Hi, I’m Nikki, I am a Paediatric Intensive Care nurse from Sydney and will be in Nepal for the next 11 weeks helping create and implement NTR ICU program.
I am lucky enough to be here with the Sunshine Smile NTR founder Lucy, Mumma Bear Peta and Yoga Extraordinaire Lexi. Within two weeks I’ve learnt a lot about cooking, yoga, how to successfully ride a local bus and a lot about Adult intensive care nursing (I still don’t want to be one!).
I am based in Patan Hospital PICU for the duration of my volunteer program.
Patan Hospital PICU is a 5 bed unit established 5 years ago by funding from the Nick Simons Foundation, USA. It is staffed by 12 nurses and various physicians.
I started off the week with anonymous mini quizzes to see the level of knowledge across the unit. The quizzes create a good baseline and means we can focus on areas that need further development.
After a week of observation and getting to know the nurses, it was established that nursing staff used to complete a comprehensive head to toe assessment at the start of each shift. This practice seems to have disappeared from nursing care due to the unit ‘being too busy’, but as we know, head to toe assessment is the core of all patient care.
Over the next weeks we will be focusing on a body system assessment per week, which will include formal teaching and bedside teaching sessions. This week we are focusing on Respiratory assessment and care of the child in respiratory distress. Not only have I been teaching, but I have learnt things too! For example, on neonates ‘bubble CPAP’ is used. It’s made using oxygen tubing and a bottle of saline
It’s been a fun, frustrating, exciting, tough and rewarding adventure so far. I can understand it must be hard for the PICU nurses to have a stranger on their ward, at least they don’t hold back on correcting me on my poor attempt at Nepali!
It’s not all hard work though! We were lucky enough to spend Nepali New Year in the ancient town of Bhaktapur. Here’s to a happy 2071!
Until my next blog… Namaste!