Hays Medical Center Acute Evening Clinical
Kolb Four-Step Process
Concrete
On Wednesday, April 18th, I attended my Acute Care evening clinical at Hays Medical Center. At the beginning of the clinical, Professor Keil assigned us to a nurse and patients. I followed a nurse with 5 patients. We then went down to the floor to wait for report. My nurse, Brittany, and I received report on all five patients from the day shift nurses. After receiving report, we went through patient’s medications and wrote down the medications that we would be passing that evening and at what time. After receiving report and writing down medications, we began. The nurse kind of explained how she liked to prioritize things and how she made it all flow together. Two
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My nurse was on the Code Blue and Trauma team for night shift and after we saw our first patient, there was a Code Blue called. My nurse and I sprinted down the hall to ICU. When we got there, my nurse wanted me to perform compressions, so I was waiting for my turn, but then they found a pulse. Although it is not a great experience for the patient, it was a great learning opportunity for me as a nursing student. I learned a lot just by watching and experiencing what a Code Blue actually looks like. It was truly an awesome experience and I am glad I got to be a part of …show more content…
It is much more of a quiet environment and involves a lot of teamwork. I thoroughly enjoyed this clinical and got to see many different things. I enjoyed getting to learn time management skills and how to prioritize care for each patient. I think that I would enjoy working the evening shift on the Acute Care floor at Hays Medical Center.
Conceptualization
Reflecting upon this clinical, I enjoyed every part of it. It was such a great experience that allowed me to practice my skills and practice my time management skills while caring for multiple patients. Also, getting the unexpected opportunity of being a part of a Code Blue was an experience that I will never forget. The teamwork that the night shift nurses have is very important and awesome to see.
Experimentation
Before this clinical, I was nervous as usual, but especially because I was not for sure what to expect. I was nervous to be taking care of multiple patients, but it turned out just fine and I learned a lot. This evening clinical was a great view into the future of what it is like to be a nurse and have multiple patients to see and care for, which I think it great for us students to experience. Like I said before, I think that I would really enjoy working at Hays Medical Center on night
It was intimidating and a bit scary, but instinctively I tried to help the patient and his family in any manner I could. As the day progressed, I had less anxiety when administering medications to the patient, and I felt more at ease with checking on the patient and his family to ensure they had no unmet needs. Because of our initial encounter with the doorway assessment, providing patient care was not as frightening as past first days of clinical have been. This resulted in a quite interesting post clinical conference where every student had something interesting to discuss regarding the patients they cared
" One may think that most registered nurses do the same tasks in the medical field.
Overall, I retain three goals for this clinical day: Safely and efficently administer medication, enhance my nursing/CNA skills, and determine how to implement infection control into a health care setting. This week reflects my assigned time to administer medication in a health care setting for the first time, with a resident who retains nearly twenty medications. I except this experience will be a great learning experience, but it will also subsist slightly stressful. With the assistance of my FOR, my goal is to administer all of my resident 's medications without complications. To ensure that medication safety, I will perform the six medication rights and three checks prior to administration. Along with medication administration, a goal
What went well during my clinical day was that this was the first time that I was treated very well by the nurse. This nurse was really good about sharing what she was passionate about, so this encouraged me to want to learn more about what she was teaching me. The best part of my day was patient and parent interaction. I went into two patient’s rooms and played games with them or colored with them. It brightened up my day seeing them laugh despite the health issues they had going on.
It was a very slow environment and because of this I was a bit bored most of the day. The nurse spent most of the morning catching up on documenting incidences that happened the day before. Most of the activity that we saw when I was there happened right after lunch and everybody came in from the playground. The most enjoyable times for me was when we went to the special needs center to check on one of the kids with diabetes. The teachers in that classroom are amazing for being able to know how to teach and handle kids with learning disabilities. I learned that the school nurse is a lot slower environment and has its advantages if you are a parent. It is very important though, a lot of the kids that came into the office where just seeking attention and approval. A school nurse needs to be able to pick up when something is wrong with one of the students. My biggest weakness during the clinical experience was being able to communicate well with the kids. Since communication varies with the different age groups and there are so many different ages in the middle school, I had difficulty transitioning from talking to the older kids to the younger kids and vice versa. Since each of the kids grow at different rates it was also hard sometimes to tell which kids were the older ones. Since the older ones are on the brink of being teenagers and don’t like being treated like they were
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.
