Working in a neonatal intensive care unit has been a learning experience filled with a roller coaster of emotions. So many emotions have passed over me through different situations that I have encountered in my three years of working in this type of unit. When I first began my journey in becoming a NICU nurse I was exposed to many things that a registered nurse may not encounter unless they are in an intensive care unit setting. For example, I needed to learn to work with ventilators, medication drips, everyday use of an Ambu-bag and all this with premature babies nonetheless. I have learned that bio-reactions are an automatic signal in our brains which determines how our body will react in certain situations. In the following paragraphs, I will discuss three personal experiences of my personal bio-reactions. I want to recall a particular incident that occurred very early in my journey to becoming a NICU nurse. It was not long after orientation, I was no longer working with my preceptor and I was on my own caring for these tiny humans. I have the responsibility of total patient care, including their airway, especially if a respiratory therapist is unavailable. In our unit, one can feel quite overwhelmed as it is large and there are always monitors beeping for different reasons. We have multiple staff around including fellows, residents, respiratory therapist and of course there are always parents and relatives on the unit since there are no restricted hours. That day
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Critical reflection is vital to develop evidence based practice for safe and quality approaches to professional nursing practice. Nursing professionals should critically reflect on events to identify what health professionals might do to improve their practice and reduce the risk of a similar error. Reflective practice can help to learn from their mistakes, be empowered and most importantly to deliver best possible care to patient as nurses must work closely with their patients to develop a therapeutic relationship. Critical reflection is a valuable skill to ensure patient centred care. This practice promotes personal development by enhancing students’ self-awareness, their sense of community, and their sense of their own capacities for
As an aspiring Neonatal Nurse Practitioner, I will graduate from UNCG with my BSN, work for a year as an RN, and eventually attend a graduate school to accomplish my ultimate goal of obtaining my DNP. As a neonatal nurse practitioner, it is imperative to exude compassion, while demonstrating critical thinking skills when faced with arduous circumstances. I understand that working with distressed families in the NICU will be a challenging task, both emotionally and physically. I am aware that it is my responsibility as a nurse to not only know how to provide physical care to my patient's, but to also attend to their emotional needs and the needs of their loved ones. Nurses are expected to be the liaison between families and doctors. So, in the
Ever since I was a little girl, I was always telling my parents I wanted to be a doctor to help people. As I got older my sisters had babies and I always wanted to hold them and take care of them furthermore, just recently I had come across a defined profession caring for infants in a great deal of need. I have been interested in helping people in need, performing surgeries and caring for infants since I was approximately eight years old. I have recently been doing some research on a Neonatal Nurse Practitioner (NNP), and believe that the job description fits me well. I would find a colossal amount of joy in being a NNP because I love being around babies and would enjoy being able to make a difference in their early life, as well as in their family’s lives.
Skin integrity is an important concept that’s nurses assess on their patients. A key skill in nursing practice is to frequently assess the skin for possible breakdown or decreased skin integrity. Skin assessments should be conducted thoroughly once a shift and frequently reassessed for any signs of change. Skin discrepancies may be the first sign of an underlying issue. Early detection of any breakdown can help to implement interventions sooner. Unfortunately, unless there is a major skin discrepancy, skin issues can easily get overlooked, specifically in documentation and report. The focus of this paper is to research new skin integrity assessments to improve documentation effect and accuracy, resulting in decreased prevalence of skin breakdown in hospitalized patients. Topics discussed include reviewing current practices and new skin assessment techniques that decrease the prevalence of skin breakdown and pressure ulcers.
This assignment describes my own reflective experience while caring for a sick neonate with Respiratory Distress Syndrome (RDS) in the neonatal unit. This has enabled me to explore the meaning and significance of my clinical practice and to recognise the complexities within it. The experience raises a number of issues frequently encountered in daily nursing practice. Within this assignment, I will be discussing a particular pre term baby with RDS and critically analyse the use of nasal continuous positive airways pressure (NCPAP) and surfactant therapy and possible effects on baby’s outcome. Pseudonyms will be used to maintain patient confidentiality in order to keep in with the nursing and midwifery council code of conduct. (NMC 2004)The
There are more than 70% of premature babies that are born between 34 and 36 weeks gestation a year. When a baby is born early, or born with birth defects, the Neonatal Intensive Care unit is its first home. The nurse’s in the NICU have the difficult job of preparing baby’s and parents for a health life together. A baby who has been put into the NICU will stay there until it is healthy enough to go home.
