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essay on performance anxiety
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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
Newly graduated nurses lack clinical skills necessary to evolve professionally and carefully from academics to bedside practice (Kim, Lee, Eudey, Lounsbury & Wede, 2015). How scary is that not only for the patient but also for the new nurse himself or herself? While being faced with new challenges, an increasing amount of newly graduated RNs felt overcome and unqualified. Twibell and Pierre explain how new nurses express “disillusionment” about practice, scheduling, and being rewarded. Frustration and anger between employees play a huge part in NGNs resigning because of the lack of experience and knowledge of what to do in high stress situations (2012). Nursing residency programs have proven to directly improve patient care, develop critical
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)
Because Margaret did not look over her patient’s information, and inform the patient on the tests that was ordered she drew three tubes of blood on the wrong patient, that if she educated the patient she would have caught the error. Margaret should have checked the order and patient information. The outcome for this error, would be she did not know policy and procedure or even if she was qualified to do the procedure on her own, she did not ask for help form other employees. This could have resulted in harm to the patient with not having the right patient, the patient not receiving the test to determine the status of his health issues. The test for the elderly man was to assess the body’s ability to clot, monitor the effect of blood thinning medication and to diagnose liver
I have been aware of medical errors for some time now. While in nursing school I have heard many stories from classmates and instructors of instances where people they knew, or loved ones had been either harmed or died because of a medical error. I have had experiences with medical errors. When I was in the hospital for the birth of my first child, the nurse that came to change out my IV bag did not check the
Although I believe I am competent in the above specified areas, I am still not confident that I will get sufficient support in the hospital environment in terms of knowledge sharing, moral support and being given constructive feedback. Constructive criticism increases confidence in the work role and reduces stress in an individual (Doody, Tuohy & Deasy, 2012). In my previous professional placements, I have been able to demonstrate my competency to work in the healthcare environment. I have received positive feedback from placement educators, buddy nurses, and patients. Despite being competent in a range of the above areas, NGNs may still face transition shock.
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.
Hospital medical errors can involve medicines (e.g., wrong drug, wrong dose, bad combination), an inaccurate or incomplete diagnosis, equipment malfunction, surgical mistakes, or laboratory errors. High medical error rates with serious consequences occurs in intensive care units, operating rooms, and emergency departments; but, serious errors that harmed patients may have prevented or minimized. Understand the nature of the error
During my observership, my clinic intern mentor was Shiyama Hassan. Overall it was an enjoyable, less stressful academic experience.I got a chance to take patient histories, examination and patient’s vital sign monitoring and charting. I didn’t feel much difference in observing my mentor taking the history and when I was taking the history, it could be related to my past experience. However, every time I was curious to know what is happening with the patients and what caused him to seek naturopathic medical advice. During this clinic shadowing, I saw genuine interest of my mentor and supervisor to help patients concerns, unlike to allopathic model of prescribing medication. It helped me to improve my interviewing skills to look root cause for
My clinical week was emotional and physically draining this week. I enjoyed being the lead on Thursday because it gave me the opportunity to stop and observe. The nurses and the CNAs were very stressed out, and I clearly saw the effect on the patients. For instance, one of the CNAs asked me to help her with an occupied bed change. I was excited. However, she kept passing a bunch of comments of how hard nursing is and how she did not want to be old. I did not acknowledge any of her comments. Perhaps she thought she could express herself (as a result of her stress) in front the patient since the patient was non verbal and could not understand. I felt very bad. I was very uncomfortable and sad. For me, it doesn’t matter whether the patient
Throughout my final ten weeks at my placement, I have grown and overcome so many obstacles. I have accomplished a wide range of skills since the beginning and have been improving on them as I gained experience. At my placement as a student nurse, I have gained a lot of confidence, skills, knowledge and experiences that have helped me act and work in a professional way. All the experiences I have had during the ten weeks of my student years have helped me in shaping me into a professional.
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.
Time out was done by the anesthesiologist, the circulating nurse, the surgeon, and the scrub tech all pausing before the surgery and verifying the patient’s name and date of birth, the procedure being done, the site and location on the body in which the procedure was being done, and documented the count of all the equipment the scrub nurse had before surgery to compare to after surgery. 5. The patient’s privacy was protected and respected throughout the whole surgical procedure. The staff was very professional and I felt I learned a lot from them during my OR experience. 6. A sponge count is when the scrub nurse counts the sponges that are unused before the surgery she relays this to the circulating nurse and it is documented. After the surgery the count is redone to make sure that there are no sponges left in the patient. 7. The circulating nurse documents the information and signs the chart in the operating room. From pre-op to the operating room the nurses in pre-op gave off report to the circulating nurse by SBAR. From the operating room to PACU the anesthesiologist went with the patient and handed off the patient’s condition and information to the nurse in there. 8. There were no ethical or legal issues that were raised during my observation in the whole surgical process. 9. I learned how the whole operating procedure works from start to finish, all the legal paperwork involved, and how the team interacts and helps each other out to give the patient a safe and
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
I began taking advanced placement classes to challenge myself, to be the best I can be. Although it was difficult to maintain good grades, practice 10 hours a week for the swim team, and working a part-time job, I enjoyed the push and the outcome I received at the end. Due to wanting to be in the Medical field, I took Honors Anatomy and Physiology in order to learn more about the human body; prepare myself for the memorization and the use of note cards. All the information felt like my head was bottled up, I wanted to enjoy my high school years, because “they pass by so fast, make the best of them” my brother would constantly say to me but failed to mention if I really wanted to do what I loved, I had to let all that go and focus on school; which became my biggest responsibility. There were times where I just wanted to take the easy way out and drop the class, but I knew no good would come from that; instead I balanced out my schedule by prioritizing my time between school, practice and work.