Clinical Reflection: Clinical Management

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My management experience was a half-day, during which almost all the student nurses had two patients. In total, I was managing 12 patients.
1. Colby was assigned K.M., a 58-year-old female who was admitted on 11/7/16 for pneumonia. Her code status was not determined and there was no discharge plans. Colby had the opportunity to teach this patient about reducing her current habit of smoking two packs of cigarettes a day to zero packs a day. Additionally, he set up an IV antibiotic for this patient. Colby’s second patient, J.H. was a 61-year-old male admitted on 11/5/16 for sepsis. For this patient, Colby was able to perform an Accu-Check to determine his blood glucose and administer insulin as required. He had no discharge plans at the time …show more content…

Maddie’s first patient, W.W., was a 68-year-old male admitted on 11/2/16 for hospital acquire pneumonia. The patient did not have a code status. The patient received a chest x-ray and a sputum culture that resulted as gram positive, confirming his pneumonia. Maddie experienced a rapid response initiated for this patient when he become dsypneic and tachycardic during a transfer. Upon her report of his integumentary system assessment to me, Maddie noted that the patient had a small knick on his chin from when his son had shaved his face the day before that was still bleeding due to the patient receiving aspirin daily. The possibility of discharge was being discussed but was most likely hindered by the need for a rapid response. Her second patient, B.S., was a 41-year-old male that was admitted on 10/30/16 for an upper gastrointestinal bleed. Upon report Maddie found out that the patient had vomited blood the day prior. An esophagogastroduodenoscopy was ordered for the patient, it showed that he had an esophageal ulcer and a CT scan of his abdomen showed chronic liver insufficiency. Maddie noted that the patient’s hemoglobin and hematocrit were low as a result of this …show more content…

Sam was only assigned one patient, D.H., a 41-year-old male admitted on 11/7/16 for end-stage renal failure. The patient’s code status was not determined and there were no discharge plans. D.H. was an admission, therefore Sam was able to experience the admission process and how a patient might adjust to their first few hours in the hospital. She reported that he seemed to be slightly anxious and afraid of the whole process. Sam was administering medications on Tuesday and was able to push an IV med for the first time. Additionally, the patient was a dialysis patient, so she was able to accompany him to his peritoneal dialysis treatment that

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