Reflective Assignment 3

The aim of this reflective essay is to evaluate my professional development whilst undertaking the role of the Developing Intra-Operative Practitioner/ Advanced Scrub Practitioner (ASP). Using a reflective model I want to see how my new role affects me as an Operating Department Practitioner (ODP) and any legal implications it has for me as an employee.

Patients become frustrated, irritable and angry that they are sick. A common response is,” Why me?”

For this reflection instead of focusing on a specific situation I am going to be reflecting on my feeling throughout the shift. Going into the clinical rotation I was really looking forward to a experiencing the new pace of the surgical floor. Last semester I was on Medicine A. While I doubt I want to work full time on medicine I did fine it as a very easy way to transfer from Long Term Care to the Hospital. I found that it really taught me to prioritize and spend my time wisely while on the floor, because even through it was a slower pace, there was a lot to complete each shift. It also helped me to work on creating therapeutic nurse-client relationships not only with my assign patient but also for the patients I was helping by answering call bells. I found all of this gave me a good background to go into the surgical floor. Even from the moment of report I could tell the more serious feel from how the nurses went through report, it was quick, informative and effective. I was nervous about meeting my co-assign because I did not ever really have a good experience with them on Medicine. However I found my co-assign this week was approachable and answered all of my questions and even helped explain the differences between how she does

Vaccinations have been a topic of controversy among various populations for decades. The controversy exists around the decision to be vaccinated for certain contagious diseases or to omit receiving vaccinations for various reasons including those of medical, ethical, and religious derivation. The profession of healthcare faces a particular obstacle in regard to annual vaccinations against influenza. This review will discuss the following ethical debate: Is it ethical to mandate health care workers to receive annual influenza vaccinations? For the purposes of this review, the term ‘health care worker’ will be defined as any person who is employed by a health care institution and participates in personal interactions with patients. Undoubtedly, registered nurses (RNs) are among the most prevalent of all health care workers. This topic was chosen because influenza is a rampant and contagious respiratory virus that carries the potential to infect anyone. According the Centers for Disease Control (CDC) (2014), approximately 5 to 15 percent of the United States population becomes infected with influenza annually and roughly 200,000 people are hospitalized each year due to influenza. Clearly, influenza generates havoc for many people; however, the virus can be largely prevented by receiving an annual vaccination. Annual influenza vaccinations have been rendered the best way to prevent seasonal influenza and have also been deemed safe (CDC, 2014). Health care workers

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

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

1) What are Alex’s rights, if any, in this situation? Outline the steps Alex would go

Organisms can easily be spread from patients to HCW, and then back to other patients with whom they may have contact. Vaccinations can reduce or eliminate the risk of contracting targeted diseases, and can reduce the risk of these diseases to unvaccinated persons, such as polio and smallpox, but this does not necessarily hold true for influenza. The concept of mandatory HCW influenza vaccination remains under debate as to whether HCWs are ethically obligated to be vaccinated, risking not only their employment status, but their own health and personal principles, in pursuit of “the greater good”.

In the healthcare field, it is essential that workers receive the flu vaccination due to the potential to either become infected by a patient or unknowingly spreading the virus to the patient population. The state of New York requires that health care workers in not only hospitals but other medical agencies in the state “be immunized against influenza viruses as a precondition

The above mentioned patient was seen in my office on 10-25-2016. He expressed concerns about, and requested a doctor note, to be excluded from receiving the Influenza vaccine due to the side effects he suffered, from the injection, the previous year.

Influenza, as stated above, is a preventable spreadable infection. The goal of this education session was to expand the knowledge of long-term residents on vaccination against influenza. In a preliminary meeting, it was found that over 15 residents had refused this years’ influenza vaccination. The objectives of the teaching plan included: identifying signs and symptoms of influenza, discuss both positive and negative feels during the vaccine, identify exclusion criteria to receiving the vaccine, and demonstrate arm exercises to prevent soreness after vaccination (“Government”, 2014).

Regarding the influenza fallout on the transplant patient in IMCU. I reached out to the folks in Ohio regarding the options that are available to the nursing staff for the transplant population. The option in Epic for the nurses to choose from includes “Documentation that the patient had transplanted organ in the past 3 months” Which the nurse for this actual patient choose, however, that option does not meet the CORE measure influenza guideline. I have discussed this issue in great detail and urgency with the staff in Ohio, (see below). Until we can get this rectify, my recommendation is for the nurses to ask the LIPs if they want their patient to receive the flu vaccine if they say no then document that the patient

The case study that was given to us is a 22 year old woman who reports being “sick with the flu” She has been vomiting and having difficulty keeping food and drink down. In addition she has been taking

The article I chose for this post is titled "Reasons Why Physicians and Advanced Practice Clinicians Work While Sick: A Mixed-Methods Analysis." This article discusses a study performed at a Philadelphia, Pennsylvania hospital which surveyed physicians if they come in sick to work and the reasons why. A large majority of the clinicians who completed the survey believed that coming in to work while they are sick put the patients at risk (Szymczak et al., 2015). No matter what your career is, coming in sick puts others at risk. Clinicians decision to work and care for patients while they are sick is "shaped by systems-level and sociocultural factors" (Szymczak et al., 2015). The study's authors continue by saying that the main reasons for working

Every fourth-year teacher trainees will have to conduct practicum and will work under the guideline of their associate teachers and supervisors. The purpose of doing the practicum are to put training into practice, to become accustomed to teaching in the tertiary school settings, and to develop and expand each trainee’s teaching expertise and confidence. In the following paragraph, I will express what I have learnt from doing practicum to reflect on my past teaching strengths and weaknesses from the teaching practicum.