Wound Care Team Analysis

Wound management is one of the cornerstones for nursing care however, effective wound care extends far beyond the application of the wound itself. Nurses may be required to assess, plan, implement, and evaluate wound care; therefore, order to fill these roles it’s critical to have an understanding of the several different areas of wound care such as, integumentary system, classification of wounds, wound procedures, and documentation. Knowledge in each of these areas will allow nurses to make well informed decisions about wound care, and as a result play an active part in wound healing.

During the first week of our new nurses in a surgical ward, I was supervising one of the supernumerary nurses. We were looking after a thirty-nine year old woman, Ms LC, who had undergone a laparoscopic peritonectomy. We had to start her on a negative pressure wound therapy dressing or NPWT; as suggested by wound clinical nurse consultant and the doctors during their ward round, since this would allow the fast healing of her wound.

I observed the documentation process from week -2 in my clinical setting and through reading the related documents I gained theoretical knowledge of documentation . I week -4 I did the the return demonstration of documentation with my instructor successfully and started the documentation process in clinical and developed my communication skill . I think my learning plan helped me to achieve this goal . When I started this semester I wanted to learn about the wound care . To achieve this goal I observed the techniques of wound care in week -10 demonstrated by my instructor and reviewed the related resources of wound care . In week -11 I was successful in return demonstration of wound care and evaluated by my instructor . The plan I made

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.

On this unit we took care of diabetic patients, the majority of them being newly diagnosed. This is where I really found my passion for treating and educating patients on their new often terrifying disease. I came to realize my patients were not the only ones learning something new. I learned that I can

This week has been crazy busy. We have had all kinds of animals, with all kinds of issues. We've been so busy that our appointments have been back to back, with little time between. This kind of sucks for the patients since we only have two rooms, and usually one doctor on staff, but we are pretty efficient and everyone gets in and out in a timely manner. Of course with the priority being that everyone gets the treatment they need and their questions answered.

This week at clinical I was able to have two different patients. My first patient was a seven year old girl that was in for right lobe pneumonia. She was in droplet precautions and receiving azithromycin. Since she was on her last dose of azithromycin, once I give her it, me and the nurse discharged her and she went home. I only worked with the seven year old patient for about 3 hours so I had enough time to get another patient for the day to do an assessment on and take care of.

It was a really short day for me, so I just worked on completing more referrals and watching Donna check-in patients. There are quite a few steps on Donna’s part that include: checking to make sure that the insurance has not changed, the pharmacy has stayed the same, collecting copay, and a lot more things that I need to still get in there and learn. We had one particular patient that had a procedure scheduled for weeks that we had to reschedule until insurance differences could be worked out. He was not a happy camper, but luckily he directed his anger toward the insurance company and not us. I haven’t got to really be in the front office much this week because of the need in the clinical area, but I hope to get more experience in this area

This is my ninth clinical shift with my preceptor at Saunders Medical Center in Wahoo, NE, and it was on May 15, 2018 (Wednesday). Today I had the chance to work back in the OR. I had the choice to stay after my shift to place an IV in a treatment room patient, so I did as well. My duties were to place IV’s, gather report, preoperative care, a little bit of postoperative care, and helping clean up the OR after surgery. The patient census included: K. S. a 51-year-old female scheduled for a laparoscopic cholecystectomy with intraoperative cholangiogram; and T. M. a 30-year-old male scheduled for excision sebaceous cysts x2 scalp with full thickness skin graft from left neck donor site. Plus, one IV on a treatment patient, which I don’t have the information for this patient because I was only going in to place the IV. It was an eventful day and I learned how to work under pressure when things can turn for the worse in OR; it was a learning experience and I’m forever grateful! My shift started

The nurses provided opportunities for me to observe procedures such as a fetal blood transfusion. This job solidified my desire to be a nurse and I was not going to let anything stop me from pursuing my dream. I am so grateful for the nurses I worked with who inspired me and taught me what kind of nurse I want to

Despite being so busy, the nursing style was still far more holistic than on my surgical placements and the involvement of the multi-disciplinary team was far more evident. Overall a very good experience indeed.

I can't express enough how wonderful everyone was. Michelle my nurse, of course Dr David Parks, a nurse Misty or Missy after surgery, Dr Paglia and a surgical nurse whose name I can't remember, ( please forgive me if I left anyone out) all treated me with the greatest kindness, compassion and respect.

My first unit, where I started working a new graduate nurse (GN), was a multi-system progressive care unit. I have had opportunities to learn about many diseases from all body systems. I also had the opportunities to take care of many wounds. I found that wound care is very interesting field. Most of my novice on this unit I learnt about time and task management and many nursing skills.

In this clinical setting, I felt welcomed and respected as each individual was informative and helpful to expanding my knowledge regarding wound care. At the beginning of the day, I was introduced to all the healthcare staff and was directed to each learning opportunity that was provided that day. Additionally, I was formally introduced to each patient by the designated health care worker to ensure that they were comfortable with me witnessing the procedure. The atmosphere in this clinical setting was tranquil including the artwork, lighting, and overall aroma. In regards to my personal items and privacy, I was kindly directed to an area in which my items were secure. Overall, I felt the environment in the wound care clinic was appropriate and professional and this was an additive to my comfort being in that

My four weeks of clinical placement had thought me lots of things that can help me to become a better nurse in the future. I give my outmost respect and thanks to my clinical preceptors to the learning and knowledge they have imparted. I have learned a lot from clinical placement because 2B ward is a surgical unit I came to understand the complexity of wound care. Every wound should be assessed according to its type and severity because every type of wound has its appropriate dressing. Aside from learning clinical procedure such as wound dressing, drug administration (within scope of practice), naso-gastric feeding and etc, I came to learn the importance of teamwork it makes the job easier and allows good communication within staff members of the ward. I am looking forward for my upcoming clinical placement in 3rd year to gain more knowledge in and experience to develop my nursing skills and become a competent nurse in the future.