During one of my clinical experiences on an extremely busy unit I was watching nurses communicating with each other during a morning report. It looked like it was going to be a busy shift as they were working short. I was on that team and they asked me if I could straight catheterize a patient who has not voided for six hours as soon as possible. I was excited to help them out and to perform my first catheterization. Prior to that shift I had read over that procedure and felt ready to do it.
At the end of the meeting, I observed the team (nurse, social worker, and nurse practitioner) debate on the patients’ request for increasing their level. The decisions were mainly based on the patient’s behavior and interaction with other patients on the wing. Being compliant with medication, therapy, group sessions, and self-care were also factored in the consideration. I did observe an RN and psychologist discuss a plan to prevent two patients from arguing or becoming violent. They were discussing ways that were fair to both patients without compromising their needs or care.
I discovered the doctors
Final Self-Assessment During the FNP III rotation, the student has seen many patients who have complex chronic illnesses than other two rotations that she completed for the FNP I and FNP II courses. The student had many opportunities to independently interview and exam the patients, then come up with differential diagnoses and treatment plan based on the pertinent and impertinent information and evidence-based practice. The preceptor, Dr. Jeanne-Elyse Cedeno, a medical physician/owner of the clinical site, always encouraged the student to think as a primary care provider in many ways. In this paper, the student is going to discuss the progress of the eight objectives (see Appendix A for details), discuss her personal growth and development in the nurse practitioner role, provide the information on what she learned in the clinical that will be valuable to her future practice, and describe any missed opportunities that she did not get out of this experiences as expected, discuss for areas of improvement in the future clinical rotation, and the summarize the final evaluation with her preceptor.
The CNA was always there to get vitals and take care of anything additional the patients needed. The resource nurse helped with our potential stroke patient. He went through the whole neuro assessment and after my nurse and I placed a catheter he was quickly sent off to interventional radiology to get a clot removed. The efficiency
As a leader within my fraternity, I've performed and practiced therapeutic communication without even being aware of it. This week I was able to active listen to patients, such as a patient who explained his glaucoma to us and how it was partially fixed, but a complication arose that needs to be assessed and stabilized. I also was able to sit down and talk with a patient before her bath to see what she wanted to wear. Asking open ended questions, active listening, being silent to give her time to respond, etc. enforced my therapeutic communication within the healthcare setting. A non-therapeutic bias I've come to realize is that instead of talking to the patient, I communicated to the nurse instead.
Nurses act as the messengers between patients and doctors. They also act as messengers for physicians when they can not be present. The nurses are the ones caring for patients, and taking all that information to the doctor, then if the doctor orders an ultrasound, the nurse then takes that information to the patient. After consulting the patient, the nurse would put in the order and ensure that the ultrasound was scheduled (and took place if within a hospital). Physicians and radiologists are diagnostic sonographers’ supervisors.
The typical day for my job shadow host requires them to be on their feet often. She was assisting the nurse 's and taking care of the patients and helping them with certain task. When she has a problem with a patient she calls other nurses aides ' that work with her for some assistance. The environments she work in are inside the hospital room. I also observed her feeding some patients food because they couldn’t feed themselves.
I had a specific understanding about strokes: causes, locations, prognosis. However, I reached my limit, and I was helpless to understand her treatment. The entire medical staff was helpful, but one member stood out – the Physician Assistant on the stroke team. She was an exceptionally caring individual and took the time to sit down and explain what was happening and what to expect over the next several
The nurses were caring and they worked diligently throughout her recuperation, they answered all my questions, easing anxieties and fears. The admiration and respect I felt for them came from their professional care of my mother. That moment
I researched the roles and contributions of a physician assistant in the medical field. I did not realize how much physician assistants could do until I researched it. Also, the contributions that physician assistants make go unnoticed by many, they are trained to be just as proficient as physicians. For my product extension, I learned how to do back exercises on a pain management patient, and I will have a demonstration video with a handout. I may intend to pursue a career being a physician assistant, but if I later change my mind, I will pursue a career in dentistry.
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.
A Day at Riverwood Pet Hospital I had the opportunity to participate in a preceptorship at Riverwoods Pet Hospital. Through this job shadow, I was able to see a glimpse into the world of veterinary technicians and experience some of the day to day activities they have. The Riverwoods Pet Hospital offers the service of boarding animals, so my day started out with preparing kennels for the dogs and birds. Owners are welcome to bring in their own pet food so we filled up their bowls before we brought them back from inside.
1. Describe your first hands-on clinical experience in nursing school. What fears did you have? What surprised you the most? What were you most proud of?
My clinical site is at Good Samaritan Hospital at Downtown, Los Angeles. On my first day, I was a bit nervous because I have never seen a friend or family member give birth. All I can think about is, how can I carry a newborn baby, change diapers, and feed the newborn. We did orientation on my first day and we were introduced to each floors that we will be assigned for the next three weeks. On the 7th floor is the Post-Partum floor, and the 8th floor is the NICU and Labor and Delivery