Reflection Journal On Wednesday August 26th, 2015 I began my preceptorship on B6, which is the Neurology floor at Jackson General Hospital. My Preceptor was Colleen Hardee and she was the Unit Director of the floor. I started my day on the floor around 0745 and remained until approximately 1430. When I asked the clinical manager about the mission of the department, she directed me to their website. The statement found there is this: “Comprised mainly of restricted endowments, the Foundation provides endowment management services to other nonprofits as well as manages endowments that provide for many of the healthcare needs of West Tennessee Healthcare and our communities.” One of my objectives was to understand …show more content…
Hardee guided me to Mrs. Pam whom I ended up spending two hours with due to the fact that Mrs. Hardee had to attend a meeting. I had asked Mrs. Pam if it was meeting I could go to with Mrs. Hardee, but she said it was a financial meeting and that visitors were not allowed to attend. Since I spend most of my time with Mrs. Pam, I directed most of my questions towards her and she was happy to answer them. The one thing that I found frustrating was that I sat through her doing payroll all morning, but I understand it is something that has to be done and I don’t fault her for that. She did receive a few interruptions that she had to work through, but then she would return to payroll. One of the interruptions that she had to work through involved a new graduate that had recently gone through the residency program and was making many mistakes. These were mistakes that could cost a patient their life. She explained that she was going to have to get his side of the story and either write him up or send him back through orientation. After Mrs. Hardee was done with her meeting, she came back up and Mrs. Pam made her aware of the issue with the new graduate. They agreed that they needed to talk to him and changes needed to be made. They collaborated with each other and agreed that they would get his side of the story and then take the appropriate
Pattern recognition helps to develop the skills necessary to develop a differential diagnosis. When seeing patients in the clinical setting, practitioners begin to recognize associated symptoms, health history details, and assessment findings that are related to specific system alterations. By acknowledging these repetitive patterned-like affiliations from clinical scenarios, we as learners can begin to transform our foundational knowledge to critical thinking, diagnostic reasoning, and differential development. According to work by Flott and Linden (2015), a positive learning environment can be supported by understanding "attributes" that support learning (p. 501). Hence, pattern recognition is an example of an attribute that will contribute to learning in the clinical setting for nurse practitioner students. Consequently, being able to mentally sort a group of symptoms, findings, and diagnostics that are related to a particular problem can help build an intellectual database of reference. As a result, these steps help students develop a diagnosis, differential, and plan of care. A reflection of pattern recognition, problem-based learning, and clinical experiences will be examined further to help substantiate the contributions to the learning experience.
As a healthcare assistant of the Establishment A, I am totally committed to promoting the rights and needs of the individuals that use our service; always treating them with respect; regarding the things most significant to them whilst holding their uniqueness in high regard. By directly working with them, I earned their trust and accepted as a reliable member of staff who has proven an understanding of the ways in each user communicates, and where applicable, promote and express their views and concerns verbally or by non-verbal means e.g. writing a report, team meeting, support plans and care reviews. Having been given the responsibility by my Service Manger to participate in developing a care review and subsequently updating Miss Y's support plan. I began the process of by re-familiarising myself
On October 27, 2016, we met to obtain clarification on your work destinations and work performed on the day prior.
The quiz was fairly easy. I read though the documents a couple of times and I managed to get a 19/20. We did get a couple of extra days to study due to snow days and delays. This was in terms of support was somewhat slow. Most of the problems were just as simple as a force shutdown. Also, I helped Mrs. Chase startup the desktops for the PLTW rooms as well as getting the serial numbers off each laptop in the vault.
While organizing the summer health festival for the South Central Family Health Center, tensions were high between a fellow staff member and me, as he did not agree with the way I was planning the event. The lead health festival organizer consistently reminded that due to my lack of experience I had to consult with him before taking charge and making things happen. At this point in time, we were already behind schedule and the day of the event was quickly approaching. With so many other preparations that had to be done, I became very frustrated with the lead health organizer’s attitude, which made working with this individual very difficult. To add on to my frustration he was not giving the summer health festival the attention it needed. In an attempt to resolve our issue, I tried communicating with the lead organizer several times before bringing up my concerns with the chief medical officer at the clinic. My intent was not to hurt the lead organizers reputation, but only to get him to understand my role in organizing the event and for him to give me the trust that I deserved. After listening to my concerns, the chief medical officer was more than willing to address the problem personally between the three of us. After a short 10 minute meeting we were able to hash out our problems, which made working together in the health project significantly better. As a result, the planning for the health event was
During a late shift on the ward, my mentor asked if I would stay with Mrs Smith whilst she gave out medication in order to ensure she wouldn’t be left on her own and fall. I introduced myself to Mrs Smith and sat with her in her room. It became apparent to me quite quickly that she was obviously very confused and she was not fully aware that she was in a hospital, as she repeatedly asked me where she was. On being told she was in hospital she would say no and shake her head. It wasn’t long before she asked me when her husband would be there to take her home, to which I replied
During my second year as a registered nurse, I have relocated to a new town and applied for a position in a small clinic. Three months after I was hired, another staff named Ms. D was hired. She was an LPN who recently graduated from a vocational training school. Since I was hired before Ms. D was, my supervisor asked me to assist with her orientation. After two weeks of orientation, Ms. D was ready to work without an assistance. Because our work hours were did not overlap often, I did not work with Ms. D during most days.
