My first day of clinical lab was very memorable. I arrived on campus early and was prepared for a long day of rigorous works. It seem like everyone in section three and four were prepare and on time. However, no professor show up. I panic because I was anxious and fearful that I was in wrong room or maybe the time change to 8:00 am. I waited till 9:00am to be place in a lab room with no professor.
This gave section three and four time to study and bond. We all shared the same frustration and connected over this issues. I was able to finish some of the reading for module one. I also set an appointment for my first exam. It was discouraged for the first day of clinical lab to have so many problems.
We spent the rest of clinical lab on reading and measuring blood pressure. It was thrilling because I never use the blood pressure cuff on anyone before. I didn’t even know how to put it on someone. My few time with a blood pressure cuff was at the hospital and Walmart. I never wait the whole process before, therefore, I was complete clueless. With the clinical movie clip, I was able to put the cuff on correctly but it took a few times of watching other classmates attempting this skill.
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It took some practices to know where to place my index and middle fingers to find the pulse. There was one person with a very difficult pulse. I have to put a lot more pressure to feel the pulse against my index and middle finger. My next challenge was hearing the systolic pulse. I can always find diastolic pulse with ease but my systolic number was always too low to be accurate. It was maddening after so many time of getting the wrong systolic number. The people from my section was tutoring me on finding the systolic pulse. They also shared the same problem with me. It took a long time for me to get the correct systolic number. I picked up some tips from them like release the node very slowly and
Dr. Murray, the chief resident who arrived around 8:00pm, charted Lewis’ heart rate as normal and noteds a probable ileus; however, nursing documentation at the same time recorded a heart rate of 126 beats per minute (Monk, 2002). Subsequent heart rates at midnight and 4:00am arewere charted as 142 and 140 beats per minute respectively without documented intervention (Monk, 2002 ). On Monday morning Lewis noted that his pain suddenly stopped after being very constant and staff charted that they were unable to get a blood pressure recording in either arm or leg from 8:30-10:15am despite trying multiple machines (Monk, 2002; Solidline Media, 2010).
Pre-exercise: For this activity, each group member needed to be familiar with taking and reading another group member’s blood pressure. Many types of instruments exist for measurin...
Heart, the key organ of the circulatory system, supplies blood to body parts by rhythmic contraction (systole) and relaxation (diastole) – the heartbeat. Heart rate is the number of beats per minute (BPM) is an important vital signs measurement for cardiovascular health and human’s wellbeing. There are many methods to measure heart rate (or pulse). One simple method is to manually count the pulse by placing finger on Radial pulse (Wrist) or the Carotid pulse (neck). The need for the ceaseless observation of the heart rate motivates for the invention of heart rate monitors. Another essential factor is the Oxygen saturation (So2 or SpO2), the oxygen concentration in hemoglobin. As the name says, we need oxygen to survive. To achieve this, the technique Pulse oximetry is employed. Pulse oximetry produces a graph, called Plethysmogram.
The purpose of this clinical journal entry is to elaborate on the details of lab day three. On lab day three, we had check-off for blood pressure and apical pulse. In addition, we took a safety test, and learned about mobility, immobility, how to use ambulatory devices, and reposition (C#4, C#6).
Look back: During my third week clinical experience, I did both computer charting and paper charting (for maternal assessment) with nursing care plan. Besides charting, I reported my significant findings of the mother verbally to the primary nurse.
Manual blood pressure techniques are compounded with many factors that may affect the measurement (Myers, 2010). Patient anxiety and poor blood pressure measurement technique by the health professional can result in a misdiagnosis and improper drug treatment (Myers, 2010).
Accurate measurement of blood pressure is essential for the early recognition of deterioration in the condition of a patient; this should be accompanied by a suitable response for early intervention, department of health (2000). Even though the recommendations of using manual blood pressure device in situations where the treatment decisions are made on blood pressure readings, however the use of automated machines are becoming more common in ...
The only reason that I missed my lab quiz was because I own a company named Loan Modification Relief Center. What we specialize in is saving clients from loosing their homes to foreclosure, sale dates and help put them in a better situation. On the day of the 2nd lab quiz, I had 3 clients that were about to loose their homes and I don’t pass that job on to anyone else simply because I have that old school mentality that if I don’t do it myself it wont get done right. Since my name is on the line with it being my company I am not willing to tarnish my name so I had to be there to make sure it happen correctly. I’m pleased to say that the time I missed away from school was not wasted on a lazy day or a personal day or just a day off. I was able to postpone the sale dates for all three clients homes. In all honesty I have straight For future reference I assure you that I will not be missing anymore classes, I have done my best to implement an alternative solutions to prevent this situation form occurring again in the future. A’s and I take my schooling very seri...
Discussing potential risk issues associated with using automated blood pressure/pulse machine in relation to contemporary practice.
Pause the beep test on your laptop after level 1 finishes. 7) Get timer ready to time 5 seconds after the level and another timer to measure 30 seconds. 8. 5 seconds after the beep goes, the subjects must measure their heart rate by placing their index and middle fingers under their right lower jaw and finding their pulse (move your fingers around a little to find the clearest pulse possible). Once you have found your pulse, count how many times you feel your pulse for 30 seconds and multiply that answer by 2 to give you beats per minute.
Throughout my final ten weeks at my placement, I have grown and overcome so many obstacles. I have accomplished a wide range of skills since the beginning and have been improving on them as I gained experience. At my placement as a student nurse, I have gained a lot of confidence, skills, knowledge and experiences that have helped me act and work in a professional way. All the experiences I have had during the ten weeks of my student years have helped me in shaping me into a professional.
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.
Starting a clinical on a new unit was very nerve-wracking. Being a third year nursing student, there are
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.
As we all know that education in universities for students are based on theory learning and also practical based learning. This is to make the students more knowledgeable and they get more clinical experience to lead them and teach them what they supposed to apply in their future working life. Clinical experience has always been a part of the education for medical imaging students. It provides students in medical imaging to be able of "doing" as well as "knowing" the principle in clinical practice (Jeffrey Pfeffer, 2000). Clinical practices are to stimulate students to use their critical thinking skills to solve problems.