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Professional development new nurses
Nursing professional development plan
Nurse satisfaction essay
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Week One I was a bit apprehensive about our first day on the cardiac floor. I am confident in the quality of my practice, and eager to increase my skill set and exposure to new experiences, however juggling the many tasks that are demanded from a nurse while practicing on an inpatient floor is overwhelming to me. I have experience working in an emergency department as well as the preoperative and postoperative care units, so the long-term needs of an inpatient tend to make me feel inundated. As I walked into the hospital, I decided to set my preconceived notions about how my day was going to go aside; realizing that as a nurse, you must be flexible and ready to accept whatever the day may throw at you. After meeting my assigned nurse, she …show more content…
Although the nursing process was implemented in the care I provided to each patient today, I felt as though each step was more apparent in the care I delivered to my patient with severe dementia. I premised the care I delivered on illness and disease management, applying the nursing process in an aim to increase health promotion, disease prevention, and restoration of health. Today I also gained experience performing technical skills, that I had yet to complete in the clinical setting. With nurse supervision I successfully removed my patient’s NG-tube and peripheral IV, as well as changed her ostomy appliance. It was exciting to see how the education I have received in the laboratory setting has quipped me with the knowledge needed to implement safe practice techniques. I demonstrated a safe practice throughout implementation of the specific technical interventions, and taught my patient about the purpose of my actions in a way that was appropriate for her level of understanding. Although my day was challenging as well as tiring at times, the personal-satisfaction I received from delivering patient centered care made it more than worthwhile. Increasing my patient’s comfort, by removing her NG-tube and mitts, can easily be identified as the highlight of my
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
Taking care of dementia patient one should have a lot of patience as in the story the author says to herself, “why I have forgo my own lunch to try and feed this woman” ( ). The author has to wait for Miss Julianne to eat her lunch first before she could go and eat her own meal. Nurses have to be very cooperative, well behavior, and caretaker. You should show empathy to your patient instead of showing sympathy like the author was concerned about Miss Julianne, and the assistant nurse tells Miss Julianne that the author “ wants to know, if you’re okay. Honey” and should be firm in your decision by using critical thinking. You should communicate with your patient and should have convincing power. The changes that I have faced are before I used to think, its easy to treat older adults but its one of the most challenging job. My mindset is completely changed and I am preparing myself how to deal with tough
Pinkerton, C. (2009). New technology enhances expertise of vascular access team. Canadian Nurse, 105(2), 21-22.
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
More often than not positive patient outcomes come from these procedures, but not without challenges along the road to recovery. Recently I had a patient that underwent a bowel resection with establishment of an end colostomy for the treatment of her diverticulitis. Fortunate, the procedure went without complications from a surgeon’s point of view, but sadly this was not the case for the patient. Caring for this patient postoperatively presented great opportunity for me to practice presence. The pain and suffering my patient was experiencing had nothing to do with the mechanical aspect of her surgery, but rather the emotional craters created by discovering her colostomy bag. For the patient, a colostomy was the absolute worst case scenario. New colostomies require frequent attention from nurses; checking for viable tissue, emptying output, and watching for signs of infection. Each time I assessed the ostomy humiliation and shame consumed her spirit and body. After the second flood of these emotions, I stopped dead in my tracks, pulled up a chair and asked the patient “how are you feeling”. A constant stream of tears ran down her face as she expresses to me the fear she has in telling her significant other that she will forever have “a bad of feces” on the outside of her abdomen. My heart cried for her! I couldn’t imagine how she must feel. As a woman, she previously viewed her body as a sacred part of her that she was able to share with her partner, but she no longer felt beautiful and sexy, but rather a disgrace. Her painful emotions struck my heart like a bolt of lightning, how was I supposed to help her see the beauty of this colostomy? In the end, it was my time and patience coupled with positive affirmations that relieved her fears of the unknown. I had every opportunity to place ignorance at the frontline of my care and ignore the obvious
Pearson (2013) clarifies “clinical decision making is essential to every aspect of care delivered to a patient” (p. 214). It is the ability to blend information and make decisions that will later be implemented in the situation. Evidence-based decision making involves choosing from a variety of possibilities and combining the knowledge through research and the scientific evaluation of one’s practice. The purpose of this paper is to analyze my decision of administering ativan by advocating for the patient and anticipating her change prior to confirming signs; which provided a therapeutic response.
