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Leadership in the everchanging healthcare environment
Leadership in the everchanging healthcare environment
Leadership in the everchanging healthcare environment
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JOURNAL CONTENT: This weekend I was paired up with a nurse from the floating pull. It was a very interesting experience. For the first time since the beginning of the semester I can say that I was faced with a lot of critical thinking situations. I spend the day running around reminding my nurse of things he forgot or task we had to finish. It was already 2:00 pm and I still hadn’t performed an assessment on a patient, at this point I remember what Mrs. McAdams had said before “ we are in the hospital to help but our main priority is to learn and practice our skills” so I made the critical-thinking decision to tell my nurse that I needed to at least complete an assessment and since we were about to discharged a patient I could performed a final assessment on him before going home. I performed my assessment, had time to document and helped my nurse with the discharged. This weekend was a very challenging clinical for me but I also learned a lot. I learned to managed my time better, be proactive in my clinical experience and I also found my voice. Section 2 – Respond What did you think/feel when you recognized there was a critical situation/event? Describe in detail your feelings and thoughts. Surprisingly I felt empower, I realized that I needed to take charge of my education and I needed to at least complete a head to toe …show more content…
At this point I realized that I had a choice to make and I needed to take ownership of my education. I decided to speak up, ask my nurse if I could do a head to toe assessment on the patient that we were discharging. That way I was able to help him with the last vital signs and I could complete my assignment of the day. I don’t think I would change anything in this situation. I think that this experience helped me to take ownership in my clinical experience and also helped me to find my
I was then introduced to a patient who was in isolation. Her legs were immovable and were crossed in a very uncomfortable position. I wish I could’ve done something so that her legs could be in a more comfortable position, but all I could do was observe and get her a cup of ice cold water to drink. During this clinical observation, I didn’t get to see much but overall, it was a good experience. It made me realize what it was like to be in a hospital setting and what it meant to be a nurse. Seeing how the patients were still able to smile through all the pain they went through, it made me want to become a nurse even more because I would also like to make my patients happy. If I could do one thing differently during this clinical observation, I wish I didn’t ask my senior nurse about what externships she took and instead, I wished I asked her more questions about the patients in order to gain more information about
Alexandria Casap is a registered nurse employed as a float nurse at South Nassau Community Hospital in Long Island, New York. She has been participating in clinicals at various hospitals in New York for three years to gain experience. This past year she received her first job after passing the exam boards. Being a float nurse allows Ms. Casap to increase her experience because the profession requires moving around to different specialties each day depending on what floor requests the greatest help. Being a float nurse is very interesting to Ms. Casap because she experiences something diverse every day; some days she will assist in delivering babies while others she can be in the emergency room contributing to trauma. Being a float nurse requires
I had a great day at clinical, where I learned and perfected many skills. I really enjoyed working with my primary resident, answering call lights, and meeting potential second resident. Strengths included communicating effectively with staff (objective 2), implementing strategies to promote, maintain and restore health (objective 4), and demonstrating professional behaviors at a beginning level (objective 6). An example of objective 2, was when caring for my primary resident, the first thing I checked was his oxygen tank level and for any redness behind his ear; that could demonstrate irritation from the oxygen tube. I noticed his oxygen was getting low but wasn’t in the red, refill zone. At the end
The medical staff neglect to patient they did not think it was worthy of saving. I would have sued, and made sure they would have lost their license because the job is not fit for them. It makes me think how many people have died in their care because they did not feel the patient life was worthy trying to save. Being a doctor and nurse is about caring for others and wanting to help. I am happy that he still decided to be a nurse because he wanted to better the nursing field because of what he experienced and because he is a caring person. The second nurse was a Labor and Delivery nurse in John Hopkins hospital is the nurse path I want to go. I love babies and find the general aspect of pregnancy amazing. I was born premature and while my mom was in labor at the hospital the nurse had promised my mom that I would survive. I would like to help other babies like be
I introduced myself to the patient stating that I was a student nurse and gained verbal consent to carry on with the assessment, as a student nurse you must respect patients wishes at all times, if t...
The role of the nurse is diverse and complex, and is not only concerned with the patient’s body, but also their mind and soul. Nurses are not simply trained to perform tasks, but are trained to be professionals who utilize evidence-based practice with a compassionate and empathetic approach to care. These tasks carry a heavy weight and responsibility, and require that we treat all patients with honor, dignity, and respect. While I had a small idea of these things before beginning school, their gravity has become more of a reality in recent weeks. I hope to be a nurse who utilizes evidence-based practice combined with excellent patient-centered care to touch my patient’s lives and care for them in meaningful
Spending a whole shift observing the functioning of the hematology and oncology clinic at children hospital was a great educational experience. The day started by being on the OR observing two different lumbar punctures being performed, they lasted each one no more that 15 to 20 minutes but the experience took me back to the process of count down and surgery roles and rules. The patients were closed on age and they came accompanied by their mothers to the OR, the family stayed until the child was ready to surgery, parents were called back to be by the children side when it was time for them to woke up for family support. There were only to surgeries scheduled for the whole day so after OR was closed, I was assigned to shadow a nurse on the oncology department. The nurse care started triaging the patients after the patient was assigned to a room, constantly communicate with the Physician assistance, nurse practitioner or MD about the patient requirements and needs. I saw a lot of blood draws in order to get patients lab values and infusions to provide medications and chemo therapy. I was explained that two nurses are required to participate during chemo therapies to be able to verify the patient, medication, rate, order, etc. In order to be able to provide chemo therapy nurses need to go to a training class and pass an exam due
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.
