Doin' Work!

So it may seem odd I haven't written about my actual work yet, but I felt I needed some time to settle in, scope out my role and actually gain some understanding of the hospital and ward I'm working within. Now, a month into my work, I feel a post can do some justice.

 In the beginning, I rotated through each ward gaining general insight to the work required, the patient population and how each ward functioned. Initially, my role was not completely defined so this allowed me time to see where I could best serve SCMH. Through discussions with the nurse managers of the hospital, it was noted by both parties there was a need to build a stronger nursing department.

A plan was presented to both the nursing managers and administration through a small proposal I drafted up. It stated the overall importance of a strong nursing department and offered methods of encouraging and empowering the current nursing staff into becoming patient advocates and active participants in the management of patients' well-being. The entire idea behind this is with empowered nurses, vital collaboration with doctors can be had, the hospital works efficiently and patients are provided the best care, allowing optimum patient outcomes....the whole goal of a hospital! Well, it was accepted and decided that I should spend approximately 4 months in each ward to slowly initiate these ideas.

The first rotation began in the general medical ward, where the patients with complicated tuberculosis, extrapulmonary TB, malaria, meningitis, pneumonia, sepsis, AIDS and AIDS-related illness are admitted to. It has 40 beds and typically is at 85% capacity on most days. The severity truly ranges; some patients just need a few days for IV meds and recuperation, others are some of the sickest patients I've cared for (who honestly would be in an ICU in the states.) With a small staff—approximately 1-2 techs, 1-2 nurses, and 1 doctor/clinical officer—the workload is heavy and it's definitely a busy shift.

Medical Ward

So far, it has been challenging learning the limitations of rural medicine and beginning to understand the true needs of the department and hospital. I have definitely had to adapt my role as a nurse, not only for practice within a different clinical setting but how to evoke my best managerial skills as well. Regardless of any difficulties, the most satisfying part is seeing patients become well and go home with a smile on their face. 

My buddy, Zilpa! Went home happy and healthy.

Peter! We became good friends during his stay.
He drew a rough map, using rivers, rocks and hills as landmarks,
 to his house for me to visit.
Time to put my navigation skills to the test!

Honestly, time will only tell how my role at SCMH will make the greatest impact. My true goal is to not simply assume one role in one ward, but to create the most sustainable system of nursing; moreover, I hope the work accomplished can continue to grow and expand the nursing capacity well after I leave.

I hope this provides a decent overview. It's hard compiling the experiences of that last month into a concise, understandable post. Do ask questions and keep your eyes peeled! I will be sure to update.