My clinical week was emotional and physically draining this week. I enjoyed being the lead on Thursday because it gave me the opportunity to stop and observe. The nurses and the CNAs were very stressed out, and I clearly saw the effect on the patients. For instance, one of the CNAs asked me to help her with an occupied bed change. I was excited. However, she kept passing a bunch of comments of how hard nursing is and how she did not want to be old. I did not acknowledge any of her comments. Perhaps she thought she could express herself (as a result of her stress) in front the patient since the patient was non verbal and could not understand. I felt very bad. I was very uncomfortable and sad. For me, it doesn’t matter whether the patient
I will be discussing about my reflection on the Six Week Group Content/Intervention Mid-term project and my internship. The assignment is on Psychoeducational and Counseling Groups for adolescents who are encountering dating violence from their partner. I will be discussing the paper and the critical knowledge that I obtained after completing the assignment.
Today I felt overwhelmed about my clinical day because I had patients with situations going on that I had never taken care of before in my other clinical rotations.
Employee psychological health is something that should be taken into consideration when a person can improve the outcome of new graduate nurses and seasoned nurses alike; this is something that I know I will continue to strive for creating healthy working environments for staff and myself. Using many of the techniques that have been researched and continue to keep abreast of the most current research will aid in achieving the most positive outcome for staff and patients. I know that while I have not been subjected to this situation personally, it is something that can happen to anyone and with the use of stress relieving interventions on a daily basis will hopefully be able to defuse a potential situation before it arises. While it is not always easy to embrace my character flaws, I feel that if I continually strive to incorporate a positive environment for myself and staff that positive results will ensue from
...us affecting her performance, the in charge nurse must be contacted. Failure to do so, the negative attitudes might also have a major impact on the quality of care for the elderly patient. As a nurse, stress can affect a person mentally, physically and emotionally, thus coming into both categories of physical and emotional health. The fact that the nurse may be going through emotional complication contributes in a huge factor to a nurse’s performance within the health care. If the nurse is unable to put aside her physical or emotional issues, it is important for the nurse to seek counselling, also it is important that the nurse takes a day of sick leave to sort her situation out. Inappropriate actions should always be reported to the in charge nurse to decrease chances of neglect and to be able to provide the best care possible for the patient whilst in hospital.
I enjoyed interacting with the patients, and my nurse. Karie, was amazing. She explained to me everything she did. The routine for each patient was very similar, and this repetition helped me anticipate what Karie needed and helped me feel fairly confident in assisting her with the new patients and their needs. On the other hand, I was extremely disappointed that I was not given the opportunity to administer an intravenous (IV) line. Karie was willing to allow me the opportunity after I watched her place an IV in three different patients, but her fourth patient was transported from a different hospital with peripherally inserted central catheter (PICC) line in place. It was beginning to get late in the day and the patients coming in was slowing down, so Karie told the nurses at the nursing station that I needed to practice IV’s, but no one had any to give. Although I was disappoint that the opportunity to insert an IV into a patient did not arise, I did gain much knowledge regarding the ODS unit. I am now familiar with the physical layout of the unit and what takes place with patients that go there. I know the role of the nurse. I was also given an opportunity to practice nursing diagnoses on a
Looking back on my goals for this clinical day, I would state that I did meet my goals. My overall goal was to become familiar with the clinical setting and the tasks that I would be asked to complete, and I feel that I completely met this goal. As the day progressed, I found myself receiving more exposure to the clinical setting and how to effectively perform skills. Following the concept of safety, I do feel that I met a majority of my goals for safety. During the day, I was able to explore my assigned patient, both by viewing her medical record and by interacting with her directly. This process sanctioned me to acquire the necessary information for my three primary diagnoses, medications, and the start of my concept map. While working with my assigned patient, and other patients on the floor, I remained aware of my surroundings and implemented safety precautions when needed. In the process of patient care and safety precautions, I relied on my therapeutic communication skills to drive my interactions with the CNAs, the nurses, and the patients on the floor. Of my goals set, the only one that I did not completely accomplish was working on all of my beginner skills. Two of the skills I did not get to practice were feeding and bathing/showering. Because I did not receive exposure to these skills today, I plan on making sure I practice these two skills on the next clinical day. Overall, I am pleased with the first clinical day and everything I was permitted to accomplish.
