Reflection: My Day-Four Clinical Experiences

During my clinical day three, I demonstrated entry-level competence in professional nursing practice in caring for patients with multiple and/or complex unmet human needs. I addressed safety needs, safety in medication administration, effective communication, and surveillance for my patients. First, I addressed safety needs my ensuring the appropriate safety measures were implemented for the patients. Some of the safety measures included, wearing non-skid socks, wearing a yellow armband which indicated fall risk, keeping the bed in lowest position, two side rails up, bed locked, and the call light within reach.

The American Nurses Association estimates that up to 80% of serious medical errors involve miscommunication between caregivers when patients are transferred or handed off during shift report (ANA 2012). In the nursing profession change of shifts require the successful transfer of information from nurse to nurse to prevent medical errors and adverse events (Sullivan, 2010). Research shows that when patients are included and engaged in their health care there is greater potential to lead to measurable improvements in safety and quality of care. The purpose of this paper is to report results of an organized review of the literature which studied bedside reporting in the hospital

Ms Anna Liza D. Fernandez demonstrates excellence in the execution and balancing of leadership and management roles in the perioperative unit. Maintains the highest personal performance standards and reflect the successful integration of the VISN Network plans and strategic priorities, VA Program Office programs, and the local Medical Center goals and core values. Her leadership was recognized not only in the local medical center but also with the VISN as she was awarded VISN8 FY14 Quarter Supervisor. Ms Fernandez assumes the role of Nurse Manager of the Operating Room, and has been providing coverage to other NMs of the Surgical Nursing Team, as well as assisting the Chief Nurse of Periopeartive in providing needed coverage in during

Consent can be legal, ethical or professional, (Wheeler 2013), and is more than a simple signature on a form, it forms the process of good communication between patient and professional providing the treatment (Dimond 2015). In order to ensure that patient are aware of the care that will be given, the patient is informed and consent gained before or during care delivery Mental capacity Act (2015) additionally, obtaining consent encompass in the legal and ethical framework, hence this must be sort and healthcare professional must assess if the patient has capacity to consent to care Mental Capacity Act (2015). However Mary has the capacity to give consent for her care as she demonstrate her understanding of what will be done and why it is done

The patient is reported to have shortness of breath from initial handover between emergency department nurse to ward nurse. With the patient’s history of a chronic obstructive pulmonary disease, their level of consciousness should have been observed frequently to classify the patient had not undergone hypoxia and hypercapnia. Furthermore, evidence between two nurses from the time of 0300 hours to 0500 hours, did not comply. As the attending nurse had said she left at 0300 hours and returned at 0500 hours, the nurse left on standby said the attending nurse had, indeed, made an appearance within that time (HCCC v Jarrett, 2013, 116, 118-121).

Wrong site surgery is the second most reported sentinel event according to reported sentinel event statistics to The Joint Commission. Lack of communication and human error have been directly linked to wrong site, wrong procedure, and wrong patient surgical mistakes. National Patient Safety Goals were established by The Joint Commission to enhance patient outcomes in numerous strategic areas. The purpose of this research poster presentation is to provide background information on the National Patient Safety Goal: Prevent Mistakes in Surgery, the evidence-based guideline of time out, clinical application of time out and its impact on nursing, and identify methods to disseminate related information. A literature review was conducted that includes

Since the recognition of patient safety as a healthcare priority by the World Health Organization (WHO) in 2007, healthcare organizations have put many efforts in ensuring the quality of services and the safety of the patients. The Quality and Safety Education for Nurses (QSEN) are recommendations meant to equip nurses with the necessary skills, knowledge, and attitudes that are critical to the improvement of patient care quality and safety (Sherwood & Barnsteiner, 2013). In the current case, Mary has new nurses who want to become part of her team in the ICU. Integrating new nurses into the ICU department requires helping them on how to efficiently execute their mandates without compromising on the quality benchmarks in place

