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For the first week we had orientation, which my clinical instructor Maureen went over expected guidelines for clinical, pediatric assessment techniques, how to effectively use SBAR, and ethical issues that can be prevented. I thought all this information was very informative, and will help me with my patient care. I was very frightful of starting this rotation, and I usually go into a clinical with some sort of confidence or act like I have some anyway. The reasoning behind my fear is I have two children of my own, and I know how fragile they are, and one bad move can be detrimental to their health. With adults I feel more comfortable caring for them. Also, I’m more use to a focused assessment obviously a full assessment is important especially
Overall, I retain three goals for this clinical day: Safely and efficently administer medication, enhance my nursing/CNA skills, and determine how to implement infection control into a health care setting. This week reflects my assigned time to administer medication in a health care setting for the first time, with a resident who retains nearly twenty medications. I except this experience will be a great learning experience, but it will also subsist slightly stressful. With the assistance of my FOR, my goal is to administer all of my resident 's medications without complications. To ensure that medication safety, I will perform the six medication rights and three checks prior to administration. Along with medication administration, a goal
Looking back on my goals for this clinical day, I would state that I did meet my goals. My overall goal was to become familiar with the clinical setting and the tasks that I would be asked to complete, and I feel that I completely met this goal. As the day progressed, I found myself receiving more exposure to the clinical setting and how to effectively perform skills. Following the concept of safety, I do feel that I met a majority of my goals for safety. During the day, I was able to explore my assigned patient, both by viewing her medical record and by interacting with her directly. This process sanctioned me to acquire the necessary information for my three primary diagnoses, medications, and the start of my concept map. While working with my assigned patient, and other patients on the floor, I remained aware of my surroundings and implemented safety precautions when needed. In the process of patient care and safety precautions, I relied on my therapeutic communication skills to drive my interactions with the CNAs, the nurses, and the patients on the floor. Of my goals set, the only one that I did not completely accomplish was working on all of my beginner skills. Two of the skills I did not get to practice were feeding and bathing/showering. Because I did not receive exposure to these skills today, I plan on making sure I practice these two skills on the next clinical day. Overall, I am pleased with the first clinical day and everything I was permitted to accomplish.
Utilising John’s model of structured reflection I will reflect on the care I instigated to a patient with complex needs. The patient in question was admitted to the Emergency Assessment Unit for surgical patients then transferred to the ward where I work as a staff nurse.
This experience will definitely influence my future practice; my action plan would be using those teaching strategies in preparing students to face the clinical environment, to ensure optimal patients’ health outcomes and it helps to build a competent and independent clinician.
Some things I need to work on are making sure I prioritize what should be done, and making sure I delegate any task that can be delegated, if I feel overwhelmed. As graduation comes near, I feel like I have learned so much more from being on this unit alone. I feel like I could take care of a couple of patients by myself, I improved on my medications, educating the patient, and providing adequate care for each and every patient. While on the unit, I got the chance to ask a variety of nurses different questions about their transition from new graduate to register nurse. I asked them why they choose this floor to work on , and a majority of them said because they precept on this floor and feel in love with neuro and the staff here. I also asked, how was your experiencing transferring from school to your first RN job, one nurse said that she only had the opportunity to orient for about three months before they put me on the floor because of a shortage of nurses. She did say that it was an excellent experience and she had a chance to learn so much. In addition, I asked them about the challenges they faced and how they overcame these challenges, they replied by saying that some of
As a resident assistant at Miami University during my undergraduate studies, cultural competency was not only an expected quality of the resident assistant, but it was one of our educational goals as a department. My job was to advise, discuss, and ensure that each individual received the best education possible and felt wanted and safe in our respective communities within our residence halls. I’ve dealt with many students struggling with racial, economic, and cultural differences either with their roommate, a peer, or themselves. I’ve encountered many residents of minority backgrounds within my communities that have maybe felt dissuaded in their academic and social endeavors because of our fairly homogenous community at Miami University. However, it was my job to ensure that all residents within my community felt that their experiences were valid, and to help others and myself appreciate the priceless individual diversity of each resident.
