Clinical Context These were my eighth (10/31) and ninth (11/06) night shifts following Meagan on the medical/surgical floor at Rady Children’s Hospital. On the first Friday, the floor started out with 29 patients, 14 nurses, and no health unit coordinator (H.U.C.) or patient care assistant (P.C.A.) to run the front desk. Since there was no one in charge of the front desk, the charge nurse, Meagan, and I worked together to answer all of the phone calls and meet all of the patients’ requests while simultaneously taking care of all their other responsibilities to their assigned patients. The atmosphere of the floor felt hectic everywhere, but since everyone was working together so well, all calls were answered and patients requests met safely and in a timely manner. On my second Friday shift, Meagan was the charge nurse. This was my second time following her while she was in charge. There were 30 patients and 11 nurses on the floor. The floor had to float 5 nurses to other units and something was different about their pay for the night which created quite a bit of drama and was a very “hot topic” throughout the night. Several of the nurses spent the majority of the night complaining about and debating the situation. In this journal, I will discuss the topic of humility.
Clinical Experiences
Clinical #1 For the fourth time, Meagan and I cared for G.C. She is a 2-year-old girl who has a subarachnoid hemorrhage. G.C. required the least amount of attention she has ever
If the patient is doing that then the nurse should not get dishearten but should find mean to handle that situation. Humility is when people are able to understand that no one is perfect. Furthermore people should always thank for the good things that come in their way rather than comparing oneself with others. It is always best to be proud of our own selves that at least you as person have done something good in life. Likability is when people are able to face or tackle problem in life. Nurses should be able to see other people’s point of view, i.e. how nurses are able to understand their situation. Like here you cannot always be correct but they have to take other peoples opinion. It is not always that one peoples opinion can be right but other peoples opinion can also be correct. For example a person has had an accident on the way and that person is bleeding and the nurse is in charge and the situation arises where the nurse thinks to do the treatment or not because when the nurse sees the blood she panics but actually the nurse should be brave enough to carry out the treatment during that particular time. Self awareness actually gives the ability to be open, and aware of how it impacts others.
Giving myself time to read up on nursing experiences, attending more clinical practice labs, participating and watching these duties in the health care setting will allow me to develop a secure level of confidence the next time that this type of situation may occur. Staying in the room allowed me to experience the feeling of support while looking past social norms and how they are challenged. I met my personal values, and I believe that one should respect another person`s privacy. This understanding allowed me to be there to support the resident during her time of need. In the article `starting out` by Jane Schulz, a nursing student shares her experience of helping her colleague assist an elderly patient with daily care. Observing the compassion and care between nurse and patient from fundamental tasks, she took away a valued lesson of how our support and caring methods affect an individual. My relation to this story allowed me to reflect on the effects my care and supporting actions had on our patient.
The purpose of this essay is to reflect on my personal role in the inter-professional team and the delivery of healthcare that I have encountered during my duty as a health care assistant in one of the hospitals here in England. In accordance with the NMC (2002) Code of professional conduct, confidentiality shall be maintained and all names have been changed to protect identity. The purpose of reflection as stated by John's (1995) is to promote desirable practice through the practitioner's understanding and learning about his/her lived experiences. I have decided to reflect upon an incident with the nurse in charge in one of my shifts and in order to structure my reflection I
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.
Respect is vital to any relationship because it provides a base for fair and unbiased treatment of one another. Without respect for the worth of each individual and his expertise it would be difficult to act as a team. Just as critical to the function of a team is integrity. Integrity ensures that the nurse is acting honestly and holds herself to both moral and professional standards. Responsibility is essential in all nursing practice, but is particularly necessary when integrating care with other disciplines and professionals. As the functions of a healthcare team become more individually specific, the ability rely on each person to perform her part is crucial. Finally, compassion is the framework for all nursing action. While it is widely accepted that compassion for patients is part of nursing, compassion for fellow professionals is necessary too. In conjunction with respect, compassion allows the team to function by accepting each individual’s specific perspective and acknowledging the importance of their skills.
