My First Shift With Other Nurses And Patients

This made me nervous as to how I was going to communicate with her. My mentor stood back in order to allow me to administer the medications and I felt unable to ask the question, “How do I communicate with this patient?”

In every profession there are changes that propel how tasks are done; nursing is no stranger to this. One of the biggest changes that have come into nursing’s daily events is how report hand-offs are being done. Gone are the days of taped report that each off going nurse must tape about each patient and the oncoming nurse must listen to. Nurses are now being encouraged to move their report to the bedside, in front of the patient (Trossman, 2007). It is very important to know how this can affect the patient and even the nurse’s schedule. With every change, there are positives and negatives that can finalize the decision to keep or forego

In the following journal, I will discuss observations that I made and thoughts that I had during my first night shift at Rady Children’s Hospital. In particular, this journal will address the theme of discernment. According to Jenny Gribble, the process of discerning involves wisdom and experience, as well as observation and biological knowledge. This first shift gave me plenty of opportunities to watch how differently people throughout the hospital employ their own discernment when assessing situations and making decisions related to patient care.

My overall experience during my first clinical placement was very positive, with very welcoming and supportive staff. It was like a dream come true for me supporting patients. Despite all my good and wonderful experience, there a particular incident that stands out which I will reflect on using the Gibbs reflective cycle. On my first day on Placement, my supervising radiographer took me by surprise by asking me to position a patient for a postero-anterior chest x-ray. This radiographer has not been welcoming but harsh and rude to me. I was nervous and extremely careful while working with her. She only responded to inquires after making me repeat myself at least twice. When she suddenly asked me to position a patient, I instantly became nervous and excited. I started talking the patient through the process, while physically positioning the patient with her consent. She shouted at me and shoved me aside, saying “You should stop touching the patient without her consent’’. The patient politely laughed and said, “He already informed me and I am happy with that, take it easy with the student’’. I did apologise to the patient for that misunderstanding and stepped back as she already took over. She neither apologised to me nor to the patient.

As I entered Mrs. Brown’s room I introduce myself, my role and the reason of being there and asked her how she would like me to address to her. Being supervised by the RN I asked for an informed consent prior to commencing a focused holistic assessment and then I asked what would be a good time for me to come back. I did recall from a handover that Mrs. Brown has a Clexane which

A newly graduated registered nurse is well prepared to pass NCLEX for licensure; however, being prepared for the acute care setting in a hospital is a completely different issue. Nursing schools develop the foundation of nursing knowledge, creates critical thinking skills, and touches on nursing tasks. All of these are great tools to possess, but they do not prepare the new graduate nurse for safe, acute patient care. At Boulder Community Health (BCH) on the orthopedic neurology unit, new graduate nurses are given five weeks of orientation. Expecting a newly licensed nurse to learn all of a hospitals policies and procedures concerning patient care and how to incorporate the policies into their practice after five weeks is highly risky and leads to unsafe patient care. On the orthopedic neurology unit at BCH the new nurse trains with several nurses during the five week orientation period. This does not allow for the nurse to learn a consistent system to follow or incorporate into their personal practice as each nurse has their own system. This can become frustrating for the novice nurse. This paper will propose a change in the orientation program at BCH. A one year new graduate nurse residency (NGNR) and mentorship program will be presented to the management administration at BCH. The proposal will serve to prove that a residency program will actually save the hospital money by retaining quality nursing staff through

This is Ziying Tan again. I called the nurse recruitment and they told me that you guys are still interviewing people. I am extremely interested in this New Grad Nurse Position and I would like to start my nursing career at UCDMC. UCDMC is one of a few hospitals in California received Magnet recognition, which the professional and high quality nursing care inspires me to become a part of the team. It will be an excellent opportunity for a new grad like me to receive trainings from the best experienced nurses. I also want to let you know that I will be out of the country for two weeks. Please email me if the result is out/ if you need more information about me. Thank you very much and you have a wonderful day!

One of the most important trends in healthcare is patient safety. A patient’s safety assists in their healing, and also reflects negatively or positively on the hospital. With associations such as The Joint Commission (JCAHO), The Centers for Medicare/Medicaid, and HealthGrades keeping a watch on everything hospitals do and how they are reimbursed, patient safety has become a top priority. One practice that hospitals have begun to implement is bedside reporting.

Kit sat in a corner chair, during one of her mother’s doctor appointments. Her mother was perched on the center exam table. Kit pointed out to the doctor that her mother was acting odd, belligerent, even though she was snippy before, her mother, was acting more childlike sticking out her tongue when the doctor tuned his back, becoming angry when she was asked questions. If the conversation wasn’t about her, she became angry and demanded they spoke only about her.

During my first clinical rotation as a nursing student, I was assigned to care for several older adults suffering from dementia. Although all of my patients ranged in severity from mild to severe progression of dementia, they all experienced moments of agitation, anxiety, or disturbed behaviors related to their disease. It occurred to me after careful review of several patient charts that despite often being prescribed pharmaceutical regimes for other comorbidities, these patients were rarely prescribed medications, besides those to control anxiety, specifically targeted at treating their progressing dementia. Through some research I discovered that the significant number of individuals affected with dementia is a growing public health concern in part due to the current limited ability of pharmaceutical treatments to treat the disease (Samson, Clement, Narme, Schiaratura, & Ehrle, 2015). This revelation began my interest in current nonpharmacological treatments being implemented in controlling adverse behaviors and feelings in patients diagnosed with dementia.

The nurse’s most prominent qualities are that she is more casual in her manner of speaking and makes very inappropriate comments throughout the scene.

"It was horrible and there is no way I'm going back tomorrow!" I exclaimed to my mother. I felt that I had done every possible thing wrong and was greatly embarrassed by it. I explained to her all of my mixed emotions and recounted everything that had gone on. As I talked, I realized

I had been assigned to a group consisting of 2 other nursing students. One student was from first year, and the other from the second year. In trying to connect over the term we used frequent emails to relay our availability and eventually met to discuss our upcoming Metissage. Prior to our meeting I had used my previous knowledge around Doane and Varcoe’s process of family relational practice focusing on entering in relation and staying in sync with the group (Doane & Varcoe, 2005). To accomplish staying in sync I chose to take the lead initially to explain the concept of a Metissage to the first year and at the same time, allow for additional dialogue from the second year student. I was mindful of how I was presenting to others and wanted to match the environment they were presenting. According to Doane & Varcoe (2005) approaching others through the use of positive regard and being in sync allows acceptance of the family while also forcing you to be aware of your surroundings at this moment in time. In following their advice we ended up discussing a topic which was around the concept of patience. Staying in sync is supposed to be a matter of sharing power which was for the most part, I was assigned the dominant position in the group based on my extra years in the program, my age, and my gender. I was acutely aware of this privilege but wanted to share the power equally so more ideas could be discussed. To ensure engagement and combat

During this situation, feelings were mutual because the patient was becoming frustrated with the sister because the sister was not allowing the patient to be her true self. There was a gut feeling by the nurses that the sister was overbearing to the sister because she would not let the patient answer for herself most of the time, so the nurses decided that it would

I stood shyly as I listened to them argue. I did not know how to ease the situation. A nurse happened to