Clinical Instructors Experience

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.

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

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

Luis was very welcoming even though Wednesdays’ are a challenge for him. Every Wednesday he gets a list of deficient charts ready for the director of HIM, analysis staff and the resident coordinator. Luis asked me to take a seat for a few minutes while he gathered his report. This was perfect for me, it gave me a chance to work on my hospital profile work and I prepared my questions for him during this time. Once he was ready for me, he opened Care Connection to show me the list of discharges he needed to work on. He opened random discharge summaries to show me what components of a patient’s record he focuses on as well as deficiencies he would look for. This area of HIM went along with acute care class when we talked about the discharge summary and what documents would be there. We also discussed the physician chart completion process, how they complete their dictation reports and what the expectations are for these reports. I really appreciated my computer class with professor Triche this day since I learned about the different types of dictation that can be done like front end or back end. Luis is perfect for this type of work since he has excellent communication skills as well as interpersonal skills. Patience and thick skin are two qualities that will come in handy when dealing with physicians in this

My nurse preceptor today was Patricia. Patricia was an amazing preceptor with an immense amount of knowledge. I enjoyed Patricia’s passion for knowledge. She just finished her DNP. She spoke to me about how she also held two bachelors degrees and a masters in nursing. She was very caring of her patient and showed compassion to not only the patient but the family as well. I don’t think I would have done anything differently because she was a great patient advocate, caring healthcare professional, and great at time management. I was fortunate to have worked with her today in the CICU. We had a 1:1 assignment, a 67 year old male who had a STEMI. Ultimately, he ended up needing an intra-aortic balloon pump (IABP) to assist his heart. This was placed 8/31.

I was stressed and nervous the first day of our clinical. However, I got comfortable after spending couple hours with my patient. I was well prepared in terms of providing safe patient care as I was taught in the class by my professor and my clinical instructor about my boundaries. And, on the second day, I got an opportunity to shadow one of the nurses as well as more time spending with my patient.

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 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

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 supervision sits at the heart of the UK Government 's agenda for improving the quality of service delivery (Department of Health, 1997, 1998, 1999). The practice in the workplace was introduced as a way of using reflective practice and shared experiences as a part of continuing professional development. Clinical supervision has ensured that standards of clinical care remain a key mechanism for monitoring the performance of Trusts, with clinical performance measures being given equal weight to financial and accounting measures. Each Trust is required to have a clinical supervision lead and a clinical supervision committee. The clinical supervision process within Trusts is performance managed through annual reports scrutinised by

This tremendously improved my confidence and strengthened my beliefs that I too could do exactly do what he was doing one day. In addition, the patients welcomed me into the room with a smile on their face and treated me like I was family. It was such an indescribable feeling. Furthermore, I was amazed at how Dr. Sastry was never exhausted from the hectic workload that has kept him busy for the past few decades. He never once complained about all the work he had to tend to. I inquired how he was so energetic, as I usually feel tired after a long day’s work. He answered saying, “It’s extremely important to be healthy physically and mentally. Keeping a positive outlook and truly enjoying your work will keep you going.” I now know that I should keep my work exciting and fun to sustain in medical field. Overall, my time spent at Dr. Sastry’s office was very wholesome and enriching experience. I feel so privileged to have had this opportunity to grow as a person and will treasure the past few weeks for the rest of my

The second week of my preceptorship brought many new experiences for me, and I can honestly say that each day I spend with my preceptor is better than the last. This week I focused on time management of a full patient load with continued documentation practice as well as admission and discharge procedures. I’ve had brief experiences in my past rotations assisting with discharge teaching and admission assessments however I have never been able to fully take charge and complete the process from start to finish, so this was a great learning opportunity for me.

After my transition rotation this semester on V4N at St. Raphael’s hospital, I feel I have grown in my patient care abilities that I will soon utilize and continue to improve on in my professional practice as a nurse. Setting goals for each shift allowed me to find my strengths and weaknesses and consistently improve in certain areas. Three main goals that I improved on or accomplished during this clinical includes improving on my time management skills when charting and writing notes, practicing sterile technique, and providing discharge instructions to patients.

This past Friday at the Cardiac Catheterization Lab my mentor was not there but I still got to do everything that I enjoy doing, like watching procedures and talking to the doctors, nurses, and staff. When I arrived I knew my mentor would not be there so I had asked another one of the ladies in the office if there were any surgeries that were going on for me to watch. After I was given scrubs to change into I was able to go into where the surgeries are happening. I went into the control room that I was told to go and the nurses and other staff were preparing the patient and setting up the computers and everything they needed before the doctor arrived. The surgery overall was one I have seen before and not as exciting as some of the more unique and different ones that I have seen previously.

Today my day was excellent and I found unit preparation easier. I was able to clarify a doubts I had about utility gloves, now I know it is fine to wipe the inside of the drawers with them as part of the top sequence of disinfection. The most important part of the day was reviewing every component of the medical history form used in clinic. Also, we learned why it is an important tool use to know our patients better and the best way to treat them. In addition, we went over medical conditions that require pre-medication and the regimen followed when a patient require been pre-medicated. Also, we discussed the different ways we have to obtain more information about medications. For example, The Mosby’s Dental Drug Reference book and websites