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Importance of hand hygiene in healthcare
Importance of hand hygiene in healthcare
The importance of hand hygiene in healthcare
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This week I was at the ED. My experience at the ED was nice, I wish there had been more things to do with the nurse I was assigned. We started off with assessing of all the patients she was assigned. I documented on my assessment for each patient and reported feedback to the nurse. I also performed medication administration and reviewed it with the patients. I communicated with the patient’s well, showed professionalism by intruding myself, and explaining to them that I was going to perform a focus assessment on them. Some clinical practice and prevention utilized were hand hygiene and proper standard precautions. Also I attempted two IV and failed both times. We did towards the end had to restrain a patient because she was being combative
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
I participated in project red with the Charge Nurse to promote quality improvement. The patient was going to be discharged from the hospital that day and was hospitalized previously for pulmonary pneumonia. I entered the room and introduced myself after I donned on my isolation precaution gear. I proceeded and entered with her instructions and computer on wheels. As I spoked with her she seemed like she was lost then I asked if she was understanding, she said “I prefer in Spanish”. I than continued to read the instructions about how to prevent pneumonia and how to treat it to her while translating them in Spanish. After, we spoke I made sure the charge nurse provided her Spanish written instructions. I than turned on the computer and started
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 enjoyed interacting with the patients, and my nurse. Karie, was amazing. She explained to me everything she did. The routine for each patient was very similar, and this repetition helped me anticipate what Karie needed and helped me feel fairly confident in assisting her with the new patients and their needs. On the other hand, I was extremely disappointed that I was not given the opportunity to administer an intravenous (IV) line. Karie was willing to allow me the opportunity after I watched her place an IV in three different patients, but her fourth patient was transported from a different hospital with peripherally inserted central catheter (PICC) line in place. It was beginning to get late in the day and the patients coming in was slowing down, so Karie told the nurses at the nursing station that I needed to practice IV’s, but no one had any to give. Although I was disappoint that the opportunity to insert an IV into a patient did not arise, I did gain much knowledge regarding the ODS unit. I am now familiar with the physical layout of the unit and what takes place with patients that go there. I know the role of the nurse. I was also given an opportunity to practice nursing diagnoses on a
I would like to describe my resent experience with the nurse. I visited the clinic to assess my health and immunity status. I needed to get referrals for blood tests and immunization. She invited me in. The nurse asked me for my preferred name to be addressed. She made sure that she and I were sitting at the same level. The nurse was making direct eye contact with me during whole conversation. She maintained my personal space. The nurse was actively involving me into communication. She was encouraging me to ask questions and was ready to provide needed information. She was making sure that I fully understood all nuances of the conversation when she realized that English was not my first language. She was avoiding the use of medical jargon to make the conversation easier to understand. The nurse was speaking in a soft, unhurried voice that expressed genuine interest. It was inviting for me to join the conversation. The nurse was very polite, respectful and caring. I obtained all necessary referrals for blood tests and immunization armed with all relevant information regarding it. This interaction made me feel impo...
For the duration of this clinical experiences my intentions are to gain experience in leadership and develop those skills by establishing a partnership with R.K. She is currently teaching a leadership development course which I would like to develop a partnership with her and complete a community project.
As a nurse, I feel that at many times I am placed in a situation, where I need to use my leadership skills in order to provide efficient care by managing the limited time. According to CNO guideline, leadership is a process of influencing people to achieve common goals. It requires self-awareness and commitment towards profession, ability to delegate, manage time and to communicate effectively within the health care professionals.
While on the unit I made sure to use my time wisely, I completed my assessment in a timely manner, advocated for pain medication, checked on fellow nursing students, and kept patient’s rooms organized and clean. Professionalism was also exhibited in my clean outfit, with my hair back, name badge on, nails cut, and appropriate footwear and clinical tools on hand.
I constantly reported to her concerning the condition of the patient in close time intervals across the day. On this day, a patient of mine had an IV site concern. The nurse assigned me to make some adjustme...
I am an undocumented student at UC Davis. When I am asked a simple question such as, "describe your personal experiences", I ask myself: Where do I begin?
During the first session with the client we went over the consent form and I asked them if there were any questions about it, which they had only one to make sure that it was not being show to the entire class, once answered they signed the form. I think that when I make my own form I will have a better understanding of how to explain the reason behind it and also better explain what it is form. After the form was signed I conducted and interview with the client.
I interviewed Paige, who is an APRN in the state of Kentucky. Like Paige, I too would like to work as a nurse practitioner in the surgical department. Luckily, he obliged to sit down with me and answer my questions.
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.
Ever since I was in middle school, I always knew that I wanted to be the first person in my family to attend college. When the opportunity presented itself in high school to take college courses, I immediately started to application process.
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,