Clinical Reflection Paper

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.

The results of the study showed that significant increase in patient satisfaction scores, decreased call light usage, and reduction in patients fall rates. One-hour rounding shows higher satisfaction than two hour- rounding. Hypothesis supported the study because the research shows rounding can reduce patient call light usage (Meade, Bursell, Ketelsen , 2006). The theoretical framework that forms the basis of the research is that consistent nursing rounds can meet the basic needs of patient and ultimately reduce call light use and [pic]improve management of patient care while also[pic] increasing [pic]patient satisfaction and[pic] safety.

Hourly rounding, also known as “intentional” or “comfort” rounding is essentially when the nurse or tech routinely checks on a patient at scheduled times to anticipate individual needs prior to the activation of the call bell alarm (Harrington et al., 2012). In a recent study, authors imply that hourly rounding is an effective process for improving patient satisfaction and clinical outcomes (Brosey and March, 2015). I feel that the implementation of hourly rounding will improve multiple aspects of care, including patient and nurse

Rounding allows nurses to gather information in a structured way. It’s proactive, not reactive like call light responses. It’s a great way to get a handle on patient problems before they occur. It’s all about providing the best patient-driven health care… The great thing about hourly rounding is that it doesn’t benefit only the patients. (¶ 4).

Hourly rounding also known as intentional rounding or comfort rounding is an initiative that hospitals nationwide are beginning to implement. Hourly rounding should be purposeful. “Hourly rounding is a systematic proactive nurse-driven evidence based intervention to anticipate and address needs in hospitalized patients” (Deitrick, Baker, Paxton, Flores, & Swavely, 2012, p.13). “Purposeful nurse rounds encompass a practice where nurses attend to and document scheduled patient reviews at pre-determined and regular intervals (hourly or second hourly)” (Lyons, Biunero, & Lamont, 2015, p.31).

The purpose of the study was to identify the effect of regular nurse rounding on patient fall rate, call light usage and patient satisfaction in a medical surgical unit. A literature review using three studies from Medline and

We also implement hourly rounds and we do it very similar to your facility. Nurses and techs take turns and while rounding we make sure to address the 3Ps (pain, potty, and position). Also before we leave the patient’s room we asking a key question “is there anything else I can do for you before I leave?” this really makes a big difference. On the other hand, we are making from the hourly rounds one collaborative effort, because it is not only limited to nurses and CPs, but we getting everyone involved, physicians, MSWs, PTs, OTs, speech therapists, dietitians, etc. Everyone is accountable and responsible for our patients’ care and wellbeing. This has absolutely had a positive outcome in patient’s safety and satisfaction by not only meeting

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

Based on documented studies, it is found that many of the patients are not satisfied with the quality and delivery of the health care services. The key reason for the dissatisfaction of patients is the casual behavior of some of the medical professionals and inadequate monitoring practices. Research has indicated a definitive problem in treating and monitoring the patients. The method of hourly rounding seems to be a practical approach to minimizing and completely eradicate the issue of patients ' dissatisfaction. Through practicing and conducting hourly rounding on a regular basis, the health care institutions and associated stakeholders believe that health care professionals can be efficiently encouraged towards their daily tasks. The hourly rounding is about assessing and examining the conditions of patients on an hourly basis. This is not only assisted in decreasing the increasing number of complaints from patients and their families, but will also help in retaining the good reputation of a health care industry. The examination of hourly rounding within some medical institutions demonstrates that hourly rounding provides the associated nurses and professionals with adequate education regarding the purpose and process of attention and health care services. With time, hourly rounding has been able to incorporate some significant elements in it, which include effective communication, administering, and patient satisfaction. Hourly rounding now days is seen as an effective

In these current times of health care, patient satisfaction and safety are imperative in order for care to be provided. Hourly/Intentional rounding amplifies the nurse-patient relationship, continuity of care, safety, and service excellence. Intentional rounding or rounding with a purpose can be a success as long as nursing staff have a better understanding and take ownership of the practice. Leadership and nursing staff need to collectively cognize each other’s role pertaining to the delivery of care regarding this practice. The purpose of this piece is to delve into why hourly rounding is important and grasp the positive along with barriers of the routine.

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

Looking back to the first day of clinical to the last day I have changed a lot during this time. During the whole clinical experience I had to use a lot of the growth mindset in-order to get fully through the whole process. My clinical teacher and I didn’t quite have the same opinion on certain things. While we did struggle through are different mindsets, it was a great learning experience. I will have people I work with that I don’t always agree with and I will have to find a way to compromise with them. This was something we talked about with each other and worked through. So, Im grateful in that aspect in learning how to deal with those situations. I also changed in that I’m more confident in giving my lessons to my students, along with I tried to not be as scared in-front of them.

This self-reflective paper focuses on what I’ve learned about myself this semester regarding my strengths, and weaknesses. Concentrating on areas of my professional practice that need improvement and discussing two goals I have created for myself, and how I plan on achieving them. This semester I have discovered I have two key strengths those being a dedication to the Practical Nursing Program, and seeking help in the program when I need it. Both being potential strengths in my nursing career. I have some weaknesses to work on as a student and a future nurse.

Blakley, D., Kroth, M., & Gregson, J. (2011). The impact of nurse rounding on patient