This assignment critically discusses about dementia, a widespread disability among older adults today. It provides an introduction to dementia and analyses its prevalence in society. The various forms of dementias are elaborated with description about dysfunctions and symptoms. Nursing Assessment and Interventions are provided in the further sections which discusses about actions nurses should take on while evaluating patients and treating them. Finally, communication, an important Activity of Daily Living (ADL) is explored and patient/carer advice is presented so as to maintain good health conditions in the patient.
Nurses are an equally important part of each client’s life. Nurses provide stable care to each client, answers their questions, gives medications and treatments, and assists with medical procedures. They also have the responsibility to explain to clients and family members what they should and should not do as they go through treatment and recovery. Nurses must quickly respond to patients needs. Every individual nurse has his or her own unique way of caring. There are so many ways to show caring that the possibilities are never ending. Nurse’s support, comfort, and help allow the patients to recover to the best of their ability. Their experiences in dealing with different patients that have unique situations on a daily basis helps the nurses become better caregivers. Therefore, every nurse is capable of demonstrating care in their respective environments.
Although students were not allowed in the recovery unit, I was able to talk to one of the recovery nurses. I learned that a nurse’s duty of care includes monitoring the patient’s vital signs and level of consciousness, and maintaining airway patency. Assessing pain and the effectiveness of pain management is also necessary. Once patients are transferred to the surgical ward, the goal is to assist in the recovery process, as well as providing referral details and education on care required when the patient returns home (Hamlin, 2010).
The patient is diagnosed for dementia in which the “symptoms may include memory loss, difficulties with thinking, limit the patient’s ability to perform every day activities and changes in mood or behavior and dementia can cause death due to the damaged of brain cells” (Alzheimer Society Canada). In taking care a patient with dementia, the nurse must be observant, empathetic, patient to make the patient feel safe. The nurse must also make sure that the call bell is within reach and an accessible switch and enough light for a patient to look around if she wakes up being confused. Additionally, to ensure that the patient is getting enough fluids and nutrition. Moreover, it is the nurses’ role to understand the level of understanding if a patient
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.
Caring for Dementia Often, caregivers are faced with the struggles of handling an elder with dementia. Many caregivers are not given the right information and education to properly handle the complications and stress that comes along with the disease. The article “Caregiver’s Guide to Understanding Dementia” By an Unknown Author widely informs the reader of the setbacks and difficulties that come when handling a patient with dementia and how to properly respond in stressful situations. A second article I found titled ‘Caring for Older People with Dementia in Residential Care: Nursing Student Experiences” written by Andrew Robinson and Katrina Cubit, focuses on the implications for the preparation and support of nursing students on clinical
...nts. We can alleviate fears and anxieties by connecting with our patients and families. In the OR, this means a warm blanket, a hand to hold, a tissue to wipe away tears, encouraging words, understanding eyes, a shoulder to lean on, and a nurse to trust." said Kelly Walsh, BSN, RN, thoracic surgery coordinator at the Hospital of the University of Pennsylvania in Philadelphia. (Unknown author, “What I Love About Nursing”). Nursing is a job for life, It just never stops giving. Everyday, there is new thing to learn, and its always the technology changing for the nurses. It gives us hope for those who shake our hands and tell us “thanks” that makes us love what we do. It’s the simplest things that are the best. But there’s nothing better than saving a another person’s live. And at the end of the day, its great to know that you gave someone else the gift of a lifetime.
First, I would like to start by stating that my expectation of a nurse is that he or she must be a good communicator, emotionally strong, empathetic, patient and calm, pay attention to detail and have good physical endurance. I feel that I possess these qualities which would make me very successful as nurse in the future. I have dream about being a nurse since I was a little girl and as a young adult, I still have the desire to be a nurse so I can help others. My desire to become a nurse evolves from past experiences that have taken place in my life; for example, my father’s death, my illness, personal experience and interaction with the hospital staff, specifically, the nurses.
I went to the operating room on March 23, 2016 for the Wilkes Community College Nursing Class of 2017 for observation. Another student and I were assigned to this unit from 7:30am-2:00pm. When we got their we changed into the operating room scrubs, placed a bonnet on our heads and placed booties over our shoes. I got to observe three different surgeries, two laparoscopic shoulder surgeries and one ankle surgery. While cleaning the surgical room for the next surgery, I got to communicate with the nurses and surgical team they explained the flow and equipment that was used in the operating room.