I sincerely believe that I accomplished my goals this week. I realized that I served 14 patients by combining the ability of knowledge, my attitude for excellence that I have consistently defeat the odds to become the very best Nurse practitioner; I can become. This clinical experience brings forth many opportunities and achievements. The most important experience this week; I had the ability to identify as primary healthcare provider a high risk need for the patient to be transferred to the Hospital for further evaluation without delay; due to complaints of “leg cold from the knee down to the feet”, which my evaluation was based on evidence practice knowledge of compassion and skill with the autonomy to practice, diagnose, and treat patients
Overall the experience was positive. It was clear early on that I was going to learn how to prioritize. All four of our patients, my nurse’s and mine’s, were always in need of some type of care. In the moment it felt more natural to prioritize. The only time when I wouldn’t have been sure what to do is when a patient’s chest drainage unit was not maintaining suction control while another patient’s IV tubing was leaking medication. I would have personally chosen the IV. My nurse said she chose the chest tube due to the fact that she was already working with the patient with the chest
Describe your thinking when you need to deal with a complex issue, such as writing a major research paper or presenting a staff development workshop.
Evidence needs to be authentic and actually related to the performance of the learner being assessed and not that of another learner instead.
The aim of this ten minute reflection is to show my experience of how my mentor and I used the ABCDE approach when dealing with a patient with chest pain. The concept of this ten minute reflection is to outline the areas that I can develop on for my future placements. This ten minute reflection will show my emotional state and my knowledge that I applied in this situation. It will outline my learning and development when in my placement area and help me to decide if a better outcome could have been achieved if I performed differently. From my learning to date, by completing this ten minute reflection it has enabled me to critically analyse my own practice and compare this to what I would of done now upon completion of this module. This reflection has highlighted how much my skills, knowledge and performance has improved from last year. In accordance of the NMC (2008) a pseudonyms will be used in order to protect the patients’ identity.
More often than not, we answer call bells of patients requiring pain relief through the night. We take
Prior to the hourly rounding implementation, all the clinical staff (staff involved in patient care) will attend an hour workshop, which will cover the advantages and significance of hourly rounding to patient safety, reduction of falls, increase patient satisfaction, improved health outcomes, and financial impact to the organization. A video on how to do the hourly rounding properly and what behavior to avoid will be shown. After the workshop, the staff will do return demonstration, playing the role of the staff, while being checked off to ensure that the expectations during hourly rounding are met. This includes how to properly introduce oneself to the patients, informing the patients that the staff will be rounding every hour till 2200 then every two hours till 0600, to address their pain, possession, position, and potty needs. By performing return demonstrations, the validators (nurse managers, educators) will be able to ascertain that the staff understood and will
This week I have fully grasp the work that goes into being an RN, case manager and what it entails to fully review a patients’ stay at the hospital in order to discharge them in the most effective and efficient way. I understand the need for these professionals in the healthcare field, not only in the hospital setting, but in skilled nursing facilities as well, one reason being is that I believe someone has to advocate and review the patients’ needs before they are sent home. Just like last week I was able to sit in on rounds and observe a great deal of the doctor and case manager dynamic and how important it is for both to know the patient as much possible. Sitting in rounds every morning makes me realize how hard it is to make decisions for another
A common goal all healthcare providers share, is the desire to provide excellent patient care. The delivery of care is constantly changing in healthcare, however, the patient will continue to remain the focus of care. The success of nursing care thrives off the ability to fulfill patient needs and to maintain patient safety and satisfaction. When patients are admitted to the hospital, their need for an increase in their level of care and attention, due to the decline in their health status, and inability to preform normal daily activities of daily living. The loss of independence places the patient in a vulnerable state of mind, causing the individual to rely on members of the healthcare team to assist with basic self-care needs while in a stable and well-organized environment. A structured environment can be accomplished through the practice of hourly rounding on all patients.
As a Registered Nurse who knows the duties that his work demands, I have to demonstrate deeper understanding of the Health Directorate's core values of care, excellence, collaboration, and integrity in my professional nursing practice and patient care. To conform to the above mentioned values, I endeavor to appreciate that improving a patient's experience is integral in patient care. This can be achieved by doing away with fear and anxiety that protracts patients' healing process. Enhancement of the communication between my patients and I will also go a long way in hastening their recovery and their self-management.
The reliability of an assessment in a perfect situation should produce the same results if marked by another tutor or if that examiner unknowingly receives the same paper again. If different marks are given the assessment is consequently unreliable and proves that this assessment is subjective.
‘Listening to how patients feel about their care and treatment is one of my personal priorities. Knowing that patients feel safe and are being given the care and attention they need makes me feel that I am doing what I can each shift to improve their care’ (National Quality Board, p72 2015).
Two hours until shift change and Sally Smith, RN was looking forward to going home and putting her aching legs up on the ottoman and drinking an ice cold Coke. She was thinking to herself that the patients were so needy all the time, she felt she gave them all she had and still all she had was not enough. All Sally heard was “get me this” and “get me that”…
All work handed in by the learner, they must sign and date and confirm that it is their own work.
Over the course of my volunteering I had many patient interactions and before escorting them out of the hospital I could see how the doctor affected their behavior. Many patients after being treated are still scared and unsure of what is happening, the doctors and nurses are very patient and encouraging this helps ease their worries. Even after I escort them out sometimes they still ask me what I