Clinical Practicum Reflective Essay

* establishes a system of praise and constructive criticism - rewards and improvement; grows with the organisation

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.

As part of my clinical experience at St. Joseph unit, I had an opportunity to work with my classmate, Kingly and Dat. Dat was a very kind and efficient nursing assistant and I felt fortunate to have had the chance to work with and learn from him. Our day together seemed as though it was typical for the residence. The first resident was Ms. Nancy; she is in room no. 220A. My duty gave her breakfast and feed her in morning. Upon waking Ms. Nancy I respected her privacy by always knocking before I entered the room and asking permission to enter. I have introduced myself and followed standard precaution by washing my hands before start any procedures. I tried to talk to her while I was feeding her. I tried to wake her up before the breakfast is over. She only ate 35% of her meal. Then, Dat showed me how to use a full sling mechanical lift to move Ms. Nancy to shower chair and show me how to use shower chair while showering Ms. Nancy. After finishing

The contributions I have made to my school include participating in volleyball from the fall of 2014 to present. For volleyball, we have collected food for the food pantry, conducted a youth night to teach younger children the fundamentals of volleyball, and a breast cancer awareness night which included raising money to fund breast cancer research. I also participate in dance and softball. For the 2016 softball season I was chosen for the spirit award because of my positive attitude and energy during games and practices. Through hard work and dedication the dance team won conference champs at the 2016 conference competition. I was chosen by my coaches for the Limitless Leader Award and the Sportsmanship Award in 2015 and last year. I have earned a varsity letter in

As a person I don’t just show leadership and service, I also have good morals. The three characteristics that describe me the most are good citizenship, responsibility, and respect. To start, when I went down to Atlanta for my youth group’s mission trip, I showed good citizenship. While we were down there, we helped out with the Atlanta Food Bank. Although we weren’t the only ones helping that day, we were very productive. We had numerous tasks to accomplish like checking the item’s packaging, checking expiration dates, organizing the items into different boxes, and weighing the boxes. In the end, the items weighed over 9,000 pounds. This shows I’m a good citizen because I don’t just care about Central Pennsylvania, but I also care about America

The next time he decided that to administer insulin. Clinical assessors required to make professional judgements in interpreting what the minimum acceptable levels of competence are in respect to professional standards. These judgements are frequently made with in the role relationship of that of a mentor cum assessor to a student (Stuart 2005). As it is a skill involved, I found it was difficult for him to memorise all the step and rationales. I explained about my experience when I was a student nurse and concept of learning through practice. For students learning during clinical practice is a complex activity. The student has to contend and learn to deal with complex, unstable and uncertain worlds of practice (Schon 1987). With on going support I facilitated learning environment to practice the procedure under supervision

The purpose of this journal is to reflect on my experience and skills gained during my clinical placement at Ben Taub Hospital. On my first clinical day, I was excited and nervous at the same time. My first placement was in the PREOP/PACU area. I was assigned to help a patient who had been in the PACU area going on 2 days. Normally, once the patient comes from surgery they are only in the PACU area for a short period of time before they are discharged home or given a bed in another area of the hospital. This particular patient still had not received an assignment for a bed. The physicians would make their rounds to come check on him daily. The patient was a 28-year-old Hispanic male, non-English speaking, he had a hemicolectomy. He had a NG tube, urinary Foley catheter, and a wound vac. My preceptor had just clocked in and she needed to check on the patient’s vitals and notes from the previous nurse. Once she introduced me to the patient and explained while I was there, she then asked me to check his vitals. (Vital signs indicate the body’s ability to regulate body temperature, maintain blood flow, and oxygenate body tissues. Vital signs are important indicators of a client’s overall health status (Hogan, 2014). I froze for a quick second. I have practiced taking vitals numerous of times and I knew I could do it correctly. I started with the temperature first, when I was quickly corrected on a major mistake I had made by my preceptor. I HAD FORGOT TO WASH MY HANDS and PUT