On April 21st, 2017, I was assigned to the operating room (O.R) unit of Arlington Memorial Hospital. My main goals for the day was to observe the procedure and learn the activity done by the doctor and the nurse. The surgical suite has the strict rules and procedures. Before entering the unit, we had to change our clothes and wear the scrub provided by their unit. The purposes of the surgical scrub and surgical attire are to promote patient safety by helping to prevent environmental contamination. Therefore, I followed all the procedure and wear the scrubs provided by them. I wear the mask, gown, and gloves and enter the unit. As I enter the unit, I was very nervous and excited to see the surgery. I saw the nurses transferring the patient in

Rcn.org.uk, (2015). Definition and aims - RCN. [online] Available at: https://www.rcn.org.uk/development/practice/patient_safety/definition_and_aims [Accessed 24 Oct. 2015].

monitors the surgical process to determine risk factors working with the Quality department. The Safety Officer works closely with this Department in preparing and documenting quarterly reports to Administration. As such, the Quality department documents data trends. These trends are compared with safety reviews and risk identification. In turn, these risks of occurrences are managed. The Quality department will implement a continued process improvement if the facility is below set benchmark. This influences the implementation process for safety standards. These reports monitor infections that may have a detrimental effect on patient care. This includes detecting source and preventive measures. The data also tracks frequency or deviation

There would be situations to challenge my clarity of being a safe practitioner in the clinical learning and development practices. For example, even though there is time pressure when administering medications to my patient with a buddy RN, I have to ask to check MIMS about pharmacological action if the drug is new to me, or to check patient’s pulse rate for a full minute.

I feel quite blessed for giving me the opportunity to be part of Baycrest in enhancing my learning this semester. I was waitlisted for this placement. I wasn 't able to enjoy my holidays because my placement was not confirmed. I was thinking that what I would do if I had no place to go this semester. It would mean that my learning could be prolonged for another semester. During the holidays, I waited every signal day to hear from Michelle. I wasn 't at peace. I truly prayed hard during the holidays. I didn 't care where I would get the placement, I just wanted to have a place to go for this semester. During that time, I had often messaged Michelle asking when would be the last week that I can hear from her about placement. She had informed

I had the pleasure of visiting with Mrs. Cooke’s fifth grade class during my clinical experiences. Mrs. Cooke has a great rapport with her students and has very little difficult actively engaging students in learning. One of the “takeaways” from my visit references the students’ and teachers’ commitment to the principles of “The Leader in Me”. From a school-wide perspective, East Elementary School does not practice the traditional positive behavior interventions. Instead, the administration has adopted the ideals and principles behind “The Leader in Me”. The Leader in Me teaches students 21st century leadership and life skills and creates a culture of student empowerment based on the idea that every child can be a leader (FranklinCovey, 2009). The program has created 7 habits that promote a positive learning environment. The program is also aligned to several national and state academic standards. The program is designed to teach students about life skills such as responsibility, accountability, leadership and initiative. The learning environment is designed to be student-led. This means that within each classroom, the various roles that teachers serve are now entrusted to the student. Students control the flow of transitions, answering the intercom calls, greeting visitors, passing out papers, and ensuring that their classmates are on task. I fully intend to implement these strategies into my classroom. I observed the students in their various roles and the most

This clinical experience has really helped me to sharpen my communication skills and realize just how important it is to understand mental health. We are told multiple times in class that mental health issues can be seen on any floor and that is the truth. I’ve seen patients in my older adult clinical on the pulmonary floor suffer from issues that range from anxiety to bipolar disorder and depression. Being able to understand how to approach people that suffer from these types of illnesses, allows us, the nurses, to give the patient the best care that we can. It helps to build a trusting relationship and get to know them on a personal level. Patients with mental health illnesses are many times defined because of their diagnosis and that is

The perioperative experience involves the preoperative, intraoperative, and postoperative phase. I had the opportunity to closely observe the health care staff during the last two phases of the perioperative process. This experience allowed be to gain a better understanding of the role of nurses throughout these different phases. It was apparent that their day to day duties are different than registered nurses in other areas of the hospital. During the perioperative experience, I was able to observe the role of the registered nurses, the role of other staff members, the progression of the nursing diagnosis, and patient teaching.