Personal Narrative: My OB Clinical Rotation

1) I learned that you are always busy while on the floor. There was always something to do both on the OB floor and in the clinical setting. On the OB floor, I was always in a patient’s room assessing, and helping in some way, or I was in the nurse’s station charting. At the Women’s Health clinic, we were constantly bringing patient’s back into the exam rooms, asking questions about health history, answering questions, and assessing. There was very rarely any down time.

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 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.

I was at Hamad General Hospital shadowing medical professionals of different specialties to get an overall idea of what the medical career was like, I was at ED (Emergency Department) when suddenly and with no previous warning “Cardiac Arrest !,” yelled the nurse, in moments emergency specialists were standing above the 16 year old male patient head sorting out CPR, AED etc..; first shock was delivered, the second and third followed, but the teenager didn’t even blink, he lay lifelessly, few more attempts and the white blanket was pulled over him; I couldn’t believe my eyes, I had witnessed an in-hospital death for the first time; trembling and shaking, I walked out of Bay-1, with a completely new meaning of medicine.

This experience opened my eyes to a field of nursing I hadn’t ever considered before. Concrete As soon as I walked in, I was greeted by a nurse who told me we were about to go into a c-section and that I needed to get gowned up. I was really surprised and really excited that I was going to get

My second clinic rotation is internal medicine and I’ve had many encounters, both with patients and colleagues, which have made me pause and reflect. One of those encounters, in particular, will still be on my mind long after I finish typing this reflective journal. The patient at the center of it all is a lady I’ll refer to from here on as “Mrs. Flowers.” Mrs. Flowers is an 81 year old female with dementia and diabetes. She arrived on our unit with a diabetic foot infection that had progressed from a simple toe ulcer to wet gangrene. Over the last 2-3 months, gangrenous changes encompassed the distal half of her left foot. During pre-rounds, our medical team unanimously agreed that we would contact surgery for a consult. At time, it was obvious

The CNO then provided time for anyone who wished to bring new ideas for discussion. The CMO, named Dr. M. for anonymity, inquired about the risk of infection secondary to retrograde urinary flow during patient transportation. The research members offered to perform a literature review, and the CNO provided a completion deadline. Amy, used for anonymity, from the emergency department described her observations of first-year resident physicians inserting indwelling urinary catheters. She noted a lack of documented competency regarding residents inserting urinary catheters. Dr. M.’s body language appeared defensive with folded his arms, and he made a minimalizing remark about how physicians are not the cause for CAUTIs. Another nurse rebuked the comment, and Dr. M. agreed to add a competency assessment during the residents’ orientation. The CNO commended Amy for bringing her observations to the team’s attention. Before this meeting, patients were at risk of harm and infection as physicians were inserting catheters without proper documented competency. Now that Amy spoke up, the facility will ensure all who insert indwelling catheters will have proof of

Week three in clinical was difficult for me, I had a great experience overall but I hated seeing and holding a baby that had passed away at 21 weeks. To know what the family could possibly be going through was heartbreaking. I wouldn’t exactly know what to do if I was with the patient and her family exactly. I do know that I did place her in the room when she was admitted to triage. I do feel good about seeing the scenario play out, while being a student rather than being in the field alone. Other than that I was able to see the beginning stage of labor as well as a C-section. Everyone was so bent out of shape on making sure I eat and that I don’t faint, but it seriously wasn’t bad. As a matter of fact I was too intrigued with the mother rather

A unique experience that I had at Norton Women’s and Children’s Hospital was that we also covered labor and delivery and the mother-baby unit. Most of our programming and interventions on these units involved bereavement and grief support, sibling education/support, and memory/legacy making. From my coursework and volunteer experiences at the University of Charleston, South Carolina, I had a solid foundational background with grief and bereavement through our child life courses, our death and dying course, our experiences with Shannon’s Hope, and our experiences with Rainbows. A family is forever changed when there is a loss of a family member, specifically a child (Pearson, 2005). A parents reaction to the death of a child greatly differs

During my time shadowing physicians, I have realized that physicians need to be expert listeners in order to effectively assess a patient and fully understand their problems. I observed that the more a physician actively listens to their patients, patients trust their physician and can openly express any further troubles. My upbringing has given me the ability to be an effective listener. Raised in a quasi-conservative Indian household, I learned to carefully listen to everything my elders have to say. As a physician, I will take advantage of this skill to be an active listener for my patients and be able to better implement the appropriate treatment plans.

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.

Medical Student Clinical Rotations – I worked in diverse outpatient specialty clinics with a team of health care professionals obtaining a detail patient medical and health histories, executing physical examinations, relating the finds to supervising physician and participating in a discussion about lab and image tests as well as best treatment options. Furthermore, I was responsible for

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

After clinical orientation, I fell a sense of relief just from knowing and seeing where I will be spending my hours and also getting familiar with Cumberland Hall staff. Since the first day of class from hearing all the stories, it is easy to imagine in your head what you think the facility will look like or the risk of potentially getting harmed; which is usually not a pretty picture. I imagine an old building with bad dark

I explained in details to Jude about parking , public transport ,lunch facilities and other daily requirement to facilitate an environment that is conducive for her learning(Quinn and Hughes,2007 ,p.29). At the end of orientation, I gave Jude an orientation package about the placement. This would enable her to learn about clinical issues which would ensure a good start and her understanding about the department (Rose and Best, 2005, p.55). I have chosen to do a comprehensive orientation, to make her confident and support her learning in practice (NMC, 2008).