I learned that as a nurse it is my duty to always consider my own well being, along with my patient’s. I must keep a high moral character both in the workplace and in my personal life. I must continue to educate myself and keep myself up to date with all the latest nursing practices and research. I must subject myself to peer review and evaluation. I must never let my personal feelings about a patient’s lifestyle affect my care for them. When met with a tough choice that places me in an ethical crisis I must keep a good head on my shoulders and always have my patient’s best interests in mind. If I feel that a situation at work is in direct conflict with my personal values or my oath to be an ethical nurse I must go through the proper channels to work through the problem.
A basic part of modern age humanity is dignity. It is self-imposed pride that is susceptible to damage through the verbal and physical actions of others. Hospital and clinical settings can leave a client’s dignity vulnerable. It is where people, now clients, are weak and in some cases unable to function like they once did. This can wound their dignity, but it is the duty of nurses to preserve it. Through respect, support, and by relieving pain and suffering, nurses work to preserve the dignity of their clients. Likewise, nurses are able to easily damage the dignity and integrity of their clients through inappropriate behaviour, a lack of respect, and being irresponsible while on the job. A passage published by a hearing tribunal from the College
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 situation happened during the author’s last day of orientation as a new medical-surgical nurse. The author was passing medications and administered aspirin to a patient as ordered. As the author approached the nurses’ station, she stopped in disbelief as the charge nurse started yelling at her, saying, “Why are you not checking your orders? Why did you give aspirin when there was an order for no anticoagulants? Do you know the patient is having a procedure tomorrow? New grads.” Several physicians and nurse practitioners, along with the author’s coworkers, witnessed
My first week back on the evening I had heard from families on how unhappy they were and that every time they would bring it to the charge nurse’s attention but, it would never be addressed or they got blown off to being short staffed. I felt the weight of all the negative feeling on my shoulders from the residents of the families. Some of the senior staff knew that things that ethical it was wrong but they were trying just to through they work week and not to make any waves or step on any toes because of staffing
Supporting Point-According to the author Culp-Ressler (2014), the new government data from the Centers for Disease Control and Prevention, about one quarter of American families have trouble paying their health care expeneses (Culp-Ressler 2014).
This one special Tuesday morning that I remember so fondly started just like any other day. My alarm clock went off at precisely 5:15 a.m. I lay in bed dreading to go back to “my hell,” which I called work. When I finally made it to the nursing home, I went straight to the nurse’s station to check what rooms had been assigned to me. I just so happened to get one of the hardest hall assignments, one that I had recently gotten the day before. This made me upset because the nurses were supposed to make sure we got different room assignments every day to make it fair on everyone. I decided then and there that I would keep a positive attitude and do my job the best I could, so I held in my frustration and went straight to doing my morning rounds.
The Image of the Professional Nurse The profession of nursing is one that is held up to high standards and regards by society due to the vitally important responsibilities, services and functions that nurses must uphold and provide to the public throughout many different health care settings and environments. Nurses are obligated to be role-models and demonstrate professionalism in all aspects of their lives. The media has tarnished the professional image of nursing, by depicting nurses in an inappropriate or negative light through creating numerous stereotypes that mislead the public perception of nursing. MTV’s reality show “Scrubbing In,” further perpetuates these contradictory stereotypes that are associated with the image of nursing.
I was particularly impressed by way this meeting dissected critical issues. The participants of this gathering welcomed openness and honesty from all. This meeting investigated ethical issues regarding patient care, and scenarios in which one’s discretion licensed him/her to question a patient’s judgments. This gathering also addressed the issue of productivity, in terms of sustaining it and enhancing it amid a taxing and demanding environment. The participants then proceeded to address common relational issues, which involved disagreements among nurses, and conflict mitigation. After witnessing the dynamics of this meeting, it became readily apparent that conflict
* Check for ambiguity in wording the question – can respondents interpret the meaning of words differently?