Tuesday, September 27, 2011

Day 1 and 2 in the Real Deal Completed!

Hello all!
Sorry I didn't get to blog on my first day! All went excellent; however, it is very overwhelming! First this we did was have Epic training (semi complicated system) and then we broke off with our individual dietitians who we are going to be following till the end of the week. I am in oncology, urology, and neurology for this first week which is an eye opening experience. I am beginning to realize that dietitians play a very customized role in each patients situation, for example a cancer patient is going to be assessed and counseled completely different than a patient with diabetes, and you have to adjust your questions and concerns for each situation.  This is going to be very hard to do when we only have a week or two in each department.
I never realized how different real life experience is than actually working in the real setting.  I think I have learned more practical knowledge in the last two days than I had in all four years of college.  I definitely suggest for future dietetic students that UC offers them a chance to do a few rotations in a hospital throughout their college career to get them familiarized with the hospital setting and Epic before they start their internship.
All of  the dietitians at St. Elizabeths' are extremely nice and understanding.  The dietitians go slow and explain each step (which is very helpful with the doctors handwriting in the med recs and when putting information into Epic). They are also understanding when it comes to the fact that I have been there for two days and still do not know how to get to the cafeteria, when it is right next to the diet office. Hospitals are sooo confusing! All of my departments are on the same floor, but I still can't get from one to the next without getting lost. I am supposed to have 25% of the patient load by next week ah :-/ ! Not to mention that, of course, I have been sick for my first two days with a cold. Haven't been sick in over a year but go figures it happens now! Looking forward to the weekend for rest. Will write sooon!

Friday, September 23, 2011

Another day with Rumpke

Vale,
Update on the exciting first week, we went to another Rumpke facility: Rumpke Recycling!  We went on this field trip with the Christ and Good Sam interns so I got to see my long lost friend, Laura =).  Again, a very interesting field trip.

 We were able to tour the recycling facility at Rumpke and see how they separate out all the recycled goods we throw away (some they can take, a lot they can't take).  It was actually a very interesting process and very well engineered. I found out that we are actually not supposed to put the lids of products such as 2 liters, milk jugs, etc. in the recycling. In addition, the numbers on the bottom of products pretty much do not mean anything. They cannot take anything that is a 1 or 2 as many have been told. They can only take plastics that are in jug or bottle shapes. So, no orange juice cartons or butter containers! In addition, no plastic bags, styrofoam, drinking glasses, and metal scraps. I did not know any of this going in, and we learned that many people employed are there to solely there to separate out the items we throw out in our recycling that they cannot accept. We heard an interesting story that some genius in Cincinnati decided to recycle a deer carcass.  What a smart person; it contaminated the plant and all the recyclables; in addition, they had to shut down for a few hours.  Thank you to the smart hillbillies that Cincinnati produces.
       Another interesting side of the tour was what they do with the recyclable products.
-Aluminum cans- sent to the Anheuser- Busch company were they are melted down and reused within a matter of days.
- Glass Bottles- sent to a company that uses them to make fiber glass
- Plastic- sent to a company that make underground plastic tubing
There are more, I just can't think of them right now.
      We also learned that you can take your caps from 2liters and milk jugs that Rumpke cannot accept to some Aveda Salons where they will use them for mascara cases and lipstick cases.
This was a very eye opening experience into what it means to go green.  There are so many uses for products that we can utilize so that our used products do not end up in a landfill.  I will admit I was not recycling before this tour of Rumpke but this experience has definitely changed my mind.
Porter loves recycling.

Excited to start my acute care rotation at St. Elizabeth's Monday! Still so much to do.
Salvete

Wednesday, September 21, 2011

Rumpke and Dietetics?

Vale All,

Back to the grind! First day of my fall internship... not in the hospital yet, but I will be Monday! All in all it was a very exciting day; I was kind of reluctant at first when I heard that we would be taking a tour of Rumpke dump. However, the tour was very interesting, and I never realized how much planning and engineering goes into the process of disposing of my garbage I throw out everyday. For example, a story out tour guide explained to us is that when the police came to Rumpke this past February to search for evidence in a murder case, the people at Rumpke were able to locate an exact 1 acre area where the trash was dumped on that particular day out of the hundreds of thousands of acres of garbage.


Another interesting sight that we saw on the tour was an area of Rumpke that actually takes the toxic gases that are given off, naturally, by garbage and breaks down the gases to methane which is then transferred directly into Duke Energy's gas lines to fuel close to 3,000 homes and business from trash.

Rumpke's area which they are currently dumping in is estimated to only last 13 more years; they are trying to expand their area, but I realized today how important it was the respect the three R's. This is the point where I  made the connection of Rumpke's process and waste disposal in with a dietitian's job; it is important to bring to the attention of the hospital or facility we are working at to be more mindful of their waste disposal and consolidating the garbage to help the environment.



On another note, we also reviewed tube feeding formulas and calculations (YAY!). While it is not the most thrilling part, it was good to have a review before being thrown into the hospital setting.  Tomorrow we will be counseling each other in order to gain practice on how to communicate with patients with different conditions/concerns.
I am glad to be back in the groove of work finally; I was getting a bit bored!
(Pretty picture of lake area at Rumpke)
More to come...
Salvete