Shabby blog

Thursday, February 9, 2012

LA Mockboard/tired afternoon

Today was our LA mockboard and I had signed up to be first because there was only that spot or the last spot left. But as luck would have it, I woke up late, was almost late to clinic, and was sweating from getting everything ready when the examiners came over to watch me give the injection. I wasn't really that nervous  because my awesome peer pal (shout out to Cesia!!) had come all the way from SLC on a day when she didn't even have to be at school. What a champ. I did the PSA first and it went without a hitch, and then I did the IA. It was so beautiful! It went right in without hitting osseous, and then I aspirated and....POSITIVE ASPIRATION! I haven't had a positive aspiration yet and it kinda caught me by surprise what I did next. I remembered hearing that if you have a positive aspiration that you can move the needle and aspirate again and continue with the injection, but only if you can tell if your second spot gets another positive aspiration. I couldn't tell on the next aspiration if it was positive or not and I SHOULD have just gotten a new set up.
Lesson learned: always get a new set up if you have any sort of positive aspiration.
My only complaint about the morning is that there were quite a few aspects of LA that I didn't know were wrong to do. I wish that in clinic that the instructors would always say something if what we are doing is not correct for the WREB. For example, I always look at my window and then turn it to the correct place when I pick it up, but that is a fail if you touch the syringe without the top on. That would have been nice to know about 4 months ago when we were learning. Another thing that would have been nice to know was that I have always thrown my needle away the wrong way. In lab they told us we could hold on to the tips of the card when we threw it away, so that it the way I have always done it. And I guess that would have been another fail.
All sorts of failures that day.
On to the afternoon. I was pretty worn out after the morning, not that it was physically exhausting, but it was emotionally draining and then I had to sit for about 4 hours after my injections and wait until the afternoon. My vote is that he mockboards are in the afternoon from now on.
My was finishing a patient who was a class III/Class IV. I really wasn't in the mood for that deep of cleaning, I should have scheduled a 1B for the afternoon or something like that so it wouldn't have been so physically exhausting. My one happy thought for the afternoon was that I had sharpened my instruments last time so they were nice and sharp!
I gave my sweet little patient anesthesia and I wish the mockboard would have gone as good. Those dang positive aspirations. This patient was really tough last time and I was exhausted. And to add on to that, I had offered this patient to participate in the laser study. I was so tired by the end of the day and the laser added on another 20 minutes. Plus I was HUNGRY!!!! I guess I could say it was just one of those days that I wasn't totally invested in being in the clinic. These are rare because I love the clinical aspect of school and I love working with patients. It was just a tiring day. Now I have a break for 2 weeks before a real clinic day again. My next clinic day is my last mockboard!!!! I should probably sharpen my instruments again!

1 comment:

  1. Wow, I'm exhausted reading this blog! I am sorry you had such a rough day. I'm a little worried about not cleaning someone for so long between now and mockboard, but hopefully i will pick it right back up and my hands will be nice and rested!

    ReplyDelete