As I reflect on my medication pass, I not only realize the lessons I learned, but also the things I will take with me with me for a lifetime. This was quite the experience of learning and lessons to become a registered nurse, so as I began my day, I began by looking up my patient’s medication. I would be passing in the MAR – on the computer. This is where I proceeded to check for allergies (medicine and relevant food), this should be done every time you give a medication. The instructor said ok are you ready? Reluctantly, I say yes, and instantly I feel all my blood rush to my head and I began to shake ,the instructor and I go into the medication room and open a machine called a Pyxis, the Pyxis holds the medications in a certain drawer
1) Shadowing – General Surgery, 27 hours 2) Shadowing – Emergency Medicine, 16 hours 3 ) Shadowing – Orthopedic Surgery, 16 hours 4) Shadowing – Family Medicine, 8 hours 5) EMT Clinical Training – During clinical training, I was part of the patient care team in the emergency department of a level one trauma center. I also spent time with a community hospital and a fire department ambulance service. 28 hours 6) Medical Service Trip to Nicaragua – My peers and I assisted in the operation of a cost-free clinic in rural Nicaragua. We triaged patients, helped in the pharmacy, provided fluoride treatments to children, and assisted our healthcare professionals in the execution of their duties.
Surgical Tech: As a seasoned surgical technician, I provided training to 7 enlisted personnel on all aspects of the department. I work hand on hand with the general surgeon, nurses, and technicians to ensure quality of care is present at all times. I have scrubbed and circulated over 46 demanding surgical cases with zero discrepancies and zero post-operative infections, resulting in 100% customer satisfaction and promoting mission readiness. Supply PO: As the Supply PO for my department, I have been crucial for the sustainment of the hospital’s mission and delivery of quality care. I efficiently and effectively managed an OPTAR of $156,129 in support of day to day operations of the MOR.
Educational Preparation of Clinical Nurse Leader (CNL) The vision for the Clinical Nurse Leader CNL role began in 2003-2004 in response to the Institute of Medicine’s quality and safety reports. In 1999, the Institute of Medicine released its report, To Err Is Human: Building a Safer Health System, which called on health care systems to reduce medical errors and improve patient safety. In 2002, the Robert Wood Johnson Foundation called for developing new practice models and enhancing collaboration between education and practice, and in 2003, the Institute of Medicine released its set of five core competencies that all clinicians should possess, regardless of their discipline, to meet the needs of patients in the 21st-century health care system. The Clinical Nurse Leader (CNL) is a master’s educated nurse, prepared for practice across the continuum of care within any healthcare setting.
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.
I was highly impressed by the overall teamwork in the emergency department. It has a sense of organized chaos that would have taken me some time to adjust to. My nurse and I ended up going through a large group of patient during the time I was there. The nurse has this uniformity to how she would get her tasks done. The thing that through me off was the amount of stuff got done with our patients by other people.
I was able to fill syringes with medicine, count pills and dispense them into bottles and label various medicines. I have previously demonstrated the four pillars that are associated with NHS, and it would be an honor and privilege to continue to grow, but as a member of the National Honor
The job required more talking and interactions with others. Discharge patients by pushing them thourgh the door in a wheelchair. Delievering and returning unneeded supplies. Newspaper pass out gave me a oppurtinity to interact with the patients. One lady told me her story and I was suprised on what she had been thorugh.
Many nurses do not get involved in health care policy even though the nurse should. Most nurses do not know much about health care policies, some view it as “foreign and complex” (Falk, 2014, p. 203). I consider myself one of the nurses that do not know much about health care policy and I am one of the nurses that do not get involved in health care policy. I do not get involved with health care policy because I was never taught about it, so I do not want to get involved in something that I do not know much about. I look forward to learn more about health policies and becoming more involved in health policies.
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.
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.
The professional nursing values I believe are things you can be taught and some you cannot. Nurses are special individuals who ultimately want to care for and help others as much as they can. I agree with all of these values and believe some I will need to work on myself such as competence, illness prevention and patient education. Others I believe I have based on my experience I have already had while caring for others. Some of the qualities I believe I have include: caring, compassion, dependability, empathy, focusing on the patient- defining quality of life, having a holistic patient centered care, kindness, openness to learning, respect for others their dignity and worth and sensitivity. I am currently caring for a man with stage 4 prostate
There is a high significance for a nursing student completing their degree in nursing to start their career as a nurse practitioner. Nursing students must prepare to become nationally certified by an accredited body upon completion of their schooling in order to advance their career (AANP, 2016). This academic accreditation process helps to show that the students have met the requirements to practice as a Nurse Practitioner in their population focus testing. The scope of practice will be affected based on the certification that the practitioner obtains. If the Nurse Practitioner obtains a certification as a nurse specialists in pediatrics, oncology, geriatrics, emergency medicine, etc. there are scopes and standards of practices that the practitioner must not act outside of (ANA, 2016). There are also state regulation scopes of practices that allow for Nurse Practitioners to practice independently, with reduced practice, and with restricted practice. Along with these practice environments, Nurse Practitioners must abide by facility and institutional policy and procedures that outline their scope of practice (ANA, 2016). There are very few states that still allow Nurse Practitioners to practice without a national certification. These states in the future may require the nurses however to in fact take national certification as more employers and third party insurers for malpractice are looking
As a first generation student to attend college from a family of seven, the journey to a higher education has been arduous and overwhelming. My family gives me all the encouragement I need and are very optimistic about pursuing a higher degree. Unlike myself, my parents did not have the opportunity to attend college. My parents were born and raised in a small town in Mexico where the highest level of education they received was fifth grade. I have worked since I was 14 years old to support my parents with bills, and also saving for college and my own vehicle. I have not had any interruptions during my education, because I was able to balance work, babysitting, studying, and attending class on time. Although I managed not having any interruptions