My First Clinical Day At Loma Linda Veterans Affairs Medical Center

994 WordsJun 29, 20154 Pages
For my third clinical day at Loma Linda Veterans Affairs Medical Center, my assigned preceptor Filipina Gumangan assigned me one patient on 4NW. The specific portion of the unit where I precept is an intensive care step down unit. Filipina’s objective for giving me one patient this shift was to give me an opportunity to practice complete care; this meant I was responsible for many clinical duties corresponding to the care of this patient. My patient this shift was Ms. R. She was a 66 year-old Vietnam War veteran recovering from general surgery. Caring for this patient showed me a different perspective of nursing as well. My clinical duties performed that day involved practicing many of the skills I have learned throughout this nursing program. Initially, I was responsible for getting a good hand off report during our walking rounds that morning. I utilized the method Filipina had showed me during our first shift together. I went according to systems and this way I began to create a picture of Ms. R condition. She was there because she had a partial colectomy. During this procedure, the surgeons removed parts of her large intestine due to her history of bowel obstruction. She had an ostomy, which required that I put special care towards the newly created stoma. I was responsible for a full head-to-toe assessment. In addition, I was responsible for recording my findings on her chart in the computerized system. I passed her medications and was responsible for explaining what

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