The biggest thing that is circling my head after this clinical experience is failure; I feel like an absolute failure. I could not seem to get anything right throughout this entire clinical experience not just from the last twelve hours of nurse management. These last hours were especially daunting because all I could think was you have not been good enough every time, and you are not going to be good enough this time. I kept feeling that I was also just a disappointment to my clinical instructor, Deb, every time, and that she should have been assigned someone else. I still learned so much, which is a good thing. I know part of my issue with all of this was me being terrified of Deb, and I do not understand why. I was finally able to accomplish my last smart goal, which was knowing what procedures needed to have Time-Outs performed hospital wide. Time-outs need to be performed for peripheral nerve blocks, spinals, epidurals, bone marrow, and any procedure where instruments will be inserted into a body orifice
We had a patient have a seizure instead of getting involved with that patient, I watched over the other patient we had in the PACU. I know as a nursing student I am supposed to get involved in everything; it was not me trying to be lazy I just did not want be in the way. There was already seven people surrounding her, I did not see how I could have helped any. I know that it was mistake not to get involved; it would have been a good learning opportunity. Then the second thing I did wrong was not being as diligent as I should have been; I told our patient after surgery that her hysterectomy went well when she has a tubal done. I had written the correct procedure down but misspoke. It made me feel like a first class idiot. If I could have left then and there I would have; that patient did not deserve to have to deal with me. Overall, I cannot think of a single thing that I did well those
My reflection report will be on how to teach a clinical skill, which could be done either by the simulation training “workshops” or in hospital settings. Any reflection report is basically an evaluation of a person’s records of certain findings about certain topic or experience
When I started my first job as a nurse in the Surgical Care Unit I was a novice nurse, I did not have experience, I lacked of the confidence to demonstrate safe practice and I required continual verbal and physical cues in from my preceptor. I was developing my nursing judgement and the graduated nurse residency program offered lectures and clinical experience that helped me to
Look back: During my third week clinical experience, I did both computer charting and paper charting (for maternal assessment) with nursing care plan. Besides charting, I reported my significant findings of the mother verbally to the primary nurse.
Nursing is a complex degree, so many different subsets and divisions that it is hard for the common person to fathom. Returning to my education and rediscovering all these theories and ideas is very overwhelming. In my work I am already beginning to see myself change for the better. Work is always very stressful even more so now, and I see myself becoming a leader when in the past I would not have been. While reading the assignment this week and focusing on the Essentials document and the other readings I find myself inspired and saddened. Inspired to becoming a better nurse, co-worker, advocate, and friend in the working environment. Saddened because the last nine years I believed that I was providing excellent patient
I thought it was a very big challenge being a brand new nurse in the hospital. I would say that I struggled with confidence and overall stress for the first 6 months. I quickly realized that very few patients fit inside a clinical box that I had learned in textbooks. I was very task oriented, just from being overwhelmed with work load, and it was difficult for me to critically think in the way I knew I was capable of. A lot of this improved with time and supportive mentors. (5)
On the first day of my clinicals for my certification as a Nurses Aid, an older nurse who had been working at this care center for almost twelve years, looked my group in the eyes and with the least emotion possible told us “The people here are going to die, so do yourself a favor and don’t get too attached.”. I know that’s probably the worst thing a nurse working in an old person’s home could say to a group of wide eyed, excited, new CNAs but I never took it to heart. After a week of working there the rumors I heard about the nurse staff and the residents had me reconsidering my choice. This was my senior year of high school, possibly the most emotional, confusing, and fast paced year of my life and I was spending it working with people
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.
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.
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.
Fetter, M. S. Nursing mistakes: a Call for unity. MedSurg Nursing June 2011: 111. Nursing and Allied Health Collection. 12 Mar. 2014. Retrieved from http://go.galegroup.com/
Today I felt overwhelmed about my clinical day because I had patients with situations going on that I had never taken care of before in my other clinical rotations.
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
I do not have to look back very far to see a time when my self-confidence as a nurse was at an all-time low, reminiscent of that nursing school student. Almost a year and a half ago, I walked through the doors of Sunrise Adelante Clinic as a triage nurse with responsibilities for medical decision making, clinical care, and triage. Prior to walking through that door, I had
One simple mistake can be the difference between life and death. After looking over the information about the patient and observing the patient’s situation nurses have to have good problem solving skills. Nurses have to be able to think fast on emergency cases and even think of how to settle problems that could rise in the future. When emergencies do come up nurses have to carry a calm attitude and always keep their head in the right area, just always be prepared for the unexpected. Nurses aren’t appreciated enough for the tough job they have. Great nurses who show all of these qualities are what we call great nurses and who we look up
Starting a clinical on a new unit was very nerve-wracking. Being a third year nursing student, there are