Reflection On Professional Accountability

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.

The use of bar code scanning utilizes the perfection of computers into medication-administration process. Training to use (BCMA) indicated from the article can be cumbersome and staff can be apprehensive about the change. The time needed

One aspect I have learned from my feedback from previous tutors is I am able to form a strong nurse-client relationship with my patients. This helps me provide them with the best possible care as I do not treat them as a diagnosis, but provide them with holistic care. My preceptor at my maternity placement stated that I have an enthusiastic personality and I bring my energy to the nursing care that I provide. She also stated that I interact and communicate well with all developmental age groups. For example, when I communicate with the younger siblings I answer any of their questions in an appropriate manner. Some constructive feedback that has been given to me over the years, is the need to work on my communication both verbal and written. In my last placement, I have gotten better at communicating with the interprofessional team, patients and family members; and I have also improved on documenting the care that I have provided. I have been slowly improving this skill throughout my years as a nursing student and I am continuing to do so in my current

patient assessment and plan followed by entering the patient notes, ordering labs and typing patient discharge

During this seven-week placement, the student will spend 75% of their time performing pediatric, patient-centered care and observation in the inpatient, outpatient, neonatal intensive care unit (NICU), pediatric intensive care unit (PICU), and preemie follow-up clinic settings. The student will work with children along the lifespan, including infant, toddlers, pre-adolescents, and adolescents presenting to physical therapy with simple and complex conditions. The student will split her time

The preceptor assists the novice nurse in bridging the gap between education and clinical practice (Sonya Blevis, 2016). In an NETP (Nurse Entry To Practice), a new graduate is partnered with an experienced nurse who is proficient in teaching a novice. New graduate nurse gets to work in the ward for 1 year and have 6 weeks of orientation phase. Staff nurse introduces the new staff member to the nursing, medical and non-medical team, orientates to the unit and guides until the orientation is complete. Preceptor hands down the torch to the preceptee by orientating, imparting knowledge and ward traditions, teaching new skills, overseeing new staff when the task is implemented and gives positive and/or negative feedbacks. The preceptor needs to offer a conducive learning environment and must be able to give opportunities for the new graduate staff member to ask questions when there are uncertainties. Creating a good relationship is essential when working with a new staff member. Analyzing one 's flexibility and adaptability are crucial to success. Transitioning from a 6 to 8 weeks clinical placement to the real nursing world can be overwhelming. This is where the preceptor enters to break the barrier that will hinder the new graduate to excel in her chosen field. While the success of transitioning to the real world is multi-faceted, the foundation of transition success begins on the first day the new nurse graduate enters the facility (Adams, P et al, 2014)

Everything in my second week of clinical was definitely a new learning experience for me. For the first time, I finally got the chances to take a BP on an infant. Unlike the adult BP, the cuff is put at the lower leg. The patient I got to take care of was a 9 months baby girl that been admitted for Esophageal atresia and Trachesoesophageal fistula. She was transferred to BCH due to poor weight gain, impaired nutrition, and evolution of esophageal tear. She was such a cute little patient who likes to be held especially by her mother. Comparing to other normal baby, you can tell she was having delayed growth development due to her size. Since she was not growing, she was on a quarter-liter of oxygen which is a lot of an infant. Through all my

Barcode medication administration system decreases the cost of medication errors, and provides a method that is “standardized” for administering drugs. According to (Melnyk & Fineout-Overholt (2011), adverse drug events are at least 25% preventable. Several study have implied that implementing the BCMA system not only protects our patients, promotes quality improvement and quality of care. Most studies reviewed indicated that having the BCMA system in place is highly recommended, verses not having a BMCA system in place. These studies are truly pertinent and reflex the project proposal in understanding the need for implementing the barcode medication administration

The American School Counselor Association is a professional organization whose members have a unique and distinctive preparation, grounded in the behavioral sciences, with training in clinical skills adapted to the school setting. The school counselor assists in the growth and development of each individual and uses highly specialized skills to protect the interests of the client within the structure of the school system. The Ethical Standards for School Counselors were developed to clarify the nature of ethical responsibilities held in common by school counseling professionals. The purpose is to serve as a guide for the ethical practices of all professional school counselors regardless of level, area, and population served. As well as provide benchmarks for both self appraisal and peer evaluations.

Use the medical software for proper documentation of patient care, including medications given, nursing procedures,

The Personnel Accountability System (PAS) is used to keep track and identify who is on that particular truck or engine during that operation. For example: once we get off the truck during a structural fire the red, and white passports are removed and put in their respective area. The white either goes to who is in charge of the IDLH and if that hasn’t been setup before entry it stays with the crew chief. The red will stay on the truck to be picked up by the IC or the safety officer. It is the crew chief’s responsibility to make sure the entire pass tags are on that passport, but however just like everything that pertains to safety it is all of our responsibility to make sure we put our pas tags on the passports in the cab during morning checkout.

Clinical this week was informative and very different because of the unusual setting. I had the opportunity to go in the community with my preceptor, and participate in an admission of a new patient. The assessment and data collection of this patient was similar to what is done within the acute care setting. We proceeded by asking subjective and objective questions to the patient to better understand that specific patient needs. We did assess, the patient environment for her safety, explain and administered medications, coordinate care services and equipment, also counsel patient and their families.

This clinical experience was my first nursing environment I been exposed to since immigrating to America. Since this was the case, I did not have any expectations and I went to the clinical with an open mind and ready to experience American nursing. However, on first impressions I was extremely let down. I have previously mentored nursing students and I find first impressions extremely important in order for a students learning experience to be valuable. There was a certain feeling on my arrival that nursing students were a little unwelcome. The clinical experience within the children’s home is not an environment everyone would enjoy, or feel comfortable within. I feel a warm welcome on arrival, a tour of the home and an introduction to the children would be extremely beneficial to future students learning

This weekend started off like every other weekend, but this time my preceptor decided to shake things up a little bit. She told me to move away from task oriented procedures and focus more on assessments. I was glad she decided to take this path because it allowed me to take more responsibility for my patients. This really took me out of my comfort zone, but as the shift progressed I slowly gain a little more confidence. Instead of waiting on orders for medications, urine samples, and IV starts I would go into the room with the clients and do a health history as well as head to toe assessment to try and figure out what was going on with them. We had a patient to come in with a dislocated ankle that needed to be put back in place. I was able

​The first article aims to alleviate the issue by implementing a bar-code verification technology within an electronic medication-administration system (bar-code eMAR) which allows delivery of the correct medication, dose, and time to