A. Clinical Strengths & Needs • Strengths: I met a few objectives this week such as being able to communicate well with my staff and peers and demonstrating professional behaviors. An example of how I demonstrated objective 2, was in the practice lab, I efficiently explained to my peers which Personal Protective Equipment is needed during a current precaution such as droplet and airborne. I also demonstrated objective 2 when we had our one on one meeting and I told you about being nervous for clinical as I have had bad experience with dementia patients. I appreciate you reassuring me that I will not have a combative patient as I truly do want to have a positive clinical experience as well as a therapeutic relationship with my patient. I demonstrated …show more content…
I felt there were many skills crammed into one day. I need to continue to practice the skills outside of class as I think this will help me feel less overwhelmed. I also need to learn how to balance school with exercising. I have a habit of putting school in front of exercising. And I personally feel to be able to effectively care for my patients, I need to care for myself first. B. Focused Assessment/Clinical Note (format TBA per instructors) My orientation to Landmark was a positive and an exciting experience. All the staff at Landmark were extremely welcoming and I cannot wait to start caring for my resident. My goal and hope of this experience is to give my resident the best possible care. I know this experience is going to challenge me and assist me to be the best nurse I can be. My experience in skills lab was enjoyable yet overwhelming. I loved the thirteen different stations such as learning how to assess/listen to heart and lung sounds. However, there is so much to know it became overwhelming. But with practice, I will become more comfortable with the skills. C. Clinical Learning Objectives • List 2-3 learning objectives for this
One of the major contribution to my excellence is my passion for the health and medical field. I think when you are passionate about a career, the subject is not as difficult because you enjoy learning new materials and are eager to expand your experience. Which is why i am doing very well in my rather difficult class, Surgical Technology. I have to attend this class everyday for approximately three hours, which can seem grueling. But for me, unlike my other courses, this class flies by so quickly because the information is compelling and I enjoy everything I learn.
Looking back on this clinical day, I would state that I effectively met my overall goals for the day - Safely and efficiently administer medication, enhance my nursing/CNA skills, and determine how to implement infection control into a health care setting. During medication administration, I did come across some difficulties – dropping a few pills and being unsure of the medication in the med cart – but that did not prevent me from safely administering my medication. I completed the three medication checks, while ensuring that I recognized the six medication rights. This experience sanctioned me to acquire comfort in passing meds, and permitted me to see how to prioritize time when a patient takes numerous medications. Alongside medication
I had found out about this class through my high school. It was through to Mayo Clinic in Lake City. It was a two week course. My class happen to be the very first class that Mayo had held in Lake City. So it was a little disorganized. First day of class I was very nervous. I did not know what to expect in this class. When I showed up I only knew a couple of the other students. When I first met Melissa I thought she was going to be a very strict teacher. So I thought the class was not going to be very enjoyable. Every day we started our day by taking each other’s blood pressure, pulse and respirations. Counting someone’s pulse can be very tricky. She made us try with everyone because everyone is different. We would read one to two chapters a day in our text book. We would have a test for each chapter. We also had memorize vocabulary words and abbreviations. We had one big test on them at the end of the course that we had to pass in order to go on to take the test for the class. She would have us practice them every day.
Overall, I do not feel like a great deal of improvements needed to be made in my delivery of care. I felt comfortable communicating with my nurse and the health care team, assessing the patient, and educating family members. My nurse did not feel well, so she started off the day a little on edge and irritated, but through showing that I was willing to assist her in any way possible, she was more than willing to assist in my learning. I could improve my delivery of care by asking my nurse more questions and looking up more information in the patient’s chart. I noticed that the layout of the NICU was quite different than last week, so I did not have a computer to look up patient information, but rather, I looked alongside my nurse.
My second clinical day at Mercy Defiance Hospital, progressive care unit, was overwhelming but rewarding and very educational. Through the 8 hours I was there, I learned a lot. I engaged myself in many self-directing learning practices to futher promote my professional growth. My first time interaccting with my patient,I was joined with my clinical instructor. While in the room, I got to listen to to my patients heart, lungs, and bowel sounds. I was able to see and examine the patients ostomy bag, as well as help them to the bathroom. There were ways that I can improve my professional growth, suchas,having the confidence to not second guess my self about things to do in assessments. For example, I know how to assess the lungs, I should not second guess where to listen for the sounds. One of my goals for next week dealing with professional growth would be to have the confidence to know what I have learned and use it. My second one being to go into the room with a confident attitude and believe in myself.
