Personal Narrative: My Clinical Experience

Day four of clinicals was really long. The first patient was scheduled from 8 until 1, he was getting fitted for 4 crowns and an implant crown. When the patient came in he had a horrible odor and looked like he hasn’t taken care of himself in months. I seated him down and the dental assistant just glanced at his teeth and looked at me strangely and whispered come here and look. I look in this old man’s mouth and saw nothing but a brown layer of plaque and calculus build up and it disgusted me. How could someone not take care of their selves? Anyways, we ended up sending him to the hygienist's room next to us and they cleaned his teeth extra good. He came back into the room and Dr. Williams came in and quickly did a check up on his teeth and

The clinic that I am doing my clinical rotation is a small family medical office with one physician assistant and one doctor. It is located in Collier County Naples, Florida. Naples is considered as one of the richest city in Florida with a diverse ethnic group like Caucasian, African America, Asian, Latinos, Haitian, and much more. They see any patients start from 6 years old. Most of the patients who come to the clinic don’t have a medical insurance. They are self-paid. My preceptor is a professor of physician assistant at Nova University in Florida over 20 years.

I had such a great day at clinical yesterday. I was finally able to see a vaginal delivery and that entire process. When I arrived in the morning, the mom had just received Cytotec, to help induce labor and ripen her cervix. She was forty-one weeks and zero. Around ten thirty in the morning, she asked for her epidural to manage her pain. We bolused her with fifteen hundred milliliters of lactated ringers to prevent hypotension. Shane was the certified registered nurse anesthesiologist (CRNA) who administered the epidural. It was very cool watching him administer all the needed pain relief medication before he administered the epidural to make sure that it would be placed in the epidural space in the spine. Then administered a small test dose, waited till a few blood pressures were taken, then administered the remaining about through an epidural pump. After the epidural was administered, I was able to administer her foley catheter. I was so happy that I was finally able to place one. I learned a few tricks from Maura (my nurse) as well. She taught me that it was easier to take the top off of the lubricant syringe and to place the tip of the foley inside of the syringe, that way it will not wiggle around and become unsterile. She also taught me to grab from the bottom of the labia and pull up, that way it ensures that I will have a clear entrance to

I have had multiple clinical practices, however, out of all the experiences during my shifts, there is one particular event that holds great meaning for me. This event happened on my fifth clinical day of this semester, which was the day I first dealt with two clients.

My first week went really well! I was definately both nervous and excited on the first day. I was nervous because I wasn't sure how the clinic would run and I quickly learned that it is a very fast paced clinic. My CI sees patients every 15 minutes and he is both the only PT there and the owner of the clinic. I have been learning a lot about PT treatments as well as the buisness side of the PT clinic. He has a lot of PT aides that help with exercises and setting patients up with ice and stim ect. The fast paced clinic was definately something I had to get used to. I was a little overwhelmed when we would just start with a patient and a new patient would walk in the door. However, there is a very good flow in the clinic and everyone is always

My first clinical I felt my greatest accomplishment was not being shy and hesitant. The first day we had clinical was the first day that I got the opportunity to float to another floor, I was very nervous at first. Going into a new place for anyone is different at first because you don’t know what to expect. I think what made my experience so great was the endoscopy nurses and doctors, they were some of the nicest and helpful people I’ve met so far. I got a wonderful opportunity to learn next to the doctors doing the procedures and also see other roles of the healthcare team like the nurse anesthesiologist.

Today was the second day of my 6-week placement at Ward 3A-Logan Hospital, I have originally been paired with a demand casual pool RN, however, the said RN is not confident enough to handle me as her student nurse at the time. After the scrum at 7am, and the handover on the 4-bed bay + sides, I politely ask her if I could take one patient as it was one of the instructions of my CF during the orientation on day 1, but I was answered with “I’m not really familiar with the area and I’m from the demand casual pool...” Having sighted my CF at the corridors, I excused myself from the RN and discussed the matter to my CF, and she allowed me to be buddied with a very good EN, informing me that “she is an EN” before letting me to the bay and introducing me to my new buddy EN.

I had just turned sixteen, the year of driver license, college campus tours, and the peak of teenage angst, when my school's guidance counselor requested for my mom and dad to be brought in for what she described as a “heart to heart” confrontation.

This week I had rotation at Genesis and also Cumberland Hall. Genesis was very different that what I expected. When I think of a “rehab” I think of people all sitting around with major withdrawal symptoms, a very strict schedule, multiple one-on-one session, and with no smoke breaks. At Genesis, throughout the day the client was able to do their own thing until the scheduled group session and smoke breaks. I was placed on the male unit and I was very surprise of the self-awareness that I experienced. Just listening men talk and tell their stories brought on a whole new prospective and quickly changed the image of the addict stereotype. While I was there we also established that all the clients was first timers and all fathers, and afterwards I was able to sit and think about how grateful I am to have my father who’s not an addict. I have had the luxury of always having a clean and sober father; which I had taking for granted.

Our clinicals at Cadbury at Lewes is quickly approaching an end and we are still learning new things each day. Everyday we do something new and so another skill is checked off. Yesterday, we got numerous things done, it was a very busy day.

My first clinical was a good experience because I learned a lot. I would say my first day involved experiences that I was expected to learn but also ones I didn’t. I learned that getting up at 5am in the morning really isn’t as bad as you think, once you get your coffee paid of course. As well as the drive from Valpo to St. Mary only talks about 20 mins. As soon as I arrived at the hospital, I expected to learn about what we as student nurse would be doing, as well as that since it was the first day, learn are way around the hospital. I wasn’t to nervous about going to a hospital for clinical, but as Soon as I stepped on the oncology unit I got a little nervous. It hit me that I was no longer just practicing vital and providing base care to

Growing up our fears circle around things like monsters under the bed and in the closet, but once we reach the adolescent stage the monsters are a lot less physical. We almost become like superheroes unable to be harmed, indestructible. Situations where we are the ones lying in the hospital bed are few and far apart. I had forgotten I am not invincible, and rather than blowing off the amount of pain I was in I should have done more about it.

“I’ve learned that people will forget what you said, people will forget what you did, but people will never forget how you made them feel.” - Maya Angelou

It’s been a year since the incident. Everyone is either gone or is trying to leave but the wealthy who are isolated from the rest of the nation, living large. We all thought it was possible, but no one thought it would actually happen. We didn’t think this country would run itself so far into the ground that it is beyond recovery. No one thought he could do this. Tuesday, November 8, 2016. The day it all started, the day he came to power. Everyone was either watching it happen live or asleep in their beds. Once morning came it was official, he became our president.

I remember when I started my recovery I was discharged from the detox program into a six month transitional program. Transitional living that deal with people recovering from addiction are often referred to as recovery residences. The Transitional Living Center provided me a place where I could re-establish my own self-worth. When I was at the transitional housing I felt safe from the possibility of a relapse. My recovery plan was individualized according to the determination of my needs. They taught me what my triggers were and how deal with them in positive ways. I remember when my six months were up and I was getting ready to be transferred into the supportive housing program to be integrated back into the community. Supportive housing allowed