Reflection On Clinical Day

1. What are your goals for the day? (Address health assessment, psychomotor skills, and communication techniques/phases)

For the final clinical day, I retain three goals: Enhance my skills in the acute setting on the first floor of the facility, distinguish the use of collaboration within the facility, and to leave a lasting impression on both the facility and the residents. For the past four clinical days, I remained on the second floor, where the care focused more on medications, glucose monitoring, and CNA skills. While I greatly appreciated the time to learn these essential skills, I would like to use this week’s opportunity on the first floor to practice skills more associated with the nursing scope of practice. The skills that classmates

Because a great deal of my time on the last clinical day will be spent on the first floor, I wanted to ensure that I knew what information I needed to retain from my assigned resident, so I could properly manage my time, and discern when the best opportunity is to go upstairs to speak with my resident. I wrote out the information that needed to be collected this week and any last questions I had for my resident before we leave the long-term care facility. Besides preparing for this week’s clinical day, I charted last clinical day’s requirements. In SimChart, I completed: Admission history (Nutrition and Activity/Occupational Therapy Screen), Safety assessments (Pain, Cardiac, Respiratory, and Gastrointestinal), basic nursing care, and miscellaneous nursing notes. With my SimChart complete and feeling prepared for this week’s requirements, my partner and I sat down to nearly complete our resident’s concept map. During the break, we were able to fill out all of the concept map boxes, discern and elaborate on both our direct links and cross links, and distinguish a priority pattern for our resident. When completing the concept map, we included references to back up our statements, ensuring that the links we constructed did indeed correlate. The last component

Although I based my plan for this week’s clinical day on past experience, I cannot be positive of what tomorrow will encompass, as I have never been on the first floor. Based on what classmates declared, I will begin my clinical day by being paired up with a nurse on the first floor and begin to take vital signs for her patient. The vitals signs I take will influence the nurse’s actions, whether that is to give medications, hold a medication, or implement care. With vitals signs complete, I will finish the morning hours by shadowing my assigned nurse throughout the morning, assisting in patient care where it is permitted – wound care, glucose checking, feeding tubes/lines, and IV pumps. Around 11 o 'clock, our group normally gathers together and takes a lunch break for a half hour. After the group lunch break, I would like to get with my partner and begin to fill out our concept worksheet - Collaboration - for this week. My partner and I will describe the collaborative efforts that we have experienced in the facility, discern which health care disciplines interact with our assigned resident, and identity collaboration between health care team members of the facility. When we complete out concept worksheet, I would like to gather this week 's required information from our assigned partner and her medical record –