Write one goal and one measurable expected outcome related to your nursing diagnosis. Explain why this goal and outcome is a priority. Include cultural considerations for this client.
My performance and effectiveness of my communication and organizational skill in clinical was not the best this week, due to not following up with my instructor after she checked my patient’s that was being transfer chart. I will improve by following up with my instructor after
When she finished a successful completion of 18 hours or more, she will be eligible for a nurse assistant certification. There were a total of three session, her groups was number 8 and she has an instructor named Fugate. It was assigned in clinical rotation depending on what date and times the students picked like Jennifer’s date, December 16. She excitedly explained the fact that she became more proactive and optimistic. As she learned the daily lives of the patients, she said, “There was no doubt that each and every patient expressed different verbally or by using their gestures to communicate; they must also be treated with love and care.” She really understood and acknowledge that helping others can be enjoyable. For instance, these practices like communication, observation, and documentation skills will useful to recover injured or disabled people. She knew some of the situations that the residents went through. While studying and interacting with patients, she proclaimed, “This was a necessity to get a basic grip on what you’re doing in the future and what you’re going to get into” Basically, this will get her a certified nursing assistant with college credits and opportunities. For those who never tried it before, the people may regret their decisions since they missed out on a new and intoxicating experience. A significant information that people needed to be informed and
As a nurse and future APN, my strengths are characteristics that are important to have in order to provide good bedside manner and overall car. They include being
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
My reflective clinical practice experience was based on my eight weeks placement in an acute mental health ward in a hospital. I was not sure of what to expect because I have never worked or placed in an acute ward and this was my second placement. Before starting my placement, I visited the ward and was inducted around the ward. This gave me a bit of confidence and reassurance about working in an acute ward.
I decided to take this class because I wanted to find out if working in the medical field was really something I was capable of doing. Without a doubt, it has always seemed interesting, but I was always conflicted because I did not know rather or not this was something I
My interest in providing culturally competent care inspired me to become a nurse practitioner, but most of all the inspirations came from the wonderful diverse patients I have had the privilege to care for throughout my nursing career. My primary objective is to care for underserved population communities. In my career, I have seen lives been cut short that would have been saved if only they had made it to the hospital in time. But because of reasons including lack of health care access, knowledge how to access care, cultural and religious beliefs, language barrier, and fear of being judged by medical professionals led them not seek medical attention.
This essay will discuss a clinical skill in which I have become competent in practicing. I will use a reflective model to discuss how I have achieved the necessary level of competence in my nurse training programme. The reflective model I have chosen to use is Gibbs model (Gibbs 1988). Gibbs model of reflection incorporates the following: description, feelings, evaluation, analysis, conclusion and an action plan (Gibbs 1988). The model will be applied to the essay to facilitate critical thought, relating theory to practice where the model allows. Discussion will include the knowledge underpinning practice and the evidence base for the clinical skill. A conclusion to the essay will then be given which will discuss my reflection skills, acknowledge my competence and show my personal and professional development.
I am excited to write about my experience of community health clinical orientation because I feel the students’ opinions are considered and value in order to continue to better the nursing program. The online orientation was great because many times, having orientation all day on campus can be draining and many students do not focus towards the end of the day. I was concerned about the lack of communication and organization; however it is understandable, there are many changes in the beginning of the semester. I liked having an audio in one of the power points because it provided more information since in my opinion the power points did not contain enough information to guide us into the semester as well as what professors are expecting from students. The videos required to watch also formed stress in all the students because they were not available and many did not know who to reach out to for help due to the lack of communication. I was able to only get through fifteen minutes of one of the videos before it stopped working and I enjoyed those few minutes because community nursing has an important history. The quiz provided was a good strategy to make sure students studied the power points and I believe this type of orientation should continue because it allows students to focus more and it’s an encouragement to read the information.