This week I got the opportunity to experience a different side to nursing. Endo was an area of nursing that included a fairly straightforward routine with moderate client interaction. While, OR included very little client interaction with the exception of escorting the client to the operating room. It also included a routine in regards to procedure, but it became evident that these routines doesn’t always go as planned, forcing the surgeon to take another route. It was eye opening to see what the role of the RN was in both of these settings, and although Endo didn’t seem to strike an interest in me, the OR made me want to know more.
Endo day was fairly straight forward as I am sure you are already aware of. The day starts be preparing meds
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The nurse will then install a IV access into the client for the medications during the procedure. Once the client is in the procedure room, the physician will go over their condition, reason for the scope, review the risks and answer any concerns. From there on, the client with administered a sedative and fentanyl. It was interesting to what the nursing move along with the physician, as if they had this whole routine set out for each direction the physician took. I enjoyed the educational part, as the physicians and nurses included me by explaining each part as they went along. It was beneficial as a lot of the information I gained linked to the stuff we are learning in Patho (and soon to be tested on). A question was raised as to the conversations that were had during the procedures. They discussed their weekend, other jobs, how bad their week is going…ect. Now I understand that the client is …show more content…
There were so many machines and supplies that were set up. The team was so swift at doing this and really did a good job at working together. Once the client was on the table, the anesthesiologist put the client to sleep. This was very interesting to watch, and to continue to observe during the procedure. It is a much more tedious job than I had expected it to be. There was one thought that came into my head during that time, and it was about the fact that the client was sprawled out naked and legs open with a catheter, as we all waited for the doctor to check. It made me nervous about the fact that I may one day need to get a surgery and that will be me on the table. I felt that their was a aspect of dignity being taken away from the client at this time, even though they were asleep and unaware. I understand that this may just be the way things are in the OR, as I know sterility and all the little things are very important. It still made me feel uncomfortable, not in the fact I had a problem seeing it, but more as in I just felt like she could have been more covered during that time. I found the surgery fascinating, especially when it had been planned to be a laparoscopic procedure and turned out to be an open surgery. I got to feel the tumor that was in the client, which I got really excited about. Although, once again, the surgeons
It is essential to make sure that the patient is fine once the procedure has been finished and prior to them leaving. If there have been no complications, then the patient will most likely be ok. Nevertheless make sure that the site has stopped bleeding and that they are not feeling faint. If there was any complications, for example, hitting an artery, haematoma or fainting, then make sure you follow the process for dealing with the complication and let the patient know what they need to do if any symptoms
Adult nursing is a subject I am passionate about. In my opinion, there is nothing more important than the health, safety and security of one’s self and others. I aspire to achieve these attributes for individuals in everyday life and this course will help me to do so. I find helping people rewarding and adult nursing provides a professional platform to achieve this target. It also helps me to progress to a stable job that is solely concentrated on making a positive difference in someone’s life. For this reason, I would feel privileged to be accepted on to this course.
I followed the RN nurse who was to assist and prep the operating room (OR). She first went into the clean utility room, where she picked up essentials for the surgery. When everything was gathered and prepared, we had to sit and wait for the patient who had arrived late. The RN would check the computer constantly to see if the patient was on file. After the clock hit 9, which was the time for the surgery, the RN nurse decided to go help put the patient on file quicker. When we arrived at the patients room, there was a nurse making the patient fill out papers. The RN nurse took over the papers while the other nurse completed the documents on the computer. While watching all the questions being asked, and the time it took to fill out the paper work, I realized that the paper work process is not easy.
The view of nursing is now more in depth and well rounded than before attending this class. Also, I now have a better understanding that scientific knowledge has a huge impact on nursing. Before taking these specific classes this semester I did not realize how much of a role science played in the nursing career. This quarter has really shown me that a nurse is not a "task monkey." The most surprising thing that I learned this semester was the abundance of knowledge that a nurse has to have in variety of areas such as assessment, legal, risk prevention, and educator just to name a few. As I make my journey through nursing school to expert nurse, I will always remember my instructors and dean continuously repeating that I must choose
The activity, I performed and relates to this outcome is the rounds with the hospital team (pharmacist, nurses, physicians, physician assistant and pulmonologist) in the ICU department during my hospital rotation in my second year of pharmacy in spring quarter. In this activity, I had to accompany with my preceptor pharmacist during their daily rounds with other health care professionals where, I was able to interact with other health care professionals. During this activity, individuals from all different professions gather all the information about patient including chief complain, treatment plan, how patient responding with current plan and then discuss about improvement plan if necessary for patient. For example, nurses will provide information
Certainly, I began with the goal getting of his vital sign and giving him a bed bath. Fortunately I had practice how to take a vital sign and giving a bed bath before my first clinical at the university skill lab and I had developed this confidence before my clinical tour. That day will be mastering the skill which I had just learned in manikins, and applying in real human with huge safety precaution. In between morning my instructor was giving me a brief before I getting to the patients room. From her experience she knew what kind of challenges and a patient behavior can be I face. As I proceeded to my own patient, I hit a roadblock that would give me a flat tire for the rest of the shift.
