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.
There was staff who worked with patients who were self-pay and had no insurance. There were also specialist who worked with patient accounts who were insured by Maine Care, Medicare, and Medicare insurance. The supervisor was a coding auditor who manages the coding operation of the business. I would not prefer to work at the Penobscot Community Health Center Walk-in Care. I really enjoyed observing the data analyst position.
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. By the end of the clinical rotation, the student has met objective
The thing that through me off was the amount of stuff got done with our patients by other people. 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.
Nurses also work closely with ultrasound technicians and patients. 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).
Her job did not look easy as she described it. 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.
Due to my education, my family looked to me to understand the medical jargon. 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
It was during a time my mother was in the hospital gravely ill, that made me realized what I wanted do. 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 spent most of the time observing my mentor while she performed check-ups on her patients. Also, I saw my mentor give injections to patients to help with pain. 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.