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During this semester I was able to learn about they type of nurse I would like to become. I came into this semester thinking that my biggest strength was patient care. After my first day of clinical I realized that even though I had a lot of experience in patient care at a doctors office, being in the hospital is completely different. As a nursing student I was responsible for the complete care of my patients, not just educating them. I think my most memorable moment of the semester was when I gave a patient her insulin injection. For some reason I was very nervous about giving her a subcutaneous injection. I did okay for my first injection but I needed to practice my technique. I started practicing every day. Two weeks later I was given the …show more content…
Give a synopsis of your impressions from Day 1 through now.
b. Discuss your progression, growth, and maturity as a JR1 student.
On the first day of clinical I was very nervous because I was not sure what to expect. Now I think I know what the expectations are for my nurse and myself. I am also more comfortable asking questions and interacting with patients. I understand the nursing role in the hospital, and the responsibility that comes with it. I think I have a good idea of the nurse I want to be and what practices I want to implement in my patient’s care. I am also more aware of my biases and I am working on them.
Section 3 - Strengths and
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How has that made you think about your role as a nurse?
I think the biggest concern I had during my clinical was when a nurse left the medications untended in the patient room and when I pointed it out, the response was “its okay is not a narcotic” I was very disappointed in this answer because It just showed a lack of concern and consideration. My thinking was that if this happens when a student is watching, I cant imagine what its happening when no one is watching. Most nurses try to follow the rules specially when a student is watching them; they want to be a good example. This nurse in particular did not care. This experienced made me realized that it is important to take pride on your job, to follow the rules and not get into the habit of not caring.
Section 5 - Overall Summary
What will you take from this experience to next semester (JR2)?
I think I will take my positive attitude, my eagerness to learn and my experiences to the next semester. This semester I learned that it is important to have integrity, doing the right thing even when no one is watching. I also learned the importance of teamwork and positive attitude. These are all experiences that I will take to next
...rst 6 months of practice, a finding confirmed by Duchscher (2001). With experience, new nurses find that they are able to cope up with an increasing number of different clinical problems and develop confidence after managing similar situations in an acceptable manner over time. Their relationships with expert nurses change and they are more likely to engage in interdependent decision- making and clinical judgement. They are distressed, however, if their judgements differ from those of more experienced nurses (Benner et al. 1996). New nurses focus on caring aspects of nursing only after they gain confidence in their abilities to cope up with the more obvious demands of client and nursing unit situations. With experience, they report more involvement with clients and families, and a return to the holistic care that they conceptualized as students (Duchscher 2001).
Approaching graduation has brought a mix of emotions into light: fear, anxiety, excitement, etc. Throughout nursing school, we are exposed to various clinical settings, but throughout all of them I had a preceptor guiding me in learning the proper techniques in a safe manner. After graduation I will be put on the floor and the lives of our patients will be in my hands. I am confident in the knowledge I have gained throughout nursing school; the more experiences I gain, the better nurse I will become. After reviewing the new graduate nursing program and speaking to classmates, I quickly realized that nursing students could transition confidently into a competent, safe nurse.
The nurse’s first year of practice is the time to acquire new skills and build knowledge and confidence upon the same. Due to deficiency of skills, practical experience, and conflicts in the theoretical knowledge and practical knowledge during the initial phase of their employment, Registered Nurses (RN) face a lot of problems and challenges. Due to these gaps of knowledge, fresh graduates have a lot of stress to perform equivalent to the experienced nurses, which they find difficult. Due to this self-expectation and the expectation on the part of employers and senior nurses newly qualified nurses feel a lot of stress. Fresh nurses consider themselves ready to perform at the new job placements but find themselves not on par with
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
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
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.
