This past week was my fifth full week on my unit. I am currently on 4 west and occasionally 7 east, both of which are medical/surgical floors. Four west is my primary unit and also contains some PICU rooms. I have been able to build rapport and establish therapeutic relationships with a few chronic patients, and fortunately, I have been able to create professional relationships with staff. While typically staff on this unit are not as receptive to child life presence during procedures or medical assessments, I have had the opportunity to advocate for and demonstrate child life services during medical procedures/assessments. During my medical/surgical rotation I have been focusing on the following modules from the ACLP internship …show more content…
I have created a substantial therapeutic relationship with this patient and her mother, and I am aware that this patient is distressed by even the mention of her PICC dressing changes because she dislikes adhesive peeling off of her skin. We have worked to create a coping plan with this patient for her PICC dressing changes, her Lovenox injections, and lab draws. After dropping the patient off at her room, I found this RN and advocated for my presence during the procedure. To my surprise, this RN was extremely receptive and agreed to page me for the procedure. When I was paged I went down to the unit and touched based with the RN and headed to the patient’s room. I entered the room with 3 of the distraction materials we use most often (an iPad/Find It Tube/Play-Doh) and allowed the patient to choose which one she would like to be used today. The patient chose the Find It Tube and I asked her if she would want mom to sit on the bed with her and she replied yes. Mom engaged in a comfort hold where she sat behind the patient. I also grabbed a ball of Play-Doh and selected a game on the iPad and put it on the table behind us as backup plans, since oftentimes we have to switch distraction toys. The dressing change was quick and the distraction was extremely successful. The RN went out of her way later to thank me, and it made me feel like she actually saw how important our presence can be in procedures. In all, this specific intervention was
Even when last Friday week three was, it was the second time that I have a patient assigned to my care and as expected I was still feeling nervous due to the age of my patient. However, at the same time I was looking forward to experiencing taking care for a little one and be able to applied new nursing skills due to mu first interaction with a patients his age. The experience was very gratify and enjoyable to be able to help a little one to feel more comfortable while performing nursing skills. The fact that the instructor was with me during the assessment help me to feel more confident as well as be able to ask questions and concerts that developed during the assessment. My assigned patient has a twin who was also staying at the same unit but on a different room so it was very interesting to be able to interact with both twins and observed the development differences even when they are identical twins. The nurse assigned to care for the patient was very helpful and approachable as well which make things a lot easier going in reference to taking care for a little one for the first time besides OB rotation which was more observable and not so much hands on. So far, I am looking forward to next week rotation and excited about learning new
Over the last few weeks, I have had the opportunity to experience some of the best and most difficult times of being a medical assistant. I have had hands on experience with patients of all different ages, races, religions, and personalities. These last few weeks have not only taught me patience, acceptance and boundaries of others, but I was able to learn more about myself as well. My externship experience has opened my eyes to the realities of maintaining a healthy lifestyle, physically and mentally, as well as the importance of family and friends. DePaul Medical Center and In Faith Psychological Services were the best locations I could have chosen for my first look into the life of a medical assistant.
I enjoyed reading your post. During my clinical rotation, I had the opportunity to be part of hospital huddle. The physician, surgeon, dietitian, assigned nurse, charge nurse as well as the parents of the patient’s (minor) were all present discussing the patient health status from the day of admission to current day (day of huddle). Each member was getting a turn to give their insight of the patient’s health condition, plan of care, and new approach that can be taken to improve patient outcomes. During the huddle, the parents were given the opportunity to ask questions about the treatment plan, surgery options and any other concerns they may have. Then, the surgeon explained the risks and advantages of the surgery, how the surgery
My personal experience gives me emotional strength and purpose to serve the vulnerable sections of society through pediatric health care. Growing up in a remote town in
During my clinical rotation during my last semester of nursing school, I was able to work one on one with a BSN degree nurse named Judy in the ICU. Judy had three years of experience in the ICU setting. She had been a medical surgical nurse prior to her ICU transfer. The ICU at this hospital consisted of two associate degree level nurses and two BSN level nurses on my shift. I rotated three days in this particular ICU. I worked with Judy all three days of my rotation. I was excited about being placed with her for she seemed knowledgeable and skilled. We were given a male post trauma patient to work with all three days. This patient was a 30 year old male admitted for trauma related injuries and was considered unstable and was to be monitored in ICU. This patient had been involved in a motor vehicle accident and
Through my compassion, responsibility, and teamwork I will be able to leave a positive impact on the patients, staff, and parents that visit this facility. Although I may only be a high school student volunteering a few hours a week at this local hospital and I may not be handing a scalpel to a doctor, what I do has the power to bring a smile to someone's day. This opportunity to make their experience better is definitely worthwhile. To conclude, I would also like to thank the Plano Presbyterian Volunteer Services coordinators and directors for providing this great opportunity for High School students like myself who are exploring the medical
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
The second week of my preceptorship brought many new experiences for me, and I can honestly say that each day I spend with my preceptor is better than the last. This week I focused on time management of a full patient load with continued documentation practice as well as admission and discharge procedures. I’ve had brief experiences in my past rotations assisting with discharge teaching and admission assessments however I have never been able to fully take charge and complete the process from start to finish, so this was a great learning opportunity for me.
