Throughout not just the past two weeks, but this placement as a whole, I have developed more confidence in my nursing skills. As a result, I now feel more capable in my abilities as a nursing student/ future nurse and am able to more effectively communicate with my patients.
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.
As part of my clinical experience at St. Joseph unit, I had an opportunity to work with my classmate, Kingly and Dat. Dat was a very kind and efficient nursing assistant and I felt fortunate to have had the chance to work with and learn from him. Our day together seemed as though it was typical for the residence. The first resident was Ms. Nancy; she is in room no. 220A. My duty gave her breakfast and feed her in morning. Upon waking Ms. Nancy I respected her privacy by always knocking before I entered the room and asking permission to enter. I have introduced myself and followed standard precaution by washing my hands before start any procedures. I tried to talk to her while I was feeding her. I tried to wake her up before the breakfast is over. She only ate 35% of her meal. Then, Dat showed me how to use a full sling mechanical lift to move Ms. Nancy to shower chair and show me how to use shower chair while showering Ms. Nancy. After finishing
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.
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 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
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,
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
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
Also, the objective is to find patient’s document finding and correlate it with chronic disease process of elderly adults. With this reflection, I will discuss what I’ve learned, and my strengths and weakness in my clinical experience.
Today clinical was very good. I was with Ms. Betty, LPN. She is very caring and I like her relationship with her patients, always maintaining caring and professionalism each time we went to see a patient. Throughout the morning Ms. Betty administered ordered medications per patient’s doctor orders. I watched her gave several injections and she verified all the eight routes and use critical thinking. We also evaluate patient’s status after medication administration to make sure they are stable and check for any complications by using communication. She allowed me to do the vital signs and AcuCheck before administering certain drugs and other medications that had required blood pressure, apical pule, pulse and blood sugar check prior to administering
My clinical tenure at Taylor Hospital exposed me to patients with a variety of afflictions, among them was a patient post CVA (cerebrovascular accident), I worked with this patient for four weeks. Stroke, also known as cerebrovascular accident (CVA), cerebrovascular insult (CVI), or brain attack, is when poor blood flow to the brain results in cell death, CVA’s are classified as ischemic or hemorrhagic strokes (Stroke, 2015). RB is a 56 year old African-American female with a past medical history of previous CVA, hypertension, diabetes, dyslipidemia. RB presented at Taylor Hospital’s emergency room with a chief complaint of right sided weakness. A CAT scan of her head revealed an acute left frontal lobe infarct, an MRI revealed a subacute
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
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
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.