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So far, junior year has been off to a fast-paced but great start. Between both Med-Surg and Maternity, along with both clinicals, I am extremely excited to learn and experience so many new things, hopefully even figuring out what I want my specialty to be when I graduate from nursing school. Over the past three weeks, I have gotten to see what it is like to work in a fast-paced work environment, which is represented by non-other than Elliot Hospital. Even though the 45-minute drive can be awful in the mornings, I am truly grateful I was put at a clinical site such as the Elliot because I feel there are many learning experiences located throughout the hospital itself. Elliot Hospital is a very well-known hospital in New Hampshire, which means …show more content…
I think I was so quick to any assumptions I had because the patient was on contact precautions: now I have never worked with a patient who was on any type of precautions other than standard precautions (but essentially everyone is on standard precautions) and looking back I believe I was more nervous and concerned about the precautions aspect that I allowed myself to make an assumption about my patient before I had really gotten to know them. After morning rounds and meeting with my head nurse, I got to talking and doing my assessment on my patient and I came to find out my patient is one of the nicest people I have ever talked to in a hospital setting. Looking back on the situation I am appalled I judged them so fast: that doesn’t even represent who I am as a person at all. This was definitely a learning moment for me personally and it caused me to learn something about myself, which in some instances can be just as important as learning a new skill or nursing …show more content…
The patient was very stable during the day and was scheduled for both a PICC insertion and a TEE, or trans esophageal echocardiogram. I had no idea what a TEE was and how it would be conducted, but I knew once I got home I would research more about a TEE. We arrived at the Cath lab early, since the team was waiting for the nurse anesthesiologist and the doctor because the patient was not supposed to get the TEE until later in the afternoon. Once the doctor and anesthesiologist arrived things started to get hectic: not only was there a doctor, nurse anesthesiologist, nurse, floating nurse, and a tech working the machine which captured the images in a tiny patient room in the Cath lab, we were also trying to fit two students into the mixture as well. This was fine for a short amount of time until I realized there was no good place for me to stand to be able to get a clear view of everything. I think having students go to everything they can is great, but in this instance I wish I was the only student that had gone because I feel as though I missed out on seeing the full procedure and truly understanding what was happening. This is partially why I went home and researched more about the procedure and pictures taken: I was very well able to see the probe being inserted
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
The trainee in this scenario shared less information about her professional as well as personal life. Which indicates that the supervision was not effective enough to deal with issues of supervisee. So it can be said that some part of this session went well, and some part didn't reach the objectives. With the support of Gibbs reflective model (Gibbs, 1988), I would like to focus on these points and try to comment on them. During the supervision session, first I tried making the trainee comfortable, then tried to enquire her problems. After that I focused more on the major issue, that was case history taking. I tried asking her by all possible ways about the mistake she is committing. Initially, I felt that maybe she is not ready to accept the fact and taking this question as a criticism. But then she stated that she is not aware of her mistake because nobody pointed it out before.
...iately discovered and the patient was fine, but had there been proper communication between the healthcare staff, such blunders could have been avoided altogether (Dolanksy, 2013).
Overall, I retain three goals for this clinical day: Safely and efficently administer medication, enhance my nursing/CNA skills, and determine how to implement infection control into a health care setting. This week reflects my assigned time to administer medication in a health care setting for the first time, with a resident who retains nearly twenty medications. I except this experience will be a great learning experience, but it will also subsist slightly stressful. With the assistance of my FOR, my goal is to administer all of my resident 's medications without complications. To ensure that medication safety, I will perform the six medication rights and three checks prior to administration. Along with medication administration, a goal
“Whoa-oa-oa! I feel good, I knew that I would now. I feel good….”. My “I feel good” ringtone woke me up from the depths of slumber during my first night call in internal medicine rotation. My supervising intern instructed me to come to the 4th floor for a patient in distress. Within moments, I scuttled through the hospital hallways and on to the stairs finally arriving short of breath at the nurses’ station. Mr. “Smith”, a 60 year old male with a past medical history of COPD was in respiratory distress. He had been bed bound for the past week due to his severe arthritis and had undergone a right knee replacement surgery the day before. During evening rounds earlier, he had no signs of distress. However, now at 2 AM in the morning, only hours later since rounds, he was minimally responsive. My intern and I quickly obtained the patient’s ABG measurements and subsequently initiated a trial of BIPAP. This resolved Mr. Smith’s respiratory distress and abnormal ABG values. To rule out serious causes of dyspnea, a stat chest x-ray and CT were obtained. Thankfully, both studies came back normal.
