Reflective Essay On Clinical Experience

A nurse attending stated “during the morning’s second surgery, he actually dozed off. The nurse took him aside and recommended that he take a break, but he refused and returned to the operation.” The nurse here was in fault in more ways than one. This nurse should never allowed the doctor return back to operate on the patient, he should have been removed from the operating room immediately. The nurse should have

The following essay is a reflective account on an event that I, a student nurse encountered whilst on my first clinical placement in my first year of study. The event took place in a nursing home. All names have been changed to protect the confidentiality of the patient (NMC, 2008).

* establishes a system of praise and constructive criticism - rewards and improvement; grows with the organisation

This unit does not introduce much new material. Instead, we expect you to integrate technical and theoretical knowledge acquired from study across your degree. We refer to two frameworks that may support you in carrying out this integration:

At that time, my feelings were mixed; I was worried whether something that I had said or done made the patient to react in this way. I felt very guilty and upset that I had made the patient to become agitated and distressed. Also, I felt very embarrassed that other staff members and patients may have heard the

Philly should have knocked on the door, before entering into patient`s room. She should have then greeted and introduced herself and the student nurse to Rudd. She should have then started the conversation by addressing him by his name. She should have also enquired about his pain. Philly should have finished her shift assessment and should have assured him that she will come back with the morning medications and then left the room. The behavior was very unprofessional.

On august 13, 2016 I was assigned to follow one of the ICU Nurse. It was a very calm day. She had two patient one was more critical than the other. Both patients were on the ventilator because they had to be intubated the night before. The lady is obese and had gastric bypass surgery two years ago and suffering from severe sleep apnea, but the patient is non-compliance to the CPAP treatment. That was her second time being intubated. She was admitted for seizure monitoring because she was constantly having seizures the day before while she was at home. Due to the fact that she did not want to wear her CPAP machine while in the hospital, after pain medication was administered she was found unresponsive, that was the reason for her intubation the night before. Patient was on intermittent suctioning, she has sinus tachycardia . I had the opportunity to observe some of her daily care. The patient was on fentanyl but when the Dr. try to wean her out of the ventilator she stop breathing, therefore, the DR. discontinue the fentanyl temporarily in other to retest her later.

Flowers’ room, we were quickly met with her daughter who impatiently wanted to discuss her mother’s discharge plan. Before we could even discuss our assessment and what the plan was for Mrs. Flowers, her daughter informed us that no one would be cutting on her mother, that she was makes the final decision, and that we should clean her mother’s foot so they could go home. That was it. To me, I thought it was clear that Mrs. Flowers either couldn’t make her own decisions or was simply agreeing with her daughter because that was all she knew. Thinking about it now, I realize how angry that first interaction with Mrs. Flowers had made me. I was angry at Mrs. Flowers’ daughter for treating her mother with what I thought was obvious neglect. I was also upset with the attending physician for not being more direct with Mrs. Flowers’ daughter. I understand now arguing with the daughter would have only made this situation

My chain of thoughts and emotions soon changed to blaming everything on myself. How could I not have noticed this. I should’ve known something was wrong. I should have seen this coming. It’s all my fault. If I was one second earlier I could have grabbed her down and talked her out of it.

It was a very busy night on M10, call bells ringing non-stop for pain medication, or toileting needs, IV pumps alarming, concerned family members coming to the nursing station, numerous patient admissions from urgent care and PACU. I received nursing handoff on all my patients from the day shift, gave handoff to my patient care technicians, and we had our nightly nursing huddle in the station. After hearing everyones concerns about their high risk patients, I wanted to get out on the floor as early as possible to complete my assessments, and administer my medications to leave time for the many uncertainties that my gut instinct warned me would occur. I was able to finish all my patient assessments, and pass my medications earlier than usual, and when this occurs, I always do my best to help my co-workers if they have fallen behind. I went around asking everyone if they needed assistance, and indeed one of my fellow RN’s needed help moving one of my former patients closer to the station, because she had been hypotensive. I greeted Ms. T and her face lit up like a Christmas tree, I asked her how she was feeling and the smile she had on her face immediately turned into a grimace. I assured her, that we would do our best to make her more comfortable once we settled into the new room.

First stage: What happened, whilst out on my nursing placement, in clinical practice, I was allocated to a bay of patients to care for, these consisted of 7 female patients, with a variety of care complex mobility needs. During my shift, I assisted the patients with personal care, helping them to wash and dress for the day, with nutrition and assisting the patients out of the bay to use the toilet and aiding them in their mobility.

This essay is a reflective essay on my learning development from a young age through to my current position as a University Student. I will be relating my learning development back to two theories of human development, Vygotstsky’s socio-cultural theory and Marcia’s version of Erikson’s theory of identity development. I will identify and discuss the challenge I have faced with my identity and how this has impacted on my development.

Vital signs are a fundamental component of nursing care and indicate the body’s ability to maintain blood flow, regulate temperature and regulate oxygenate the body tissue. Taking vital signs are essential in revealing any sudden changes in the body, which could potentially indicate clinical deterioration of the patient.

I was influenced in this decision because I felt obliged to be seen to reduce his anxieties, knowing my actions would be judged by an audience of other care workers and patients on the ward. I did not respond efficiently to reduce his distress and this pressure led me to deal with the situation inadequately and for that I felt guilty (Nichols 1993).

This is a reflective essay based on a event which took place in a hospital setting. The aim of this essay is to explore how members of the Multidisciplinary Team (MDT) worked together and communicate with each other to achieve the best patients outcome.