During these past weeks at the Archbold ER, I had the opportunity to put into practice many of the content learned in class. This included but was not limited to the proper placement of a Foley catheter using sterile techniques, insertion of an NG tube, and assessment of patients. Even though I attempted to complete some of my initial goals for this internship, I noticed that I couldn’t complete a few of them due to lack of time and lack of experience in the field. Therefore, some of my goals that I’ll need to address during the following three weeks include improve my assessment skills, have better communication with my patients, and improve my questioning to get a better understanding of the cause that brought them in. One the most beneficial …show more content…
Investing my time in the care of my patient gives the opportunity to not only assist them in a difficult situation, but also to learn more about their diagnosis and the treatment, while comparing it to what we have learned in class. For example, I had a patient that suffered from Sickle Cell Disease and came to the ER during a crisis. Correlating this case to the books and the content learned in class, these patients receive at least 1000 mL of fluids, pain medication, and oxygen. Additionally, I had a patient with meningitis. This individual presented with common symptoms such as nuchal rigidity, muscle pain, fever, and chills. The doctor performed a lumbar puncture exam and the cerebrospinal fluid was in the cloudy range of the spectrum. According to the medical staff present at the time, this fluid is supposed to be much clear than what it was at the time of the test. Asking questions to my preceptor is another action I take in order to achieve my goals and problem-solve my obstacles. Additionally, I assist in different cases throughout the ER. For example, when a new patients come or when patients are deteriorating, the available nurses go into the room and help the other nurse. In these situations, I go and help as well and gain experience on the procedure to follow in
Saving the patient is my job, my duty, and like any other person's job, I have a professional status to accomplish.
Sometimes when patients come into the hospital it can be difficult at times for them when they are feeling bad in knowing exactly what is going on. There are cases where it’s
He quickly flipped through a couple of hundred pages and pointed to a section. He said, read this first and then we will talk about it. This was the start, while I didn’t identify it at the time, of a constant back and forth between me and a couple of emergency medicine physicians who just happened to work in my local small town emergency room. They would not just answer my questions, or just tell me to do this or that, but that they would point me in the right direction to learn on my own and then be there to support me and to answer my questions. It is a practice that I have continued my entire career.
In a hospital it should be someone’s main priority to make sure the patient knows what's happening to his or her
Talk about what went well in the scenario. I perform vitals sings and communicated effectively with Mr. Ahmed. I educated the patient in areas such as dehydration, fall risks, intake and ouptup measurements. In addition, I administer oral and intravenous medication to ensure proper drug
I am able to offer patients information, resources, and helpful advice based on my experiences and the experiences of others in order to assist them in making well-informed healthcare decisions. I inform them of their condition, available options for treatment, and available support services so they are empowered to take an active role in their own care and recovery. I contribute to their overall understanding and give them the resources they need to advocate for themselves by supplying them with this peer-based knowledge. As a peer advocate, I also help to open up channels of communication between patients and medical staff. In order to make sure that their voices are heard and respected, I assist patients in expressing their worries, inquiries, and preferences.
The patients are on our hands and its important to treat them as we would like to be treated. They are counting on us.
Refection –on-Action and Clinical Learning: Describe three ways your nursing skill expanded during this experience. I believe my nursing skills expends every time I go to clinical, every time I have new patients, and every time I have new task to do. I get more experience during each clinical. I get more used to clinical system, and I to know the patient and how to assesse them. Name three things you would do differently if you encounter this kind of situation again.
Reflecting on the past seven weeks I have acquired countless knowledge, which I will use to further strengthen my profession as an Advanced Practice Nurse. The course allowed me to think beyond my current practice knowledge and acquired innovative ways to evaluate the situation at hand. The learning objective in program outcome four helps set standards that I will use to guide my clinical practice to meet various healthcare needs. Using the case studies has helped to further enhance my knowledge on disease physiological state, using differential diagnosis, disease manifestations, and clinical presentation. It has also taught me the skills on how to differentiate between similar diagnoses to properly identify the problem and treat the patients.
Sometimes they are curious about me and ask me numerous questions. It is the most important task I perform as a volunteer as I mitigate patients
Subsequently, more emphasis is placed on the importance of expanding patients’ knowledge of the treatment that they are to receive and how to refine their self-care and management for the future. This can potentially improve the day-to-day lives of both the patient and medical staff. As the well-known Chinese proverb states: “Give a man a fish, and you feed him for a day. Teach a man to fish, and you feed him for a
Reflection has been strongly advocated by the English National Board for Nursing & Midwifery (1994), and a wealth of nursing literature over the past decade had been published to improve nursing practice. Reflection is an in-depth consideration of events or situations outside of one-self, solitary, or with critical support. Burnard (1995) argues that, reflection has its roots in experiential learning, as it forms the second stage of the experiential learning cycle. Active reflection gives nurses the confidence in terms of clinical decision making. It can also be a meaning of identifying strengths and weaknesses in practice and enabling nurses to learn from their mistakes.
Introduction This essay is a reflective piece of writing about the critical indecent of a medication error that occurred during my placement. It is a very concise piece of writing due to limited word count of 1500 words. Duke and Appleton (2000) did a literature review and devised a framework of critical reflection, which illustrates eight stages as compare to Gibbs’s (1998) reflective model that consist of six stages. I chose Gibbs reflective model not only it is easy to comprehend but also to illustrate a critical incident.
Evolution from Novice to a Beginning Professional Nurse Looking back when I started my nursing school, I can proudly say that I have evolved both physically and psychologically. I was not sure if nursing was the right choice for me at first because I had difficulties interacting with people outside my family circle. The first semester was challenging for me because I did not know how to interact with my class mates and felt isolated each time there is a class activity. I joined a study group later that semester and it has been an excitement ever since.
This is very critical as it helps in the diagnosis and also helps me to get to know the patient’s history [Doctor 1]. However, one challenge with regard to patient active participation in the encounter process is the lack of role clarity. Both doctors and patients shared this view.