First Time Giving Iv Medication Reflection Paper

Clinical day started slow, I was a bit anxious about waking my patient up that morning but I knew I had to go in. I woke him slowly and took his vitals and proceeded with my assessment. As I assessed my patient, his wife came in to his room and I introduced myself. During the morning I found out that my patient was being discharged. Before discharge, my patient was going to be fitted for a LifeVest.

My mom scheduled for it to be in 2 weeks. the day comes and i am nervous, i don't know why because i know what they do, i just was. They put my IV in and put medicine in my system to make me loopy. They wheel me back to the operating room, lay me on a table and put a mask on me. the anaistgyolygest say “ count down from 10 buddy” i say “10, 9, 8-” i am out cold. about 13 hours past, its 8 o'clock, the thing i remember most is how my throat was drier than the dessert. my nurse asks “how you feel buddy?” i reply “it hurts” she told me she would take care of that, i'm not being facetious when i say this, but she turns me on my side and puts a shot in my butt. i rest for another hour then they wheel me out to the car and take me home. getting upstairs was the hardest part,

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

Before giving my first injection, the staff nurse took time to assess my knowledge on this procedure. Time was taken to create an awareness of using distracting tactics as part of the approach. He told me to ask the patient to cough or wiggle their toes as I gave the injection. I carried out the procedure as the nurse had advised me and found the patient didn't feel the injection. On reflection on what made the difference for the patient on receiving an intramuscular injection and experiencing minimal pain, was the distracting tactics. This facilitated the hypodermic needle entering a relaxed muscle and hence no resistance to the injecting procedure. I was satisfied that I had carried out my first injection extremely well. This was a positive experience and gave me confidence in carrying out injections.

1. There are a number of types of materials and equipment needed for the administration of medication via the different routes. They all serve a type and purpose these include:

I remembered one time when the nurse was in the patient's room and ready to give the patient the medication, all of a sudden, the patient presented symptoms of a seizure. The nurse called the physician right away to check out. To my surprise, before the physician went into the patient's room, she invited pharmacist on the floor come with her. When they arrived at the patient room, the physician asked the pharmacist several questions and they both agreed on the medication use, the pharmacist called IV pharmacy immediate to be ready for this seizure medication order and verification. In the meantime, physician, pharmacist, and nurse helped the patient to calm down. I run to the tube station to received the IV bag. Everything finished within a very short period of time. These actions made by the pharmacist showed the collaboration between each healthcare providers, this valuable collaboration

1. This first clinic was a little intimidating. I mostly just shadowed some an older student today while he was interviewing patients. I felt like we have been well prepared to see patients though IPE and the standardized patients, however, knowing that these were real patients made it feel much different. Knowing that the patients had real problems and not knowing what to expect at first was the most anxious part.

I couldn't believe what was happening. My dad turns to the doctor and says "What do you mean ICU?" That's when she tells us I have bleeding in my brain and that I can't eat or drink and need an IV right away. I'm still so mad at my dad to this day because he promised me I wouldn't need an IV. After they get the needle in, they put a bunch of medicine into me and said that it would make me a little weird. "A little weird" wasn't even close to what it did to me. I thought I was going to have to get moved in a mental hospital after taking that medicine. I couldn't spell or talk and when I did talk nothing I said made sense. People were constantly texting me and I didn't know what I was typing so everyone responded with "what is wrong with you?" Honestly at this point I had no idea. My boyfriend was still here and was laughing at me because of how crazy I sounded but I was honestly scared and thought I was going to be this way forever.

Seeing how the patients can help create such amazing art work was incredible. It warmed my heart seeing how these patient’s could still be part of society and live their lives in their own community.

The standard of bedside clinical handover is including patients and family in the process transfer patient’s critical information from the outgoing nurses to the next oncoming nurses at the end of shift exchange. Literature show patients play a vital role in handoff report. Patients provide input and verify inaccurate information to make a safe transition report (Lu et al. 2013). However, bedside clinical handover is not well established or persistent practice in many hospitals. Nurses provide handoff at the nurse’s station or in the hallways, often causing patients’ vital information to be lost, which contributes to medical malpractice, patients’ injuries or death (Lu et al. 2013). Using descriptive qualitative research to explore patients’ perceptive in bedside nursing handover, the study included thirty patients in three different hospital wards. The Interpretive Phenomenological Analysis (IPA) is used to analyze the data (Lu et al. 2013). Overall, results found nurses continue applying bedside clinical handover practice to enhance patient-family centered care. Patients felt

The clinician demonstrated evidence based practice in his care. By informing the patient about the procedure and waiting for a clear approval. He demonstrated great communication skills as well as keeping the client’s values and circumstance at the core of his care throughout. In addition, the five moments of hand hygiene, aseptic technique and the rights of medication administration of current best practice were utilised. Furthermore, clinical expertise were demonstrated the clinician completed the task in a timely manner with good dexterity highlighting that he has been administering IV therapy for quite some time and is experienced in the way he handled the

When the patient first came in I think I did quite well as I welcomed

I did tell the patient that the first time someone is injected, it is somewhat difficult

This week in Telemetry I mainly got to observe a patient on the first day and talk to a telemetry nurse the second day. On the first day I was assigned to a nurse named Missy. She was not very busy at the time so I got to observe a man on dialysis. The dialysis nurse's name was Chris, and he told me all about what dialysis is. Dialysis is a machine used when someone's kidney is not working. Since your kidney is what cleans your blood, that is one of the things that the machine has to do for you. The nurse also told me that the machine removes fluids and can add electrolytes. He said that a patient is on average on dialysis for anywhere from two to four and a half hours. The fistula is where the machine attaches to your body and is where a vein and an artery are sewn together. Chris was explaining to me what the fistula feels like, he said that is feels like a pulse, but much stronger. It is not that the rhythm is any different, the pulse just feels stronger. The patient told me to grab a glove and feel his fistula but the nurse told me I don’t really need to because I would have to put a gown and gloves on just to feel the pulse.

In searching for a topic pertaining to my area of nursing specialty, I began my search in Google and searched “trends in I.V. therapy”. This topic is of interest to me because as a high tech infusion home care nurse, I currently have been seeing an increase in peripheral intravenous (PIV) infections. Due to insurance cut backs and their refusals to pay for hospital admissions patients are being discharged home to receive their IV antibiotic therapy or other peripheral medications. As a high tech IV infusion nurse myself, I am responsible for instructing and educating my patients on proper hand hygiene prior to any contact of their PIV and medication. Infection control is so important when dealing with peripheral intravenous lines, hand hygiene, aseptic technique and cleansing the area prior to placement are top priorities (Hadaway & Millam, 2007). This practice personally shocks me that patients are expected to learn, in only one or two visits, how to calculate IV drip factor rates and properly flush their PIV’s with saline prior and after medication administration.