Clinical Reflection Paper

Today was another busy but fulfilling day. I got checked off with my head-to-toe assessment. I followed my regular nurse, Nurse Clea. Since I mostly knew the routines of my patients, I started by doing rounds. I checked my patients one by one to see if they were stable and responsive. With Nurse Dre Dre, the night nurse, I got to do suctioning, tracheotomy care and start feedings. I feel like I’m getting confidently effective with my communication skills everyday that my I’m learning and enhancing my nursing skills. I was able to educate a family member who was not wearing protective equipment inside an isolation room the importance of wearing one to prevent the spread of infections and promote wellness.

Time is certainly flying by this semester, as I attended my fourth visit at the NovaCare Rehabilitation this week and next week will be the midpoint of my PTA 211 clinical affiliation. I enjoyed another busy day at my clinical site; upon my arrival I checked the caseload for the day. With evaluations and routine patients we were expecting 29. However as the day proceeded this amount was minimally reduced to 26.

In week 7 we had visited Wesburn Manor, the Long-term Care (Clinical Placement) setting. It was our first time there, therefore as a group, we oriented the place. At this time, we went to each nursing station on each floor and introduced ourselves from the organization we were from and how we will be providing patient care to the clients in this setting. We were educated by our clinical instructor on the different access codes in the building, the policies and guidelines, our assigned floor and the appointed personal support worker. Our role of professionalism as a nursing student was represented as we came prepared and greeted each healthcare and staff member. From the professional standards, I have learned throughout my clinical

Upon arriving to the unit this morning, I quickly realized today was going to be a chaotic day with the current patient census, and all of the new admissions. I was able to assist the night charge nurse with today’s assignments, while she helped with the code, and the day began. I informed my team that today was going to be a long day, and encouraged them to use each other and myself for help. I recommended they taking a few minutes to coordinate their work after receiving report.

This week we had our orientation at Holy Spirit Hospital in Camp Hill. On Monday, in the Fundamentals of Nursing class, we learned different oxygenation therapy for the patients. We had a chance to go to the Sim Lab and see different types of equipment such as the nasal cannula, venturi mask, simple oxygen face mask, re-breather mask, pulse ox machine and the oxygen flow meter. Although, we were not able to use on the simulation mannequins, we were able to see what they look like and how you would use them.

Today, On Wednesday, September 9, 2015, I attended a beginning of the school year healthcare meeting. The annual meeting was conducted by one of the school nurses and it included all of the second grade teachers. Before today’s meeting I had never attended a health care meeting, but I certainly knew of the importance of having a good relationship and communication between school nurses and educators. A teacher’s responsibility includes so many variables including and foremost a student’s care and safety. Additionally, School nurses help educators in ensuring and caring for student’s and their healthcare needs.

Throughout the daily health care facility, microsystem is continuously at play. At my time in the hospital I observed register nurses, CNAs, physical therapist, and dietician come together effectively to help assist the patients overall safety and health concerns of the patient needs. I spent the day shadowing a nurse and observed the element of the microsystem at work. During this time, I recorded my observations of the nurse throughout the day such as patient care, tasks, medications, charting, and other duties.

Today since I woke up I was nervous, anxious and you could say that even scared, but as I learn from my last experience with Fundamental class this kind of emotion of being little scary is normal because nobody knows what the day can bring to us. Also I felt pride and joy because I am proud of where I’ve come so far as being an immigrant who came to this country as many others looking for their dream without knowing the language or even the culture.

The American Association of Nurse Practitioners (AANP): It was formed in 2013 by the fusion of the American Academy of Nurse Practitioners (founded in1985) and the American College of Nurse Practitioners (founded in 1995). The purpose of this association is to advocate for the issues and performance of the nurse practitioners. AANP’s mission is to lead nurse practitioners in turning the health care system into patient-centered care. According to the AANP website, this organization has more than 60,000 individual members, and 200

Your interview along with your thoughts on how your interview impacts you was very interesting to read. Hearing about your NP 's struggles during her education was an unfortunate, but common, experience. It is good to know that professionals we look up to have also experienced the same feelings we have as new nurses. Some of the barriers NPs face are "limited number of clinical sites and preceptors, concentration of educational programs in urban areas, and limited funding" (Fitzgerald 2012). I would like to know if these, or any other barriers, were a problem for your NP and what steps she took to overcome them. Being a new nurse can be overwhelming, and the guidance of an experienced NP could help minimize any concerns an RN would have about continuing their education.

Today our clinical group participated in the hospital’s wound prevalence day where we helped the wound nurse do head to toe skin assessment to the patients who are not/at risk for developing pressure ulcer and do HillRom/CALNOC study checking the quality of the bed mattresses. In the early morning, we spent our day first thing by reviewing as many charts as possible and filling out the forms needed for the study. Nurse Brittany, the wound nurse, assigned the participants into teams which included one nurse with at least two students to various units. My two other classmates and I were assigned with Samantha, RN to do the prevalence study at Med-Surge and ICU unit. Some of the tasks we did as a group comprised of: assessing the patient; checking the mattress’s condition; counting how many layers of linen the patient uses; checking heels if they are offloaded; noting if patient has secure foley catheter; marking the mattress “G17” for good and “B17” for bad; educating the patient and family on prevention

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.

An event that was significant to me throughout clinical placement was when I forgot to introduce myself to a visually impaired client.

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

Question 1. Assume you are Sanchez or Hudson and plan to implement immediate organizational change within the practice. Where would you start? What steps would you take? Daft, R. L. (2014).