I work as a writing tutor at Quinsigamond Community College, we are not allowed to proofread the student's papers, which in turn anger some students who were expecting that service. Whenever problems like those arise I always calmly explain to the student what our policy is and then ask them if they would like to read through and go over their
In the first Reflection, describe an event or an experience in your life that will influence your academic work and goals at Colorado Christian University.
A person’s thoughts, feelings, emotion, and beliefs often shape ones decision-making process. Other components, including perception, memory, introspection, and reasoning also assist in the formation of opinions, shape our knowledge, and transform an individual’s viewpoint (Feldman, 2003, p. 3). Perception is how one sees the world around them, the sights, sounds, smells, and other senses creates an understanding of the external environment creating a mental image and often places an attachment to it.
My second week of practicum was awesome. I had the privilege of shadowing Sarah (permanent charge nurse in Day Surgery). As a permanent charge nurse, the duties of Sarah are extremely important. She communicates with her manager, the Patient Access Nurse (PAN), and other charge nurses from different units ( within the hospital. Such as the Cardiovascular Unit (CV), Peri-anesthesia Care Unit (PACU), Operating Room (OR), etc. One of her responsibility includes planning, assignments, pairing of nurses (buddies), as well as making sure that all patients to surgery on time. Another responsibility is making sure that the patient to staff ratio is balanced, likewise, managing staff resources based on patient needs. Sarah is not only knowledgeable
I started the week in Ortho Colorado on Monday. I cleaned beds and rooms and made sure the rooms were stocked. I printed off the next days schedule and wrote it on the board. I also made patient charts for Thursday and Friday. I was in the Breast Center on Tuesday, which was my first time interning there. I shadowed a women named Jess who showed me around and she showed me what I would be doing. On Wednesday and Saturday, I was in the PACU and it was busy. I ran around and got anything the nurses needed and restocked bays.
This week’s journal entry starts off with Monday, and like the past three weeks a single day will account for one journal. As for why I am writing an entry beginning with Monday this is because it is “block week,” meaning I am will be at placement from Monday to Friday this week! This is an occasion that given all else that my mind has been preoccupied with within the last couple of weeks, I thought I would be too preoccupied to get excited about and enjoy, yet as soon as I got to placement Monday and in the days following, getting ready for bed I realized this was not the case, at least in those instances—getting to bed for the following day and once up in the morning for the start of the given day. Overlooking the aspects that may seem unpleasant, such as the long days, resulting in great tiredness—especially with Wheel-Trans, getting ready for bed, knowing that for the next four days I am heading to placement and not to school, it felt like each day I was getting ready to go on mini field trip, like those in grade school, looking past the fact that I was going to the same location each day.
Module two displays the growth of Europe as a strong world power. Before the 1600s, the Ottoman and Chinese Empires were more powerful than Europe. This chapter highlights the rise of capitalism and the settling of new lands. Slavery and the Enlightenment are also key themes in this chapter. I think the most important thing I learned this chapter was the section about race. The video we watched changed the stereotypes that I believed about race. I was surprised to learn that race is not biologically real. I run track so I have often heard the stereotype of a certain race being better at an event. For example, an African American will be considered a better sprinter and a Caucasian will be considered a better distance
This artifact demonstrates mastery of goal c by strategically looking at the ethical issue, evaluating the information, discussing possible solutions, strategies, and practices and making a decision. Therefore I critically assessed the issue by reviewing complaints, considering the professional standards, and assessing the issue against the professional standards. As a result of the implementation of strategic analysis, I formulated a decision for access to the information regardless of content. My ability to make an executive decision was demonstrated through written communication of my understanding of the ethics and values of the profession and why they held true when deciding on if the item should be added to the collection.