It's nice to know that one of your Nurse Practitioner instructors gets his information wrong...
We were learning about gastrostomy tubes (the ones that go through the skin on your tummy into your stomach) and nasogastric tubes (the ones that go through your nose down into your stomach). Well, in order to check placement of the tube before you begin feedings or right after the NG tube was placed, you have to 2 of 3 possible things: insert 30cc of air into the tube and listen for air bubbles with your stethoscope, pull out gastric juices to check color, and use a pH meter to test the gastric juices to see if it came from the stomach or small intestine. Our one instructor told us that Ruby does not use pH meters, so we were to do the bubble test and look at the color of the gastric juices even though most hospitals do not like using the bubble test due to error of checking placement when the air bubbles you're hearing could be bowel sounds. We all thought this was pretty dumb of such a great hospital. Well, it turns out, he was incredibly wrong, and Ruby does infact use pH strips now. What a way to confuse me.
Today we did our unit orientation at the hospital. I am on 7East which is a medsurg unit. A lot of the people on my floor will be older. However, I will get to see and do a good variety of things on that floor. We found out today we get to have partners for our first patient which relieves some of my anxiety. I will try to keep all of you informed of some of the experiences that I have, but it will have to be random because of HIPAA compliance and patient confidentiality.
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