Observation Of Correction

I was really proud of myself yesterday. I finally got the chance to get practice using IV pumps. I have been wanting to get practice with them for a long time, but never had the opportunity to. I was definitely nervous about it because I’ve never used the IV pumps, and I had no idea of what to expect. I think I did well with them pumps, and I think I didn’t show my nervousness. This week I do believe I made some improvements in areas where I needed to improve in. This week when my patient received a new medication, I was on top of getting the medication administered. The last time I was in Newberry I did not make my patients new order a priority like I should have. I am learning how to receive information from my nurse and determine its prority.

The second week of my preceptorship brought many new experiences for me, and I can honestly say that each day I spend with my preceptor is better than the last. This week I focused on time management of a full patient load with continued documentation practice as well as admission and discharge procedures. I’ve had brief experiences in my past rotations assisting with discharge teaching and admission assessments however I have never been able to fully take charge and complete the process from start to finish, so this was a great learning opportunity for me.

As individuals and as a group, we have worked hard, we toiled, we endured, and we have come out better, with more passion and more confidence than when we began. We have survived all the different rotations, shifts, and calls, the sleepless nights and the chaos and adrenaline of the emergency room duty and the rigorous training examinations. I believe we are all proud to have made it to this day. In all sincerity, today represents a landmark achievement for each of us and our families. It is to our loved ones and all those who encouraged us through this long journey from preschool through residency that we owe our deepest thanks. The encouragement from family, friends, colleagues, faculty, staff and strangers have played a vital role in our success.

In Denver, we worked at three different metropolitan area hospitals in medical ICU’s. Each of these hospitals provided great learning

As I walked toward the bright red sign that flashed emergency, I had no idea that I was about to witness the fragility of life. About a half an hour after my clinical shift began the rapid response alarm blared through the emergency room speakers. I was excited. In my previous shifts I had worked with the rapid response team. During rapid responses more extensive medical procedures are performed, and as a student I got to see and do a lot more. Once I reached the recess room, most of the team was already there preparing for the arrival of the patient. “It’s a STEMI” announced one of the nurses who was on the phone with firefighter’s that were bringing him in. After she announced this fright ran through my veins. I had never seen someone who

My patient was a pleasant eleven year old male who didn’t display any major health disorders besides being slightly overweight. His mother was present during the process and the patient was able to provide reliable information. I did a good job communicating with them both keeping in mind the developmental level of the patient. We discussed several things ranging from his eating habits to his playing

During my time on 3000 pediatrics I was a part of an IV insertion in a young seven year old patient which was quite traumatic. The nurse was assisted by the patient’s father and three other nurses to hold down the patient so the IV could be properly inserted. As I observed the procedure and watched the patient be incredibly resistant, it occurred to me this would never happen in the adult world; once a patient says no as an

The patient was sitting in the corner of the hallway, when the clinical staff got engaged with her and explained

I had my first visit at the Watoto Pediatrics in Manassas, Virginia on 30th of August 2016. As soon as I arrived at the Watoto pediatric, my preceptor gave a tour of the site and oriented me to the charting system. We discussed regarding my goals for the next couple of weeks and expectation from the preceptor. Since it was my first day, I mainly did observation. We saw over 15 patients. The reasons for the visit were: well child visit, rash, cough, cellulitis and ADHD medication refill. One of the differences in providing care to the pediatric patient is that they are always accompanied by either one parent or caregiver. We always start our conversation by talking and interacting with the child. While talking to the child, we glance at parent

“I hate Marietta, I hate Marietta,” my new patient chanted. To his credit, he had retreated to his upstairs bedroom and was speaking quietly, no doubt thinking I couldn’t hear him. He was clearly upset when I arrived earlier that morning, but I was not aware of anything I had done to cause this. David* was generally energetic and happy, but could turn sullen and bossy very quickly. He was also resistant to the most basic aspects of his care, such as toileting, and had a very difficult time transitioning from fun activities to his g-tube feedings. My relationship with him would prove to be both the most difficult and the most rewarding part of the job.

