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During this semester I was able to learn about they type of nurse I would like to become. I came into this semester thinking that my biggest strength was patient care. After my first day of clinical I realized that even though I had a lot of experience in patient care at a doctors office, being in the hospital is completely different. As a nursing student I was responsible for the complete care of my patients, not just educating them. I think my most memorable moment of the semester was when I gave a patient her insulin injection. For some reason I was very nervous about giving her a subcutaneous injection. I did okay for my first injection but I needed to practice my technique. I started practicing every day. Two weeks later I was given the …show more content…
Give a synopsis of your impressions from Day 1 through now.
b. Discuss your progression, growth, and maturity as a JR1 student.
On the first day of clinical I was very nervous because I was not sure what to expect. Now I think I know what the expectations are for my nurse and myself. I am also more comfortable asking questions and interacting with patients. I understand the nursing role in the hospital, and the responsibility that comes with it. I think I have a good idea of the nurse I want to be and what practices I want to implement in my patient’s care. I am also more aware of my biases and I am working on them.
Section 3 - Strengths and
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How has that made you think about your role as a nurse?
I think the biggest concern I had during my clinical was when a nurse left the medications untended in the patient room and when I pointed it out, the response was “its okay is not a narcotic” I was very disappointed in this answer because It just showed a lack of concern and consideration. My thinking was that if this happens when a student is watching, I cant imagine what its happening when no one is watching. Most nurses try to follow the rules specially when a student is watching them; they want to be a good example. This nurse in particular did not care. This experienced made me realized that it is important to take pride on your job, to follow the rules and not get into the habit of not caring.
Section 5 - Overall Summary
What will you take from this experience to next semester (JR2)?
I think I will take my positive attitude, my eagerness to learn and my experiences to the next semester. This semester I learned that it is important to have integrity, doing the right thing even when no one is watching. I also learned the importance of teamwork and positive attitude. These are all experiences that I will take to next
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
As new nursing graduates begin the process of transition into the nursing practice. There are many challenges and issues which are associated throughout the transition. New graduates may embark their journey through a graduate program or seek employment solo. The transition period may consist of challenges, that students will encounter during their journey. This essay will identify, discuss and critically reflect nursing key challenges that student nurses may face, throughout the process of the transition phase. The nursing key challenges chosen for this essay include professionalism, preparation, personal factors, competency factors, patient- centered care and job satisfaction. These nursing challenges will be thoroughly discussed and supported by current evidenced based research and nursing literature.
When I began this journey I knew that Nursing was all I wanted to do and in order to succeed and do well in nursing school, it was going to require a ton of devotion and sacrifice. Nursing school did not come without its challenges, not only did we have to deal with going to class, clinicals, studying for exams, but we also had to add in the factors of jobs, family, marriages, children, sickness and our daily life. But our instructors encouraged us and pushed us to keep going, and for that we are grateful because we all made a decision to stick with it, and here we are today. It seems unimaginable that just a year ago this journey was just beginning, but here we are today a year later,
I was super excited but also nervous because I had no idea what I was getting myself into. My first thoughts were, “wow these are all freshman, why does this classroom smell like lavender and what is that annoying squeaky smell?” The lavender smell was a burning candle and that annoying squeaky sound was a super old heater in the back of the classroom. I sat next to a new girl named Jennifer, she just so happened to be in the same grade as me so I wasn’t alone. Jennifer always smelled like different perfumes from bath and body works. As weeks, months, and a year went by it was my senior year and I had grown so close to Jennifer and my teacher, Mrs. Huff. I realized how much I loved that class and how happy I was that God had led me down that path! I was filled with so much joy entering Mrs. Huff’s class my first day of my senior year because I was beginning my clinicals. Once I started visiting the hospital, Tennova, participating in and watching procedures I realized nursing is exactly what I wanted to do! The best surgery I got to witness was a baby being born; it wasn’t a pleasant sight, looked very painful and the smell of blood was so strong I felt like I could taste it, yuck! But, it was an amazing experience and I considered labor and delivery as my future
Looking back on my goals for this clinical day, I would state that I did meet my goals. My overall goal was to become familiar with the clinical setting and the tasks that I would be asked to complete, and I feel that I completely met this goal. As the day progressed, I found myself receiving more exposure to the clinical setting and how to effectively perform skills. Following the concept of safety, I do feel that I met a majority of my goals for safety. During the day, I was able to explore my assigned patient, both by viewing her medical record and by interacting with her directly. This process sanctioned me to acquire the necessary information for my three primary diagnoses, medications, and the start of my concept map. While working with my assigned patient, and other patients on the floor, I remained aware of my surroundings and implemented safety precautions when needed. In the process of patient care and safety precautions, I relied on my therapeutic communication skills to drive my interactions with the CNAs, the nurses, and the patients on the floor. Of my goals set, the only one that I did not completely accomplish was working on all of my beginner skills. Two of the skills I did not get to practice were feeding and bathing/showering. Because I did not receive exposure to these skills today, I plan on making sure I practice these two skills on the next clinical day. Overall, I am pleased with the first clinical day and everything I was permitted to accomplish.
