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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!

On my way to the United States of America

2015-09-01

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.

 

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