Clinical Experience: My Exposure To Clinical Practice

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,

Throughout my clinical experiences, there have been quite a few circumstances I have been placed in that have remained with me whether good or bad. All of them have been learning experiences for me whether it is how to improve and to do better next time from a mistake, for me to learn that this is or is not how a patient should be treated, how to handle family situations, and many others. One experience that I was able to participate in that will remain with me because I had not experienced this before was during my critical care rotation in the fall of 2015. This patient was dying and we were implementing comfort care for him.

Deciding to be a Diagnostic Medical Sonographer was not an easy or fast decision. Like everything else in life, my decision was gradual and time-consuming. However, being involved in the medical field was always something that I longed to do. Most other kids want to be a firefighter, police man, or President of the United States. For me I always knew that my heart belonged in the hospital.

My overall experience during my first clinical placement was very positive, with very welcoming and supportive staff. It was like a dream come true for me supporting patients. Despite all my good and wonderful experience, there a particular incident that stands out which I will reflect on using the Gibbs reflective cycle. On my first day on Placement, my supervising radiographer took me by surprise by asking me to position a patient for a postero-anterior chest x-ray. This radiographer has not been welcoming but harsh and rude to me. I was nervous and extremely careful while working with her. She only responded to inquires after making me repeat myself at least twice. When she suddenly asked me to position a patient, I instantly became nervous and excited. I started talking the patient through the process, while physically positioning the patient with her consent. She shouted at me and shoved me aside, saying “You should stop touching the patient without her consent’’. The patient politely laughed and said, “He already informed me and I am happy with that, take it easy with the student’’. I did apologise to the patient for that misunderstanding and stepped back as she already took over. She neither apologised to me nor to the patient.

For my Clinical experience, I was referred to one of community clinics run by nurse practitioners - yes, NPs- in Suffolk County in Long Island by my coworker. It is called “Nightingale Preventative Care.” I am working in the ER and at first, I thought this clinic would be a type of urgent care office which is a similar setting to the ER. I was totally wrong. For the past two weeks, this place has surprised me many ways and I learned about what the community clinic is alike to its neighbors. Patients can be seen by NPs by the appointment. However, it is located inside of K-mart and has many walk-in patients as well. Many patients who come to visit for their check-up have no medical insurance. Every Wednesday, a representative from Fidelis Care insurance company comes and provides information about Medicaid and Medicare service the company has. I really like to sit down with patients and assess about their medical histories and family histories which I cannot do often in the ER. I had a patient who was Hepatitis A Ab, Total positive Abnormal first day I work at the clinic. He didn’t understand what the test result meant and neither did I. I printed out an article from National Library of Medicine and went over with him. Patient’s education in the ER rarely happens from nurses. I felt great to listen what patients tried to lose their weight or quit smoking. I like to continue on developing skills on patient’s education and preventative care measure for patients.

This paper will examine my clinical practical experience at Holy Cross Aspen Hill facility. . I will share what I learned at the site, activities and tasks I completed, any observations on workflow and processes, thoughts I had on what could have improved my experience. The possible ways it could have been improved are numerous.

Clinical Placements have offered me the opportunity to put into practice what I had studied during the past year but also to grow as a person and change the way I interact with different types of people. At the start of my clinical practice I must admit one of my biggest hurdles was the language barrier between myself and the patient. Being (for the most part) a bilingual country Maltese and English seem to intertwine in conversation, a mix and match of different phrases pushed into each of the other languages sentences. Now while this may be normal for me in everyday conversation, I found myself very uncomfortable and even embarrassed to not be able to speak fluent Maltese to the fluent speakers that so often come to the department. I would imagine myself (as you would) not being able to find the right word in Maltese and switching to using my native English, which I found or at least thought to be quite unprofessional. And so at the start of my clinical placements I more than often tended to observe how patient care played its role in the procedures and for the most part assist in

The sociological theory of Functionalism takes upon the perspective that society consists of systematic processes, which revolve around set structures. Functionalist theory allows for the creation of health and illness as variables (Stam, 2000). These variables all lead to development and require that certain structures be used to restore proper function. The intended purpose of this reflective piece is to identify how my Patient-Practitioner experiences could be viewed from the sociological theory of functionalism. The essay will present a case study and then proceed to analyse the case through the lens of functionalism. The analysis will include limitations of functionalism and consider implications of this analysis upon future paramedic practice.

Everything in my second week of clinical was definitely a new learning experience for me. For the first time, I finally got the chances to take a BP on an infant. Unlike the adult BP, the cuff is put at the lower leg. The patient I got to take care of was a 9 months baby girl that been admitted for Esophageal atresia and Trachesoesophageal fistula. She was transferred to BCH due to poor weight gain, impaired nutrition, and evolution of esophageal tear. She was such a cute little patient who likes to be held especially by her mother. Comparing to other normal baby, you can tell she was having delayed growth development due to her size. Since she was not growing, she was on a quarter-liter of oxygen which is a lot of an infant. Through all my

I can’t believe how fast time flies! I finally finished my last clinical practicum and will be graduating in 2 weeks. My clinical experience in this semester was amazing. I loved every part of it. During this clinical experience, I felt that I was given a lot of opportunities to improve my nursing/ clinical skills and clinical thinking skills. My preceptors taught me a lot and provided a lot of guidance in my project. I felt that I become more independent and have developed confidence and ready to practice my new AGMS skills that I have obtained in this clinical practicum. Before going into this clinical practicum, I did not have as much knowledge on pediatrics and neonatal intensive care as I do now. If I didn’t know a specific topic on pediatrics

In spring of 2015, I was accepted to the prestigious Shepherd Internship Program at the Moses Cone Regional Center for Infectious Disease (RCDI) in Greensboro, North Carolina. Having the opportunity to work alongside experienced doctors, nurses, and medical assistants was something I had eagerly awaited as I finished my semester at Berea College. In the midst of my excitement, however, I was unsure what I would be doing and how much assistance that I, as an undergraduate student, would be able to provide to these highly qualified professionals. I was afraid that I would be more helpful being placed in an office going through patients’ medical records, calling them about follow-up appointments rather than being immersed in the clinical experience.

Nurses may experience difficulties in maintaining a professional role in clinical encounters with the parents. The nurses expressed that they have to be ethical and to remain professional in the clinical encounter with abused children and their parents. To remain professional, education, counseling and experience is always essential. Most of the time it is hard to convince the loved ones of the victim from having difficulties in accepting what their loved ones go through.

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.

Nursing students face many challenges due to their narrow scope of practice, and lack of experience and knowledge. This changes with the development and learning of values and beliefs, which shape the decision making in the nursing process. During my clinical nursing practice experience as a new nursing student, I have had amazing learning opportunities as well as situations that made me feel uncomfortable, powerless, and dependent on the assigned nurse. In this paper I will talk about one of my clinical experiences where I felt powerless, analyze it, and show how the sociopolitical inquiry and power dynamics come into play in my story.

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.