The transition from student to a qualified nurse can be a stressful and overwhelming ex-perience for many newly qualified nurses. This opinion is widely upheld throughout the literature with Higgins et al (2010) maintaining that many of the problems experienced are due to lack of support during this initial transition and a period of preceptorship would be invaluable.
I thought it was a very big challenge being a brand new nurse in the hospital. I would say that I struggled with confidence and overall stress for the first 6 months. I quickly realized that very few patients fit inside a clinical box that I had learned in textbooks. I was very task oriented, just from being overwhelmed with work load, and it was difficult for me to critically think in the way I knew I was capable of. A lot of this improved with time and supportive mentors. (5)
Drug administration forms a major part of the clinical nurse’s role. Medicines are prescribed by the doctor and dispensed by the pharmacist but responsibility for correct administration rests with the registered nurse (O'Shea 1999). So as a student nurse this has become my duty and something that I need to practice and become competent in carrying it out. Each registered nurse is accountable for his/her practice. This practice includes preparing, checking and administering medications, updating knowledge of medications, monitoring the effectiveness of treatment, reporting adverse drug reactions and teaching patients about the drugs that they receive (NMC 2008). Accountability also goes for students, if at any point I felt I was not competent enough to dispensing a certain drug it would be my responsibility in speaking up and let the registered nurses know, so that I could shadow them and have the opportunity to learn help me in future practice and administration.
Who I am is a brand new nurse that has entered a different environment of healthcare compared to my previous work of the pharmaceutical industry. I am a person who has always had an interest in helping people, doing amazing things on a daily basis and learning consistently. In efforts to fulfill my interest; I became a nurse through the many obstacles and sacrifices that were faced. To my very core, I am a person of great ambition, empathy, confidence, and value respect. I practice nursing in a hospital environment caring for patients on a medical-surgical floor. How I practice nursing is by providing education to patients, learning the material through experience, carrying out provider orders, taking care of
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.
As mentioned by Hunter and Arthur (2016), one of the main reasons I could maintain and improve my practice was due to clinical placements. During clinical placements we are frequently being assessed and taught in dealing with real situations. Feelings As learning is a lifelong process, I’m sure there are many things I need to improve and learn to better myself. However, the lessons I learned during the course as a nursing student shall always remain as a bedrock for my future development.
New nurses are faced with discomfort as soon as they enter the profession. Hence, it is suggested that precautions be taken even before nurses graduate. The educational system should consider the involvement of clinical staff in the teaching process. This will enable student nurses to meet actual nurses prior to entering the profession (Goodare, 2015). In other words, to make the transition easy, nursing education must include actual exposure to the clinical practice where student nurses are required to not merely become observers but actually participate in the process of providing care. In this manner, the student nurses will not find it hard to transition into the workplace when they become official part of
Starting a clinical on a new unit was very nerve-wracking. Being a third year nursing student, there are
The following essay is a reflective account on an event that I, a student nurse encountered whilst on my second clinical placement in my first year of study. The event took place in a Fountain Nursing Home in Granite City. I have chosen to give thought to the event described in this essay as I feel that it highlights the need for nurses to have effective communication skills especially when treating patients that are suffering with a mental illness. Upon arriving to the Nursing home for the second time on Thursday November 14,2013; assigned the same patient as before. On meeting my patient the first thing I noticed myself doing without even thinking about it was giving her a visual inspection. Before nursing school I never really looked at someone at face value and inspected him or her physically. While interacting with my patient I felt as if I was taking to my grandmother, it was very comfortable and easy. Her neurological assessment was good, she had eye contact with me, was able to follow some simple commands such as showing me her hands and squeezing my fingers. Being in the nursing home-made me feel like there was so much medical information to acquire, I viewed it as my own personal practice space for my nursing skills. When taking with my patient she reflected on her life a bit and her stories made me get emotional. The Patient, admitted to the nursing home as a permanent resident after the death of her husband.
Over the course of the semester, I have learned a few things about myself. I have learned that I can be independent, I always knew myself as someone who could do mostly everything on their own. This semester really made me realize how independent I could actually be. Not only have I learned how independent I am I have also realized the importance of time management. With not having a strict class schedule it was a lot different than what I was originally used to. After a few weeks, I learned ways that would work best for me, for example writing down that I needed to get done. I learned that I need to focus on what 's ahead of me to accomplish what I want to succeed in, to manage what needs to be done ahead of time to stay caught up.