As an UConn graduate, I strive to practice UConn School of Nursing PRAXIS – professionalism, respect, accountability, excellence, integrity and service. Two weeks following the orientation on postpartum unit, I knew taking care of four mother-baby couplets overnight was not going to be an easy job at a level I trauma center, where we care for the sickest of the sick. After a thorough plan of care for each patient and tailoring it to their needs for the night, I felt more confident in my skills and time management. It wasn’t until I got a call from a 14 hour post-op c-section patient at 0455 complaining of dizziness, lightheaded, blurry vision and “feeling hot”, who an hour ago was walking to the bathroom, breastfeeding baby and eating with no complains of pain. I left my workstation behind to discover a pale, diaphoretic patient with low blood pressure. I froze. Screamed for resident down the hall. Rapid response team and more professionals were there in no time while I stood by my patient holding her hand, echoing the story to residents and attending MD I’ve told previously. After twenty minutes of stabilizing the patient and diagnosing at bedside with ultrasound and abdominal x-ray, the patient suffered internal hemorrhage from tubal ligation site. She was rushed to operating room. Speaking to her husband was even harder. I froze again. I sat on my knee, held his hand and cried with him. In
With Emily graduating from the University of Minnesota School of Nursing, I knew I would be getting useful and excellent advice from her. The first most important question I asked was, “What was the hardest part about nursing school?” Emily commented that the “clinical preparation worksheet were time consuming given you had to start on the worksheets a day before the clinical, then go to clinicals early to look up information, then after spend several hours looking up different medications and lab values.” With this being said I am definitely not surprised because I know that the nursing program is very time consuming as a whole, and it is a very competitive program. However, I am so excited and driven for this challenge because in the end of all the schooling, I will have achieved one of my biggest goals. The next question asked, “Do you have any advice to someone like me that is going into the nursing field?” Emily confidently answered with, “Keep an open mind about all the different specialties. Especially during school, be willing to try different areas and working with different populations.” I am really glad that Emily gave me this advice because I am so interested in pediatrics, but I also need to keep in mind that I need to experience working with different
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.
Some things I need to work on are making sure I prioritize what should be done, and making sure I delegate any task that can be delegated, if I feel overwhelmed. As graduation comes near, I feel like I have learned so much more from being on this unit alone. I feel like I could take care of a couple of patients by myself, I improved on my medications, educating the patient, and providing adequate care for each and every patient. While on the unit, I got the chance to ask a variety of nurses different questions about their transition from new graduate to register nurse. I asked them why they choose this floor to work on , and a majority of them said because they precept on this floor and feel in love with neuro and the staff here. I also asked, how was your experiencing transferring from school to your first RN job, one nurse said that she only had the opportunity to orient for about three months before they put me on the floor because of a shortage of nurses. She did say that it was an excellent experience and she had a chance to learn so much. In addition, I asked them about the challenges they faced and how they overcame these challenges, they replied by saying that some of
Throughout my final ten weeks at my placement, I have grown and overcome so many obstacles. I have accomplished a wide range of skills since the beginning and have been improving on them as I gained experience. At my placement as a student nurse, I have gained a lot of confidence, skills, knowledge and experiences that have helped me act and work in a professional way. All the experiences I have had during the ten weeks of my student years have helped me in shaping me into a professional.
I believe placing student nurses in the clinical setting is vital in becoming competent nurses. Every experience the student experiences during their placement has an educative nature therefore, it is important for the students to take some time to reflect on these experiences. A specific situation that stood out to me from my clinical experience was that; I didn’t realize I had ignored the patient’s pain until I was later asked by the nurse if the patient was in any pain.
Throughout people’s lives, many are tested, in which they are pushed to their own limits. These personal experiences help the person to realize what makes them different from others, what makes them unique and stand out from the crowd. Even, sometimes with these experiences, people learn more about themselves, push themselves to their limit and test their abilities to work under pressure and other times adapt. In my case, the most important experience that I went through that helped me develop skills that I use to excel in my academics is something that most people don’t go through until late in life, the loss of a parent, in this case, my mother.
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.
The purpose of this reflection is for the second day of clinical and with continuation of same patient from the first week. Today, I entered the nursing home/rehabilitation institution with relax mood and with optimism. When I was walking from first floor to second floor, I observed the staff, most of them greeted us with a smile. When going back to first floor, as I walked closer to the nurse’s station, I panicked. At the moment, the nurse was starting the shift and it looked like we arrived at the same time, therefore it seemed she was moving with bit of hastiness.
Due to working with people around in the university Colorado hospital, I believe I am equipped, ready, and determined to dedicate my life to this high level of responsibility. The leadership opportunities allowed me to develop and practice certain characteristics required for nursing. In the Cardiothoracic Intensive Care Unit it has trained me to overcome emotional discouragement, be patient, be attentive to others’ needs before my own, be available for others, build and maintain relationships, organize events, and manage my time under a busy schedule. Moreover, knowing the competitiveness and rigor of nursing school, it has motivated me to maintain disciplined study habits to precede my goal to become a nurse. While working in the Cardiothoracic Intensive Care Unit for two years, my experience at this hospital became the most rewarding and enjoyable. The level of complexity and the demand of taking care of the patients in the hospital contributed to my strong passion and urgency to continue to grow my knowledge and help patients. I am fortunate enough to say that all my hardships, triumphs, and various experiences have contributed to my desire and determination to meet the demands of the nursing