Reflection of My Clinical Experienc

In every profession there are changes that propel how tasks are done; nursing is no stranger to this. One of the biggest changes that have come into nursing’s daily events is how report hand-offs are being done. Gone are the days of taped report that each off going nurse must tape about each patient and the oncoming nurse must listen to. Nurses are now being encouraged to move their report to the bedside, in front of the patient (Trossman, 2007). It is very important to know how this can affect the patient and even the nurse’s schedule. With every change, there are positives and negatives that can finalize the decision to keep or forego

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.

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.

The second step that I used in the nursing process was diagnosing. Based on my results from my assessment, I was able to use that information to come up with a couple nursing diagnoses. This step is used to offer effective nursing care because it helps me set an intervention and plan of care to help my patient’s health outcomes for the better.

The last week of classes for NURS1005 were a series of clinical skills activities. These activities refreshed the student’s minds on what they will be doing on placement and how to do it. We got assessed on three clinical skills; taking and recording vital signs, blood glucose levels and doing a urine analysis. I’ve chosen to reflect on taking vital signs and how I performed them. Reflection is a very important part of learning from experiences which is essential in nursing. Nursing practises continue to change and it is easier to go with and to add to that change if you are reflecting on your practise. This essentially makes nursing practises better for the patients. I have reflected on the process of how I took the vital signs during my clinical skills activities. I was very nervous but believe I performed them well due to how I was taught, what I have read and seen and the vital signs signified how my peer was acting which was healthy and within a normal range. Even though I felt I did them well, there were improvements that could and have happened since. Most of the improvements are minor in comparison to the strengths I have but it is important to recognise improvements when needed so you are giving the best and accurate care. I was aware of these improvements needed and tried to strengthen them during my clinical placement which helped me learn different ways of doing processes and also the rationale behind the processes.

The emphasis on improving bedside reporting is crucial today, when it is more than ever necessary for the health care institutions to operate at higher efficiency levels. In the absence of bedside reporting, nurses are frustrated as they spend 40 minutes reviewing patient data; patients also get frustrated (Ostermeier and Clair, 2008). Bedside reporting has the ability to improve nurse and patient satisfaction and support the overall quality of the medical act.

Traditionally nurses delivered clinical information about the patient, the clinical events on their shift and the plan of care to the oncoming shift to ensure continuity of care and to make sure that their colleagues were informed about tasks or instructions that needed to be completed by the next shift. This process had a variety of names; report, handover or handoff. The format was often different from unit to unit. It usually took place in an off stage room or office or at a charting station from away from the

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.

Change of shift in the nursing profession is unique (Caruso, 2007). Information is transferred between nurses verbally and through written communication. In many facilities shift report from one shift to another involved sitting down and getting all your orders from a caredex and then talking with the previous nurse face to face going over pertinent information regarding their patients. This type of report usually happens in a report room or sometimes in the hallways or other common

This is a review of a paper by Sand-Jecklin and Sherman(2014), which uses a quantitative method to compare traditional recorded nursing reports with an approach that uses a combination of recorded and bedside nursing reports.. The paper attempts to provide a quantitative answer to the questions whether bedside nursing reports make a significance difference compared to the traditional practice of recorded

Discuss how an understanding of nursing-sensitive indicators could assist the nurses in this case in identifying issues that may interfere with patient care.

The aim of this essay is to demonstrate the assessment process of a patient using the Roper Logan and Tierney (RLT) model of nursing framework and to show how the nursing process works alongside this model. This will be shown by a holistic history of the patient being shown, followed by how the RLT model is applicable to this patient. This is then followed by one nursing intervention being discussed showing how the nursing process is applied to patient care. The patient will be referred to as Mr Frederick Valentine to protect the patient’s anonymity as stated in the Nursing and Midwifery Council Code of Conduct (2008) guidelines.

Document any abnormal results (lower or higher than normal levels) in the nursing progress notes.

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.

The Nursing Diagnosis, being the second stage in the process, involves interpretation of data, which may result in other potential problems (Junttila 2010). Clinical judgements and nursing goals are then made based on the data collected from the assessment stage (Huckabay 2009). For instance, a patient may present with obesity, possibly resulting in high blood pressure or depression. A goal of care may be to promote acceptance of body image and weight loss strategies with the most up to date evidence. Unlike medical diagnoses, a nursing diagnosis is holistic were the nurse considers the health of the whole person. In doing so, the nurse will be able to put in place individualised patient care during intervention. This should enhance and form good