When I went to visit the patient in the morning before doing vitals and assessments, I listened to what he needed and was feeling. He was telling me that his chest was hurting and he was having difficulty breathing even with oxygen. Knowing that information, I informed my primary nurse about his symptoms. At that point I was advocating for my patient, making sure that the right person knew what would need to be done to help him out with his occurring problem. My assessment experiences that I had with my patients, demonstrated well the autonomy that I had. Assessing my patient allowed me to independently interact with my patient, asking them questions. By asking each of my patient what they needed while I was in their room each time, it reassured them that they can depend on me to help them assist in their
She was moving around so smooth, like a butterfly between the computer and the patient-my dad. Taking orders from the doctor, and hooking up the IV medications and fluids. I admired her competence and professionalism. This was an ER nurse who took care of my dad when I was a nursing student. My journey from nursing school to where I am today had been enriched with experience gathered from each nurse I met or worked with. Each one of them had something unique that influenced my journey. I met few others with habits that I want to avoid. Compassion, care, educate, listen and give are traits that I learned from my instructors in nursing school. Team work, support, help, and be determined is what I learned from class mates. When
My first day of clinical was more of an orientation to floor. My preceptor orientated me to the unit by showing me where everything was at for both safety and emergency reasons. This week I took care of care two patients, but my focus was on one patient because the other patient was on comfort care. I did physical assessments on both patients and I administered IV and NG tube medications. I started an IV on one patient on the unit and I performed blood draws on other patients on the unit. I suctioned my patients. I prioritized my patients based on acuity. One of my patients was in ARDs due to Gillian-barre syndrome and the other on was on comfort care. I demonstrated professionalism by showing up on time and asking questions when we were out of the patients’ rooms. I demonstrated safe nursing practice by performing hand hygiene, adjusting the beds to my height and administered medication when my preceptor was in the room.
I felt embarrassed and a saddened that I was unable to complete her observations, I felt empathetic towards her feelings but I knew that letting her rest was the best possible outcome at that time. Half an hour later I went back with my preceptor and was successful in obtaining the blood pressure vital sign, all within her specific range. I believe it was a good experience due to obtaining a new perspective on the situation and how to problem solve. I believe I did well in my ability to read the situation and respectfully allow the patient to calm before the second attempt. I was commended by my preceptor for my therapeutic communications which made me feel positively about the event. I believe I may need to develop some more techniques on asking the patient to assist with their blood pressure by taking their arm out. I understand that the hospital is very cold due to air-conditioning perhaps I could have applied blankets around her to ensure comfort. If this situation arose again I would try and replicate how this event went, add extra blankets and assist with better positioning of the patient to achieve better responses to vital
I really saw how standing there being scared of the patient dying did nothing for my professional growth and impacted the patients safety. It also wasted time, mean while I could have been doing other tasks such as reviewing the medical directives to see if there were further instructions indicated. In the future, I will remind myself of this situation and remember letting emotions get in the way clouds clinical decision making and judgment. Overall, reflecting on this event is an aid to learning how to be a self-directed learning when integrating into my professional self-working in the healthcare system in
We had medication in mind but couldn’t give it because the patients’ condition was too unstable. As we were awaiting for the family to arrive, I could see the daughter really concerned. My patient was at that stage of her illness that basically she was alive because of the medications that we kept giving her. The only solution was for the family to pull the plug and get her off the life support. The daughter was just awaiting her brothers’ arrival so they could do it together. This experience really made me realize that the gift of life is so fragile and precious. The patient was nearly gone and was mechanically viable. Once the patients’ son had arrived, they had closed the doors and finally pulled the plug where all medication and air ventilation went to a complete stop. The patient passed away within seconds. The heart monitor went to asystole and she was no longer with us. I wasn’t in the room, but was outside observing the tough moment for the family and friends that were there for her last moments. There was a brief pause for a while and out of respect the staff had given the family support and
It was dark that night, I was nervous that this dreadful day was going to get worse. Sunday, October 23, 1998 I wanted to start writing this to tell about the weird things i’m starting to see in this new neighborhood. Gradually I keep seeing pots and pans on the sink suddenly move to the floor. I would ask my sister but she is out with my mom and dad getting the Halloween costumes. When they got home I didn’t tell them what I saw because i've seen Halloween movies and I have to have dissimulation otherwise the ghost will come out and get me first. October 24, 1998 I think I got a little nervous yesterday with the whole ghost thing. 12:32pm, Went to eat lunch with the family today and I go to get my coat. I heard the words furious and madness,