Therapeutic Reflective Report

1. This first clinic was a little intimidating. I mostly just shadowed some an older student today while he was interviewing patients. I felt like we have been well prepared to see patients though IPE and the standardized patients, however, knowing that these were real patients made it feel much different. Knowing that the patients had real problems and not knowing what to expect at first was the most anxious part.

Prior to walking in, my expectations for what I was about to partake in and experience were all over the place. I didn’t know whether to expect the absolute worst types of situations going on such as people being rushed into medical rooms or the most basic situations such as patients waiting for a strep throat test. I did expect to see a wide range of patients in terms of race, class, age, and gender. Contrary to the patients, I didn’t expect to see a wide range of race, class, age, and gender within the staff. I expected to see mostly female nurses, and male doctors, majority being Caucasian and middle age. I didn’t expect there to be that much security or any type of possible crime that could go on within a medical facility. I expected the waiting area and facility to be very large, large enough to accommodate a lot of patients at once. Lastly, I expected that taking our field notes would be a challenge because writing notes down in front of patients would be awkward and during interviews it would be hard to conduct a good interview while writing the whole time.

Throughout the second half of the semester, I have not made any significant changes to my pre-clinical routine. I still prepare and gather my supplies the evening beforehand, and I try to avoid during schoolwork in order to facilitate restful sleep. However, upon arriving to the unit, I have developed a familiarity with the staff and environment that has reduced my stress and anxiety levels, allowing me to focus more attention on my patient assignment for the day. Although we do not have assigned preceptors, I have developed a mentoring relationship with two of the nurses on the unit and will work with those staff members if available. As we have gotten to know and trust one another, we do not have to spend the first part of our shift familiarizing ourselves,

I am still continuing to perform the different training tasks at the hospital during this time, it is a fun and challenging period in terms of the learning material and the procedures I am exposed to: from fascinating surgeries to different patients, which affect my emotionally.

I am posted in st. John rehabilitation center in a4 ward. Every week we had same patients. I want to write a reflection on my one patient he was very aggressive patient. I felt so scared because of his aggression. He was very agitated and some time he forcing to staff members to stop their work by using physical force. One day, he hits me on my hands to stop doing anything . I was so scared at that situationand I told to registered nurse about this event and she helped me a lot to handle that patient. Registered nurse support me to deal with that patient and provide some tips to maintain patient safety and also mine safety too. This is the whole situation that I want to explain in my reflection.

I had been instructed to introduce myself to the patients, so I started with the first room and began to work my way down the long and dimly lit hallway. Popping my head into each room, I quickly muttered my name and half of a greeting before rushing over to the next one. Many of the patients in the unit didn’t acknowledge me, and for that, I was grateful. It wasn’t until I had gotten to the last room, in fact, that I was even met with a

My Orientation experience was more than ideal. I was pushed out of my comfort zone, discussing topics I previously would never even consider talking about in public before, and I am now more confident as a result. I made friends

I have been a Resident Assistant (RA) for about five weeks. Training to be a RA was tiring but very educational. I learned how to handle multiple situations that could happen with me being RA. After training, it was a series of task that I had to complete as a RA. Those task included: completing forty-four Room Inventory Form, putting in fix it tickets, etc.

My first day at the clinical site of St. Francis-Patewood wasn’t as bad as I was imagining it to be. I was on the mom and baby side and it was rather peaceful and calm. I am sure it was because most of the hard work was over with and that it was now time to enjoy the new bundle of joy. It was a new patient load experience, and I feel as though it was a good experience for it. The nurse I was assigned to was very pleasant and was very understanding of my nervousness but was also able to push my limits, as well as my knowledge growth. She made me think, and she made me feel included, instead of treating me like a follow along puppy. I can’t wait to go to other parts of the 4th floor so I can get an overall experience. I feel like I will enjoy

Part 1: First day of clinical was a great experience! It was not my first time going into a healthcare facility but it was my first time actually going inside to a patient’s room to provide care. Today, it was kind of an exploring, easy day. I was very scared to first get into a patient’s room but I had a very cooperative, sweet, easy going patient and it really helped me to overcome my nervousness. Today, I tried to do head to toe assessment on my patient and it went fine. I had difficulty to hear her apical heart rate but after trying it few times, I was able to get it. I also saw a CNA giving shower to a patient and it was my first time actually seeing one. Practicing in a mannequin and actually seeing it doing on a human being was different.

I found that working collaboratively on this assessment was incredibly valuable. This assessment allowed us to engage in co-planning and co-instructing, both critical parts of the co-teaching practice (Conderman, 2011). During the presentation of our activity, I felt more confident because I knew that if I forgot anything, another member of my group would be able to assist me, and vice versa. Much of our planning was done through collaborative discussions as we all felt we could share our ideas openly. Through these discussions, we built up a more trusting relationship, crucial to co-teaching effectively (Conderman, 2011). I believe being given the opportunity to share our different ideas and get feedback on these ideas from other group members was incredibly valuable.

I left my car and walked towards the staff entrance, waving at some nurses who were just finishing their shifts. It was a cold and gloomy day, but the welcoming heat from the front corridor made my muscles relax. Momentarily after gathering my belongings—lab coat, name tag and clipboard—I made my way down the long, narrow hallway towards the introductory interview room. I knew my patient would be waiting.

My first set of clinical on Medical Surgical floor was very interesting and exciting. There may different skills that I got to use and experiences I got to see in the four days. I like working with the preceptor one on one. In my first set, I got to experience lots of different things and seen things for the first time.

This essay is a discussion about my experience during the first two weeks of my clinical placement in an older adult ward. My experiences will be demonstrated using the various nursing skills acquired thus far. The reflective account used is adopted from the work of Driscoll (2007) which splits the essay into three segments namely a) what happened, b) so what, (what were my feelings, what was good and what was wrong about the experience, c) now what, (if I find myself in that same situation what would I do differently).

My clinical day began earlier than before. I began by checking my patient’s current chart, I was introduced to my nurse, and then I headed off to my patient’s room to perform my vital signs.