My Experience At My Clinical

in the clinical placement, I developed and culturally applied appropriate communication with clients each week I was there. As I would walk down the hall and see a client I always greeted them. As I would enter the rooms that I would be doing client-centered care I greet and introduce the client that I am a nursing student at Humber College doing my clinical placement. If you welcome yourself into a room without introducing yourself that makes the client not feel safe and feel vulnerable, but by saying hello you build respect and develop a trusting relationship with a client. This demonstrates trust-building strategies to develop a nurse-client relationship, introducing yourself and calling the clients by their preferred name. And providing

The last week of classes for NURS1005 were a series of clinical skills activities. These activities refreshed the student’s minds on what they will be doing on placement and how to do it. We got assessed on three clinical skills; taking and recording vital signs, blood glucose levels and doing a urine analysis. I’ve chosen to reflect on taking vital signs and how I performed them. Reflection is a very important part of learning from experiences which is essential in nursing. Nursing practises continue to change and it is easier to go with and to add to that change if you are reflecting on your practise. This essentially makes nursing practises better for the patients. I have reflected on the process of how I took the vital signs during my clinical skills activities. I was very nervous but believe I performed them well due to how I was taught, what I have read and seen and the vital signs signified how my peer was acting which was healthy and within a normal range. Even though I felt I did them well, there were improvements that could and have happened since. Most of the improvements are minor in comparison to the strengths I have but it is important to recognise improvements when needed so you are giving the best and accurate care. I was aware of these improvements needed and tried to strengthen them during my clinical placement which helped me learn different ways of doing processes and also the rationale behind the processes.

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.

I sincerely believe that I accomplished my goals this week. I realized that I served 14 patients by combining the ability of knowledge, my attitude for excellence that I have consistently defeat the odds to become the very best Nurse practitioner; I can become. This clinical experience brings forth many opportunities and achievements. The most important experience this week; I had the ability to identify as primary healthcare provider a high risk need for the patient to be transferred to the Hospital for further evaluation without delay; due to complaints of “leg cold from the knee down to the feet”, which my evaluation was based on evidence practice knowledge of compassion and skill with the autonomy to practice, diagnose, and treat patients

My performance and effectiveness of my communication and organizational skill in clinical was not the best this week, due to not following up with my instructor after she checked my patient’s that was being transfer chart. I will improve by following up with my instructor after

For my Clinical experience, I was referred to one of community clinics run by nurse practitioners - yes, NPs- in Suffolk County in Long Island by my coworker. It is called “Nightingale Preventative Care.” I am working in the ER and at first, I thought this clinic would be a type of urgent care office which is a similar setting to the ER. I was totally wrong. For the past two weeks, this place has surprised me many ways and I learned about what the community clinic is alike to its neighbors. Patients can be seen by NPs by the appointment. However, it is located inside of K-mart and has many walk-in patients as well. Many patients who come to visit for their check-up have no medical insurance. Every Wednesday, a representative from Fidelis Care insurance company comes and provides information about Medicaid and Medicare service the company has. I really like to sit down with patients and assess about their medical histories and family histories which I cannot do often in the ER. I had a patient who was Hepatitis A Ab, Total positive Abnormal first day I work at the clinic. He didn’t understand what the test result meant and neither did I. I printed out an article from National Library of Medicine and went over with him. Patient’s education in the ER rarely happens from nurses. I felt great to listen what patients tried to lose their weight or quit smoking. I like to continue on developing skills on patient’s education and preventative care measure for patients.

My educational fear in the past was during my first week off ICU orientation, I was assigned an admission from the ER of a post cardiac arrest middle aged patient who was placed on a therapeutic hypothermia. I verbalized to the Charge Nurse of being hesitant to accept the admission since I’m fresh off orientation. She told me “this would be a good experience for you”. I want to keep good positive impression to my colleague being a new nurse of my new unit and took on the mission to accept the assignment. After receiving a report, the unconscious patient arrived on our unit on a ventilator with hypothermic jacket and with multiple drips. My heart started to pound and said to myself “what am I getting into, transferring here in ICU is a mistake, and I just want to cry”. While being shaky, I took good long deep breaths. After the patient was situated the on the bed, I carried on the task according to the doctors’ orders and the protocols. I stayed in communication with my charge nurse for assistance, questions and moral support. I succeeded the patient care uneventfully on a 12 gruesome hours by working and collaborating with the charge nurse, the senior RNs as a

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.

For the past two weeks I have been performing my clinical at Holton Community Hospital experiencing what it is like to be on the floor with the patients and I had the opportunity to see what it was like in the Family Practice part of the hospital.

At this point I know that I am confident, I can critically think and independently plan, organize and provide quality care to my patient. I have made a tremendous improvement on medication knowledge, application and administration and these competencies will be demonstrated in my clinical rotation at Holy redeemer. I have also put studying materials and practices that will help me recall and comprehend what I had learn so far to help me finish strong in this course that I have journeyed so

The sociological theory of Functionalism takes upon the perspective that society consists of systematic processes, which revolve around set structures. Functionalist theory allows for the creation of health and illness as variables (Stam, 2000). These variables all lead to development and require that certain structures be used to restore proper function. The intended purpose of this reflective piece is to identify how my Patient-Practitioner experiences could be viewed from the sociological theory of functionalism. The essay will present a case study and then proceed to analyse the case through the lens of functionalism. The analysis will include limitations of functionalism and consider implications of this analysis upon future paramedic practice.

In my journal summary I will discuss how I met each graduate competency during my clinical experiences. I will also highlight experiences, I learned, and how it changed my view of nursing. I will first, review the graduate competencies listed in our student preceptor handbook and then review how I met these requirements. I will start with PERSON:

I am in my fourth journal entry and have yet to start my clinicals. I hope to be starting my clinicals next week. The health assessment issue I have faced this week, however involves the equipment that practitioners use to complete an assessment and the proper use of the equipment and how that relates to completing the assessment correctly. When I was approaching the person who had agreed to do this week’s video for the assessment course of what was expected to be completed. After watching the video, they commented that they have been going to the doctor all their life, and they can never remember anyone looking up their nose with a speculum. Of course he was not keen on the idea, and I wound up deferring this portion of the examination. It

To date, I have completed 202 clinical hours. I have spent the last couple weeks trying to arrange clinical time with specialists. Despite speaking face to face with the doctors who said they would be happy to precept me, this has proven to be quite challenging. I have reached out a few times to the hematology/ oncology office, and I cannot get the preceptor agreement form. I have physically went to the office, but just missed the office manager. Also, I have sent several emails. I do not think I am going to continue to pursue this. It is too late in the semester, and I do not want to come off as overbearing or pushy. However, I did receive back the preceptor agreement for from the pulmonology office. Unfortunately, FAU does not have a contract

As a second year nursing student I felt mixed emotions of excitement and anxiety when I was thinking about my upcoming clinical placement because even though I have been working as a patient care assistant at Royal Darwin Hospital for a year and had already undergone clinical teaching block for one week . The responsibility of being a nurse is big and much complex than my current job [1.2 Fulfils the duty of care] especially when handling assigned patients. Thus, need to have a good supervision from my clinical preceptor to meet the best possible nursing care to my patient with in my scope of practice [2.5 Understands and practices within own scope of practice]. My four weeks of clinical placement was taken place in