My Reflection On Field Placement

I always feel slightly off when returning to clinical practice after a break, whether that is one week due to SIM or a whole month for Christmas break. I felt like my sense of direction was disheveled this week. My first morning with a client I found myself lost on were to even start with her care. I forgot to introduce myself during my first morning and I found myself relying on the outline sheet for a head to toe. Even finding my way around the unit made things take slightly longer than I would have liked. As the day progressed I began to get back into the groove of things. Going into the second shift my morning was much smoother and I didn’t have to look at my head to toe guide as I preformed my assessments. I felt more comfortable with my charting and was able

My shift started with receiving handover, this happens three times a day at the beginning of each nursing shift (7 am, 1 pm and 8pm) and last about an hour. At the end of my shift I was designated as the team leader and provided an overview of the patients at the ward and manages the necessary coordination and exchange of information.

Primary, as a counselor, they have to track daily notes and document everything; then they will have a team meeting to make sure they are on the same page. The reason why you have to document everything is because if you did not document, then it never happened. Supervisors will evaluate counselors’ performances, and Navy will make sure counselors did their paperwork correctly, and also there is a survey for clients to evaluate their helpers. In addition, record make sure staffs’ skills are developing, they have training twice a week, and since this hospital is a teaching hospital, Bob is also training his two interns every day.

The following essay is a reflective account on an event that I, a student nurse encountered whilst on my first clinical placement in my first year of study. The event took place in a nursing home. All names have been changed to protect the confidentiality of the patient (NMC, 2008).

The first day, I have arrived at the Ambulatory Care office I was a bit nervous because I did not know what they would expect of me. Mr. Price first professionally greeted me and shared with me the Dallas VA mission statement, to fulfill President Lincoln's promise “To care for him who shall have borne the battle, and for his widow, and his orphan by serving and honoring the men and women who are America's Veterans.” Mr. Price then provided me with a nametag and a projected itinerary for this week. During the first week of my service learning, I was taught how to properly answer telephones, greet patients, and schedule appointments. By performing these tasks, I was able to enhance my medical terminology and communication skills. Although I was not directly exposed to patient care, shadowing a healthcare manager allowed me to witness the actions that occur behind the scenes that make a difference in improving the quality of care that patients receive.

gain an understanding of health or social care provision. Learners must complete 100 hours work experience

This plan will take 10 weeks to accomplish. Week 1, flyers will be made and distributed, so that all staff is aware of the changes being implemented and can plan to make this change. It will also give staff an opportunity to voice any concerns related to the changes and fill out the initial survey which is in Appendix B. This week will also be used to gather any resource materials needed to help with implementation of skills. Week 2 will be used for coordinating instruction and teaching with unit managers. Weeks 3 & 4 will be used to review the process of shift change report and how communication occurs between nurses, from nurse to patient and from nurse to physician. Staff interdisciplinary interactions will also be reviewed to find weaknesses in communication and teamwork. Week 5 will be used to review incident reports, to determine the gaps and what the staff needs to know to make incident reporting more effective and efficient. Week 6 will be used to arrange teaching times. This week will also be used to find teaching facilitators to teach the rest of the

For this placement I was on an elderly male medical ward. As I have had no previous experience of care in a healthcare setting their where numerous thing with which I had to a customise myself with.

Doing everything required I.e. training,Be kind and caring to the residents and providing them with respect and dignity.

The majority of the meting was focused on the care transitions program presentation and discussion. The presenters lay out was familiar as it was a community nursing care plan that included identifying, assessing, diagnosing, implementing, and evaluating the project she presented. The other members had a lot of questions about the process and a lot of time was spent on the social determinants of health. The presentation relied heavily on the in home part of the process and a nurse present on the board or for the presentation would have helped to connect the story for these patients in both settings. It was discussed that the elderly are a particularly vulnerable population during times of transition and that this program might help to bridge the vulnerabilities.

I had the privilege of going to Smith Elementary School in Long beach for my clinical rotation. I didn 't know what to expect before going in, but as soon as I walked in, I was greeted with friendly smiles. Nurse Olga was the most friendliest nurse and she showed me how things worked around her facility. They have computer system program that shows all the teachers can look at to find out their student’s health conditions. The nursing office had pretty much all the basic equipments that she would need to take care of her patients. My activities included signing in patients as they came in, prioritizing care based on complaints. Checking patient 's temperature was very common and I had to call several parent to pick up their children due to fever and malaise. I learned how to give vision and hearing test to children. Couple patients had routine medications like Albuterol and Clonidine. Most of all I had to treat basic wound care.

Reflecting back to when I was first going through my own orientation with Murfreesboro Medical Clinic, I have thought about several factors that could be addressed during orientation and training for new hires in the future. The first being the length of time allotted for training. I am dually trained, so I can operate the front desk, handle insurance as well as perform clinical duties in the back. I caught on fairly quickly of what was expected when working in the back. However, as for the front desk duties, the same could not be said. I trained for a few days before I was thrown to the wolves, and this was a result of the clinic being short-handed on this particular day. I essentially had no solid grasp on the front desk duties before being completely on my own. Needless to say I had several angry patients to deal with that day. In addition to that, the training I did receive was not consistently with the same person each day, which

Throughout the second half of the semester, I have not made any significant changes to my pre-clinical routine. I still prepare and gather my supplies the evening beforehand, and I try to avoid during schoolwork in order to facilitate restful sleep. However, upon arriving to the unit, I have developed a familiarity with the staff and environment that has reduced my stress and anxiety levels, allowing me to focus more attention on my patient assignment for the day. Although we do not have assigned preceptors, I have developed a mentoring relationship with two of the nurses on the unit and will work with those staff members if available. As we have gotten to know and trust one another, we do not have to spend the first part of our shift familiarizing ourselves,

In my placement as a second year student, most of my duties are focused on providing nursing care and general ward

On the second day, we learned more formation stances and positions including fall in, fall out, present arms, order arms, attention, at ease, left face, right face, and about face. I also was introduced on how to operate a military-style living space. In the morning when everyone got up at 6:30 am, we were required to make sure nothing personal was visible and fix our beds so they were uniform. To do this, we were required to fix each corner of the bed so it had a “hospital corner,” fold the top over, and have the blanket so tight that there are no wrinkles and one could bounce a ball on the bed.