“Whoa-oa-oa! I feel good, I knew that I would now. I feel good….”. My “I feel good” ringtone woke me up from the depths of slumber during my first night call in internal medicine rotation. My supervising intern instructed me to come to the 4th floor for a patient in distress. Within moments, I scuttled through the hospital hallways and on to the stairs finally arriving short of breath at the nurses’ station. Mr. “Smith”, a 60 year old male with a past medical history of COPD was in respiratory distress. He had been bed bound for the past week due to his severe arthritis and had undergone a right knee replacement surgery the day before. During evening rounds earlier, he had no signs of distress. However, now at 2 AM in the morning, only hours later since rounds, he was minimally responsive. My intern and I quickly obtained the patient’s ABG measurements and subsequently initiated a trial of BIPAP. This resolved Mr. Smith’s respiratory distress and abnormal ABG values. To rule out serious causes of dyspnea, a stat chest x-ray and CT were obtained. Thankfully, both studies came back normal. …show more content…
I like problem solving and the challenge of being faced with a set of symptoms to figure out the diagnosis. With my preceptors, I experienced the intricate thought processes involved in managing patients with multiple co-morbidities. Going to my clerkship everyday was exciting in not knowing what I will encounter; it can be an acute or chronic condition or a combination involving any system of the body. At times, I also observed my preceptor play an initial role of a specialist such as a cardiologist or nephrologist. I respect the vast knowledge internists possess and their integration into practice. During my clerkship, I felt like every day was an adventure of problem solving which is appealing to me as a
The view of nursing is now more in depth and well rounded than before attending this class. Also, I now have a better understanding that scientific knowledge has a huge impact on nursing. Before taking these specific classes this semester I did not realize how much of a role science played in the nursing career. This quarter has really shown me that a nurse is not a "task monkey." The most surprising thing that I learned this semester was the abundance of knowledge that a nurse has to have in variety of areas such as assessment, legal, risk prevention, and educator just to name a few. As I make my journey through nursing school to expert nurse, I will always remember my instructors and dean continuously repeating that I must choose
To grow with the greater demands of modern health consumers, nursing can attain ways to distil stagnation while advancing with the constant flow of healthcare, providing ever increasing care.
According to Bulman (2008), reflection is described as “reviewing experience from practice so that it may be described, analyzed, evaluated, and consequently used to inform and change the future practice”. I believe that reflection is a process that helps one to have a better understanding of a situation, which leads to better management in the future. Through this reflection exercise, I hope to have a better understanding on communication with patients, with a focus on stroke patients. Communication barrier affects the patient care. Effective communication with patients is fundamental to good health care (Borthwick, 2012).
I feel as though I am ready to practice medicine in a multicultural society because I have been living and working in environments overflowing with diversity. While growing up in Haiti, the healthcare was, and still is, very poor due to a number of reasons such as: low doctor to patient ratios, lack of sanitation and unaffordable healthcare. As a nurse in Haiti, my mother spent most of her career specializing in preventive care. She traveled around the world to Brazil and countries in Africa teaching others about maintaining proper hygiene, sustaining a healthy lifestyle, breast-feeding, avoiding viruses and more.
Where nursing is concerned, there will always be needs or opportunities for a job. It seems like there are never enough nurses out there, because there is always a need for them. Maximum staffing is needed because there are so many sick people that you will need to care for everyday. There are about 439,300 jobs available.
The following essay is a reflective paper on an event that I encountered as a student nurse during my first clinical placement in my first year of study. The event took place in a long term facility. This reflection is about the patient whom I will call Mrs. D. to protect her confidentiality. Throughout this essay I will be using LEARN model of reflection. I have decided to reflect on the event described in this essay since I believe that it highlights the need for nurses to have effective vital signs ‘assessment skills especially when treating older patients with complex medical diagnoses.
This week I got the opportunity to experience a different side to nursing. Endo was an area of nursing that included a fairly straightforward routine with moderate client interaction. While, OR included very little client interaction with the exception of escorting the client to the operating room. It also included a routine in regards to procedure, but it became evident that these routines doesn’t always go as planned, forcing the surgeon to take another route. It was eye opening to see what the role of the RN was in both of these settings, and although Endo didn’t seem to strike an interest in me, the OR made me want to know more.
