My Patient-Practitioner Experiences

My clinical experiences working with my preceptor thus far have been constructive. She holds strong organizational and leadership skills necessary to interact with stakeholders at all levels within the organizations. My preceptor provided guidance and insight in choosing my project focus, to create another infection control position in the hospital, because I have never performed this function in my management role. Joyce believed the proposing approval for an additional position for the Infection Control Department would be the most beneficial learning experience for my practicum to tie in both leadership and organizational transformation. My preceptor examined my self-assessment write-up and discussed my leadership style, while offering insight of my weaknesses and strengths. Her leadership style combined the various leadership styles as the situation at hand when providing me guidance. She suggested doing a self-reflection of myself to determine these weaknesses and strengths to determine my personal goals in becoming an effective leader. She also provided guidance in the development of my goals and objectives to meet the assigned SMART goals. She said that a goal is an overarching principle that guides one’s decision-making, which is literature based.

My first clinical experience for this nursing program was completed at New England Rehab Hospital. I walked in with some clinical experience but no experience in the realm of nursing or certified nursing assistants (CNA). During that first semester we followed CNAs to understand their job and gain basic nursing skills like bathing patients, bed making and other daily tasks. It was useful and I’m still happy we were able to have that experience. A situation that made me uncomfortable during that semester that one particular CNA never sanitized his hands when entering and exiting a patient’s room. In most hospitals and nursing facilities there is a “pump in, pump out” rule to abide by when entering and exiting a patients room rule to ensure health care workers are not spreading bacteria to themselves and other patients. This particular CNA admitted to me that he pretends to push the hand sanitizer and rub his hands together without actually getting any sanitizer in his hands. His reasoning was that he found it overly drying to use the sanitizer so frequently despite the hospital providing lotion as well.

During my first day of clinical, I encountered an issue that I believe is very significant. As a student nurse, our duty for this day was to follow our health care aide around the ward and assist in completing resident care. The resident required assistance in many of her daily tasks. The health care aide asked if I would perform one of those and do perineal care for her. I turned down her offer because I did not feel comfortable with my skill level. The resident had a bowel movement during the night. There was a significant odour in the room that overwhelmed me. I really wanted to leave the room because it was so unpleasant, but I stayed in the room so that the resident would not be embarrassed. This feeling of embarrassment, I assume,

Throughout my clinical experiences, there have been quite a few circumstances I have been placed in that have remained with me whether good or bad. All of them have been learning experiences for me whether it is how to improve and to do better next time from a mistake, for me to learn that this is or is not how a patient should be treated, how to handle family situations, and many others. One experience that I was able to participate in that will remain with me because I had not experienced this before was during my critical care rotation in the fall of 2015. This patient was dying and we were implementing comfort care for him.

This clinical experience took place at Peyton Elementary School and Prairie Heights Elementary School. Kamille, Ben and I were to teach hand hygiene, covering your cough and brushing your teeth to three Pre-K classes. First we developed a lesson plan and teaching aid for our students. Then, we gathered supplies such as spray bottles, dye, subject specific coloring sheet and a dinosaur with large teeth and tooth brush. Kids Rock dentistry in Colorado Springs was nice enough to borrow us the dinosaur and also gave us activity books for the kids. When we arrived at Peyton Elementary School at 0800, we noticed it was a very nice school. We met the school nurse at the office where we signed in. She showed us to classroom where the children

In this case a patient was involved in an automobile accident and was left in a vegetative state. The hospital made the choice to

Medicine is a unique field in the sense that being a healthcare worker requires cumulative knowledge and skills in order to provide care for others in a sensitive and effective manner. My first direct patient experience with healthcare came on a Sunday morning in the basement of a church that serves as a clinic for the homeless, or for those who cannot afford to receive medical care. I was tasked with escorting patients from the waiting room into a makeshift examination room, and to gather basic information (why they came in, past medical history, drug use, and how they were feeling). A man in 50’s was the next patient, and I escorted him back to the room to start my routine as usual. When I asked about any current drug usage, he unexpectedly

Many years ago I was working in an emergency department when a young patient presented with a potential neck injury. The underage patient had engaged in drinking alcoholic while swimming with friends and had hit her head on the bottom of the pool. She was not responsive on arrival. The attending physician had a difficult decision to make because this particular emergency department was not equipped to handle traumatic neurological injuries. The usual protocol required helicopter transport to a nearby trauma facility. However, a bad storm was moving in, making it a risky and dangerous situation for the helicopter crew to fly. The decision was further complicated by the need to ascertain if the patient was failing to respond due to excessive

I experienced a patient of mine; he is a 27-year-old male with spinal cord injury who fell from a ladder due

During handover of the patient the paramedic received criticism from a doctor implying unnecessary immobilisation of the patient. The immobilisation equipment was removed in the Emergency Department and the patient subsequently began complaining of cervical spine tenderness.

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.

A significant criticism of functionalism is that it describes the ideal conditions, essentially the effects, of the two interrelated structures necessary for equilibrium within the healthcare system. Functionalism essentially states that both institutions of health, including the doctors and the citizens who interact with the institutions, are functions of the overall system. The 'causal question' (Isajiw, 1968, pp.28-29) is thus: either these functions are a cause of their effectiveness within the boundary of the overall healthcare system or the overall healthcare system and its effectiveness is a cause of the constituent functions. Functionalism is ambiguous as to the answer to this question which is significant because the answer would determine the nature of the precise interaction of functions with the healthcare system and therefore determine the precise causal nature of human behaviour within the system.

Looking back to the first day of clinical to the last day I have changed a lot during this time. During the whole clinical experience I had to use a lot of the growth mindset in-order to get fully through the whole process. My clinical teacher and I didn’t quite have the same opinion on certain things. While we did struggle through are different mindsets, it was a great learning experience. I will have people I work with that I don’t always agree with and I will have to find a way to compromise with them. This was something we talked about with each other and worked through. So, Im grateful in that aspect in learning how to deal with those situations. I also changed in that I’m more confident in giving my lessons to my students, along with I tried to not be as scared in-front of them.

When I woke up, I was surprised to find a weird, padded board with red and green stripes on it, wrapped up onto my arm so it would stay. I was told that they could not get my elbow back in and I was transferred to a different hospital. I didn’t enjoy the presence of the people in the second ambulance with me nearly as much as I liked the first two people because, they weren 't nearly as good at comedy. Although, second ambulance made me feel a bit safer because I had already experienced what riding in an ambulance was like. I was familiar with the white interior and the medical equipment with bright red crosses on the cover hanging on the walls. I had already known the pain in my arm as the vehicle bumped into the

It addresses the underlying causes of medical conditions and diseases. Using a systems-oriented approach, functional medicine engages the practitioner and patient in a therapeutic partnership. Functional medicine is an evolution in medical practices and better address the needs of patients more than another other approach to