In the healthcare field, we are learning every day, and this makes us better equipped to serve our patients. I want to be able to grow in this facility and continue learning every day, and that is done through hard work and dedication. I’m a great team player and I want to be able to grow and help others grow as well. There is always room for me to grow as a person and I know I can do that by working together with others around me. During my clinical rotations at Texas Childern’s, I had the great privilege of working in a few different areas.
I began volunteering at the Hospital for Special Surgery, to get an overview of what is is like to work at a hospital. Volunteering at a hospital was an eye opening experience, because I got to encounter how physicians, and medical staff communicate, and listen to their patients. These two skills are essential to understand patient needs, and therefore make the right decisions in diagnosing diseases. My role at the hospital was to provide snacks, beverages, and aid kits to patients, families, and medical staff. I have witnessed families that stayed up long nights, because they had loved ones undergo surgery. Any person that has a loved one undergo surgery becomes worried and scared, because of the uncertainty that lies ahead. However, the imperative skills that I have learned and exceeded on was my communication skills. Communicating with these families, and patients was exceedingly important, because you have to place yourself in their shoes to understand the situation they are in. I met young patients, as young as 5 years old, that were in the hospital for days recovering from surgery, or undergoing
My first goal during the child life internship is to successfully gain a working knowledge of the philosophy and principles of patient-and family-centered care. Although I have some valuable experiences working with children and families, I believe that the setting, environment, and resources at Advocate Children’s Hospital will help me to further develop skills and knowledge in working with families in times of crisis and high stress. I want to gain a solid understanding of family dynamics, stress reduction and developmental, educational, and therapeutic play techniques. My second goal is to evaluate my own work under the guidance of experienced professionals, and be measured by professional standards. As a graduate student in child life, I have set forth to gain knowledge of developmental and educational theories, role-play various preparations with classmates, and volunteer for child life events; thus the next step is to gain clinical preparation and put what I have learned in class to practice. Hence, I am eager to invest in opportunities to build on coursework and apply theory under the guidance of experienced individuals to acquire skills in the profession. My third goal, but not my last goal, is to strengthen my ability to interact and communicate with other members of the health care team to integrate child life into the care plan. Child life is not only a service, but a team commitment to excellent care, therefore, it is important
Interventional Radiology was running slow today during clinical. It first started off by the nurses explaining what the day was going to consist of. After that they explained, how to get everything ready to start the day. We did not start procedures until around 0845. First patient was in for a cat scan, an I.V. was placed. The first nurse was not the best person to explain a procedure, therefore I just watched as she did the I.V. The second procedure was another cat scan, and I.V. placed too. This nurse was more willing to explain as she did the procedure. However she did have a harder time doing the I.V. because she was not having blood return. Another nurse helped her but she also had trouble getting the I.V. placed. Later after that patient, another patient was in, but he was going to be taken to catheterization lab. I did not get a chance to go with him because another patient was going to have permanent catheter insertion. I got ready to see the permanent catheter insertion, and the nurse explain what they were going to do. However I did not get to see the whole procedure because in the middle of the procedure I felt dizzy, and dizzy. Finally I got to see a nephrostomy exchange tube. The patient it’s a regular patient that
I was on my way out to lunch when she stepped in but from what I could hear on the other side of the curtain she was very nervous and scared about the blood draw. I left the lab confident that my colleague would do an exceptional job as always with making our patient feel at ease. As I returned from lunch, I could hear the same patient on the other side of the curtain telling our phlebotomist that she was extremely terrified of needles. My colleague had done everything that she could to make this an easier process for our patient, but even then she was not quite ready to start. My colleague and I knew that this is when our teamwork skills would come in handy, before I could settle back into the lab, I quickly jumped over to the other side of the curtain to help assist my colleague in comforting our nervous patient. The patient was almost in tears and breathing heavily as she held her ice pack against her chest and sat down reclined in our phleb chair. In attempt to distract her and make her feel more comfortable I turned our computer monitor to face her and offered to play a cute animals video for her on YouTube. She giggled but was more than happy to give it a shot; as we played the video, she asked me to grab her hand and talk to her. I sat there comforting her and letting her know that she was doing a great job rest assuring her that everything was going to be okay. As I held her hand and chatted
I have completed 174 hours between both clinical sites. I have completed my primary care hours and have one more day with my women’s health preceptor. The situation discussed below is an example of Joanne Duffy’s Quality Care Model. The Quality Care Model focuses on the importance of forming caring relationships among patients, their families and the healthcare team to improve patient outcomes. During my women’s health rotation, we had a 15 year old girl come to the office because she was having irregular menstrual cycles. I went into the exam room, while my preceptor stayed in his office reviewing charts. When I entered the room, the patient was sitting on the exam table, obviously nervous. She was looking down, shoulders slouched, fidgeting her hands, and swinging her feet. Her mom sat in the chair next to her. I introduced myself to the patient and her mom.
During my time there, I shadowed a pediatric doctor. While I was asking him questions, he was called into an emergency surgery, and I was unfortunately not old enough to watch according to the hospital restrictions. So as I was waiting around, a PA swooped me up and let me shadow her instead. I was embarrassed to admit to her that I was not aware of a PA’s responsibilities to the hospital. Throughout the rest of the day, I followed the PA into patient rooms and recovery rooms. I was able to observe how the PA interacted with patients with such a reassuring and caring attitude that I had not seen with the previous physician I had met. I not only respected her compassionate personality, but I related to it.