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A Sample Nursing Reflective Essay
How to write a reflective essay for nursing
A Sample Nursing Reflective Essay
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The purpose of this essay is to discuss and reflect on my performance demonstrating caring for a patient with an intravenous cannula.This includes priming an intravenous line and administering 100ml of normal saline following the patients documented medical orders. I will be using the Gibbs (1998) reflective cycle to exhibit my ability to link theory to practice, to explore different ideas and ways of thinking about my practice and to promote self improvement.
Description: I began by checking the patients documented medical orders for a normal saline infusion of 100ml and then performing hand hygiene. I introduced myself to the patient and explained the order to him. I then checked that the patient identification band matched the fluid order and proceeded to prepare it. I began
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I verified the expiry date, consistency, colour and package name of the 10ml container of normal saline for injection and then drew it up using the aseptic non touch technique. I confirmed the 100ml normal saline bag against the fluid order, its expiry date, consistency, colour and had the nurse working with me verify these as well. I removed the giving set from its packaging and prepared it for priming. I then took everything to the patients bedside and introduced the nurse who would be assisting me. I checked the intravenous therapy against the fluid order at the patient's bedside with the assisting nurse. We both confirmed the patients details on the order against their identification band, noting the patient had no allergy precautions, we also verbally asked him to confirm his name and date of birth. I then performed hand hygiene and checked the intravenous cannula site for any signs of swelling, redness or phlebitis. I then spiked the fluid bag using the aseptic non-touch technique and primed the intravenous line. I checked for and removed any remaining air in the line and set up the
The nurse, a traveling nurse, was working on a unit and received orders for infusion of normal saline in a 7 month old. He saw a small bag of what appeared to be saline on the desk in the nurse’s station, with the manufacturer’s pre-printed labeling indicating that it was filled with normal saline. One key aspect, as described by the traveling nurse, was that he had encountered in other health systems that pediatric infusions were specified in small bags. Based upon these two perceptions, the nurse administered the infusion – despite the pharmacy applied label being on the other side of the bag. Needless to say, the child died shortly after receiving the infusion, despite resuscitation attempts. The infusion was actually prepared for his adult patient
The patient was transferred to ICU consults called with intensivist M288. PICC line inserted at 15:30. Antibiotics started for suspected sepsis cultures taken.
When I was working as a bedside nurse in the Emergency Department, in one of my duties I was not satisfied with the treatment plan made by a resident doctor for XYZ patient. He entered intravenous KCL (potassium chloride) for the patient. The purpose of that medication and its dose for that patient was not clear to me. I assessed patient history and came to know that a middle aged patient came with the complaint of loose bowel movements, vomiting, and generalized weakness. His GCS (Glasgow comma scale) was 15/15, looked pale but was vitally stable. I exactly do not remember about his previous disease, social or family history but I do remember that he was there with his son. According to the care plan, I inserted intravenous cannula, took blood
Also, there is a section for all liquid medications on the shelves and also in alphabet orders. Next to liquid medications, there is a computer where pharmacist can look over patient’s profile, medications list, and verify the order. As I continued to walk straight down, I saw lots of medications on the shelves. These medications called fast movers where popular medications that hospital used a lots. All of these medications all located in one area so that it can be easy for pharmacist and pharmacy technicians to look through when there is an order. For medications that are not fast movers, it located next to fast movers medications so that it can be easy and convenient for pharmacy technicians to look through when physician prescribed the order of medications. As I turned left, I saw that there is an IV room in the back of the pharmacy where IV products are being made to supply to entire hospital upon requested. The room is sanitized and cleans monthly to prevent bacterial contamination from outside. As I walked through IV room, there are two seats for staff pharmacist to seat and preview patient’s profile and their medication list, verify, and answer the phone calls from the floors. Also, in the back, there are IV products
“The ultimate value of life depends upon awareness and the power of contemplation rather than upon mere survival” (Aristotle, n.d.)
