By: Dalila, Nancy, Emerson History - Memorial Hermann Memorial City Hospital has been serving the community since 1971. At the time of its opening, there were about 100 beds available. - Initially, the hospital was called Memorial City Hospital. In 1988, its name changed to Memorial Hermann Memorial City Medical Center. Locations - Other hospitals under the Memorial Hermann chain of hospitals are located all throughout the city. - Memorial Hermann- Texas Medical Center - Memorial Hermann Katy Hospital - Memorial Hermann Northeast Hospital - Memorial Hermann Northwest Hospital - Memorial Hermann Southeast Hospital - Memorial Hermann Southwest Hospital - Memorial Hermann Sugar Land Hospital - Memorial Hermann The Woodlands Hospital - Currently there is a hospital being planned out for construction in the Cypress area. Information - The hospital has more than 1000 affiliated medical staff, along with 1600 employees and has a patient capacity of 426 (meaning that there are 426 beds). The hospital consists of many institutes. Some of them are: - Breast Center - Cancer Center - Digestive Health Center - Heart & Vascular Institute - Ironman Sports Medicine Institute - Women’s Memorial Hermann - Children’s Memorial Hermann Mission Statement “Memorial Hermann’s vision is to be the preeminent health system in the United States by advancing the health of those we serve through trusted partnerships with physicians, employees and others to deliver the best possible health solutions while relentlessly pursuing quality and value. Memorial Hermann Health System’s mission is to provide high quality health services in order to improve the health of the people in Southeast Texas. The largest not for-profit, community-owned, health system in Texas, with 11 hospitals (includes Memorial Hermann Rehabilitation Hospital – Katy), Memorial Hermann is uniquely positioned to collaborate with other providers to assess and create health care solutions for individuals in greater Houston’s diverse communities; to provide superior quality, cost efficient, innovative and compassionate care; to support teaching and research to advance the health professionals and health care of tomorrow; and to provide holistic health care which addresses the physical, social, psychological and spiritual needs of individuals”. Safety Procedure- OSHA Occupational Safety and Health Administration (OSHA) creates guidelines and requirements that every person in the health profession needs to follow for safety. Some guidelines: - Hazard Communications - Rules to handle hazardous chemicals and employees have the right to know the details of each chemical they come in contact with. Bloodborne Pathogens - To prevent the exposure of the infection, workers are provided with training, protective equipment, and vaccinations. Protective Equipment - Gloves, gowns, masks, and self-sheathing needles to minimizes the spread of the infection. Mask used when entering droplet isolation rooms. Mask used when entering an airborne isolation room. A Normal Work Day A normal work day starts at 6:45 am. At the beginning of the shift, the unit will go in the break room for a huddle where the night shift charge nurse will tell us information regarding the patients’ possible procedures, discharges, etc.. Then, the nurse assistant from the night shift gives us report on our patients. Once they are done giving report, we will go into our patients’ rooms and introduce ourselves. We then ask them if they are in pain, need to use the restroom, need any belongings within reach, if they are comfortable, or if they need anything else. Next, we take their vital signs (blood pressure, pulse, temperature, oxygen level, respiration rate) at 8:00 am, and then again at 12:00 pm and 4:00 pm. In between taking vital signs, we change patients’ beds, help them to the bathroom, give them baths, and anything else they need. Also, if the patient is diabetic, we have to check their blood sugar at 11:00 am and again at 4:00 pm. To top that, we get other patients who come from surgery, the emergency room, and or direct admits. At the end of a busy day like wednesday, we would end up with about 12 patients total and leave around 7:30 pm. Glucometer (It has to be docked back in order for information to sync into the computer program that the hospital uses to chart) 6E-Orthopedics (Emerson) In my unit, it is my job to help out the nurses with anything they need and make sure patients are safe, comfortable, and happy. The types of patients I get in the orthopedic floor are post-ops (post operation), ER patients, and direct admits. Our post-op patients usually have total/partial hip replacements, hip surgeries, knee replacements/surgeries, feet surgeries, treat fractures, and many other things. Our ER patients come in with broken and fractured bones. Direct admits are people who are scheduled to have surgery that day. Ninety percent of the patients on the orthopedic floor are 60 years old and above. Orthopedic Manager and Director This is my manager Alan Jamadre. He works with Maria-Belen Jardiolin, the orthopedic director. He graduated from Baylor University and obtained his BSN (Bachelor Degree in Nursing). Together, they keep our floor up and running. Maria has a BSN as well. Alan has been a nurse for over 10 years and Maria for 20 years.They are both great RNs and it is a pleasure working with them. Personal Relationships and Gratitude (Emerson) I have learned many things during my internship at Memorial Hermann Memorial City Hospital, such as the importance of teamwork and time management. What I have learned has made me a better student, which is the best part for me. It is an honor to work with the nurses and doctors on my floor and I am grateful for the trust they have in me since I am just an high school student. Without the help of Mrs. Holtan, RN, Mrs. Miller, and Maryellen McGlothlin, RN, CMSRN. I would have not been able to obtain this job. Thank you all!!! 7 East- Cardiology (Dalila) In the Cardiology floor, we receive patients whose condition ranges from having chest pain to patients who have been in the Cath Lab and have undergone some type of procedure. The way vitals are taken, changes, when patients arrive from the Cath Lab. Usually, a normal day consists of me taking vitals three times a day (during the twelve hour shifts), which would be at 7am, 11am, and 3pm. However, for Cath Lab patients, after they are transferred we immediately begin taking vitals every thirty minutes for four intervals and then every hour for another four intervals. Cardiology Manager and Director - - In the Cardiology Department, our Cardiology Director (Supervisor) is Barbara Thomas. Our Clinical Manager is Dolly B. Vingco. Both Mrs. Thomas and Mrs. Vingco hold certifications as an RN, Registered Nurse, CMSRN, Certified Medical Surgical Registered Nurse, and BSN, Bachelor of Science in Nursing. They are such great people to work with. They are very friendly and professional, along with being very dedicated to the positive advancement of not only our patients’ health, but also the advancement of our unit. Personal Relationships and Gratitude (Dalila) Throughout these few months, being able to work as a nurse assistant has been such an amazing opportunity. I have been able to learn so many things, ranging from communicating more effectively and efficiently with everyone, to also being able to manage many tasks and complete them efficiently and on time. The people who work alongside with me, continue to inspire me to remain positive and to keep focus on my goal of becoming a Pediatrician. I will always treasure our experiences together and will always remember them. Thank you all for being such an incredible group of people to work with! 6M- General Medicine (Nancy) In the General Medicine floor, we do our best to provide the best care for our patients. The patients that come through our floor are either transfers from other floors or from the ER (Emergency Room). Every patient is checked every hour and it consists with the 7am, 12pm, and 4pm vitals (blood pressure, temperature, blood sugar, oxygen level, respiration rate). The patients are put in a bed alarms for their safety, and if they were to refuse, we chart it on the computer. General Medicine Manager and Director - In General Medicine department, the Clinical Manager is Olu Taiwo (to the left). She is certified as an RN, Registered Nurse and BSN, Bachelor in Nursing. - In General Medicine department, the Nursing Director is Mila Goldstein (to the right). She is certified as an RN, Registered Nurse, MS, Master of Science in Nursing, and OCN, Oncology Certified Nurse. Personal Relationships and Gratitude (Nancy) In these few months of being an intern at Memorial Hermann, I had the honor to learn from incredible people and also the ability to learn and continue to learn how to communicate better with others. I believe that I have become part of their family, and I will cherish the experience forever. Thank you for helping me to get closer to my goal of becoming a Registered Nurse (RN).