Reflection On Administrative And Clinical Work

Pebbles Lafleur05/15/2018HS115My Scope of PracticeAs many people know, there are steps into making into the medical field world. There are still certifications and levels to have under your belt to move up. Many people start as a CNA, then LPN, RN and so on and so forth. However, currently, I am enrolled in school to become a CMA (Certified Medical Assistant) and hopefully adding phlebotomy under my belt as well. Nevertheless, before all this to happen, there is a process to go by and complete it accordingly.To be competitive in the medical field marketplace, all medical assistants have to be certified through the AMA. The AAMA (American Association of Medical Assistants) is the association that is responsible for producing the

My first clinical experience for this nursing program was completed at New England Rehab Hospital. I walked in with some clinical experience but no experience in the realm of nursing or certified nursing assistants (CNA). During that first semester we followed CNAs to understand their job and gain basic nursing skills like bathing patients, bed making and other daily tasks. It was useful and I’m still happy we were able to have that experience. A situation that made me uncomfortable during that semester that one particular CNA never sanitized his hands when entering and exiting a patient’s room. In most hospitals and nursing facilities there is a “pump in, pump out” rule to abide by when entering and exiting a patients room rule to ensure health care workers are not spreading bacteria to themselves and other patients. This particular CNA admitted to me that he pretends to push the hand sanitizer and rub his hands together without actually getting any sanitizer in his hands. His reasoning was that he found it overly drying to use the sanitizer so frequently despite the hospital providing lotion as well.

Critically analyse how clinical governance can ensure accountability of individuals and teams and that nursing practice is safe and of a high standard?

On my first day on the ward it was decided that I should shadow one of the staff nurses to acustomise myself with the ward. During this induction we had to assist an elderly gentleman with sever diarrhoea the gentleman in question was quit large and almost completely immobile. On inspection of the

During my clinical placement, I have done the nursing standard 2 which is engaging in therapeutic and professional relationships. An example of one event in my placement where I have done this standard is when doing interviews in my two-week community placement at the Community Rehabilitation in Armadale Hospital. For my reflection, I will be using the Gibbs’ Reflective Cycle (1988).

In the midst of September 2013, I began volunteering at The Valley Hospital as a pharmacy department assistant. My primary task while attending two-hour shifts was to organize the medicine returned by doctors into specific compartments. Along with that I also had the responsibility to empty medicine carts and associate them into boxes for the next volunteers to organize after I finished my shift. Sometimes, one of the pharmacists available would instruct me to open boxes of saline solutions, tape the appropriate nozzle shut, and use a “price gun” to print appropriate dates on each bag. During this entire experience, I have learned to have responsibility and to act in a mature manner when working alongside pharmacists who are so talented in

Meanwhile, elsewhere in Habersham County, Tom was feeling slightly nervous as he exited the staff lounge and entered the hustle and bustle of County Hospital’s ER to begin his first shift as an RN. The first few hours of his shift passed slowly as Tom mostly checked vital signs and listened to patients complain about various aches, pains, coughs, and sniffles. He realized that the attending physician, Dr. Greene, who was rather “old school” in general about how he interacted with nursing staff, wanted to start him out slowly. Tom knew, though, that the paramedics could bring in a trauma patient at any time.

My day started off pretty well. I am familiar with 3C because my mom is a nurse on that floor. I found the respiratory therapists’ lounge without a problem. I walked in with one of the respiratory therapists and she told me that they all were expecting me, and thanked me for coming on time. I sat in on their meeting, which they do every morning at the beginning of their shift. In the meeting, they went over hospital regulations and reminders on how to use certain devices correctly so there are no errors. Also, they went over hand hygiene. Over all, the respiratory therapists averaged to a 95% of washing their hands in and out of a patient’s room. The manager stated that some of them were only at 50% though. Honestly, that grossed me out. I am a germaphobe. I always have been

During my clinical competency placement, I was working on a surgical ward when a registered nurse on duty asked me to assist Mr. A with his shower. This incident happened on the fifth day of my clinical practice. He was a dementia patient and had undergone right knee total joint replacement. She also informed me that the patient did not like too many people in his room because of his dementia. When I went into his room, his wife was there with him. I talked to the patient about having a shower and getting dressed to look smart and he agreed to have a shower. The patient got out of the bed and walked to the bathroom and sat on the shower chair to have his shower. Then I asked his wife if I needs to stay with him to assist with shower, she said she can help him as she was taking care for him at home since he has been diagnosed with dementia. Therefore, I left the patient with his wife to help with his shower and told her to ring the bell if she needs any help. After some time I left the room, the wife rang the bell. As soon as I entered the room, I heard him shouting at his wife and she started crying and left the hospital. So I had to stay with him. He was very capable of washing himself and I just had to help him wash his back as he requested. After he had washed, I asked him if he was ready to get out of the bath, he started shouting at me.

Whilst on duty on a general ward I was asked by my senior nurse, if I could go down to the pharmacy to pick up some new medication for a new client, who would be needing them at lunch time. On my way to get them, I was approached by another health care assistant who requested my help with a client, who was lying in their own faeces. I therefore felt that the medication could wait, and that my main

Although some clinicians can do it all, the skills set and knowledge needed to supervise a healthcare facility administratively may be far different from that needed to provide effective clinical supervision. To determine these differences and their implications for practice, this paper provides a review of the relevant literature to identify the difference between administrative and clinical supervision and the respective purpose, rights of the supervisee, and the importance of supervisor competence. A summary of the research and important findings are presented in the conclusion.

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

The fact that a tray was never brought to a patient is a serious issue. Nutrition for patients should be a top priority along with their medical care. If a patient is dissatisfied with the care they are receiving, future business and reputations could be destroyed. The first step would be to take care of the patient. Ask the patient what they would like to have and immediately have the tray for them. It would be best to bring the tray to them yourself and personally apologize for the inconvenience and assure them that you will look into why the tray was never brought to them. Once the patient has been taken care of and hopefully calmed down, the next step would be to follow up with everyone involved in the tray delivery, especially the employee

Description: I have been working on the night shift in our ward. Upon arrival from the nurses station at around 2130 and received a handover, the evening nurse then left at around 2145. The handover was brief and basic; also it tackles all the important points that I need to know about the patients. After receiving handover from the outgoing nurse, I also received a ward handover as an in charge for the night shift. After completing the ward handover, I started with my initial rounds into one of my patients. The infusion pump was making a “downstream occlusion” noise, prior to that during handover, I heard a beeping sounds coming from one of the rooms in our ward but we ignored it. When I pointed the torch into the pump and examined the IV lines, I noticed that the administration rate of total parenteral nutrition or TPN rate seemed to be different from what was handed over to me. To make sure that the rate is correct or incorrect, I shuffled through the bedside notes. I looked for the TPN chart and found that the TPN bag had been changed at around 1700 with a different rate. It was more than four hours after the TPN bag was hung and administered at an incorrect rate.

This past Friday at the Cardiac Catheterization Lab my mentor was not there but I still got to do everything that I enjoy doing, like watching procedures and talking to the doctors, nurses, and staff. When I arrived I knew my mentor would not be there so I had asked another one of the ladies in the office if there were any surgeries that were going on for me to watch. After I was given scrubs to change into I was able to go into where the surgeries are happening. I went into the control room that I was told to go and the nurses and other staff were preparing the patient and setting up the computers and everything they needed before the doctor arrived. The surgery overall was one I have seen before and not as exciting as some of the more unique and different ones that I have seen previously.