This week I felt conflict prior to my clinical days. I have always looking forward to my clinical days because this is the opportunity for me to apply what I learned from our textbook and skill lab to the real situation. However, because we are having our first med-surgical exam on coming Monday, my thoughts is to complete my clinical day as soon as possible so I can go home study. Despite my feeling prior to the clinical day, my mood change as soon as I step into the hospital because I knew I would learn something new every day. I immediately change my feeling of thinking about study to can’t wait to see what is going to happen during my clinical practice and hopping to follow a good nurse that is willing to teach me things that I haven’t learn. This week, I have the same patient throughout the two days of my …show more content…
Even though I didn’t know how it would affect my care to the patient when the family is staying with the patient around the clock, I realize by having the family member presence actually caused me to be more alert of my actions. Since this is the first time I deal with patient’s family around the clock, I learned by asking them questions and through communication, I get to know detail information about the patient even though the patient is under sedation. During the shift hands off report, the day shift nurse inform the night shift nurse that she forgot to change the wound dressing on one of the patient; the night shift nurse realized that she didn’t see the chart clearly. This incident makes me understand the importance to look at the patient’s chart carefully to make sure that everything is done correctly prior to shift change hands off. As a professional nurse, our job is to make sure the patient receive the best care they could during their stay; and at the same time, we needed to have a good communication skill to communicate with our patient, their families, and our health care team
Nurses are central to patient care and patient safety in hospitals. Their ability to speak up and be heard greatly impacts their own work satisfaction and patient outcomes. Open communication should have been encouraged within the healthcare team caring for Tyrell. Open communication cultures lead to better patient care, improved outcomes, and better staff satisfaction (Okuyama, 2014). Promoting autonomy for all members of the healthcare team, including the patient and his parents, may have caused the outcome to have been completely different. A focus on what is best for the patient rather than on risks clinicians may face when speaking up about potential patient harm is needed to achieve safe care in everyday clinical practice (Okuyama,
Caring for a large number of patients in hospitals daily can result in up to four shift changes in 24 hours and potential opportunities for miscommunication resulting in errors and adverse events. These preventable errors can lead to deaths, chronic illnesses, injuries, disabilities and a huge financial burden on individuals and healthcare systems. Literature from several countries indicates that almost 60- 70% of adverse events in hospitals are caused by breakdown of communication including those happening during shift-to-shift handoff reports. Over the past fifteen years, there has been an abundance of research related to handoffs so is there a best practice for shift-to-shift handoff report? Perspectives
Something as simple as taking a walk around the facility can prove to be a battle with patient X. From the day I met patient X it was noticeable that she was lacking her memory. Patient X could no longer tell me her name and everyday it would be different struggle, but for that day it was getting her out of bed to take a walk. From the moment I walked in and introduced myself, patient X could not provide me with her name. Patient X constantly asked if I was her baby, and when dealing with an Alzheimer patient, it’s always best to go along with what that patient is saying. As I got patient X up and out of bed, she started to become violent and resistant. Patient X took forty-five minutes to simply get out of bed and dressed, and that was the very beginning of the battle that would consist all day.
On one of my parents’ first dates together, my father described cattle they drove past as “amazing creatures” telling my mother someday he would like to have land and livestock of his own. That wish to transition from the big city to the country led him to buy a house in the middle of nowhere Indiana, soon raising his own amazing livestock. Growing up, I often complained about the amount of work living on a farm entailed, from cleaning pens to taking care of my 4-H animals. But my dad never complained because such duties were his reward for starting an idea from scratch. Following his footsteps in pursuit of a dream of my own, I chose to attend a large university where I studied abroad to contrast and challenge my rural perspective. Through that transition, I began to respect the difficulties my father experienced following his goal. And while the responsibilities he undertakes are stressful and uncertain, I now
Firstly, Nurses must develop the right communication tools when dealing with their patients. For example most nurses do bedside reporting, before they change their shift in the morning, therefore they would be relaying information to the other nurse about the patient they dealt with during the night. The nurse that is going off shift would give a report to the incoming nurse in the presence of the patient. He or she has to discuss the condition of the patient, medications and the procedures so the next nurse would be on the same level. Most nurses in the General Hospital do their reporting by the bedside of their patients.
When I first decided to come to college for nursing after staying in university for three years, I had an argument with my parents because they were not happy with my decision. My parents just wanted me to finish rest of my degree and they thought that it did not make sense to go to college for diploma, and not complete the university degree. However, I just wanted to complete my nursing diploma in the same amount of time that I can finish my degree in the university because I always wanted to be a nurse.
The registered nurse supervises the delegation by monitoring performance with the standards of practice, policies and procedures. Monitoring varies with the needs of the patient and the experience of the team members. The nurse contemplates the health status of the patients, the geographic design of the unit, the availability of resources, the complexity of the task and feedback from the licensed practical nurse and the nursing assistant. Agreed scheduled checkpoints throughout the shift essentially ensure timely intervention and follow up on concerns. Evaluating the patient’s condition and how the team is handling their tasks results in positive patient outcomes (Yoder-Wise,
When I saw the job posting for Clinical Counselor with a specialization in treating with youth, I knew I had to take this chance. I am a hard-working and optimistic Psychologist with some years of years of experience in human services and I am ready for the continuous work in this area! I am currently looking for an opportunity to continue working within the industry and know my skills; experiences would be a great fit for the position, and for the “CHSi” team.
I was in the middle of traffic. It was 7:24 a.m. and I had to be in class in six minutes. After studying a significant amount of time, nerves were eating me alive because this exam would mark a stage in my life. My mind kept running, going over and over everything I had studied, thinking about physics, biology, and my worst nightmare; organic chemistry. Five minutes had gone by and I was almost at the location where my future would be defined. My vehicle was parked and my anxiety would not go away. Breathe in, breath out, I begun to ponder; what am I doing here?
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.
Starting a clinical on a new unit was very nerve-wracking. Being a third year nursing student, there are
People all around the world go through miscellaneous experiences in their lives. Every situation can affect a person in any type of way. The resulting effect does not always need be dissatisfactory; sometimes is a combination or both good and bad. Many aspects in my life have influenced my personality and how I live my life. Getting bullied in middle school has affected my life intensely, however managed to make me stand for myself, a stronger person, and not scared of what anyone says about me.
I do not think that everyone fits in one hundred percent of the time. I think there are times that we all feel out of the loop, and there are times when we feel like we do not belong. Whether we like it or not, those moments can change us and shape us. I have had times like this in my life too. One of these instances that is still affecting me to this very day has become even more prevalent in the past few months. This experience I am having has changed the way I think, act, and feel about the world surrounding me.
A career in medicine has been a childhood dream for me. I was born and raised in a small and underdeveloped city in Sri Lanka, where hospitals and doctors were sparse. At the age of ten, I lost my father due to a lack of immediate medical care. Shortly thereafter, a civil war erupted and I witnessed countless deaths throughout my childhood. At a young age, I understood that many deaths could have been avoided, if the sick and injured had access to medical professionals. These experiences have fueled my passionate desire to live my life as a physician.