Ever since I was about 10, I was extremely interested in becoming a neonatal nurse practitioner. I love babies and love helping others so I figured this particular job could be perfect for me. A neonatal nurse practitioner means you provide care for newborns in need of specialized attention for about the first month of their life. These newborns are usually premature or very sick and the nurse practitioners are usually their primary caregiver. NNP’s are responsible for their patients, exercising judgment when necessary to assess, diagnose, and initiate medical procedures. Many tasks include monitoring specialized equipment, including incubators and ventilators. Providing education and support to patients’ families regarding neonatal, intensive
I am interested in pursuing a career in nursing. A career that really interests me is a neonatal intensive care nurse. This is a type of nurse that works in a neonatal intensive care unit. These nurses often work with infants who were born prematurely, born with birth defects, or infants who are having critical complications during the first month after birth. Infants in the neonatal intensive care unit require constant monitoring and are often being treated for life threatening diseases. According to The National Association of Neonatal Nurses (NANN) approximately 40,000 infants are born each year in the United States needing specialized NICU care. NICU nurses are always present when a baby is being delivered so they can provide immediate
As my days at East Ridge High School are coming to an end I, as well as many of my peers, have come to a very important fork in the road to our future- Where do I go next? When I ask myself this I have to answer with another question, Where can I attend school that will allow me to further my education and fulfill my dreams while simultaneously maintaining the consistent love and support of my family as well as remaining financially responsible? For me, there is only one answer- Chattanooga State College
During the past few shifts, I have been astonished, and thankful about how often the nurses, doctors, and respiratory therapists have been providing me with learning opportunities. I feel this is because they have observed my enthusiasm and willingness to learn. For example, I asked a nurse if I could observe her giving care to a 24-week old preemie with necrotizing entercolitis. This nurse explained, that because of this baby’s immature age, she had to cluster the baby’s cares, and monitor this baby’s oxygen saturation. If the baby was overly stimulated her oxygen saturation would decrease, and the nurse needed to stop working with the baby. This nurse also pulled up a PowerPoint about NEC, so I had a visual of this baby’s condition. She provided me with a NICU parent book, and I read the section about NEC. This nurse said that she gives NICU parents this book to read, so that they have a better understanding about their baby’s condition. This is an awesome education technique that I want to adopt. This is because the parents will hear the diagnosis explained from the doctor and nurse. They may or
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.
The following essay is a reflective account on an event that I, a student nurse encountered whilst on my second clinical placement in my first year of study. The event took place in a Fountain Nursing Home in Granite City. I have chosen to give thought to the event described in this essay as I feel that it highlights the need for nurses to have effective communication skills especially when treating patients that are suffering with a mental illness. Upon arriving to the Nursing home for the second time on Thursday November 14,2013; assigned the same patient as before. On meeting my patient the first thing I noticed myself doing without even thinking about it was giving her a visual inspection. Before nursing school I never really looked at
The objective of this reflection is to explore and reflect upon a situation from a clinical placement on an orthopedic unit. The incident showed that I did not provide safe, timely and competent care for my patient when the oxygen saturation was low. Furthermore, this reflection will include a description of the incident, and I will conclude with explaining what I have learned from the experience and how it will change my future actions.
This essay is a discussion about my experience during the first two weeks of my clinical placement in an older adult ward. My experiences will be demonstrated using the various nursing skills acquired thus far. The reflective account used is adopted from the work of Driscoll (2007) which splits the essay into three segments namely a) what happened, b) so what, (what were my feelings, what was good and what was wrong about the experience, c) now what, (if I find myself in that same situation what would I do differently).