Clinical Practice Reflection

I have a lot to reflect on from my clinical practice this week: working with my client’s primary care giver, my client’s complex health experience and through acknowledgement of the areas of practice of where I am wanting to improve confidence in my skills as a nursing student as well as recognizing and acknowledging areas I have strength in. These two clinical days gave me experience that enabled me to step forward in understanding of collaboration with other health care providers, new ways of finding information, working with a more acute client and recognition of feelings that develop in situations where I am strengthen my skills, and where I am needing work on my confidence in my skills and abilities to communicate with different care

However I found her to challenging to work with in that she intiaonly felt as a second year I would be over my head with my abilities to care for the client’s I was assigned to. This point was reiterated a number of time in report, which lead me to feeling less confident in my ability to care for my assigned client. I cannot put all the fault on the RN, I was a little nervous about caring for a client with an unstable a-fib. Through out the day there were a number of occasions in which the RN I was working with questions about why I had not done drawn a conclusion from the salient data I had about my client and took action improve her care. One example was when I was sitting with my client after her nose bleed and she was coughing up blood clots. In reflection of this scenario, I can see why she asked me about why I had not talked to the physician about the morning occurrences with my client. I see now that speaking to the physician was very important to pass on the salient information (the thought just had not occurred at the moment). I will defiantly take more initiative in the future. I was able to recognize that in that moment I was thinking about two things: staying with my client and getting my charting done. I was so focused on those two things that did not allow me to

I recognizing that the importance of timing and insulin, my client’s uncontrolled a-fib and cardiovascular complications I recognized that I would be compromising her health if I tried to administer her insulins, give her meds on time and get her vitals all done before breakfast and lunch. Although I want to be able to practice the skills and be capable of handling the workload required of my client, I felt relief that I could allow others to help me, especially giving another student the opportunity give prepare and give an insulin injection.

Goals for the Remainder of Clinical Practice at KLH Medical

1. Developed my skills and confidence with injections, IV management (flushing, tubing change), dressings and insulin administration. I understand that clinical practice cannot be structured to meet the desired practice that I would like to achieve, however I feel that I have not had much opportunity to apply these skills in practice.

2. Continue to improve on my documenting by using more descriptive words, reduce the amount of writing and ensure I am not missing the ends of words (not why I do this) or forget to sign