Preceptor Experience Essay

My OB clinical experience has been great! I have gained a lot of experience and knowledge from my clinical professor and the nurses on the unit. I have learned so much. In the beginning I felt confident going in and talking to my patients but not caring for them. I was not confident about reading the EFM strips or even touching a patient in active labor due to their pain. Even at the end I still was not comfortable dealing with patients in extreme pain I think that’s a learning

However, there are issues with this system as well because the computer is only as smart as we allow it to be. If pharmacy puts in the computer the wrong medication or dose, or information is incorrect, the computer will still allow you to administer. It goes back to communication, knowing your patient and how important it is to still ask questions and have conversation with your patient about the medication you are about to give them. Read their history and physical to get a better idea of everything going on with your patient so we can continue to provide safe quality care.

It’s not simply the particular giving of the medications that fare up all the time. It is checking the medical record with the hand written prescriptions, grouping the varied medications and also the instrumentation for giving them, and ensuring all the patients safety measure are covered.

My clinical experiences working with my preceptor thus far have been constructive. She holds strong organizational and leadership skills necessary to interact with stakeholders at all levels within the organizations. My preceptor provided guidance and insight in choosing my project focus, to create another infection control position in the hospital, because I have never performed this function in my management role. Joyce believed the proposing approval for an additional position for the Infection Control Department would be the most beneficial learning experience for my practicum to tie in both leadership and organizational transformation. My preceptor examined my self-assessment write-up and discussed my leadership style, while offering insight of my weaknesses and strengths. Her leadership style combined the various leadership styles as the situation at hand when providing me guidance. She suggested doing a self-reflection of myself to determine these weaknesses and strengths to determine my personal goals in becoming an effective leader. She also provided guidance in the development of my goals and objectives to meet the assigned SMART goals. She said that a goal is an overarching principle that guides one’s decision-making, which is literature based.

A pharmacist must check any medication that is administered to a patient. This is the

Over the course of this preceptorship, I have written a few different journals with the nursing process as my topic, the reason for this is because the nursing process is everywhere and has become a part of my day to day life, not just during my different clinicals over these past couple of years, it has spilled over into work, school work assignments, and home life, as well as. I now find myself assessing everything that needs to accomplish throughout my day and developing a plan of action, setting priorities to works towards their completion. Another topic that I feel is very important for a nurse is professionalism and important in developing a trust with the patients in your care, as well as, to earn the respect of your fellow nurses and other members of the hospital staff. Over these past couple years and I have seen that many of the patients and their families look to their

According to the Food and Drug Administration (FDA 2009), the wrong route of administrating medication accounts for 1.3 million injuries each year. An article published in September issue of the Journal of Patient Safety estimates there are between 210,000 and 400,000 deaths per year associated with medical errors. This makes medical errors the third leading cause of deaths in the United States, behind that comes heart disease and cancer. To prevent medical errors always follow the Three Checks and most importantly the Rights of Medication Administration. The “Rights of Medication Administration” helps to ensure accuracy when administering medication to a patient. When administering medication the administer should ensure they have the Right Medication, Right Patient, Right Dosage, Right Route, Right Time, Right Route, Right Reason, and Right Documentation. Also remember the patient has the right to refuse, assess patient for pain, and always assess the patient for signs of effects.

rights, health, and safety of the patient.” This provision, identifying patients, medication safety are related because it is a nurse’s responsibility to protect the patient from harm and promote safety. Nurses are taught to use multiple checks before administering a drug and use two identifiers. These checks include checking the medication against the order when obtaining it, checking again when preparing the medication and the last check is done at the patient’s bedside prior to giving the medication. Also it is imperative to question any medication order that does not seem fit. The order should include a date, time, name of the medication, dosage strength, the route for

There have been several studies exploring the development, implementation and evaluation of preceptor programs for advanced practice nurses. Bahouth and Esposito-Herr (2009) described a formal, 12-week orientation program for newly graduated nurse practitioners that helped to integrate those providers into the clinical teams. One part of their program was the assignment of a NP preceptor for the new employee, which was found to be effective in reducing the new NPs feelings of isolation. In addition, Baumgartner and Williams (2014) developed and evaluated a mentoring pilot project, inclusive of a variety of advanced practice providers (APPs), which supported the program’s ability to improve inter- professional networks and system supports. Furthermore, Sorensen (2010) developed an orientation and mentoring program for APRNs and physician assistants.

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.

For many patients the scariest part of being in the hospital is having to rely on other people to control your life changing decisions. One large part of this is the medications one is given while in our care. I can only imagine what it must be like for patients to have a stranger to come in and start administering drugs to me. This would be especially scary if I did not know what these medications did, or what negative effects could be caused by taking them. Unfortunately, the fear of medication errors that many patients have are not unfounded. Estimates range from 1.5 to 66 million patients a year have medication errors occur while they are in the care of health care professionals. Considering all of the technology we have at our

It is the nurse’s and pharmacist’s job to be cautious and aware of every medication they are administering by using their critical thinking skills and applying what they know to every situation. Although it is important for these individuals to be able to advocate for their patients, it also imperative that prescribers be aware of the impact they have on their patients as their actions have a domino effect. In conclusion, it is not the responsibility of a single profession to maintain safety in medication administration. It is the responsibility of everyone involved in the patient’s care. Each person who takes steps to improve the process and promote the patient as the number one priority is doing their part in refining how the healthcare system views medication

My nurse preceptor today was Patricia. Patricia was an amazing preceptor with an immense amount of knowledge. I enjoyed Patricia’s passion for knowledge. She just finished her DNP. She spoke to me about how she also held two bachelors degrees and a masters in nursing. She was very caring of her patient and showed compassion to not only the patient but the family as well. I don’t think I would have done anything differently because she was a great patient advocate, caring healthcare professional, and great at time management. I was fortunate to have worked with her today in the CICU. We had a 1:1 assignment, a 67 year old male who had a STEMI. Ultimately, he ended up needing an intra-aortic balloon pump (IABP) to assist his heart. This was placed 8/31.

Before this module, I never really thought of inappropriate medication prescribing by a physician as a medication error, or the inappropriate use of a medication. I agree with you that as patient you need to tell your doctors all of the different types of medication that you are on, in order to help prevent any type of medication errors. My grandma is on a lot of medication, but when she goes to her doctors’ appointments, she makes sure she brings all of her medication with her. I find this to be helpful for herself and for her other doctors. Even though a patient may bring her list of medications or bring her medications with them, as a doctor you should still ask about her medication and if there are any that she may of forgotten. If a physician

There are other pharmacy staff who also have roles in relation to the safe dispensing of medicines. A pharmacist is responsible for: Overall checking of a prescription to make sure that it is legal and written by a person qualified to do so, dispensing the right quantity of the correct medicine, ensuring that medicines are correctly labelled with the person’s name, the name of the medicine and the dosage, providing advice and treatment for minor illnesses, injuries and health concerns, providing a repeat prescription service in co-operation with GP