Throughout this trip we are learning to become very flexible, adapt to new situations, and think outside of the box. Their is a lack of everything here - proper equipment, organization, support services, nursing staff which means that we are often thinking outside of the box and taking on many different roles in order to provide the proper care to our patients. Gurpreet has been doing all the EKG's for us and performed a "poor mans stress test" - where she took the patient for a walk outside instead of in a controlled room with a treadmill and heart monitor, Becky has been giving breathing tx among many other things, the PT's are in charge of wound care and managing the patients on the floor as well as occasional discharge planners/case managers, my nurse manager Brad stood and ventilated a patient for like 3 hours because we dont have any ventilators. We have been supplementing missing equipment with anything that will work, I have been asked to triage, pre-op, wound care, and ED nursing - most of which are all pretty new/unfamiliar roles to me. So the environment allows us to experience a lot of new roles and skills and learn how to work with what we've got.

below are some more pictures. I wish I could write more but we have to start our morning rounds.