This time, I decided to be more talkative and ask more questions about the patients. My senior nurse showed me a patient who fell down a couple flight of stairs and due to his accident, he injured his brain severely to the point where he couldn’t speak anymore. She explained to me all the medications that he had to take and how she had to look up the patient’s lab report because the medications he takes might affect him in different ways. After she was done with looking up his lab reports, I watched her feed the patient for an hour and thirty minutes. During this time, I really felt bad for the patient because he was half-awake and half-asleep while eating. It saddened me how we had to disrupt his resting time to feed him before he could take his medication. After the patient was done eating, I watched the nurse give the patient Lovenox, which I learned was given to patients who are immobile in order to stop blood clotting. After giving him his medication, we had to transfer him off the bed and into a chair, which was my favorite part about this clinical observation. I got to physically help move him off his bed and into a chair. This took 3 nurses, including myself to move him and it made me realize how nursing really requires teamwork. I then got to help clean him up and after changing him, it was time to leave the hospital. This clinical observation made me really excited to be a nurse because I
As new nursing graduates begin the process of transition into the nursing practice. There are many challenges and issues which are associated throughout the transition. New graduates may embark their journey through a graduate program or seek employment solo. The transition period may consist of challenges, that students will encounter during their journey. This essay will identify, discuss and critically reflect nursing key challenges that student nurses may face, throughout the process of the transition phase. The nursing key challenges chosen for this essay include professionalism, preparation, personal factors, competency factors, patient- centered care and job satisfaction. These nursing challenges will be thoroughly discussed and supported by current evidenced based research and nursing literature.
Drug administration forms a major part of the clinical nurse’s role. Medicines are prescribed by the doctor and dispensed by the pharmacist but responsibility for correct administration rests with the registered nurse (O'Shea 1999). So as a student nurse this has become my duty and something that I need to practice and become competent in carrying it out. Each registered nurse is accountable for his/her practice. This practice includes preparing, checking and administering medications, updating knowledge of medications, monitoring the effectiveness of treatment, reporting adverse drug reactions and teaching patients about the drugs that they receive (NMC 2008). Accountability also goes for students, if at any point I felt I was not competent enough to dispensing a certain drug it would be my responsibility in speaking up and let the registered nurses know, so that I could shadow them and have the opportunity to learn help me in future practice and administration.
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
New nurses are faced with discomfort as soon as they enter the profession. Hence, it is suggested that precautions be taken even before nurses graduate. The educational system should consider the involvement of clinical staff in the teaching process. This will enable student nurses to meet actual nurses prior to entering the profession (Goodare, 2015). In other words, to make the transition easy, nursing education must include actual exposure to the clinical practice where student nurses are required to not merely become observers but actually participate in the process of providing care. In this manner, the student nurses will not find it hard to transition into the workplace when they become official part of
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.
The following essay is a reflective account on an event that I, a student nurse encountered whilst on my second clinical placement in my first year of study. The event took place in a Fountain Nursing Home in Granite City. I have chosen to give thought to the event described in this essay as I feel that it highlights the need for nurses to have effective communication skills especially when treating patients that are suffering with a mental illness. Upon arriving to the Nursing home for the second time on Thursday November 14,2013; assigned the same patient as before. On meeting my patient the first thing I noticed myself doing without even thinking about it was giving her a visual inspection. Before nursing school I never really looked at someone at face value and inspected him or her physically. While interacting with my patient I felt as if I was taking to my grandmother, it was very comfortable and easy. Her neurological assessment was good, she had eye contact with me, was able to follow some simple commands such as showing me her hands and squeezing my fingers. Being in the nursing home-made me feel like there was so much medical information to acquire, I viewed it as my own personal practice space for my nursing skills. When taking with my patient she reflected on her life a bit and her stories made me get emotional. The Patient, admitted to the nursing home as a permanent resident after the death of her husband.
Starting a clinical on a new unit was very nerve-wracking. Being a third year nursing student, there are
Over the course of the semester, I have learned a few things about myself. I have learned that I can be independent, I always knew myself as someone who could do mostly everything on their own. This semester really made me realize how independent I could actually be. Not only have I learned how independent I am I have also realized the importance of time management. With not having a strict class schedule it was a lot different than what I was originally used to. After a few weeks, I learned ways that would work best for me, for example writing down that I needed to get done. I learned that I need to focus on what 's ahead of me to accomplish what I want to succeed in, to manage what needs to be done ahead of time to stay caught up.