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My nursing clinical experience
Nursing student experiences of clinical practice
My nursing clinical experience
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The problems I encountered today were working in a new setting and providing care to a patient who was not cooperative. I was nervous about clinical today because it was my first day of clinical in the cardiac unit and I have never worked in a critical care setting before. In addition, I did not know who I would be shadowing today. In my previous clinical, some of the nurses that I had shadowed were not too fond of having students working with them. Therefore, I was concerned about what kind of nurse I would be working with. With a busy setting like H4000, I did not think the nurses would be too appreciative of the students. However, today was different like I had thought. The nurse that I was with was friendly and helpful. She allowed us to
My interest in nursing first stemed when my grandfather was diagnosed with stage four prostate cancer. Hospice had come into their home, and I was amazed at how they coped with their job. The people who took care of the person I loved the most, were compassionate and caring. Most of all they helped all of us through a time of need. During that time I realized helping people in whatever way I could in the medical field, was the career for me. My grandmother was also a nurse. She would tell me stories of when she worked in different hospitals. When I heard all of her experiences, I wanted to make memories of my own in the nursing field. This past summer, I took a CNA course at Valley Falls/Holton, Kansas. When I enrolled in this course, I thought
To begin my personal statement, I grew up in the West African nation of The Gambia. I am the youngest of thirteen children and I was adopted by my uncle and his wife at age 2. My adoption was very different than the American way where all sorts of contractual documents had to be signed. Although the end results are the same, mine was done without signing any documents because my parents were just giving me up to my uncle and his wife to raise me. At age 5, my uncle enrolled me at Primary School without the consent of my biological parents for fearing that they would object because most parents in the Gambia do not think girls have the same rights to education as boys. I grew up without a television, running water or electricity. I did not know that I lacked
It takes a while to get to know yourself before you are able to care for another person. Studying oneself is challenging because it allows reflection of one’s inner self, exposing your strengths, weaknesses, vulnerabilities, interests, habits, defenses, and values. On the same note, it allows a person to be more familiar with the challenges he or she faces, how they might respond to certain situations, and offers an opportunity for learning and growth. Throughout this paper, I will discuss the various pieces of myself. I will consider my personal and professional life as a nurse, what I might employ as my mental model, which may limit my frame of thinking, how it has shaped me so far in my education, and how I relate to others.
at the orphanage, I was able to help build a sidewalk and a garage for
Many years from now, I will take this experience with me to better myself as a nurse. I know for the future that it is in my patient’s best interest, if I collaborate with other health care professionals. In order to maintain patient safety, I must always remember to work together with my fellow collogues to obtain a positive working environment. In order to be a good nurse, I need to always understand that I am part of a team to help those in need. I want to incorporate providing efficient care to each and every patient the best way I possibly
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.
I made myself available as much as possible to help with treatments and any other needs. Most of my day was ensuring each one of my team members had the help they needed when they needed it. Receiving report from the night nurse was very different than what I expected. In my mind, I am so focused on the book-world that I am not as realistic as I should be about the real-world implications. Every nurse is different: the way they chart, communicate, the abbreviations they use and their thought process when an issue arises differs.
I started my Nursing career in India and then I came to the United States and became an RN. I entered Nursing with the thinking that Nursing is a profession that will always allow me to have a job and all my patients will get better. However, from my experiences I understood that Nursing is more than just giving medications, and it requires clinical competence, cultural sensitivity, ethics, caring for others, and life-long learning about others and the evolving field of medicine. Florence Nightingale once said:
Reflecting on my home visit experience, I have realized that although it was not completely intentional and planned, each phase of the nursing process was present as the interviews progressed. The initial visit mainly consisted of the assessment phase because it was the first contact with my client and there was a lot of information to discover. This time allowed me to determine objective and subjective data, which includes the concerns my client had about falls, as well as additional information that was shared. The assessment phase continued into the second home visit in hopes of collecting additional data that would help to develop a nursing diagnosis (Potter, Boxerman, Wolf, Marshall, Grayson, Sledge & Evanoff, 2004). Near the end of the first home visit, my client and I collaborated on a health goal of fall prevention, which can also be referred to as the nursing diagnosis. The next step, which is planning, took place within part of the first home visit. I observed the client and her available resources, coming up with ideas on how this goal could be achieved, such as registering for some exercise classes (see home visit #2 plan in Appendix A for more specific suggestions). The implementation phase began in the second home visit when I provided my client with the fall prevention pamphlets and presented my suggestions (see Appendix C for pamphlets and all health information provided to client). This phase continued into the final home visit as a follow up on subjects she requested to know more about (see home visit #3 plan in Appendix A). I did not get the opportunity to complete the evaluation phase, as we didn’t have the time for a full-length final visit. A hypothetical situation of my final home visit would be to foll...
Regrettably I left out vital information during the handover, causing my mentor to intervene and relay this information to the nurse. I noticed my mentor and the nurse looked quite disappointed in the poor attempt I had made at handing over, especially when the patient questioned my ability to practice as a student nurse. I felt both ashamed and disappointed that the therapeutic relationship between myself and the patient had been compromised, especially as a therapeutic relationship is known to be a major factor for delivery of excellent care (Chochinov et al, 2013). To ensure never to compromise care again I was aware that I needed to identify factors which had affected my performance when handing over, in order to change my current
As I made my way through the nursing program, I witnessed my ideas and perceptions of the nursing practice and what nursing means to me change over time. By examining my Philosophy of Nursing assignment from first year, I can see that my current perspective on the nursing practice is similar to what it was yet has expanded as a result of being able to work alongside various Registered Nurses over the past four years. My philosophy of nursing has also slightly changed. Although my philosophy is still based on the nursing metaparadigm, that is nursing, health, the person, and the environment, I believe that my understanding of each one has evolved. Therefore, I believe it is crucial for me to further explore my current perspective on the nursing
This time, I decided to be more talkative and ask more questions about the patients. My senior nurse showed me a patient who fell down a couple flight of stairs and due to his accident, he injured his brain severely to the point where he couldn’t speak anymore. She explained to me all the medications that he had to take and how she had to look up the patient’s lab report because the medications he takes might affect him in different ways. After she was done with looking up his lab reports, I watched her feed the patient for an hour and thirty minutes. During this time, I really felt bad for the patient because he was half-awake and half-asleep while eating. It saddened me how we had to disrupt his resting time to feed him before he could take his medication. After the patient was done eating, I watched the nurse give the patient Lovenox, which I learned was given to patients who are immobile in order to stop blood clotting. After giving him his medication, we had to transfer him off the bed and into a chair, which was my favorite part about this clinical observation. I got to physically help move him off his bed and into a chair. This took 3 nurses, including myself to move him and it made me realize how nursing really requires teamwork. I then got to help clean him up and after changing him, it was time to leave the hospital. This clinical observation made me really excited to be a nurse because I
...th the patient I kept thinking that if this were my mother how would I want the nurse to treat her. I tried to behave in the way I would expect a nurse to treat me. I had preconceived notions before meeting the patient and they were all laid to rest almost immediately, honestly I was nervous. But once I started it began to feel comfortable and the interview just flowed naturally.
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....