First Clinical For Med Surg Essay

1. Adam Smith, 77 years of age, is a male patient who was admitted from a nursing home

The Medicines Act 1968, the Misuse of Drugs Act 1971 (and later amendments), the Misuse of Drugs (Safe Custody) Regulations 1973 (and later amendments), the Health and Safety at Work Act (1974), COSHH, the Mental Capacity Act (2005) the Access to health records Act (1990), the Data Protection Act (1998) plus equality legislation.

On September 28, when we went to Tripler Army Medical Center, I was placed in the Cardiac Ward. At that time, I was able to learn so many diagnosis dealing with the patients. The nurse had briefly explained what was going on with each individual patient and the type of treatments they are doing to help. She had also neatly clarified each medication she was giving them and told me exactly what it was used for. I was able to get an experience of hands on by taking a patient’s temperature. I had shadowed as she did so many things to make the patient feel comfortable and did everything to the best of her ability to make them happy. She had taught me how to record every piece of information about the patients on the computer by showing me what

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

I arrived at clinical 0630 and picked up patient information the morning of. I reviewed all assigned diagnoses, medications, labs, and orders with my assigned students, and we discussed our plan for the day. We both took report from the patient's nurse and then Elizabeth presented at preconference. Kala shadowed the Nurse Lead and I helped Elizabeth with brief changes, pericare, and vital signs. I continued to check on both Elizabeth and Kala throughout the day. Last, lunch and then post-conferance.

Describe a particular patient in the clinical setting, WITHOUT identifying information: Why was the patient at the clinic? Describe the clinical findings, kind of care, education, communication, and extra services that occurred with patient and family in this agency.

This week at clinical I was able to have two different patients. My first patient was a seven year old girl that was in for right lobe pneumonia. She was in droplet precautions and receiving azithromycin. Since she was on her last dose of azithromycin, once I give her it, me and the nurse discharged her and she went home. I only worked with the seven year old patient for about 3 hours so I had enough time to get another patient for the day to do an assessment on and take care of.

In 1896 Isabel Hampton Robb formed a group of fewer than 20 nurses and the group became the Nurses' Associated Alumnae of the United States and Canada and in 1911 the organization was renamed as the American Nursing Association. In 1889 Isabel Robb became the first Superintendent of Nurses at John Hopkins Hospital and the principle of the Training School. Isabel Robb wrote the very first nursing ethics textbook.

I have had multiple clinical practices, however, out of all the experiences during my shifts, there is one particular event that holds great meaning for me. This event happened on my fifth clinical day of this semester, which was the day I first dealt with two clients.

The assigned nurse explained to the patient about pain management/ pain scale after surgery and how he will be waking up in the Intensive Care Unit where he was going to have chest tubes to remove the extra fluid from the chest cavity; he confirmed understanding and was ready to move on with the procedure.

The article I chose fits with my clinical experience because it discusses the effectiveness of several interventions, including the implementation of ignition interlock devices and educational classes. I attended three classes at DUI School, so it was essential for me to find an article that examines an educational approach to help those who have been convicted of driving while intoxicated. Since some of the students who took classes at DUI School were required to install ignition interlock devices in their vehicles, having information about the effectiveness of ignition interlock devices was a plus. I felt confident that DUI School would prevent people from becoming repeat

My fascination of both the biological and chemical elements of the human body has led to my aspiration of becoming a doctor. I have enjoyed the discovery of new elements in my AS syllabus, from learning about the cardiovascular system to the placebo effect in drug testing. Reading a book called Sick Notes by Tony Copperfield entails an account of his daily life in his profession as a General Practitioner. I was able to see how the science in the syllabus was used in the application of General Practice. Through my work experience I understood that the GP’s job was not just based on being a general specialist but also the lives of the people around him.

Commitment to work after hours and on call basis in needed areas as a part of multidisciplinary team with primary focus on care of patients.

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

Part 1: First day of clinical was a great experience! It was not my first time going into a healthcare facility but it was my first time actually going inside to a patient’s room to provide care. Today, it was kind of an exploring, easy day. I was very scared to first get into a patient’s room but I had a very cooperative, sweet, easy going patient and it really helped me to overcome my nervousness. Today, I tried to do head to toe assessment on my patient and it went fine. I had difficulty to hear her apical heart rate but after trying it few times, I was able to get it. I also saw a CNA giving shower to a patient and it was my first time actually seeing one. Practicing in a mannequin and actually seeing it doing on a human being was different.