This reflective essay will discuss three skills that I have leant and developed during my placement. The three skills that I will be discussing in this essay are bed-bath, observing a corpse being prepared for mortuary and putting canulla and taking it out. These skills will be discussed in this essay using (Gibb’s, 1988) model. I have chosen to use Gibb’s model because I find this model easier to use and understand to guide me through my reflection process. Moreover, this model will be useful in breaking the new skills that I have developed into a way that I can understand. This model will also enable me to turn my experiences into knowledge that I can refer to in the future when facing same or similar situations. Gibbs model seems to be straightforward compared to the other model which is why I have also chosen it. To abide by the code of conduct of Nursing and Midwifery Council (NMC) names of the real patients in this essay have been changed to respect the confidentiality.
Being a nurse is a huge responsibility, and that obligation is only magnified when, as a nurse, you are working with children. Children are very delicate and are not able to bounce back from serious issues like older patients are. As a nurse, you are crucial in ensuring that the pediatric patients you see are on track in their growth and development. A lot of parents aren’t really sure about where their children should be at and need anticipatory guidance and other teaching so that they are aware when their children may be in danger. Nurses are extremely important in assessing children’s developmental level because if they do not, that child may be hindered for life.
The learning environment and practice placement I currently work in is a substance misuse service. The clinical learning environment is where students work directly with patients whilst enabling them to and are able to conductively learn. Burns and Patterson (2005) state it is the responsibility of higher education institutes in partnership with the NHS to prepare nurses to cope with the complex nature of clinical practice. In my opinion I believe mentors play a significant role in relation to the clinical learning environment, as mentors are who support the student during their placement. Students learn most effectively in the environments that facilitate learning by encouraging and supporting whilst also making them feel part of the team
My clinical rotation in the acute care hospital has definitely been a great learning experience, it was a big transition for me having been working in a long-term care facilities for six years. There were three positive aspects about my performance that I will take away from this learning experience.
I believe placing student nurses in the clinical setting is vital in becoming competent nurses. Every experience the student experiences during their placement has an educative nature therefore, it is important for the students to take some time to reflect on these experiences. A specific situation that stood out to me from my clinical experience was that; I didn’t realize I had ignored the patient’s pain until I was later asked by the nurse if the patient was in any pain.
Working as a case manager at my current job and going into my practicum which is an all women's program was very different, in a women's program there are different levels that need to be addressed when you're there therefore the clinical piece sometimes gets put on the back burner when trying to address crisis that occur. However, my supervisor was very good at creating space for me to learn, she took many different opportunities to ensure that I could ask questions regarding assessments, groups, and her individual counseling sessions with the women. Although my practicum is not over what I’ve learned from my supervisor thus far is how to do a thorough assessment, she believes if the assessment and diagnosis piece is somewhat accurate
During my time on my clinical rotation I learned variety of new skills and techniques that enhanced my ability as a therapist. I was able to use my strengths from my life experiences and give my patients the best available care I could offer. Whether it was my hard-working demeanor, knowledge of different massage therapy techniques, or the ability to diagnose the deficits of my patients I was able to offer the clinic I was working at the maximum amount of my potential and ability. The one critical weakness I feel I had on my clinical was the ability to communicate with patients and offer effective direction during treatment. This weakness hindered my progress in the rehabilitative progress of some the people I was treating.
Clinical Reflection: Personal Biases People always have that preconceived notion about patients in mental health facilities as being violent, uncontrollable, and non-functioning individuals. Many equate these patients to criminals that deserved to be locked up. I, for one, would say am guilty of having an unfavorable preconception of what these different mental conditions entail. I had a mix feeling of excitement and trepidation heading to the first mental health clinical rotation, and after receiving the patient assignments during the morning briefing, that only added to my anxiety. My patient was readmitted to the unit, with police involvement supposedly for assault, concurrent with his mental state.
Description Clinical rotation for spring 2018 started off at the recovery unit at the General Hospital, it was quite a slow start to my day. The task began with 66-year-old G.L, male who entered the recovery room at 10:35 am from his haemorrhoidectomy. After, Mr. G. L we had several other patients who came to the recovery room from operating theatre, which all the patient underwent different procedures, from D&C to Laparotomy just to name a few. Although the nurses and ward manager stated that we choose a slow day to do our clinical rotations, we made the best of our days. The patient was G.L. 66-year-old male who was diagnosed with Prolapse Hemorrhoid.