The following essay is a reflective paper on an event that I encountered as a student nurse during my first clinical placement in my first year of study. The event took place in a long term facility. This reflection is about the patient whom I will call Mrs. D. to protect her confidentiality. Throughout this essay I will be using LEARN model of reflection. I have decided to reflect on the event described in this essay since I believe that it highlights the need for nurses to have effective vital signs ‘assessment skills especially when treating older patients with complex medical diagnoses.
Developing confidence, and competence is a challenge faced by novice nurses (Morrell & Ridgway, 2014). Over the course of my nursing degree developing, and maintaining confidence in my clinical practice has always been a personal challenge. During my preceptorship placement, I have the opportunity to continue to cultivate my confidence, and prepare to begin my practice as an independent graduate nurse. In the reflection, I will discuss how I have gradually become a confident practitioner through my experiences in my clinical placement, and especially those in my preceptorship placement.
Adult nursing is a subject I am passionate about. In my opinion, there is nothing more important than the health, safety and security of one’s self and others. I aspire to achieve these attributes for individuals in everyday life and this course will help me to do so. I find helping people rewarding and adult nursing provides a professional platform to achieve this target. It also helps me to progress to a stable job that is solely concentrated on making a positive difference in someone’s life. For this reason, I would feel privileged to be accepted on to this course.
To improve my understanding of maintaining my capability for practice as a RN, I set a goal to learn in depth from my classes, related units, and through interacting with my friends and tutors. There were many setbacks on the way, but as I became more acquainted with the matter I began understanding better. In this reflection I’ll use Gibbs reflective cycle (Gibbs, 1988) to address my experiences as a student nurse in fulfilling the maintenance and capability for practice. Description Through tutorials, lectures and simulation classes every semester, our practice is enhanced and maintained so that the skills and knowledge we learnt is always nurtured while new ones are gained.
The patient was transferred into my care via the Emergency Assessment Unit for Surgical Patients (EAUS). I was given handover by the charge nurse who has already pre-a...
I am working as a staff nurse at one of the Integrated Management System (IMS) accredited hospital in Sarawak since 2014. I qualified as a Registered Nurse with a Diploma in Nursing in year 2007. My first year I have been working in a multi-disciplinary ward. We cover a range of specialties including minor and major surgeries. The health care team in my ward consists of 1 Unit Manager, 20 staff nurses and 15 care assistants.
In this reflective essay, I will be using the Driscoll’s model of reflection to talk about how my knowledge of quality nursing care has improved since the commencement of this module. Quality nursing care has helped me develop various nursing strategies that will guide me in my first placement and throughout my career in nursing. Furthermore, it has taught me about communicating effectively with patients, I have learnt about verbal communication such as paraphrasing when communicating with patients to ensure that what said is properly understood. I have learnt not to make assumptions about patients and putting them in the middle of their care, taking into account their preferences.
A study conducted by academics found that undergraduate nurses feel reflection is the key to changing and improving their practice. (Bulman, Lathlean, & Gobbi, 2011). Reflection assists nurses to enhance their nursing abilities by encouraging them to reflect on negative experiences, in order to overcome similar experiences in the future. This essay will aim to demonstrate the importance of reflection within nursing, additionally providing me with a platform to reflect on my decision to become a nurse. I will begin by reflecting upon the factors that influenced me to choose nursing, followed by an explanation of the benefits that reflection has on nursing. The essay will conclude by summarising how I will put reflection in practice throughout
TACT consulted with Dr. Osborne and Howard McQuirter, LCSW, it was recommended to refer for inpatient hospitalization for safety and stabilization. TACT assisted the ED doctor in completing IVC paperwork. TACT will search for appropriate
The interdisciplinary course is a core requirement in the after-degree nursing program as it incorporates the principles of self-directed learning and promotes critical thinking, which is an essential element in nursing practice. As a final year nursing student, I believe that knowledge from this course will enhance my ability to provide patient-centered care.