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Reflection on time management in nursing
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Teamwork challenges in healthcare
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Recommended: Reflection on time management in nursing
The most challenging clinical assignment would have to be my very first clinical assignment where time management was a challenge for me. I didn’t want to seem too assertive towards my patients which caused me to get behind with obtaining vital signs, performing a head to toe assessment, and ADL’s in a timely manner. This was something I obviously needed to work on because as a nurse this can become a problem when caring for more than one patient. In addition to learning to be more assertive, I also had to learn to plan and prioritize care to be able to accomplish daily tasks effectively for my patient.
(How would your most recent clinical instructor describe your performance in the clinical setting?) My most recent clinical instructor
As a medical / surgical RN, I provided care for the elderly, the infirm, the mentally challenged, the young, and the psychologically disturbed. The wide variety of patients exposed me to the effects of life style choices, health care choices, and the resulting impacts to the patient as well as to the family of the patient. This experience has fully matured my view of the awesome responsibility that we, as health care professionals, have been charged with, and it has furthered my desire to obtain the skills necessary to provide more advanced care for my patients. In addition to exposure, maturity and experience, my career as a medical / surgical RN has also sharpened my critical thinking abilities and provided insight on observing signs and symptoms that a patient may be unware of. Furthermore, as a charge nurse I learned the importance of collaborating with other health care professionals in order to provide the highest level of care available. In summary, my career as an RN has provided valuable experience, maturity, exposure to impact and outcome, enhanced my critical thinking abilities, and improved my collaboration
...to communicate with your patient in order for them to be updated with their family’s sickness. And also have compassion towards them. You are likely to see a lot of injuries and scenarios play out among patients that have been admitted to the hospital. There are many achievements in this field that you may accomplish. And priorities that you have to deal with. For instants your time you have to adjust your schedule.
Looking back on my goals for this clinical day, I would state that I did meet my goals. My overall goal was to become familiar with the clinical setting and the tasks that I would be asked to complete, and I feel that I completely met this goal. As the day progressed, I found myself receiving more exposure to the clinical setting and how to effectively perform skills. Following the concept of safety, I do feel that I met a majority of my goals for safety. During the day, I was able to explore my assigned patient, both by viewing her medical record and by interacting with her directly. This process sanctioned me to acquire the necessary information for my three primary diagnoses, medications, and the start of my concept map. While working with my assigned patient, and other patients on the floor, I remained aware of my surroundings and implemented safety precautions when needed. In the process of patient care and safety precautions, I relied on my therapeutic communication skills to drive my interactions with the CNAs, the nurses, and the patients on the floor. Of my goals set, the only one that I did not completely accomplish was working on all of my beginner skills. Two of the skills I did not get to practice were feeding and bathing/showering. Because I did not receive exposure to these skills today, I plan on making sure I practice these two skills on the next clinical day. Overall, I am pleased with the first clinical day and everything I was permitted to accomplish.
Every time I am in clinical something new always presents itself wheatear my patient is going to an unscheduled test or last minute medication has been order. I have always been the type of person that wants everything done in a timely manner, if something needs to be due by a certain time I make sure it gets done at that time. I quickly discovered that in nursing that is not always the case and in fact it is the exact opposite. At first I was struggling to having to adjust but quickly got the hang out of it but staying claim and not stressing out.
I believe that one of the challenges that I experienced were to find information and statics that will support my chosen nursing problem. Kaplan Library provided me with many MRSA articles, so locating the right articles that are perfect and relevant to my topic was a
I thought it was a very big challenge being a brand new nurse in the hospital. I would say that I struggled with confidence and overall stress for the first 6 months. I quickly realized that very few patients fit inside a clinical box that I had learned in textbooks. I was very task oriented, just from being overwhelmed with work load, and it was difficult for me to critically think in the way I knew I was capable of. A lot of this improved with time and supportive mentors. (5)
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
The National Safety and quality Health Services (NSQHS) Standards (2012) has 10 standards to improve the health services in Australia in improving the quality of health services and delivering a safe care to the consumers and what is expected from the health system one of these is the National Clinical Handover Initiative was established under NSQHS Standards 6: Clinical Handover – the purpose of this is to improve communication between health practitioners through hand over in health care settings (ACSQHC,2010) .Clinical handover practice is recognised as an important factor in the effective transfer of patient clinical care between health clinicians ( Anderson et al,2015).
