How The Surgical Floor Works And How A Normal Day On The Floor Will Look Like

In this paper I will describe the client scenario from my first six days of clinical practice at the medical ward of Eagle Ridge Hospital. I will reflect upon the salient learning experience received during the first 6 shifts at Eagle Ridge Hospital. I will explore the personal meaning of my clinical experience and will identify the plans for the next set of shifts.

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.

The six week practical rotation I completed at SJOGH Mount Lawley operating theatre solidified my goal to be part of the theatre and recovery team. During this time I studied instrument names, passing technique, sterile scrub procedure and how to set up and maintain the sterile field. On several occasions I was able to act as scrub scout, only requiring supervision and assistance from my buddy nurse with medications because it was out of my scope of practice to

I was stressed and nervous the first day of our clinical. However, I got comfortable after spending couple hours with my patient. I was well prepared in terms of providing safe patient care as I was taught in the class by my professor and my clinical instructor about my boundaries. And, on the second day, I got an opportunity to shadow one of the nurses as well as more time spending with my patient.

Reflecting on the past few days of clinical have been a huge eye opener for myself. Not only was I able to practice and refresh old skills but I was also able to introduce new skills and enhance those. Although only two shifts in, I felt I was able to further develop my experience with Ostomy care. To illustrate, I was able to care for a 60-year-old man who had a newly formed ileostomy on his middle lower quadrant. Throughout the day, we would spend time emptying it, cleaning it and talking about it. Multiple times, D.Z would complain how difficult it was to maneuver, clean and just simply live with. After witnessing his frustrations more then once, it eventually made me realize just how difficult this new adjustment would be for D.Z.

A number of emotions were felt during this experience, in regards to transitioning from a student nurse to the registered nurse role. Primarily, the transition in role from student nurse to registered nurse was similar to any clinical experience I have had at Midlands Technical College. I was placed in a medical-surgical rotation. I felt slighted that not only were we required to complete a data tool but we also participated in the teamwork model demonstrated in prior semesters. Personally, I did not feel a transition during this particular clinical experience.

Third week into clinical. So far, things are slowly improving, however I do need to work on critical thinking and being less task oriented. I had my very own patient. The clinical objective was to be able to perform a successful health assessment on a patient and to identify factors in the environment that would impact patient care. Hopefully from there, my critical thinking skills will develop through experience and to fill my concept map thoroughly. On Tuesday, my patient was an older gentleman who came in with destruction of the liver due to medication. When caring for my patient, I made sure that he received everything that he wanted. I felt that I did well in that aspect for seeking good for the patient. I was told to get his good and make his bed. I don’t know why making his bed didn’t occur in the beginning. But, I learned that in the beginning, it’s important to make sure that the environment is clean, their bed is made, and ask if they needed a show. The important thing that I received from this is asking yourself what would you want the nurse to do if you were the patient. One thing I do realize is that my ability to work with patients and communicate with them with some baseline knowledge is good. With these, I am able to be more confident in my work. But, I do need to work on looking at the full picture when gathering information from the patient. I tend to overlook things but I will improve by realizing my failures.

The operating theatre is a multidisciplinary, highly demanding, and stressful environment. There is a variety of learning opportunities that can be encountered and be discussed. In this reflective paper, I will look deeper in my experience of the safe surgery checklist, infection control, and moving & handling practises inside the theatre. Furthermore, using John’s model of structured reflection (1995), I will criticise the significant events that happened in my placement of practise.

During week five, I was assigned to two patients (A and B), one of whom is a shared client (patient B) between me and a colleague. Strategically, my colleague and I planned out the first half of the shift, such that we would perform vital signs and head-to-toe assessments first, administer medications in

Filing records. Checking documents. Delivering materials. The elements of a classic volunteering experience at the hospital. I anticipated the same dull tasks as I walked into the Day Surgery department at the Baylor Scott & White Medical Center in Irving. Instead, my fervor for neurosurgery was met with an opportunity to watch a craniotomy. An enduring desire to observe a surgeon was actualized and I was delighted.

7. During this rotation, have I felt that I was intimidated by the fact that my inexperience could have led to a problem in patient care? 8. During this rotation, have I felt that I was not well supported (educationally or mentoring wise)?

This week, one of the roles I observed was a communicator. Right from the start, during the handoffs, my nurse communicated with the other nurse to learn how to best care for the patient. She had taken care of most of the patients that she had during the clinical the day before, so she knew who they were and what the patient needed during the day. However, she did make sure to communicate with the night nurses to learn about how the patients did

My second clinical day at Mercy Defiance Hospital, progressive care unit, was overwhelming but rewarding and very educational. Through the 8 hours I was there, I learned a lot. I engaged myself in many self-directing learning practices to futher promote my professional growth. My first time interaccting with my patient,I was joined with my clinical instructor. While in the room, I got to listen to to my patients heart, lungs, and bowel sounds. I was able to see and examine the patients ostomy bag, as well as help them to the bathroom. There were ways that I can improve my professional growth, suchas,having the confidence to not second guess my self about things to do in assessments. For example, I know how to assess the lungs, I should not second guess where to listen for the sounds. One of my goals for next week dealing with professional growth would be to have the confidence to know what I have learned and use it. My second one being to go into the room with a confident attitude and believe in myself.

My four weeks of clinical placement had thought me lots of things that can help me to become a better nurse in the future. I give my outmost respect and thanks to my clinical preceptors to the learning and knowledge they have imparted. I have learned a lot from clinical placement because 2B ward is a surgical unit I came to understand the complexity of wound care. Every wound should be assessed according to its type and severity because every type of wound has its appropriate dressing. Aside from learning clinical procedure such as wound dressing, drug administration (within scope of practice), naso-gastric feeding and etc, I came to learn the importance of teamwork it makes the job easier and allows good communication within staff members of the ward. I am looking forward for my upcoming clinical placement in 3rd year to gain more knowledge in and experience to develop my nursing skills and become a competent nurse in the future.

Apart from being one of most interesting settings in the nursing field, day surgery unwraps the full experience for nursing students to learn and also develop repetitive knowledge on what to expect before, during , and after each surgery, as well as the roles of each nurse within those parameters. Being inside the surgery room was an amazing experience because you get to see different operations performed by different health care professionals. Every surgeon does the sugary differently, meaning that same procedure is performed but adding or subtracting essential steps that makes each surgeon unique. Nurses also play an essential role in each surgery but their imperative duty is less than surgeons, but as equal