The purpose of this journal is to reflect on my experience and skills gained during my clinical placement at Ben Taub Hospital. On my first clinical day, I was excited and nervous at the same time. My first placement was in the PREOP/PACU area. I was assigned to help a patient who had been in the PACU area going on 2 days. Normally, once the patient comes from surgery they are only in the PACU area for a short period of time before they are discharged home or given a bed in another area of the hospital. This particular patient still had not received an assignment for a bed. The physicians would make their rounds to come check on him daily. The patient was a 28-year-old Hispanic male, non-English speaking, he had a hemicolectomy. He had a NG tube, urinary Foley catheter, and a wound vac. My preceptor had just clocked in and she needed to check on the patient’s vitals and notes from the previous nurse. Once she introduced me to the patient and explained while I was there, she then asked me to check his vitals. (Vital signs indicate the body’s ability to regulate body temperature, maintain blood flow, and oxygenate body tissues. Vital signs are important indicators of a client’s overall health status (Hogan, 2014). I froze for a quick second. I have practiced taking vitals numerous of times and I knew I could do it correctly. I started with the temperature first, when I was quickly corrected on a major mistake I had made by my preceptor. I HAD FORGOT TO WASH MY HANDS and PUT

Everything in my second week of clinical was definitely a new learning experience for me. For the first time, I finally got the chances to take a BP on an infant. Unlike the adult BP, the cuff is put at the lower leg. The patient I got to take care of was a 9 months baby girl that been admitted for Esophageal atresia and Trachesoesophageal fistula. She was transferred to BCH due to poor weight gain, impaired nutrition, and evolution of esophageal tear. She was such a cute little patient who likes to be held especially by her mother. Comparing to other normal baby, you can tell she was having delayed growth development due to her size. Since she was not growing, she was on a quarter-liter of oxygen which is a lot of an infant. Through all my

This Friday, September 15th, I had my clinical observation experience in the ED. I was there from 7:00 am till noon, viewing the flow and duties of the nursing staff on the unit, as well as practicing the skills I have thus learned in school. Throughout most of the morning, I followed Jessica, who had been a nurse in the ER for ten years. It was an insightful experience that broadened my previously limited knowledge of the roles and experience of an emergency nurse.

Before the procedure, nurses should encourage the child to talk about his feelings and ask any questions to ease any anxiety he may be feeling. Explain to the child the steps of the procedure and what he will see, hear, and smell. Be honest about the procedure and tell the child exactly what he will feel. Children may feel a sense of relief if the procedure they are about to experience is demonstrated to them on a doll, modelling clay, or storybooks. During the procedure, nurses should try to maintain a positive, calm atmosphere. Music is often an ideal distraction for children. Including children on the decisions about their care promote cooperation. To include children, nurses can have them pick what color bandage to apply, choose which arm to give a shot in, or decide on a flavor of nitrous oxide to use. After the procedure, explaining why the procedure needed to be done, answer any questions the child may still have, and provide additional comfort to remain trust from the child. Nurses should always praise a child for their cooperation by giving them a sticker, sucker, or toy. If a child is praised with a reward, they usually cooperate during future procedures. If nurses do these procedural actions, the child is more likely to cooperate and a restraint is less likely to be

When the examiners greeted J~ in the waiting room and invited him to the therapy room, J~ met their eye gaze and immediately exchanged social greetings. He easily separated from his father and transitioned well to the evaluation. He followed the examiners directives and sat down at the table to complete a puzzle. J~ participated in the puzzle activity without questions and grabbed the puzzle pieces from the examiner’s hands instead of verbally requesting for more pieces. He required verbal prompts to request for additional pieces to complete the design. J~ intermittently responded to the examiner when she addressed him. He responded to yes/no questions and occasionally responded to danglers. He was intermittently requested additional information or posed questions to the examiner.