Introduction My patient was a 37 year old female; the patient throughout this reflection will be mentioned as KP. KP was admitted to 3 East for alcoholic cirrhosis of the liver. My patient has a long health history that includes asthma, severe malnutrition, muscle weakness, anemia, thrombocytopenia, and metabolic encephalopathy. She was currently NPO and received fluids and medicines through a Corpak. KP’s current health status slightly improving, but is still struggling to get better. Uncontrollable muscle contractions are inhibiting her ability to relax. Her change in mental status has affected her ability to be able to verbally communicate and follow commands. My clinical day began earlier than before. I began by checking my patient’s current chart, I was introduced to my nurse, and then I headed off to my patient’s room to perform my vital signs. …show more content…
Though, I did build a relationship with the mother who was a very loving lady. The patient’s mother was a caring lady, who loved her daughter very much. The mother was a retired nurse, who understood what I’m going through in my nursing education. The nurse inside her wanted to help me whenever she could. She was able to share with me that her daughter (KP), was a nurse as well and an equestrian. While I was in the room, the mother always had a smile and a positive personality. Before clinical, I was concerned about not knowing how to care for a patient who had a Corpak. I was unsure how to interact with someone who is nonverbal and has an altered mental status. Though I had some fears before clinical, this clinical had been one of the best ones I’ve had so far. During clinical, I learned more than I did before and I was happy that I was challenged with this patient. By just trusting in myself and asking my nurse questions, helped me manage my concerns and fears that I had.
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.
During my first few weeks of being placed on the General Surgery floor at University Hospital, I encountered many situations with patients that allowed me to reflect on many aspects, including the care I was providing and how the patient was feeling. One particular situation that stood out to me occurred during my second week and involved a patient who had just been admitted to the floor following a procedure in which she had a liver abscess drained. This patient, who will be referred to as Grace for this reflection, was in relatively good spirits upon arrival to the unit. As my co-caring nurse was quite busy with her other patients, most of which needed ample attention, I took it upon myself to begin caring for Grace and her needs. Most of
During my first day at clinical placements, I was quite nervous. I performed slowly due to my anxiety and required assistance, from a health care aide, to fully complete morning care for the resident. After receiving my report to perform a bed bath for the resident, I began searching for the equipment required. I felt pressured locating supplies in an unfamiliar environment, especially under time constraints. After a time consuming process, of gathering supplies, a health care aide came in the room. She was displeased with how long I was taking mentioning that I needed to hurry, to allow the resident to be ready for breakfast at 8:00 A.M. She instructed me to watch, while she sped up the process. I apologized for taking long, explained how
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
First of all, I recognized that I was dealing with humans, and not just dealing with a disease process and application of the nursing process in the aspect of restoring patient health. I was dealing with emotions, and families, and cultural beliefs that influenced individual’s aspects of care. I started to see that health did not just incorporate healing the disease, but also recognized the importance of making sure patient’s felt that their
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.
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.
During clinical this week we were shadowing a nurse on our clinical unit. I had a couple personal goals at the start of the day. First off I wanted to get comfortable with the unit. I wanted to learn where everything was located in case my patients, throughout the rest of the quarter, asked for something. I also wanted to learn how my nurse prioritized patients. While I am aware that I will only be taking care of one patient on any given day this quarter, I know that learning this skill will be useful in my nursing career.
In the midst of attending a party with his friends, a random, ricocheted bullet pierced the right side of his head while he was trying to break up a fight. The bullet blew away part of his skull and lodged into his brain. When he arrived in the trauma bay, medically he was dead- no pulse, no spontaneous respirations. His family was forewarned that if he woke up there was a strong possibility that he would never speak or walk again. The patient- B.H., was a seventeen-year-old high school senior, who was class president, and captain of the football team when he was shot. During his month long stay in ICU, the hospital staff worked around the clock to ensure that his issues were properly managed. Despite all odds, B.H. is currently in his senior year of college, plays semi-professional football, and works two jobs. What was particularly fascinating, was the way the physicians were able to prioritize and execute their management in a dire situation. The intricate thought process of managing the patient as a whole,
There needs to be forms of interaction between the patients and the nurses and the film shows that there has been no personal interaction to get to know these patients. Nurses are always in groups, trying to control the situations, control the minds of the patients, rather than encouraging the patients to speak and be their own person. The quote, “Deep understanding of the patient can only be gained by meaningful, subtle interaction,” (Yawar 285). The only way to truly help a person is to form a nurse-patient relationship with these patients. Those patients need to feel welcomed and feel as if they deserve a chance to share their stories.
In this environment, I thrived. I adored the patients I encountered here and was fascinated by listening to the nurses speak. They spoke to each other fast, in their own obscure language. “Is patient x’s blood pressure
I had been instructed to introduce myself to the patients, so I started with the first room and began to work my way down the long and dimly lit hallway. Popping my head into each room, I quickly muttered my name and half of a greeting before rushing over to the next one. Many of the patients in the unit didn’t acknowledge me, and for that, I was grateful. It wasn’t until I had gotten to the last room, in fact, that I was even met with a
In my clinic this week I was taught how to assess the rooms for checked in patients and clients. I found out that before going into the room to talk to the client about the patient I should look at the patient's chart. When looking through the chart I will be able to find out why they are there and if they are due for anything. After assessing what I should ask for the history I go into the room and get as much information as possible. I was told when talking to the client I should ask open-ended questions due to the fact that this will allow the client to give me more detailed answers. While in the room I should also get some vitals unless the patient is aggressive. These vitals are temperature, heart rate, respiratory rate, mucus membrane,
Today I had a great day at the clinic. For the morning section, I had Omar Lora as my patient. Last time when he came, I collected all my assessment data. Today I updated his medical history, dental history, vitals, and EIOE, then I completed filling out the gingival assessment, the treatment plan, and the SAOP. Finally, I was ready to have my assessment data checked. It went really well, and I learned ways to helped me be more efficient with my time management, for example, I did not know how to have my radiographs up in the other monitor while I was doing my assessments. It was a little time consuming having to open and minimized the window every time I needed to look at the radiographs. Also, I discovered that having a piece of paper out and taking