“The ultimate value of life depends upon awareness and the power of contemplation rather than upon mere survival” (Aristotle, n.d.)
I was assigned in gastrointestinal surgery ward. During this placement, I have gained sufficient knowledge and skills that helped me developed my professional learning experience. Using Gibbs reflective cycle, it enabled me to reflect on my clinical experience. It made me aware of the things that I could do better in the future. My patient requires highly complex surgery and postoperative wound care; he has bellovac drains and nasogastric tube (NGT). My buddy nurse told me to remove his NGT and bellovac drain. At first, I was very hesitant about the procedure since it was my first time to remove an NGT and bellovac drain. While I was preparing my equipment, I was also preparing myself and building some confidence. Then, I asked permission from
In this lecture Monika Tyler the course leader of bachelor of nursing came in and spoke to us about what its like being a nurse what you are require to do in order to become a nurse. Monika spoke about the type of people nursing is right for and reasons to do and not a Nursing degree. Monika also explained and defined nursing and then specifically explained what a Registered nurse is. This lecture also highlighted emerging new roles for nurses, pathways into the bachelor at Victoria University and touched on the difference between the amount of males and females who are are currently working as a nurse.
There once was a person with a legacy of hurting others in his past and let many people down. After which, he went through a life changing program, and ended up becoming a nurse and righting the wrongs that he caused in his past. He then became a very caring person that many people know of, but don’t know personally. He didn’t want to be recognized by name or by awards for which he received for his part in helping others. He hurt many people and he felt like he needed to make up for that. He went through life not caring about who he hurt as long as he got what he wanted, and what he wanted was for people to let him be by himself. He knew this would never happen due to his behaviors and being in foster care. He felt like if
Reflection allows us to think about an action or incident that would enable us to consider what was positive or challenging and if right, plan how it might be improved or done differently in the future. The Royal College of Nursing. (2017). Throughout this essay I will be reflecting upon my role as a student in higher education and as a future healthcare practitioner I will be using Gibbs (1988) model of reflection to reflect on my experiences so far as a student nurse. I will end the essay with an action plan to show the learning outcomes and activities that are required to meet these aims.
The first time I entered the nursing area I sensed an environment of calmness. The room was clean and well designed. The temperature was perfect, neither cold, nor hot. The area was well lighted, but no bright. The cribs were aligned around a center that had two rocking chairs, a carpet, boppy pillows on the floor, and some toys. An area separated by a screen was assigned to mothers who wanted to breastfeed their babies in a private space. In the background soft low volume music, was playing at a times. The caregiver had some babies sleeping in the cribs and others awake on the floor on boppy pillows. She used a kind, soft voice, and told a baby that she would pick her up to change her diaper. As the caregiver walked to the changing table, she smiled to the infant and talked to her. Later on, around 11 am the young mothers entered to the nursery room to check on their babies. By this hour, the caregiver had already feed them (at least one time) and changed their diapers. Some of them approached to their infant’s crib and caress its baby while were sleeping. Others picked them up from the cribs and carried them around.
Caring for people is a prerequisite for becoming a nurse. This can often be effortless and second nature but then there are other times where caring for someone is not always the easiest thing to do. You see it in the frustrated mom of the two-year-old who is throwing a temper tantrum in Target. Or the nurse of a patient who presses his call light frequently for seemingly insignificant things. Caring takes patience. With nursing, in particular, you need to feel called to the profession. You need to feel as though nursing is something you desperately have to do. As if you would be disobeying or cheating if you did not become a nurse. This calling can come from many different places or people, but for me, it comes from the Holy Spirit. Throughout my life, I would get so excited going to the doctor’s office or the hospital. I longed to stay and discover parts of the hospital I had not had the pleasure of finding yet. I felt called to
I believe it's becoming tough for the upcoming college graduates like myself to find work with nothing but a college degree in their hands. A degree that students have worked so hard for, however, most companies look for the actual experience when hiring. The best way to get that experience is through an Internship. Internships offer work experience in a particular profession to people who are new to the field. The advantage of obtaining an Internship under your belt is, it strengthens the resumes by giving students visible work experience. As an intern, they should evaluate and examine their internship programs carefully, to see if those programs offer the training they need or want for their potential future