Marquez what was the most challenging aspect of her job related to death. Ms. Marquez responded by saying that the most challenging aspect of her job is the issue of attachment and loss. She said because as a hospice nurse her primary responsibility is to provide comfort care to the patient, in the process of providing comfort care, there will definitely be an attachment and it challenging seeing them go.
I believe placing student nurses in the clinical setting is vital in becoming competent nurses. Every experience the student experiences during their placement has an educative nature therefore, it is important for the students to take some time to reflect on these experiences. A specific situation that stood out to me from my clinical experience was that; I didn’t realize I had ignored the patient’s pain until I was later asked by the nurse if the patient was in any pain.
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.
I was both excited and scared on my first day. I was curious about everything that I could see, smell and hear. I was excited because everything was new to me. The office was very quiet, all the physicians were concentrate on their work. Everything in the office was organized very well. The equipments were gleaming as they attracted me to touch. The smell of the ink was still dimly in the air. I got a little scared when I stepped into the hallway. It was really crowded, people seem very busy no matter if they were patients or physicians. People were everywhere. It was really easy to pump into someone. Rapid footsteps made flap sounds on the marble floor. The smell of the hospital special antiseptic solutions was very pungent. The call bells in the wards were very sharp, and they were coupled with the red lights in front of the wards and white walls. I had never felt more nervous before. I felt dazed because I had no idea what I could do, but this was piqued my fighting will more. Overall, I like this place. The department where I worked in was called the comprehensive internal medicine ward, and it also included a rheumatology clinic. Though I had volunteered in hospital for a very long time in school, I’ve never got a chance to get in the real business as a volunteer. So I was eager to learn everything. My instructor was a really person. He was near my father’s age, so he took care of me like his daughter....
It requires a great deal of strength, not only physically but emotionally as well. There is a great deal of physical work involved, such as lifting patients and equipment. You are on your feet most of of the day, and there is little patience for idle hands. Patients will often require much patience, and excellent people skills are a must. There will also be situations that will pull on the heart strings, however, we are there to do a job, and to do it to the greatest of our ability. Yes, I was aware of most of these requirements, but I don’t believe that I understood them to the fullest detail, and I probably won’t, unless I experience them first-hand. Fortunately, now, I have been educated on expecting such circumstances, and will be better equipped to handle them when such situations
Coyle believed that you needed to make the task more difficult when you were practicing it (Coyle, 2009). Coyle also stated that you always needed to work on your ability to do something and have supervision because that makes you want to push yourself harder (Coyle, 2009). For example, when a nursing student is trying to find a vein to start an IV, the nurse is supervising the student. After multiple times of the nurse’s assistance, the student will be able to pick a perfect vein to start an IV. Mitchell disagrees with Coyle because he thought that students did not need to have supervision all the time (Mitchell, 2006). When a student enters the clinical setting, the nursing student is not set free by themselves. The student is learning how to interact with patients, learning what to do in certain situations, and realizing what the student needs to work on. A nursing student should not go through three years of nursing school without clinical practice. The skills the nursing student learned the first year may have been forgotten. This displays Coyle’s theory of how deep practice needs to be a big skill of excelling a task (Coyle, 2009). A nursing program needs to implement clinical setting skills for the nursing students so they can get a feel of what it will be like when they are
Further, nurses often play numerous roles in one single shift. Many of them are required to fill out paperwork and take notes about patients and their progress for medical records, as well as providing primary patient care as is required of them. In fact, only a methodical person can fill out insurance forms and take notes for medical records while talking with a patient. Although nursing is a rewarding job, it is a tough one, and if one does not have a methodical nature and need to be successful, they may need to develop multi-tasking habits. For instance, while volunteering in nursing homes, I was required to fill out paperwork and compile records for the residents as well as interacting with the elderly as their otherwise younger children or relatives. These roles helped me developed to become a methodical person, a personality that I believe will play a significant role in my future nursing