A Interview On Clinical Lead Experience Essay

My second clinical day took place on September 24th, 2015 at Saint Barnabas Hospital in Livingston, New Jersey. My preceptor Maria Brilhante, MSN, RN, allowed me to observe the morning huddle that took place with all the nurse managers that are in the hospital. The purpose of this huddle was to keep the director of nursing informed about the census on each unit. I found this processed to be very uniformed and professional because the DON was engaged. The day went on with me attending meetings on how managers could implement plans to contain cost for the hospital. Maria did her daily rounds on her patients and her nursing staff. She has a folder that contains papers on how each nurse is progressing from the time they get off orientation. Her motto to the nurses is, “You are good at what you do, so when I coach don’t take offense. I am only trying to get you to be great”. This boost their confidence which I thought to be important.

Looking back on this clinical day, I would state that I effectively met my overall goals for the day - Safely and efficiently administer medication, enhance my nursing/CNA skills, and determine how to implement infection control into a health care setting. During medication administration, I did come across some difficulties – dropping a few pills and being unsure of the medication in the med cart – but that did not prevent me from safely administering my medication. I completed the three medication checks, while ensuring that I recognized the six medication rights. This experience sanctioned me to acquire comfort in passing meds, and permitted me to see how to prioritize time when a patient takes numerous medications. Alongside medication

The biggest distractions as an acute care leader that impacts my work are numerous administrative meetings; they tend to take up most of my daily schedule leaving me with little time to talk to the patients. To alleviate this challenge I have allocated time on my daily calendar to participate in bedside inter-disciplinary and leader rounding on the unit with the team to discuss patient plan of care with other healthcare teams, patient and family. This time allocation enables me to have designated time dedicated to making sure the patient receives my professional presence that supports

For todays clinical, I was located at the office in Pineville. To start the day, Mrs. Faranda went over the computer system and planned out her day based on her goals set for each patient. She planned out which patients she would need to call first. After that, she showed me how to look and see which patients were in the hospital and which were located in the emergency department. Lastly she me different thing in the computer system like the social determinants of health and the medication system. She also went over resources. To end the day, she made a few phone calls and tired to reach out to certain patients. Overall, I enjoyed my day and being able to learn more about Community Care of North Carolina.

My learning needs were supported this week by the nursing staff on the unit allowing me to help with assessing and treating their assigned patients .In addition, my clinical instructor discussing ways to improve out charting.

My Story: Today, was an awesome, extremely busy clinical day; I absolutely loved it. I saw five total patients. The first patient that I saw was with Laura, this patient was diagnosed yesterday, 2/7, with cirrhosis of the liver and HEP C. The patient’s chart says he has a history of anxiety, however, the patient stated that his anxiety started when he was told in the ER on 1/25 that he could have cirrhosis of the liver (more information in part D and E). This patient was very interesting, and I was amazing by how much he was going through; I felt bad for him. I did vital signs and my part D and E with this patient, and built a therapeutic relationship with this individual. I completed my part D and E on my first patient, due to not knowing if other patients were going to cancel because of the snow, as well as I didn’t know what patients I could see because the NP, Tanya wasn’t in the office in the morning. At the end of the visit, the patient asked me if I would be coming back again. This made me feel good, because I knew listening and being there as support for this patient helped him. The rest of the day I followed the

My fifth day at Agape Hospice, I went in to assist others with in tuck in calls since I became an expert at it. I was excited to be given this opportunity to teach others what I enjoy doing at Agape hospice. I also gave my fellow classmate who volunteer with me at Agape the chance to encourage them to not to worry about anything because all you have to do is read the question to them. For tuck in calls there where a few question that you had ask the patents and the rest you didn't had to ask because all the patient of the patient family would say the same thing.After I was done assisting my fellow classmates, I help Ms. Erica file the patients paper work in orders. I had to file the paper work by where the patient live such as their home or

I arrived at clinical 0630 and picked up patient information the morning of. I reviewed all assigned diagnoses, medications, labs, and orders with my assigned students, and we discussed our plan for the day. We both took report from the patient's nurse and then Elizabeth presented at preconference. Kala shadowed the Nurse Lead and I helped Elizabeth with brief changes, pericare, and vital signs. I continued to check on both Elizabeth and Kala throughout the day. Last, lunch and then post-conferance.

I started my day by attending bed unit meeting. Afterwards I attended a pre-surgery meeting with my site coordinator. The rest of my day was spent filling isolation carts and creating welcome packets.

I successfully manage all timekeeping for my staff, as well as ensuring they have a clear understanding of the Institution and Access Operations expectations for time and attendance. I have created a new patient access checklist to assist with orientation of new team members within the center. To enhance our patients’ experience monthly call monitoring is performed and feedback is given to staff. In identifying customer service areas needed for improvement, staff has been successful with improving contacting patients within four hours, reduce the call abandonment rate, and increase the number of patients given same day/next day appointments. My plan for the upcoming year is to become a better leader by focusing on being better organized and prepared, improve on meeting deadlines and communication. To enhance the collaborative partnership with clinical teams and ensure the ongoing success of Ambulatory Access Operations. I will continue to handle changes and support my staff and

It was a really short day for me, so I just worked on completing more referrals and watching Donna check-in patients. There are quite a few steps on Donna’s part that include: checking to make sure that the insurance has not changed, the pharmacy has stayed the same, collecting copay, and a lot more things that I need to still get in there and learn. We had one particular patient that had a procedure scheduled for weeks that we had to reschedule until insurance differences could be worked out. He was not a happy camper, but luckily he directed his anger toward the insurance company and not us. I haven’t got to really be in the front office much this week because of the need in the clinical area, but I hope to get more experience in this area

As I was preparing to conduct my interview I tried to think about my perception of the writing requirements as a doctor. Some of these thoughts were confirmed and I was also introduced to the key concept of having to balance the amount of time that is spent writing and time spent interacting with the patient in a clinical setting. I decided to interview Corey Steinbrecher, he is a third-year student at the University of Arizona College of Medicine, and is currently writing a research paper as part of his course work. This research paper is in addition to the typical patient summaries that he would write while treating patients. In regard to this optional writing, he says, “During the first three years of medical school there has not been a large amount of required writing, but I am currently writing a research paper that I hope to have published in a peer reviewed medical journal”.

This one special Tuesday morning that I remember so fondly started just like any other day. My alarm clock went off at precisely 5:15 a.m. I lay in bed dreading to go back to “my hell,” which I called work. When I finally made it to the nursing home, I went straight to the nurse’s station to check what rooms had been assigned to me. I just so happened to get one of the hardest hall assignments, one that I had recently gotten the day before. This made me upset because the nurses were supposed to make sure we got different room assignments every day to make it fair on everyone. I decided then and there that I would keep a positive attitude and do my job the best I could, so I held in my frustration and went straight to doing my morning rounds.

Healthcare changes occurring today along with shrinking budgets and reimbursement rates for hospitals has forced institution CEOs to do more with less. Changes and restructuring of various health facilities require nursing leaders with flexibility and adaptability. Nurse leaders must also consider budgetary constraints, cost effectiveness, patient safety, and quality care while maintaining focus on improved patient outcome. The responsibility of ensuring patients receive safe and high quality care belongs to every employee in the hospital, including support staff such as IV therapy. In this hospital, this led to the development of a nurse director position to oversee the

-They put all the leadership towards the patient first, but they found it a challenge to provide hope for the patient and the staff to be able to give them the experience they both wanted