After meeting with our patient twice, I believe we have set into place a relationship where the patient is very open to us about her health. This is helpful for my partner and I as an open and honest patient is beneficial as we assist them in their health. Goals for next semester include reducing our patient’s blood sugar as well as reducing our patient’s fibromyalgia pain. Our patient has expressed to us that her glucose is high but she is ok with the high number as long as she is feeling relatively healthy. We hope to give practical ways to reduce blood sugar throughout next semester so hopefully we can reduce that number by semester’s end. Our patient is going to see her physician soon, so we hope to get an update on the patient’s fibromyalgia
Developing confidence, and competence is a challenge faced by novice nurses (Morrell & Ridgway, 2014). Over the course of my nursing degree developing, and maintaining confidence in my clinical practice has always been a personal challenge. During my preceptorship placement, I have the opportunity to continue to cultivate my confidence, and prepare to begin my practice as an independent graduate nurse. In the reflection, I will discuss how I have gradually become a confident practitioner through my experiences in my clinical placement, and especially those in my preceptorship placement.
Emotional intelligence and reflective practice are integral components of building a therapeutic relationship in nursing
“The ultimate value of life depends upon awareness and the power of contemplation rather than upon mere survival” (Aristotle, n.d.)
It was an exciting opportunity to watch them set up the vac, and have an opportunity to interact with the doctors. I felt good during this situation, the doctors made me feel comfortable while in the room with them, that I was able to even move in and get a better look at the wound, as well as confident to ask questions. Throughout the situation I kind of felt bad for the patient, he was definitely in some pain during the dressing change, and the doctors didn’t really address it. However they did include the patient and did not treat the patient like he wasn’t even there. Overall I felt good about this learning experience, it was a great opportunity I was glad to be a part of especially to be able to watch the doctors work. I also enjoy watching dressing changes like these to compare them to what I have been taught in my clinical lab. While I had little knowledge about the vac dressing, I did watch to see if the doctors follow all of the sterile field and sterility rules I had been
Self awareness in nursing refers to how glowing nurses comprehend themselves, their strengths, weaknesses, attitude and ethics in order to better transact with their patients. Self- awareness includes review of self, together with self confidence. Self -regulation express beyond one`s emotion and being trustworthy. For nurses to be able to empathize with their patients and treat them with compassion, they have to be self aware. When nurses are self aware, they are capable to adapt to, or certainly change their attitudes and deed in order to understand how unusual people take care of them hence improving the nurse- patient relationship. Nurses must reflect carefully on whether they can sustain in dependence in caring for a client and whether the relationship interferes with gathering the client’s needs. It is also essential to be sure that providing care to family and friends does not interfere with the care of other clients or with the dynamics of the health care group. Before making the conclusion, the nurse may possibly wish to discuss the situation with colleagues and the employer.
I went to the operating room on March 23, 2016 for the Wilkes Community College Nursing Class of 2017 for observation. Another student and I were assigned to this unit from 7:30am-2:00pm. When we got their we changed into the operating room scrubs, placed a bonnet on our heads and placed booties over our shoes. I got to observe three different surgeries, two laparoscopic shoulder surgeries and one ankle surgery. While cleaning the surgical room for the next surgery, I got to communicate with the nurses and surgical team they explained the flow and equipment that was used in the operating room.
To me, being a nurse requires a great sense of selflessness and courage to devote your time and being to helping others. Nurses work long hours and experience straining situations for the satisfaction and fulfillment of helping others. More specifically, experiencing life and death, as well as applying your full self--emotions, knowledge, courage, and strength--takes a toil on the mind and body, but the innate satisfaction, human connections, and experiences I would be able to live through prevails over any thought of stress. The quote “A nurse is one who opens the eyes of a newborn and gently closes the eyes of a dying man. It is indeed a high blessing to be the first and last to witness the beginning and end of life” further reflects
Although students were not allowed in the recovery unit, I was able to talk to one of the recovery nurses. I learned that a nurse’s duty of care includes monitoring the patient’s vital signs and level of consciousness, and maintaining airway patency. Assessing pain and the effectiveness of pain management is also necessary. Once patients are transferred to the surgical ward, the goal is to assist in the recovery process, as well as providing referral details and education on care required when the patient returns home (Hamlin, 2010).