting to the U.S was the biggest part, but no. Here it came again…

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After school I was able to borrow my roommates car and I drove for the first time a car in the united states on my own! It felt pretty weird, but I was so proud of myself that I did found my way to the mall and home again and could manage the traffic and signs I am normally not used to! After the afternoon in school I had to go shopping to cool down my depressed nerves.

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As I had to put gas in the car I realized for the first time HOW cheap the gas prizes are here! I put gas in the car for 10 dollars (which is less than 100kr) and half of the tank was full!

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It turned Monday and I gotten to the drug-screening part of my journey and leaving a blood-sample. A kind student from another nursing-cohort (=class) helped me to get there and we decided to go to a swim-class in the morning, though the clinic was in the same house as the fitness-center. While waiting to get to the nurse at the health-care clinic they have for students, another student came and talked to the girl who has drove me to the clinic. Her friend, a young man, came there apparently because he had been poisoned by poison-ivy – a common plant in the U.S I hd heard some of on different american tv-shows. In this picture you can see the poor guys rash after getting in contact with the oil of the plant “poison-ivy”. This rash shall never be scratched, though it itches a lot. The rash-bubbles can explode and they said they can be contagious. Poison-Ivy can get into your blood-stream too, and apparently this poos guy had had that too. If the Ivy gets into your blood-stream it can actually get really dangerous, so the Ivy is definitely a plant to be beware of!

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After giving away my blood and urine for the drug-screening (I even had to sign a paper (again!) that I was about to donate urine…………. In the next picture you can see a cabinet from the changing-room for the swimming-hall. As you can see there is a shower and in close connection a dressing-room. I post this especially regarding to the ongoing discussion about weather children in Swedens schools shall shower separately or together.

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In this picture you can see a machine that spins so your wet bathing-suit gets a little dryer before putting it into your bag. Funny invention!

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After the swim-class Bethany (the other one, also a nursing-student) took me to a place called Chick-filé-A. The Southern part of America (where I am at right now) is especially known for it´s fried food. I ate a classic burger with fried chicken and vegetables. As I got a menu I ate the funny potato-chips you can see in the picture here. To that I got a typical lemonade that tasted sweet and a little bit sour.

 

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As you maybe know from my earlier trip and clinical training in Austria I am all about the toilets in foreign countries 😉 Here I found a funny thing I would like at many other toilets: a machine that gives you free mounth-wash after the dinner.

 

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In the evening I went to do some shopping and I found these fun scrubs for nurses at Walmart: all kind of nice colors and styles like The lion king, the minions and Puh the bear.

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I was also surprised that you could my sleeping-pills without persecution for less than 1 Dollar…

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Here you can see the typically license-plate on a car in Georgia. My roommates told me that you can choose the sentence underneath “In god we trust”, but you can only have that or “The State of Georgia”. As many of you know there is a lot of Christians living in the United States. On the plate (which I have been editing on the computer, for confidentially reasons) you can see the Southern peach – the fruit of Georgia. I have already tried one too and I have marmalade with peach in my refrigerator.

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Well, have a good one! I am now going to visit a stable who take volunteers and they are allowed to ride to for volunteering in there stable.