A Reflection On My Clinical Experiences

One notable hospital experience that is still on my mind deals with a woman in her 80s, who had been admitted for a few days. The unit secretary informed me of this story. While she was hospitalized, her family came to visit her everyday, and one of those nights the patient asked

The event that stood out the most to me during my clinical experience this month was when my assigned patient and her family began asking questions about the care the patient was receiving and other non-medical related questions.

Discuss a clinical experience in which you had to incorporate one or more learning styles such as visual, kinesthetic, and auditory. Explain the outcomes and how you created an effective learning experience.

My first clinical experience for this nursing program was completed at New England Rehab Hospital. I walked in with some clinical experience but no experience in the realm of nursing or certified nursing assistants (CNA). During that first semester we followed CNAs to understand their job and gain basic nursing skills like bathing patients, bed making and other daily tasks. It was useful and I’m still happy we were able to have that experience. A situation that made me uncomfortable during that semester that one particular CNA never sanitized his hands when entering and exiting a patient’s room. In most hospitals and nursing facilities there is a “pump in, pump out” rule to abide by when entering and exiting a patients room rule to ensure health care workers are not spreading bacteria to themselves and other patients. This particular CNA admitted to me that he pretends to push the hand sanitizer and rub his hands together without actually getting any sanitizer in his hands. His reasoning was that he found it overly drying to use the sanitizer so frequently despite the hospital providing lotion as well.

During my first day of clinical, I encountered an issue that I believe is very significant. As a student nurse, our duty for this day was to follow our health care aide around the ward and assist in completing resident care. The resident required assistance in many of her daily tasks. The health care aide asked if I would perform one of those and do perineal care for her. I turned down her offer because I did not feel comfortable with my skill level. The resident had a bowel movement during the night. There was a significant odour in the room that overwhelmed me. I really wanted to leave the room because it was so unpleasant, but I stayed in the room so that the resident would not be embarrassed. This feeling of embarrassment, I assume,

This clinical experience took place at Peyton Elementary School and Prairie Heights Elementary School. Kamille, Ben and I were to teach hand hygiene, covering your cough and brushing your teeth to three Pre-K classes. First we developed a lesson plan and teaching aid for our students. Then, we gathered supplies such as spray bottles, dye, subject specific coloring sheet and a dinosaur with large teeth and tooth brush. Kids Rock dentistry in Colorado Springs was nice enough to borrow us the dinosaur and also gave us activity books for the kids. When we arrived at Peyton Elementary School at 0800, we noticed it was a very nice school. We met the school nurse at the office where we signed in. She showed us to classroom where the children

My clinical day of week 3 started pretty much with the same routine. I had to shadow a CNA preceptor and helped her throughout her assignment. By late morning, I have encountered a patient that at first refused to have a conversation with me despite my efforts of searching the right therapeutic questions that will make her open up to me. I founded the situation to be a little bit frustrated and made me feel unsuccessful that I was not be able to form a relationship with the patient. I did not know what to do or what to say. She just kept staring outside the window without saying anything. At lunch time, she surprised me when she approached me and expressed her apology for her earlier behavior.

S: How was your clinical experience this week? This week was an okay week. I spent most of my time trying to get back into the swing of things. I was a little rusty at the beginning of the week but it got better as the week went on.

Comparing my clinical experiences from last semester to this semester, I would say that I have already experienced more this semester than I would have at this time last semester. Even though I am doing LNA work while incorporating RN aspects, I feel the work that we are doing this semester is more RN aspect based rather than LNA work. Clinical was my favorite part of last semester, and it is still my favorite part of the semester. Over the past couple of weeks at Riverside, I have had numerous new experiences, including following a nurse, following the wound care nurse, and going in on my day off to follow both the wound nurse and the nurse practitioner of the facility.

The past weeks at my clinical were memorable and exciting, I was exposed to many learning opportunities, which I took advantage of. Also, I had to provide care to more patients than required per shift and each patient had their different ways of care. From week one I was nervous, shy and had a little difficulty developing a therapeutic relationship with my client. However, by the end of week one, I had so much confidence in providing care to my patients. I was placed in the complex continuing care which involved complex skills and complex patients. My unit had two sides, one side was rehab floor and the other side was complex floor; so I had the opportunity to work in both floors. My greatest growth were mastering the skills needed in providing care to the complex patients like suctioned patients with tracheostomy, monitored patient with continuous bladder irrigation, assessed, changed and care for patient’s ostomy independently, administered feedings and medication via G-tube, packed a deep wound, developed a therapeutic relationship with my patient, been able to achieve many skills required for semester four and providing emotional support for my client. By week three, the expectations required to care for my patients were more because it was the half of the pregrad, I strived to accomplish most of the skills listed in the self-assessment skills. I had my ups and downs with my patients which would have discouraged me about my profession but it did not, rather it

During my clinical experience, I encountered an unforgettable situation which holds significance to me as a nursing student. My patient had an intracerebral hemorrhage, subarachnoid hemorrhage, as well as dementia. As a result of her conditions, she was a two- person assist. While researching my patient’s health conditions the night before clinical, I became concerned about how I was going to take care of my patient due to the anticipated immobility. When I first met my patient, I began to feel apprehensive because I realized that it was a patient who I had seen on the unit two weeks ago. This patient was groaning and crying at night, disturbing other patients who were trying to sleep. Due to her restlessness, the nurses moved the patient to the nursing station every night and then moved her back into her room in the morning. Looking at

Looking back to the first day of clinical to the last day I have changed a lot during this time. During the whole clinical experience I had to use a lot of the growth mindset in-order to get fully through the whole process. My clinical teacher and I didn’t quite have the same opinion on certain things. While we did struggle through are different mindsets, it was a great learning experience. I will have people I work with that I don’t always agree with and I will have to find a way to compromise with them. This was something we talked about with each other and worked through. So, Im grateful in that aspect in learning how to deal with those situations. I also changed in that I’m more confident in giving my lessons to my students, along with I tried to not be as scared in-front of them.

What happened? The healthcare provider was assigned to care for critical disable twenty two year old male. The parents were separated because the mother of the twenty two year threat to kill the father with a daggers. So the courts removed the mother from the home and the father has cared for the son alone for ten years.

The case that I have chosen to reflect on was a patient that was already staying on a ward within the hospital, the patient was rushed to the emergency theatre late at night from the ward with a suspected internal bleed, the cause and exact location of the bleed was unknown, the patient presented a complex case for the theatre staff as the patient 's condition was largely unpredictable along with the amount of blood loss that the patient could lose. My role within the theatre team was on the anaesthetic side, I was supported by my mentor who I feel I have learned a vast amount of

Also, the objective is to find patient’s document finding and correlate it with chronic disease process of elderly adults. With this reflection, I will discuss what I’ve learned, and my strengths and weakness in my clinical experience.