Starting the Registered Nurse (RN) to Bachelorette of Science in Nursing (BSN) program at Jacksonville University in June 2015 was a simple transition for me. I had graduated an Associates Degree in Nursing (ADN) program in December 2014 and became a licensed RN in January 2015. I had just gotten hired for my first nursing position the month prior to the start of class and had not yet started working. I was very much still in student mode. While this makes it a bit easier to learn and process information in a classroom setting, I had no real world experience to help guide me. Through the knowledge I have gained as a student at Jacksonville University I have become a competent and well-rounded nurse. I am able to quickly problem solve and utilize critical thinking to identify and rectify issues. I have even put together, and will be presenting, and presentation about nursing practice for staff members at the facility where I work.

Critical thinking and clinical judgment are important skills that professional nurses use in every day clinical setting. In 2012, a mix method qualitative study by Dr. Jeanne Mann was done to evaluate the effectiveness of educational strategy to develop clinical judgment skills in nursing students. In this study, the population was identified as volunteered Level II baccalaureate nursing students from a Midwest nursing program. The variables identified in this article are the relation between critical thinking and clinical judgment. The title of the article clearly indicated the focus of the study and created an interest in reading the research due to nurses utilize their ability to critical think and

Before my visit to the clinical facility, I expected to have a hands-on experience with the clients. I was excited to practice the skills I learned during the labs at school. I was also nervous about working by myself with a client. I was not sure how the patients would act towards me but I was prepared for both positive and negative reactions.

I have many experiences in the medical field dealing with all different age groups with many different kind of medical conditions. I also have many experiences in different settings. Which include home, hospital and doctor offices settings. A particular medical condition involving my child whom was the patient comes to mind. My child who is Type one Diabetic, Insulin dependent, was hospitalized with streptococcus in the past. Due to the streptococcus, her diabetes was begining difficult to control. In result, she went into Diabetic Ketoacidosis (DKA). As soon as she was settled into her bed on the Intensive Care Unit (ICU), she had to urinate. I pushed the call light to alert to alert her nurse because my daughter

This submission is going to focus on the nursing care that I gave on two placement simulations and one shift on placement, placing emphasis on oral care, bed bathing and medication management. It will outline the fundamental aspects of clinical nursing skills that have taken place in my setting. This will also highlight the learning process taken place and how it helped me to enhance my knowledge, and ethical values in order to deliver quality and safety of care. Using other sources of current literature, I will use a reflective model to discuss how I have achieved the necessary level of learning outcome. By utilising this model I hope to demonstrate my knowledge and understanding in relation to these skills as well as

A twist on the "patient's perspective" approach is to describe a time when medicine failed to save or heal someone close to you. The purpose of this tactic would not of course be to rail against the medical profession, but rather to show how a disappointing loss inspired you to join the struggle against disease and sickness.

Cancer survivorship transitioning is a process for the patient and family unit. Patients and families navigate to a “new normal”. Current transitioning from oncology care to primary care leaves a gap in continuity of care. Patients must adapt to a change in the health care regimen. Patients and their families may feel anxiety, returning to primary care, or patients and their families may have psychological distress as vigilance becomes more ominous in primary care. Cancer survivors transitioning from oncology care to primary care at a rural Minnesota health care facility may not receive the same vigilance of all the biopsychosocial elements obtained in oncology care; there is no standardization of screening for psychological distress by a cancer survivor in primary care unless patient and/or family self-reports or provider recognizes apparent symptoms of the psychological distress.

Today I had a great day at the clinic. For the morning section, I had Omar Lora as my patient. Last time when he came, I collected all my assessment data. Today I updated his medical history, dental history, vitals, and EIOE, then I completed filling out the gingival assessment, the treatment plan, and the SAOP. Finally, I was ready to have my assessment data checked. It went really well, and I learned ways to helped me be more efficient with my time management, for example, I did not know how to have my radiographs up in the other monitor while I was doing my assessments. It was a little time consuming having to open and minimized the window every time I needed to look at the radiographs. Also, I discovered that having a piece of paper out and taking