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For my first clinical observation, I was assigned to the trauma unit and it was not what I expected it to be. I thought the trauma unit would be fast pace and there would be nurses and doctors rushing everywhere, however, I did not see any of that. Instead, it was quite peaceful and this was probably because my clinical observation was from 10-12 p.m. When I met up with my senior nurse, she showed me a binder that contained all of her patients’ diagnoses, lab reports, treatments, and vital signs, which was a lot to take in because most of the terms she used, I had no idea what they were. After looking at the reports, she showed me a patient who had gunshot wounds on his back and abdomen. I could tell he was in a lot of pain by the tone of …show more content…
I was then introduced to a patient who was in isolation. Her legs were immovable and were crossed in a very uncomfortable position. I wish I could’ve done something so that her legs could be in a more comfortable position, but all I could do was observe and get her a cup of ice cold water to drink. During this clinical observation, I didn’t get to see much but overall, it was a good experience. It made me realize what it was like to be in a hospital setting and what it meant to be a nurse. Seeing how the patients were still able to smile through all the pain they went through, it made me want to become a nurse even more because I would also like to make my patients happy. If I could do one thing differently during this clinical observation, I wish I didn’t ask my senior nurse about what externships she took and instead, I wished I asked her more questions about the patients in order to gain more information about …show more content…
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
I interacted with a man who explained to me that he had never had a good experience at the dental office. He told me that he always had pain when dealing with the dentist and that they never stopped the procedure when he was in pain. He explained how they never gave enough anesthetic, so he felt everything. Immediately he went into comforting himself by putting some earphones on and just talking to me. We held a good conversation. When the dentist came in to see him she immediately noted that the patient had very thick skin. He was a deeper toned person with dense bone. She knew that she was going to have to use a special technique to anesthetize the patient enough to where he wouldn't feel it. She was nice enough to have explained to me the procedure she was going to use and that it was better for patients like him. I was a little confused as to what she meant and some of the terms she used were little tricky to understand but as the procedure went on it became very evident of what she was trying to say. The patient was in tears, not out of pain, but out of sheer joy because he had never experienced a procedure that was as painless as he experienced today. I've never seen a grown man cry like a baby so hard, it was just the most rewarding experience. This experience solidified even more that I am definitely going into the right field. I've never felt so sure of anything before. His tears almost brought me to
When I started my first job as a nurse in the Surgical Care Unit I was a novice nurse, I did not have experience, I lacked of the confidence to demonstrate safe practice and I required continual verbal and physical cues in from my preceptor. I was developing my nursing judgement and the graduated nurse residency program offered lectures and clinical experience that helped me to
On November 17th, 2015 I had an observation clinical shadowing a Registered Nurse in Case Management. Case management is a side of nursing that is not brought up very often. We started off the shift in the nurse’s office. Morgan, the nurse, had a meeting to attend at 9:00am, so we stayed in her office to get organized for the day.
At this point I realized that I had a choice to make and I needed to take ownership of my education. I decided to speak up, ask my nurse if I could do a head to toe assessment on the patient that we were discharging. That way I was able to help him with the last vital signs and I could complete my assignment of the day. I don’t think I would change anything in this situation. I think that this experience helped me to take ownership in my clinical experience and also helped me to find my
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
This was a great experience for me in my junior year. I had never been in an OR setting, nor did I have any knowledge of how the collaborative team worked together. I also didn’t know the role of an OR nurse, which was a great addition to my education of nursing student. Being able to observe this task, I can now say that I have watched two surgical procedures being done, which is very critical in my career path as a nurse. Now that I have had the chance to watch these procedures, an OR nurse is a position that I may consider my future, as a nurse.
Seven months into my job they called a code Blue in Vascular Interventional Radiology and according to procedure I ran over with all the equipment, drugs, and fluids necessary, but nothing would have gotten me ready for what was going to happen. Once I arrived, without hesitation, I went to the anesthesiologist in charge to see how I could help, but noticed that nothing could be done so instead I put on my gloves and proceeded to fall in line for CPR compressions. During hectic situations it is important to keep communication open; thus, I told the nurses ahead of me to let me go since I was a fresh pair of strong hands. From the age of three up to this point I had always wanted to be a doctor and follow in my grandfather’s footsteps; I always said with an optimistic imagination and convocation at hand that no one would ever die on my operating table. As I was doing compressions I remember glancing over to the frantic look on the patient’s family and the pale, emotionless and lifeless face of the person below my hands.
On my first day in TCU I focused on trying to adjusted and found where the equipment placed and how it worked like IV machine, and where to find medications, treatment supplies, and scavenger hunting, I also give care for three patient assessment and medication administration. In addition, I joined a nurse team meeting and introduced myself to everyone most. This meeting taught me how meeting was mainly about how to make a g...
I followed the RN nurse who was to assist and prep the operating room (OR). She first went into the clean utility room, where she picked up essentials for the surgery. When everything was gathered and prepared, we had to sit and wait for the patient who had arrived late. The RN would check the computer constantly to see if the patient was on file. After the clock hit 9, which was the time for the surgery, the RN nurse decided to go help put the patient on file quicker. When we arrived at the patients room, there was a nurse making the patient fill out papers. The RN nurse took over the papers while the other nurse completed the documents on the computer. While watching all the questions being asked, and the time it took to fill out the paper work, I realized that the paper work process is not easy.
I believe that with every experience, there is a lesson to be learned. While volunteering, the nurses taught me how...
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.
... out for each patient to make sure they are okay and to do whatever they need to make sure they continue living healthily. I’m very passionate about my future as a nurse and have great intentions towards my education. It won’t be easy and I don’t expect it to be. There’s no looking back for me now. I know I’ve chosen the right profession and I’ll continue to have such enthusiasm about my future. I hope one day, I can fulfill my dreams of becoming a nurse and give back to the community.
...the opportunity to act as a triage nurse taking weights and blood pressures of our 1600 patients and seeing first-hand how hard it must be to receive quality medical care in their country. Many walked for hours and then stood waiting to be seen in the rain. To them, medical care is more a privilege than a right. This also seems to be true in the United States where the uninsured are turned away from many hospitals to ones, which often lack the resources for expensive operations. This experience has inspired me to serve the underserved.
Luckily, I am very comfortable with patients, which made providing care very easy. I was not afraid to go into other patient’s rooms if they rang for help. I would try my best to help the patients; however, if I needed help I was not afraid to ask a fellow student or nurse on the staff. It is very important to be able to talk to patients and work as a team with fellow coworkers as it made the job easier. On the other hand, I need to go over mother and baby assessments to become more familiar with both. I was able to complete the assessments; I now need to do so in a timelier manner while ensuring I do not forget any key areas. Lastly, it is vital that I continue to go over patient teaching prior to clinical. Being comfortable with the patients made the teaching easier, though I need to become more familiar with all the material that needs to be taught.
Certainly, I began with the goal getting of his vital sign and giving him a bed bath. Fortunately I had practice how to take a vital sign and giving a bed bath before my first clinical at the university skill lab and I had developed this confidence before my clinical tour. That day will be mastering the skill which I had just learned in manikins, and applying in real human with huge safety precaution. In between morning my instructor was giving me a brief before I getting to the patients room. From her experience she knew what kind of challenges and a patient behavior can be I face. As I proceeded to my own patient, I hit a roadblock that would give me a flat tire for the rest of the shift.