My reflection report will be on how to teach a clinical skill, which could be done either by the simulation training “workshops” or in hospital settings. Any reflection report is basically an evaluation of a person’s records of certain findings about certain topic or experience
My experience in mental health clinical was very different from any other clinical I had before. In a mental health clinical setting, I am not only treating client’s mental illnesses, I am also treating their medical problems such as COPD, diabetes, chronic renal failure, etc. Therefore, it is important to prepare for the unexpected events. In this mental health clinical, I learned that the importance of checking on my clients and making sure that they are doing fine by performing a quick head-to toes assessment at the beginning of my shift. I had also learned that client’s mental health illness had a huge impact on their current medical illness.
For my Core I clinical placement, I am in a Kindergarten classroom at Highland Park Elementary School in Manchester, Connecticut. Highland Park is one of nine elementary schools in the Manchester Public Schools district. The Kindergarten classroom I am in has a total of nineteen students, ranging from ages four to six, eleven of whom are males and eight of whom are females. This is a very diverse classroom with seven Caucasian students, five African American students, two Asian-American students, four White-Hispanic students, and one Black-Hispanic student. There are many adults that circle in and out of the classroom throughout the day, but the general education teacher and a paraprofessional are the two adults that are in the classroom the
This time, I decided to be more talkative and ask more questions about the patients. My senior nurse showed me a patient who fell down a couple flight of stairs and due to his accident, he injured his brain severely to the point where he couldn’t speak anymore. She explained to me all the medications that he had to take and how she had to look up the patient’s lab report because the medications he takes might affect him in different ways. After she was done with looking up his lab reports, I watched her feed the patient for an hour and thirty minutes. During this time, I really felt bad for the patient because he was half-awake and half-asleep while eating. It saddened me how we had to disrupt his resting time to feed him before he could take his medication. After the patient was done eating, I watched the nurse give the patient Lovenox, which I learned was given to patients who are immobile in order to stop blood clotting. After giving him his medication, we had to transfer him off the bed and into a chair, which was my favorite part about this clinical observation. I got to physically help move him off his bed and into a chair. This took 3 nurses, including myself to move him and it made me realize how nursing really requires teamwork. I then got to help clean him up and after changing him, it was time to leave the hospital. This clinical observation made me really excited to be a nurse because I
Throughout my final ten weeks at my placement, I have grown and overcome so many obstacles. I have accomplished a wide range of skills since the beginning and have been improving on them as I gained experience. At my placement as a student nurse, I have gained a lot of confidence, skills, knowledge and experiences that have helped me act and work in a professional way. All the experiences I have had during the ten weeks of my student years have helped me in shaping me into a professional.
I believe placing student nurses in the clinical setting is vital in becoming competent nurses. Every experience the student experiences during their placement has an educative nature therefore, it is important for the students to take some time to reflect on these experiences. A specific situation that stood out to me from my clinical experience was that; I didn’t realize I had ignored the patient’s pain until I was later asked by the nurse if the patient was in any pain.
This week’s clinical days was very impacted me personally. My first clinical day for this week was the anniversary day that my mother passed away seven years ago. I knew working in a hospital setting will reminded me greatly about my mother’s last stage of her life. I am very much closed to my mother; therefore, it hurts me tremendously thinking about the saddest time of my life spending in the hospital with my ill mother. But at the same time, I knew I have to put my personal feeling aside if I wanted to become a professional nurse. I started my first clinical day with sadness and hoping that I can make a difference in someone else’s life; after all, my mother’s illness journey is the reason that I wanted to become the best nurse I can be;
During my experiences working in the medical field, I quickly learned that medicine is not just about the intricacies of the body or prescribing medications to fix the body’s shortcomings. There are many more challenges and difficulties that are involved in healthcare that involve many interpersonal skills. This summer I have volunteered with the medical director at Glenaire Retirement Community in Cary, North Carolina. After a few weeks of shadowing, the medical director asked me to see a patient to discuss her primary complaints before he joined me. I went into the patient’s room, introduced myself, and waited for a response. After multiple attempts and no recognition from the patient, the physician came in to join us.
This week’s clinical experience has been unlike any other. I went onto the unit knowing that I needed to be more independent and found myself to be both scared and intimidated. However, having the patients I did made my first mother baby clinical an exciting experience. I was able to create connections between what I saw on the unit and the theory we learned in lectures. In addition, I was able to see tricks other nurses on the unit have when providing care, and where others went wrong. Being aware of this enabled me to see the areas of mother baby nursing I understood and areas I need to further research to become a better nurse.