Only couple of doctors (the ones who can say in English "i do not really speak English) knows why I am there, so my day has been mostly discovering tasks I could do and nurses I could follow. In the morning I found out that “registered nurses” here do mostly parental care, neonatal care, preventive care – much of the stuff that community health nurses do in Finland. And which I haven´t done much. Also, they really haven’t had much nurse volunteers, only medical students, and my place is not really with doctors either. Also, they are organizing a nationwide strike for health care workers today, tomorrow and Thursday, so only the emergency works and people who are coming really far away are taken in. That means that today, I found my place from the emergency room and worked with “technical nurses” (here they give out meds, put cannules, take blood pressures etc.). Today rest of the staff in the center was mostly meeting because of the strike. I got to work with babies, toddlers, TBS patients, wounds… Here the nurses work for 6 hours, but even though the days is short, at least to me, today, it felt like forever, because the nurses really do not take pauses meanwhile and working in this heat is generally quite draining. Also, when I am drained – no habla espanol bleah – and no matter how many times I repeat myself I feel like I am not being understood.
Like one might expect, all the care procedures are very different than in Finland, because here they are always lacking equipment and hygiene is not the most important thing in this environment. Same cannules are being used many times if they aren´t inserted well, for cleaning wounds they just drop peroxide on them, TBS patients do not have closed rooms, equipment is hardly never washed in any way when going to a different patients… “Back to basics”.
I just had my bath in the bathroom with no water. They are using, alike in other villages, a big tank on which the water will drop from the shower WHEN it is available. You also use the same water for flushing the toilet.
After work I was of course starving at 1 pm so I went to have cheap local lunch, which here always means rice, meat and potatoes (the same goes for dinner though). I managed to find bananas and tomatoes for snacks, but oh boy, I wish they would sell the same tasteful fruits in the markets that are growing in their yards…
It´s a very hot day and I am boiling. J
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