Essay about John's Model of Structural Reflection on Clinical Placement

I have spent nine years of my life as a care assistant in a care home for the elderly, offering support and assistance to individuals who need nursing and residential care by meeting their immediate day to day needs. When I

Prior to beginning the nursing program the only patient contact that I had was in an outpatient clinic setting and had often thought how great it would be to become a nurse. As my preceptor clinical experience has come to an end, I can being to look back and reflect on my experiences not just over these past few months, but from the beginning at Avalon Care Center my first exposure to a long term care facility. Which at that time had made me question, if nursing is the right career path for me? Since then, I have had many wonderful experiences from being able to watch an open heart surgery for a valve replacement and a total neck resection for throat cancer with, jaw reconstruction with the use of the patient fibula. Still to this day, I

In my time volunteering at the hospital, I hope to gain many different experiences. However, there are a few main ones: adaptation through enrichment and dependability. First of all, I want to get to know and adapt to the environment of the hospital and learn how different processes work. This is a crucial part of being in the atmosphere of a clinic. Also, the experiences that I will have at the hospital will help me to understand the routines and entailments of the career I would like to pursue. I hope to become a Physician’s Assistant in the future and this will be the best way to know if it is the right position for me. This enrichment of my understanding will help guide my passion for this career path and hopefully strengthen it.

As a qualified Certified Nursing Assistant and a student who will be attending a four-year university this fall to pursue a career in medicine, the position as a Nursing Assistant within the Heart Center Cardiology Clinic at Seattle Children’s is an ideal fit for me. I am confident that the patient care and customer service skills I have developed through caring for residents within geriatric facilities will make me successful in this position.

9. Share your skills, knowledge and experience for the benefit of people receiving care and your colleagues.

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.

This was the most rewarding experience, and it made me realize I wanted to help these ill ndividuals on a everyday basis. Being able to bring a smile to thier face's was not only bringing happiness, but also help them to heal their mind, body, and soul. Although I can attain my nursing degree at the community college level, I have decided to transfer to a four year institution because I want to further my education beyond an

After this interview, my perspective on patient care has changed. In the future, I will work to increase patient autonomy. Although the patient was a minor, his voice should still be heard when deciding a care plan. As an OT, I will work on creating a role for the patient on their own care team. In the future, I can accomplish this by holding frequent team meetings with the patient and caregivers

When I was a Junior in Methuen High School, I was enrolled in community service program in which I have to go to hospitals or nursing homes and take the old patients to other room, bathroom, or to their cars during the time they get discharged. During that time period I noticed that there were many old patients who didn’t had any family members who came to either visit them or take them home. The only people who were helping them were either volunteers like me or the nurses. So when it was time to decide that what career I am going to pursue, I decided to be a nurse and give the old people a family experience with my required duties and responsibilities.

Currently, I am completing one of the requirements of the Competency Assessment Programme (CAP) which is undergoing the clinical placement. When I learned that I will be assigned to work at an aged care facility, I felt excited. The feeling of imagining what will it be like working as a registered nurse in an aged care facility makes me feel satisfied because I know that aged care work is rewarding in itself since I have worked before as a healthcare assistant for a year.

Another day of my clinical placement 420 in orthopaedic unit began on July 4, 2015. I received my patient and started to research a patient history and medications. At 0700 a shift report started, I received information that my patient had fall at night shift without witnesses. By the policy of Providence Healthcare a patient who had fall without witnesses should be automatically monitored for head injury therefore, a Glasgow Coma Scale was initiated by previous nurse: every 15 minutes, then every hour, every two hours, and every 4 hours. This scale is to check and monitor level of consciousness which possibly may decline after head injury. At this day we had a student as a "nurse in charge", she volunteered to come with me to patient room and to supervise my work. For this particular patient close monitoring of vital signs and neurologic assessment required. I explained to the patient the purpose of frequent health assessment and started to work. Close patient monitoring in addition to all daily routine activities was challenging to me because I never had a patient with this diagnosis. Despite my explanation of the purpose of frequent assessments patient stated that "I am fine, do not feel any discomfort, there is no need for that". While assessing patient she keep asking a lot of questions such as why so many time why do I need to drink more than one mouthful of water with my tablets, what these tablets for, why do I need to wait few minutes after

I can’t believe how fast time flies! I finally finished my last clinical practicum and will be graduating in 2 weeks. My clinical experience in this semester was amazing. I loved every part of it. During this clinical experience, I felt that I was given a lot of opportunities to improve my nursing/ clinical skills and clinical thinking skills. My preceptors taught me a lot and provided a lot of guidance in my project. I felt that I become more independent and have developed confidence and ready to practice my new AGMS skills that I have obtained in this clinical practicum. Before going into this clinical practicum, I did not have as much knowledge on pediatrics and neonatal intensive care as I do now. If I didn’t know a specific topic on pediatrics

I feel blessed with each day spent in Long Term Care. Fifteen of my twenty one years of my medical career have been spend with Long Term Care population. I have made countless connection to the residents and families that I serve. Since taking on my current role as Assistant Director of Health Services, I have enjoyed making a difference with the staff that I have been entrusted to lead. One of the most rewarding parts of my job is collaborating with the interdisciplinary team. I appreciation and welcome my colleague’s input to providing the best care for each resident.

Just being able to have a job and get my foot in the door within the health field was extremely important to me weather I ended up as a nurse, doctor or within a management role of healthcare. Although it provided me with great experience, I also was not subjected to or exposed to several of the critical problems and issues which I learned about in the interview. With the information learned from our class this semester, and hearing about what happens on a daily basis at a management level within healthcare, has provided me with extensive knowledge that I would not have gained just being a nursing assistant. This experience also allowed me to connect with Sue on a more personally level, as I learned more about her direct involvement and relationship to long-term care. It truly surprised me that she is able to care for her ex-husband, and still be able to perform professionally within means. Healthcare brings several joys and sorrows associated, and as we learned greatly about in class, death and dying have an extremely big focus within long-term care settings. I was surprised and grew a deeper respect for Sue being able to not only care for others in the nursing facility, her own family members, but as well as mange her staff and herself within great emotional means. It truly shows the strength that healthcare providers have and their true care and compassion. It also put into perspective that long-term care

After this, I realized that I should not have judged anything about elderly people before talking to them. I should have researched about how to interview elderly people and prepared myself for the interview. I now feel that interview would have gone more smoothly and I would have more fun if I had not hesitated to ask the words that I did not understand. With the help of my mentor, I also realize that I need to be more confident to become a good interviewer and eventually a good nurse.