Clinical Reflection

She was moved to the operating table using a pat slide board with the assistance of the surgical team using the correct manual handling procedure and moving aids. Her head was placed on a gel donut headrest, arm boards were put in place to support both her arms and she was covered with a warm blanket for warmth and privacy. The patient was in supine position lying on her back with her hands placed on the arm boards with the palms placed in anatomical position. The safety strap was positioned and secured just above her knees to prevent from falling, the arm boards were extended at ninety-degree angle to prevent hyperextension of the shoulder joint. All bony prominences were protected with padding to prevent tissue and nerve damage to the patient’s body.

I always feel slightly off when returning to clinical practice after a break, whether that is one week due to SIM or a whole month for Christmas break. I felt like my sense of direction was disheveled this week. My first morning with a client I found myself lost on were to even start with her care. I forgot to introduce myself during my first morning and I found myself relying on the outline sheet for a head to toe. Even finding my way around the unit made things take slightly longer than I would have liked. As the day progressed I began to get back into the groove of things. Going into the second shift my morning was much smoother and I didn’t have to look at my head to toe guide as I preformed my assessments. I felt more comfortable with my charting and was able

Skin integrity is an important concept that’s nurses assess on their patients. A key skill in nursing practice is to frequently assess the skin for possible breakdown or decreased skin integrity. Skin assessments should be conducted thoroughly once a shift and frequently reassessed for any signs of change. Skin discrepancies may be the first sign of an underlying issue. Early detection of any breakdown can help to implement interventions sooner. Unfortunately, unless there is a major skin discrepancy, skin issues can easily get overlooked, specifically in documentation and report. The focus of this paper is to research new skin integrity assessments to improve documentation effect and accuracy, resulting in decreased prevalence of skin breakdown in hospitalized patients. Topics discussed include reviewing current practices and new skin assessment techniques that decrease the prevalence of skin breakdown and pressure ulcers.

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.

In this video a patient is having surgery performed on rotator cuff. Usually this kind of surgery is very server to treat. In the video the surgeon inserts an instrument to see what damage is done to the knee joint. While the instrument is inserted the surgeon can monitor the scope on the T.V.Surgery is needed if the shoulder strength does not improve. In the video the instrument used is silver tube about quarter inch in length. The tube is the size of pencil that also has camera so the surgeon can see on the t.v. screen. This kind of surgery is performed under sterile condition. In the video three incisions are cut so there three incisions are only quarter inch in length. Normal saline is used to help with washing out bleeding. This type of surgery involves joints and local anesthesia to be administered. The procedure they are performing is rotator cuff surgery. Personal experience this pass December, I had to have arthroscopy surgery on my right knee I tore my meniscus.

My experience in mental health clinical was very different from any other clinical I had before. In a mental health clinical setting, I am not only treating client’s mental illnesses, I am also treating their medical problems such as COPD, diabetes, chronic renal failure, etc. Therefore, it is important to prepare for the unexpected events. In this mental health clinical, I learned that the importance of checking on my clients and making sure that they are doing fine by performing a quick head-to toes assessment at the beginning of my shift. I had also learned that client’s mental health illness had a huge impact on their current medical illness.

The objective of this reflection is to explore and reflect upon a situation from a clinical placement on an orthopedic unit. The incident showed that I did not provide safe, timely and competent care for my patient when the oxygen saturation was low. Furthermore, this reflection will include a description of the incident, and I will conclude with explaining what I have learned from the experience and how it will change my future actions.

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

However, the experience was gratifying not because of the opportunity to shadow but because of the smiles I came across each time I walked into a patient’s room. To hear patients appreciate my time delights me and propels my desire to serve. I think of all the more smiles I can elicit as a surgeon and I grin in excitement at the

My reflective clinical practice experience was based on my eight weeks placement in an acute mental health ward in a hospital. I was not sure of what to expect because I have never worked or placed in an acute ward and this was my second placement. Before starting my placement, I visited the ward and was inducted around the ward. This gave me a bit of confidence and reassurance about working in an acute ward.

I felt very excited for clinicals this semester even though it was only three days. I felt relaxed and awaited to provide safe patient care to the patients of Memorial Hermann Katy Hospital. I felt very good at the end of three days of clinical due to the fact I perform to the best of my abilities as a student. I felt strong during my drug administration by doing my three checks and making sure that all drugs compatible. Also, I did not contaminate when hanging IV medications or when I administered drugs through IV Push, IM, or Sub cut. I also felt I have finally have mastered patient teaching such as side effects of medications and self-care for patient with disease such as Diabetes. For example, teaching a Diabetic to check their feet with

This reflective essay will discuss three skills that I have leant and developed during my placement. The three skills that I will be discussing in this essay are bed-bath, observing a corpse being prepared for mortuary and putting canulla and taking it out. These skills will be discussed in this essay using (Gibb’s, 1988) model. I have chosen to use Gibb’s model because I find this model easier to use and understand to guide me through my reflection process. Moreover, this model will be useful in breaking the new skills that I have developed into a way that I can understand. This model will also enable me to turn my experiences into knowledge that I can refer to in the future when facing same or similar situations. Gibbs model seems to be

During our return demonstration, we all felt like we needed to look to our instructor for guidance in what we should do. The reason for this was because we all lacked the confidence to feel like we knew what we were doing. If I could do it again, I would have liked to have been more knowledgeable about the scenario so that I could be more confident.

Clinical practicum has provided a valuable study opportunity to me.When I took care of a living person in wards,I could apply the skills which are learnt from indoor lessons in school and books.Also,I could achieve more knowledge outside textbooks.However,I find that there is a difference between the real situation and theory.In ward,nurses have to be multitasking and need to manage several patients,time is precious to them.Nurses have to make an effort to save time from different ways.To give an example,in the ward I worked in this clinical practicum,nurses connected the syringe to the end of tube and administered drug to a patient with nasogastric tube by giving pressure to pump drug solution down the tube.Thus ,the procedure finished in a few seconds.I learnt this method from them and applied it in my practice.However,I was stopped by the supervisor teacher during one of my practise.She told us that it was wrong to administer drug by using pressure.She then asked me for the right method.I was shocked in that time because I learnt this way from the

First week of clinical went well, although it was slightly intimidating. I have two different preceptors, Dr. Barker and Dr. Hayes. I will spend Mondays with Dr. Barker and Tuesdays with Dr. Hayes. Both preceptors are knowledgeable and enjoy teaching students. Their teaching styles are similar and both expect students to actively participate in the management of patients. I was able to use my knowledge to manage acute and chronic illnesses by applying and integrating all that I have learned thus far while evaluating health history and ROS, reviewing medications, assessing the patient, deciding on differential diagnoses and determining the plan of action that best suits the patient. When I was unsure about management of the client’s problem, I used my clinical resources and/or consulted my preceptor for their advice. The greatest learning moments this week