Clinical Practicum Experience

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,

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

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

In the midst of September 2013, I began volunteering at The Valley Hospital as a pharmacy department assistant. My primary task while attending two-hour shifts was to organize the medicine returned by doctors into specific compartments. Along with that I also had the responsibility to empty medicine carts and associate them into boxes for the next volunteers to organize after I finished my shift. Sometimes, one of the pharmacists available would instruct me to open boxes of saline solutions, tape the appropriate nozzle shut, and use a “price gun” to print appropriate dates on each bag. During this entire experience, I have learned to have responsibility and to act in a mature manner when working alongside pharmacists who are so talented in

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.

The project will be presented in detail and the importance of the need for a change in our current practice. The future objective will be providing this information to the South Carolina Labor and Licensing Board for review and possible inception. The power point presentation would provide information about medication errors, the on-going issues, the failure to keep medication administration safe and the purpose to standardize appropriate practices that will be made aware to all non-licensed facilities under the Lutheran Homes of South Carolina umbrella. The MED Tech training will be made available to current med techs and new hires that are Certified Nursing Assistants or Medical assistants with at least a year of patient care skills on our Health Care Academy websites where the staff has unlimited access. This will health, promote the knowledge, understanding and importance of medication administration in the correct manner while maintain safety for all

It is troubling that other clinicians allowed her to continue to practice when her competency was questionable. The clinician is putting the clients at risk and not taking time to care for herself. My concern is that she is using client sessions to vent about her own personal problems. Currently, she has poor judgment and may refuse to refer clients out, which would be reported before things worsen. This situation can intensity her mental state if the board rules against her and considers her incompetent.

In my NUR-301 Class, I had the opportunity to practice on Interprofessional Education. Our nursing student team was partnered with first year pharmacy school students to learn about each other professions and to study on how we could work in a team of healthcare professionals to attain a common goal. As this was my first time experience to meet other students from a different department of Notre Dame of Maryland University, I was not sure what to expect from our discussions. Even if I have some experiences working both in hospitals and in a pharmacy, I was no fully aware of the responsibilities of a pharmacist directly to the patient or to the healthcare field specialists.

I just want to let you know that I have not been granted access to you computer system yet. According to STEP 5, I am supposed to receive an email from your MCIT department trough an umich.edu account. However, I don’t have an umich.edu account. Also, I have not received a signed ID Request Form for a MCard ID badge.

Administration of medicines is a key element of nursing care. Every day some 7000 doses of medication are administered in a typical NHS hospital (Audit Commission 2002). So throughout this essay I will be evaluating and highlighting the learning that took place whilst on placement at a day unit.

The most outstanding thing I’ve learned from doing this exercise is the amount of lawsuits on medical professionals due to lack of judgement and/or following protocol. After reading the Legal Eagle Eye Newsletter for Nursing Profession I really understand the importance to chart, follow doctor orders, and to recheck not only the medication given, but the care the patient is receiving. Whether it is a busy day or an “off” day for any healthcare professional the quality of care and the rights of those patients should never be compromised for any

My primary goal of getting a practical experience in pharmacy was to develop the knowledge and skills to actively participate in patient care, improve self-confidence, approach any task with an open mind, and having eagerness to learn what the rotation has to offer. I participated and attempted all the tasks that were assigned by my preceptor throughout my rotation. A very first activity I learned to perform was counting medications properly before pharmacists dispense them. While working on this task, I also learned to change the manufacturing number and do the partials for medications. Although it seemed like a very simple task, it requires attention, fast pace, and accuracy. Most of the errors in the pharmacy occur due to incorrect medication, dosage strength, or dosage form while filling so it is critical to pay attention to small details. Furthermore, my preceptors allowed me to perform vaccinations from the very first day which helped me develop one-on-one interactions with patients and improved my knowledge on administrating and recommending different vaccinations to patients. Since pharmacists hold a great source of information on vaccinations and they are easily accessible in neighborhood, pharmacists play a prominent role in prevention and safety of public health. When I heard news of my preceptor’s participation in flu clinic at the Village of Hanover park, I offered him my help for several hours. After administrating vaccines continuously

After the interview with my nurse manager, I came up with the PICO question which states: “Does the computerized physician order entry (CPOE) system reduce the number of medication errors compared to the common paper system being used today?” This question is important and I selected it because the population that the Belvoir Community hospital serves includes army officers of all ages both active and retired including their spouses and children. This group includes two sub groups of highly vulnerable persons which include the very young and the very old, who have a high-risk effect for medication errors because the potential adverse drug event is three times greater than an adult hospitalized patient (Levine et al., 2001). CPOE is not a panacea, but it does represent an effective tool for bringing real-time, evidence-based decision support to physicians. Nurses are the last defense level of protection against medication errors, and are solely responsible for the dispensing, administering, and monitoring of medications. In healthcare, computers can be used to help facilitate clear and accurate communication between health care professionals. When using a CPOE system it allows physicians to type in prescriptions right into the device or computer which significantly lessens any mistakes that can occur when

For my practicum experience I am currently located at Joe DiMaggio Children’s Hospital on the 4th floor pediatric inpatient rehabilitation floor. My floor is used for intense therapy including physical, occupational, and speech therapy. All patients we receive count as a new admission and must have special pre-authorization from their insurance. They also must require two types of therapy or more. Patients that come to our unit range from lower level to a higher level of care. Most of our patients switch off of intravenous medication one to two days after admission. Our unit can take a maximum of 6 patients, although we usually have around 3.

In the practicum, I had met a lot of patients. Different patients had different situations, different caring and critical thinking were needed. I should perform the whole nursing care to patient, but not only the part of job that I had been assigned.