My First Experience Using Iv Pumps

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

I arrived at clinical 0630 and picked up patient information the morning of. I reviewed all assigned diagnoses, medications, labs, and orders with my assigned students, and we discussed our plan for the day. We both took report from the patient's nurse and then Elizabeth presented at preconference. Kala shadowed the Nurse Lead and I helped Elizabeth with brief changes, pericare, and vital signs. I continued to check on both Elizabeth and Kala throughout the day. Last, lunch and then post-conferance.

I remembered one time when the nurse was in the patient's room and ready to give the patient the medication, all of a sudden, the patient presented symptoms of a seizure. The nurse called the physician right away to check out. To my surprise, before the physician went into the patient's room, she invited pharmacist on the floor come with her. When they arrived at the patient room, the physician asked the pharmacist several questions and they both agreed on the medication use, the pharmacist called IV pharmacy immediate to be ready for this seizure medication order and verification. In the meantime, physician, pharmacist, and nurse helped the patient to calm down. I run to the tube station to received the IV bag. Everything finished within a very short period of time. These actions made by the pharmacist showed the collaboration between each healthcare providers, this valuable collaboration

Overall, I do not feel like a great deal of improvements needed to be made in my delivery of care. I felt comfortable communicating with my nurse and the health care team, assessing the patient, and educating family members. My nurse did not feel well, so she started off the day a little on edge and irritated, but through showing that I was willing to assist her in any way possible, she was more than willing to assist in my learning. I could improve my delivery of care by asking my nurse more questions and looking up more information in the patient’s chart. I noticed that the layout of the NICU was quite different than last week, so I did not have a computer to look up patient information, but rather, I looked alongside my nurse.

I was about to achieve my objective this week by performing nursing care for two patients, hanging an IV piggyback, flushing and administering an IV med and inserting a straight catheter with the help of the nurse.

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

Before our first patient was called back, she went over all the instruments with me and explained to me how important it is to know them al even if I don’t use them on a regular basis as a hygienist. When the patient came back, the hygienist was sure to make sure I was watching every move she made and she made me rinses out the patient’s mouth with the air and water syringe. I’m glad the patient was easy to deal with, considering it was a grown woman. The Doctor told me I should come back two days after this day because it would be a good day to

Did you achieve your objectives? My desire was to provide comfort to the patient and this was achieved. However, I had to complete my documentation the next day, which I did not regret.

When you mentioned in your post the IV pump shortage problem and that nurses were hiding the pumps on the floors, I had to shake my head and giggle because my department is having the same exact problem. We are going through those identical challenges with the change. I calculate that every hospital encounters the same challenges with change across the world.

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.

Setting up my goals with Deb, helped me gain experience in the OR and PACU. One goal I was able to accomplish was starting IVs and with the help of different nurses. Deb had done great teaching me the techniques of starting IVs, which I’ll always keep in mind for the future. What Wasn’t Helpful (Preceptor)

Even when last Friday week three was, it was the second time that I have a patient assigned to my care and as expected I was still feeling nervous due to the age of my patient. However, at the same time I was looking forward to experiencing taking care for a little one and be able to applied new nursing skills due to mu first interaction with a patients his age. The experience was very gratify and enjoyable to be able to help a little one to feel more comfortable while performing nursing skills. The fact that the instructor was with me during the assessment help me to feel more confident as well as be able to ask questions and concerts that developed during the assessment. My assigned patient has a twin who was also staying at the same unit but on a different room so it was very interesting to be able to interact with both twins and observed the development differences even when they are identical twins. The nurse assigned to care for the patient was very helpful and approachable as well which make things a lot easier going in reference to taking care for a little one for the first time besides OB rotation which was more observable and not so much hands on. So far, I am looking forward to next week rotation and excited about learning new

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

This semester, I hope to gain the confidence in my nursing skills necessary to help me work more independently with my patient care. Expanding on my assessment skills, communication skills, clinical judgment skills, and safety skills are important in gaining more independence in my care for my patients. I hope that this semester I can learn how to work with chest tubes, be more direct with what I need from my patient, be more confident with my knowledge in medications, improve my skills in delivering an SBAR, and learning the terminology used at Mayo Clinic and in nursing.

I then went and found another student who had not seen a PCA pump before and with the patient’s and family’s permission we had a learning opportunity. The patient’s daughter was knowledgeable about the PCA pump and explained to me and another student what was running and at what rate and how often the nurses change the syringe. And also upon our assessment what she said matched. She also stated that two nurses had to come in and change the medication since it was morphine and both of them had to sign on the computer. Being adamant and respectful while effectively communicating to the team are of uttermost importance as a charge nurse. This is because during report some students wanted to finish their paper work before the report or try to rush the report but respectfully I had to insist on the need of a getting a report, which is where I had the greatest