Reflection Of My Clinical Scenario

The event that stood out the most to me during my clinical experience this month was when my assigned patient and her family began asking questions about the care the patient was receiving and other non-medical related questions.

During my first day of clinical, I encountered an issue that I believe is very significant. As a student nurse, our duty for this day was to follow our health care aide around the ward and assist in completing resident care. The resident required assistance in many of her daily tasks. The health care aide asked if I would perform one of those and do perineal care for her. I turned down her offer because I did not feel comfortable with my skill level. The resident had a bowel movement during the night. There was a significant odour in the room that overwhelmed me. I really wanted to leave the room because it was so unpleasant, but I stayed in the room so that the resident would not be embarrassed. This feeling of embarrassment, I assume,

Throughout my clinical experiences, there have been quite a few circumstances I have been placed in that have remained with me whether good or bad. All of them have been learning experiences for me whether it is how to improve and to do better next time from a mistake, for me to learn that this is or is not how a patient should be treated, how to handle family situations, and many others. One experience that I was able to participate in that will remain with me because I had not experienced this before was during my critical care rotation in the fall of 2015. This patient was dying and we were implementing comfort care for him.

This last week at clinical was my favorite week of the entire semester. I could have spent all day in the neonatal intensive care unit (NICU). I am very thankful for the opportunity I was given at Cardons. I started in the unit where the babies were not critically ill, but still needed some developmental assistance before they could be discharged home. I cared for a set of twins who were on total parenteral nutrition (TPN), were fed breastmilk through their nasogastric tube (NG), and were not on any medications. Their mom is very active in their care and seemed thankful of the nursing staff for taking such good care of her babies. She comes to visit them every day. Her husband drops her off before he goes into work and picks her up on his way

Case Scenario 1: It has become necessary to ration a vaccine for a contagious disease. There is only enough vaccine available to cover 75% of the U.S. population. It is necessary to determine an appropriate method for doing this. Analyze this case by applying each of the theories of Utilitarianism, Rights-based, Justice-based and Virtue-based ethics as discussed in Module 2. (20 points)

My clinical day of week 3 started pretty much with the same routine. I had to shadow a CNA preceptor and helped her throughout her assignment. By late morning, I have encountered a patient that at first refused to have a conversation with me despite my efforts of searching the right therapeutic questions that will make her open up to me. I founded the situation to be a little bit frustrated and made me feel unsuccessful that I was not be able to form a relationship with the patient. I did not know what to do or what to say. She just kept staring outside the window without saying anything. At lunch time, she surprised me when she approached me and expressed her apology for her earlier behavior.

2014, P. 85), the true explanation of presence is making self-available physically to patients as it promotes patient trust, honesty and openness. I have witnessed instances in which patients would not receive care from other nurses unless a particular nurse was presence. In the patient’s statement “I will not take my injection unless nurse X is present because she is the only one I trust.” According to Hood, (2014), presence, empathy, respect and genuineness are the principles of communication that facilitate successful collaboration. The use of presence enables nurses to concentrate their energy on patients during interactions. Although nurses may not always be present after the initial nurse-patient rapport, experience obtained during the initial encounter cannot be apprehended with words, which may create intimacy and assurance between the nurse and the patient. The use of presence “values the therapeutic use of self in patient care” (Massachusetts Department of Higher Education, 2016: p. 33). By establishing rapport, it helps to build an effective nurse-patient relationship whereby creating an avenue of

S: How was your clinical experience this week? This week was an okay week. I spent most of my time trying to get back into the swing of things. I was a little rusty at the beginning of the week but it got better as the week went on.

In the midst of attending a party with his friends, a random, ricocheted bullet pierced the right side of his head while he was trying to break up a fight. The bullet blew away part of his skull and lodged into his brain. When he arrived in the trauma bay, medically he was dead- no pulse, no spontaneous respirations. His family was forewarned that if he woke up there was a strong possibility that he would never speak or walk again. The patient- B.H., was a seventeen-year-old high school senior, who was class president, and captain of the football team when he was shot. During his month long stay in ICU, the hospital staff worked around the clock to ensure that his issues were properly managed. Despite all odds, B.H. is currently in his senior year of college, plays semi-professional football, and works two jobs. What was particularly fascinating, was the way the physicians were able to prioritize and execute their management in a dire situation. The intricate thought process of managing the patient as a whole,

The critique of clinical relevance is a necessary part of the appraisal process. It allows the reader to gain insight into the application of the research that has been conducted. The discoveries from this section provide direction to future health care providers in order to improve outcomes for patients in the clinical setting.

In my clinic this week I was taught how to assess the rooms for checked in patients and clients. I found out that before going into the room to talk to the client about the patient I should look at the patient's chart. When looking through the chart I will be able to find out why they are there and if they are due for anything. After assessing what I should ask for the history I go into the room and get as much information as possible. I was told when talking to the client I should ask open-ended questions due to the fact that this will allow the client to give me more detailed answers. While in the room I should also get some vitals unless the patient is aggressive. These vitals are temperature, heart rate, respiratory rate, mucus membrane,

On my list I have a young, 54 year old male, with past smoking history. His main tumor is 3cm involves _________, bi-lateral involvement of _________at 4 and 6cm.

In the absence of serious neurological deficits and persistent non-radicular low back pain, sufficient evidence has not been established on whether or not surgery is useful.

Comparing my clinical experiences from last semester to this semester, I would say that I have already experienced more this semester than I would have at this time last semester. Even though I am doing LNA work while incorporating RN aspects, I feel the work that we are doing this semester is more RN aspect based rather than LNA work. Clinical was my favorite part of last semester, and it is still my favorite part of the semester. Over the past couple of weeks at Riverside, I have had numerous new experiences, including following a nurse, following the wound care nurse, and going in on my day off to follow both the wound nurse and the nurse practitioner of the facility.

Also, the objective is to find patient’s document finding and correlate it with chronic disease process of elderly adults. With this reflection, I will discuss what I’ve learned, and my strengths and weakness in my clinical experience.