My Clinical Observation

Clinical experience was meaningful and learned many things about some specific patients. In the morning I attended some call lights, did some diaper changed, and helped pass out trays. I also help fed Mrs. M.S by bringing to the dining room and fed her. Throughout I maintain professionalism and provided caring. Midday I was with Physical Therapy and Speech Therapy.

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.

During my rotation in the emergency room, I experienced some things I already did plus few things that I did in skills lab but waited until clinicals. First, I did vital signs on several patients who came in and then every two hours. I was also able to put several patients on the cardiac monitor and be able to know which cable goes with which. I saw nurses put IVs on mostly all patients including teenagers and older adults. Last, I was able to insert an indwell catheter on patient who had a distended bladder.

During my sophomore year, I was fortunate enough to shadow an internist. I came in every other day and observed his interaction with patients. He managed patients from different age groups and diverse backgrounds. Various illnesses come through that door and I was there to witness aspects of it. I interacted with patients per the physician’s permission to do as such.

I was a resident of anesthesia & ICU for 35 months, the residency involved providing anesthesia to all types of major surgical procedures including gynecological, neurological, pediatric and emergency surgeries. I learned all the basic skills like airway maintenance, spinal anesthesia, epidural injections, brachial plexus block and ankle block. Intensive care is an integral part of anesthesia & ICU residency so I am sufficiently trained in ventilator operation, providing critical care, central venous catheterization and arterial tapping. I also worked as unit registrar and the scheduling in-charge for entire department. I have actively participated in all academic activities and gave multiple presentations within the unit and on behalf of department

I am glad to view a schedule and expectations for the clinical setting in the program. I am so excited to get started in the clinical setting as a Nurse Practitioner. I currently work at the Dayton VA Medical Center 8 hour shifts, 5 days a week. When clinical time arrives I plan to go part time and work 20 hours a week, and spend 20-30 hours per week for clinicals. If I am unable to go to part time status, I will continue full time and spend 20-30 hours per week for clinicals.

My first comprehensive exposure to the health care field was six years ago as a senior, during which time I participated in hospital-based schooling. This program allowed me to observe a multitude of different medical disciplines, with rotations in surgery, orthopedics, nutrition, dermatology, gastroenterology, neurology, administrative services, and many more. Three out of the five school days were dedicated solely to shadowing, and the other two were spent in the classroom learning various medical-centric studies. Once in college, I continued to shadow physicians whenever my class scheduled permitted. I participated in the 4-U Mentorship program, which paired me with a fourth-year medical student who was preparing to do his residency in general

As an aspiring physician in Emergency Medicine, it is hard to describe typical physician workday activities. Every day is unique and filled with many opportunities to learn and develop clinical, interpersonal communication, leadership and critical thinking skills. Despite this, there are certain routine activities which I had the opportunity to observe through my shadowing experience in the Emergency and Operating rooms at California Hospital Medical Center, Los Angeles. One day, a two year old patient came into the ER after falling and cutting her head. The patient’s mother told the physician that her daughter is nervous and scared.

1, In the ICU. I deem this encounter was complicated because it was very emotional and I had to overcome the encounter. 2, Medical Office. This encounter was very easy because they used simple medical terminology. 3, Free Health Fair.

On April 18, 2017, I completed clinic rotation at Prince George’s County Health Department (PGCHD). We were scheduled for two shifts (morning and afternoon). PGCHD proves dental services for low-income children, high-risk patients, and moms-to-be of Prince George’s County residents. Patients are able to receive preventive and restorative care within the clinic. Days before going to PGCHD I was apprehensive, especially since it would be my first time treating children.

From the beginning of my nursing endeavors, I knew that working at Broward Health will be my goal. My work towards it wasn’t easy, but I hope that this healthy challenge will be rewarded one day. Whenever I could, I choose to have my clinical rotations at one of Broward Health System hospitals. My first three clinical rotations were on oncology floor at Broward Health, where I was exposed to patients with various and serious conditions. Despite the fact that most of these patients were suffering, they fought and had hopes in them that really made me going.