Matt Vandzura Clinical Rounds Analysis

The rotations through the hospital entities and the integration into the daily activities of management will provide countless learning opportunities and exposure to various types of leadership and management skills and form a strong mentor relationship. It will provide an opportunity to gain a comprehensive, high-level view of the entire organization while simultaneously gaining in-depth understanding and experience in specific areas of most interest. Having the

Volunteering in the Emergency Department has been a fulfilling experience, while learning as much as possible helping the staff and patients. I have enhanced my listening skills and adapted my approach when communicating with patients and medical staff, being cognizant of non-verbal cues. I have become more perceptive of the wide array of ailments and injuries that prompt patients to visit the ER, while gaining a deeper appreciation of the delicate

A consistent and extensive educational orientation program should cover all topics needed for successful transition into the nurse’s new role within the unit.

Through the many trips that my family has taken to the hospital due to various reasons, I have become fond of the hospital and its many wonders. After all the things that the medical field has done for me and my family, I decided to contribute to my local hospital to volunteer and help out those who pay visits to the hospital. Through my exposure to various clinical populations, I want to improve my ability to serve others in this capacity that can guide me towards the medical profession in the future.

Deciding how much oxygen to give to a patient might not be a huge moment for a more experienced EMT. For me, that marked the first time I made a patient care decision. Now I have more confidence to do what I was trained to do and make a difference for my patients, whether it will be saving their life when their heart stops or as simple as helping them breathe easier. No matter what situation I find, I know that someone’s day will be better because I was

Prior to walking in, my expectations for what I was about to partake in and experience were all over the place. I didn’t know whether to expect the absolute worst types of situations going on such as people being rushed into medical rooms or the most basic situations such as patients waiting for a strep throat test. I did expect to see a wide range of patients in terms of race, class, age, and gender. Contrary to the patients, I didn’t expect to see a wide range of race, class, age, and gender within the staff. I expected to see mostly female nurses, and male doctors, majority being Caucasian and middle age. I didn’t expect there to be that much security or any type of possible crime that could go on within a medical facility. I expected the waiting area and facility to be very large, large enough to accommodate a lot of patients at once. Lastly, I expected that taking our field notes would be a challenge because writing notes down in front of patients would be awkward and during interviews it would be hard to conduct a good interview while writing the whole time.

This year I chose EMS as my senior year rotation. In this class, I experience what it is like to be a first responder since we find out what is wrong with our patient with the given information at the scene and then we plan a course of treatment for our patients depending on the site of the incident. This class has helped shape my knowledge of medicine even more and has helped carve us students into becoming EMT’s. Although the life of a doctor and a first responder are completely different, they both practice the same set of skills such as taking vitals, patient assessments, cardiopulmonary resuscitation,

I had the privilege of going to Smith Elementary School in Long beach for my clinical rotation. I didn 't know what to expect before going in, but as soon as I walked in, I was greeted with friendly smiles. Nurse Olga was the most friendliest nurse and she showed me how things worked around her facility. They have computer system program that shows all the teachers can look at to find out their student’s health conditions. The nursing office had pretty much all the basic equipments that she would need to take care of her patients. My activities included signing in patients as they came in, prioritizing care based on complaints. Checking patient 's temperature was very common and I had to call several parent to pick up their children due to fever and malaise. I learned how to give vision and hearing test to children. Couple patients had routine medications like Albuterol and Clonidine. Most of all I had to treat basic wound care.

Nursing students should know that collaboration is like a journey ( Gardner, 2005). And, they should start building trust opportunities by communicating. During clinicals, nursing students can even make time for face-to-face conversation with other registered nurses or even physicians so as to clarify expectations or request a plan, this will create the confidence in them. Even

This Friday, September 15th, I had my clinical observation experience in the ED. I was there from 7:00 am till noon, viewing the flow and duties of the nursing staff on the unit, as well as practicing the skills I have thus learned in school. Throughout most of the morning, I followed Jessica, who had been a nurse in the ER for ten years. It was an insightful experience that broadened my previously limited knowledge of the roles and experience of an emergency nurse.

The paramedic profession is an extremely wide-scoped integration of biological and clinical understanding within the pre-hospital care environment. Clinical skills in particular such as effective communication, management, practical procedure and physical examination, are vital to the operation of a paramedic (University of Otago Faculty of Medicine, 2013, pp. 2-4). A study based in the UK with statements from over 700 medical experts determined that ‘Clinical Skills’ was the most desirable ability of the pre-hospital care profession (Kilner, 2004). Despite the fact that both biological and clinical understandings are equally significant and should not be weighed, this study undisputedly highlights the importance of clinical skills. One of many clinical skills is the Primary survey which is generally implemented as the very first procedure in patient-cases. It is a very flexible and

Comparing my clinical experiences from last semester to this semester, I would say that I have already experienced more this semester than I would have at this time last semester. Even though I am doing LNA work while incorporating RN aspects, I feel the work that we are doing this semester is more RN aspect based rather than LNA work. Clinical was my favorite part of last semester, and it is still my favorite part of the semester. Over the past couple of weeks at Riverside, I have had numerous new experiences, including following a nurse, following the wound care nurse, and going in on my day off to follow both the wound nurse and the nurse practitioner of the facility.

Thus, emergency physicians cannot rely on earned trust or on prior knowledge of the patient's condition, values, or wishes regarding medical treatment. The patient's willingness to seek emergency care and to trust the physician is based on institutional and professional assurances rather than on an established personal relationship. Fourth, emergency physicians practice in an institutional setting, the hospital emergency department, and in close working relationships with other physicians, nurses, emergency medical technicians, and other health care professionals. Thus, emergency physicians must understand and respect institutional regulations and inter-professional norms of conduct. Fifth, in the United States, emergency physicians have been given a unique social role and responsibility to act as health care providers of last resort for many patients who have no other feasible access to care. Sixth, emergency physicians have a societal duty to render emergency aid outside their normal health care setting when such intervention may save life or limb. Finally, by virtue of their broad expertise and training, emergency physicians are expected to be a resource for the community in pre-hospital care, disaster management, toxicology, cardiopulmonary resuscitation, public health, injury control, and related areas. All of these special circumstances shape the

Semi-structured telephone interviews were conducted over a period of a year between March of 2011 through June of 2012 with nineteen different paramedics. These phone interviews lasted ranging anywhere from 27 minutes to 64

McBrien, B. (2007) Learning from Practice: Reflections from a critical incident. Accident and Emergency Nursing, 15 (3): 128-133