The Importance Of Proper Time Management Towards My Duty

For my seventh clinical shift at the Loma Linda Veterans Affairs Medical Center, my assigned preceptor Filipina Gumangan assigned me three patients on the 4NW unit. The unit where I precept is an intensive care step down unit. Filipina’s objective for giving me three patients this shift was to give me an opportunity to continue exercising my time management skills and to practice my reporting and charting skills, and wound care. This shift I was responsible for many clinical duties corresponding to the care of these patients. My patients this shift were Mr. B, a 72 year-old Vietnam War veteran newly diagnosed with colon cancer, Mr. S, a 65 year-old Vietnam War veteran in the hospital for complicated urinary tract infection, Mr. R, a 90 year-old Korean and Vietnam War veteran. Caring for these patients taught me more about the humanbecoming perspective of nursing and showed me about multidisciplinary coordination with peers, colleagues, and more.

I can hear some moms already groaning. Time is a scarce resource for many moms. In the course of any given day, I keep wishing for more hours. However, every one of us has been given the same number of hours. It’s up to you to organize and prioritize your activities for maximum success.

The second resident was Ms. Sister; she was in room no. 226A. I had an opportunity to provide a lunch for Ms. Sister; she was very nice and friendly. She ate 45 % of her meal, but she enjoyed eating fruit, ice cream, and milk. Sometimes, she stopped eating; I assisted her getting her cold water or grabbing utensils on the table. I noticed that she always said “thank you” to me, and tried to talk something. I noticed that she was a smile and her face looked happy. I felt happy too. After finishing lunch, I brought her back to her room, and Dat used a full sling mechanical lift to move Ms. Sister back on her bed and changed completed continence brief. Ms. Sister watched her TV and took a nap later. Then, I checked the call right that it was right next to Ms. Sister before I left her room. My second day of clinical practical learned many things from residents, such as noticed personal food preference, gave the person time to eat, reminded residents to chew and swallow carefully, made a bed ( a closed

During my first day at clinical placements, I was quite nervous. I performed slowly due to my anxiety and required assistance, from a health care aide, to fully complete morning care for the resident. After receiving my report to perform a bed bath for the resident, I began searching for the equipment required. I felt pressured locating supplies in an unfamiliar environment, especially under time constraints. After a time consuming process, of gathering supplies, a health care aide came in the room. She was displeased with how long I was taking mentioning that I needed to hurry, to allow the resident to be ready for breakfast at 8:00 A.M. She instructed me to watch, while she sped up the process. I apologized for taking long, explained how

There are innumerable things that can complicate the time that people have. Family, work, and school are the leading bandits. By using a few easy steps, overcoming the roadblocks will seem effortless and it will be very beneficial in your life.

This piece of reflection will focus on my progress and experiences during my placement in Campbelltown Hospital Medical E ward. I will be using the Gibbs 1988 model of reflection (Gibbs, 1988). This cycle helped me to reflect in a structured and effective way. The subject of this paper will reflect on my time management skills whilst maintaining the necessary standards of practice at all times (NMBA, 2016).

During my clinical competency placement, I was working on a surgical ward when a registered nurse on duty asked me to assist Mr. A with his shower. This incident happened on the fifth day of my clinical practice. He was a dementia patient and had undergone right knee total joint replacement. She also informed me that the patient did not like too many people in his room because of his dementia. When I went into his room, his wife was there with him. I talked to the patient about having a shower and getting dressed to look smart and he agreed to have a shower. The patient got out of the bed and walked to the bathroom and sat on the shower chair to have his shower. Then I asked his wife if I needs to stay with him to assist with shower, she said she can help him as she was taking care for him at home since he has been diagnosed with dementia. Therefore, I left the patient with his wife to help with his shower and told her to ring the bell if she needs any help. After some time I left the room, the wife rang the bell. As soon as I entered the room, I heard him shouting at his wife and she started crying and left the hospital. So I had to stay with him. He was very capable of washing himself and I just had to help him wash his back as he requested. After he had washed, I asked him if he was ready to get out of the bath, he started shouting at me.

One example of this is last Wednesday. Normally we have four aides (two for each hall). However, one aide called off. Leaving one aide down each hall, with a split. A split is supposed to go back and forth between the halls and help with each. The other two aides I was working with were a mom and a daughter. Our first hour and a half is our hardest part of the shift. We have to get up multiple residents for breakfast. That includes; wash-ups, dressing, showers and even lifting our two assists. That Wednesday, I had little help. The only help I had was to transfer one resident to his wheelchair. I had to get up about twelve residents by myself. I had to give three showers that morning, and deal with two of them beating the crap out of me during the shower. Oh, and I had to have all of this done by 8:30. Needless to say, I was over stressed and couldn 't handle it.

I had my first two night shift this week on Sunday 9/13 and Wednesday 9/16. I am on 7 West at Sharp Memorial Hospital and the unit is PCU unit with tele monitoring. The unit had a high census this week, but proper staffing and no codes lead to the nights being relatively calm. I was working with Laura who is not my regular preceptor. She stepped in to work with me for this week while Elle, my regular preceptor, was on vacation. I had a wide variety of patients on my two shifts. The first shift I had a patient that was suffering from an exacerbation of COPD with a history of CHF and a patient that had polycystic kidney disease, which had progressed to end stage renal failure. The second shift I had four patients; one patient had been admitted to the hospital multiple times in the past month for GI bleeds, another patient with a history of diabetes and hypertension was admitted for fever and chills and was later diagnosed with sepsis, the next patient had a history of schizophrenia and was found on the ground in her home and was expected to have been there for over 24 hours resulting in deep tissue injury, and my final patient was suspected to have a history of alcoholism and presented to the hospital with shortness of breath and an oxygen saturation of 89%. The first clinical shift I was shadowing my nurse for a majority of the shift. I was being orientated to the unit and learning where to find supplies on the unit. The second shift I took a

I washed my hands and at 7.55 I went to the floor ready for work. I have checked the board to see which unit I was allocated to. I was working on Thames Unit and my team was made up of 5 care assistants and one nurse. The nurse did the hand over regarding all changes and concerns from night staff and then she allocated each of us 3 residents. My residents were MR J, MR B and MRS M ( obviously these are pseudonyms in order to maintain confidentiality in accordance with Nursing and Midwifery Council NMC 2015 Code of Conduct).

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.

You are the Chief Executive Officer at a small non-profit community hospital.  In January the area was hit by a large snow storm while you were vacationing in the Bahamas.  Many of the hospital staff who provided patient care called out from work on the 3-11 and 11-7 shifts.  Despite efforts from the nurse managers to get relief staff, only one nurse agreed to come in. As a result, the patient units were understaffed and health care personnel on day shift were required to remain on their assigned unit until they were relieved from duty.

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.

During week five, I was assigned to two patients (A and B), one of whom is a shared client (patient B) between me and a colleague. Strategically, my colleague and I planned out the first half of the shift, such that we would perform vital signs and head-to-toe assessments first, administer medications in

In the last thirty years, there has been lots of controversy over shifts and procedures regarding residents and first-year doctors. The controversy started thirty years ago, when a patient named Libby Zion died in a New York hospital under the care of residents (Kolata 1). Zion’s death has prompted reforms to make hospitals