On my first day of week three clinical at 0830, client W and I were on our way to the dinning room and client B asked me to put his jacket on, so I told client W that I would meet him in the dinning room. After I helped Client B, I was on my way to the dinning room and nurse A told me that client W was experiencing difficulty breathing and we needed to give him his 0900 inhalers earlier. He was having audible wheezing and rapid respiratory rate. Therefore, we had to give client W his inhalers, SalbutaMOL Sulfate, which is a bronchodilator to allow the alveoli in the lung to open so th...
Clinical this week went really well, I had my patient both days which was really nice because I was able to see the change in his recovery progress and follow up on concerning issues that my patient had after the first day. I was able to look at his labs and see how his body was adjusting to the medications he was receiving and see how he was recovering two days’ post surgery. I was able to bundle my care better and have a smoother head toe assessment because I had the added bonus of previously taking of him care. Additionally, I also got to know him a little better and not just focus in on his diagnosis and disease states but take a step back and look at him holistically. During the first day, I took care of my patient he was having trouble voiding and still could not pass gas even though he felt cramping pain.
This morning was my first onsite clinical experience. My goals today included implementing the assessments and skills learned in lab into the onsite setting. I was really looking forward to actually performing some of the features we had practiced in lab on a real patient. I wanted to practice taking vitals, the assessment for HEENT and Hair, Skin & Nails in my clinical care. I also wanted to just familiarize myself with the typical flow of the morning routine in the hospital.
For my clinical observation experience I went to the Emergency Department at JFK Medical Center. The first emergency nurse I was assigned to was responsible for six beds. When I first arrived the nurse explained to me that she prioritizes her care based on urgency and airway problem. Since the rest of her patients were stable, she went to perform a focused assessment on a new patient assigned to one of her beds. This patient came in because he had fallen in the bathroom. As soon as she was finished assessing this patient, she went to the
A woman walks into the emergency room with terror in her heart as they take the lifeless child from her hands. As panic consumes her, screams fill the ears of those surrounding her. People in scrubs take the blue-faced child out of sight, rushing to keep the small heart pumping. A blond-haired, brown-eyed woman has her hands performing C.P.R. on his tiny chest, “He’s breathing!” echoes in the room. He was yanked back from the light by the hands of a registered nurse. Without a doubt, registered nurses are some of the most crucial people in the medical field.
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.
This narrative will be analyzed using relevant concepts from the literature. Narrative My experience happened when I was in my second year of nursing. We are just starting our clinical rotations at KGH. At that time, our instructors assigned us one patient to do our nursing care. The goals for the day are to do our head to toe assessments and be able to chart our findings.
60). December 1, 2017 will forever be a day that changed my life. It was my first official day at placement. I arrived on the floor dressed and prepared for a day of learning. Once all the patient care assistants (PCAs), registered practical nurses (RPNs), and registered nurses (RNs) gathered, the head RN began to deliver the daily report. I listened carefully for my patient’s name and discovered that they were making great progress. The head RN finished by mentioning that there was a palliative patient on the floor. New to the nursing field, I was unaccustomed to the word palliative, however I quickly learned when I passed by the patient’s room and noticed the patient’s friends and family filling the room with tears. I continued on with my day, making my patient top priority. I was later informed that the palliative patient had passed away. The feeling of grief grew upon me, regardless of even knowing the patient. Our instructor offered the students the chance to see the patient’s body. Having grown up on a farm, I figured the sight of a deceased person would not alarm me. As we entered the dark room, it felt as if we were hit by the cold. The deceased remained covered head to toe by a white blanket. The students gathered quietly around the deceased. There was a moment of silence, where respect was given to the dead. Shortly after
This week’s clinical experience has been unlike any other. I went onto the unit knowing that I needed to be more independent and found myself to be both scared and intimidated. However, having the patients I did made my first mother baby clinical an exciting experience. I was able to create connections between what I saw on the unit and the theory we learned in lectures. In addition, I was able to see tricks other nurses on the unit have when providing care, and where others went wrong. Being aware of this enabled me to see the areas of mother baby nursing I understood and areas I need to further research to become a better nurse.