Because we did not have a clinical last week, I wanted to ensure that I did not disregard little details about my assigned resident that may have been overlooked. I reviewed the information my partner and I completed in the concept map, my resident's assessment/health history information, and how my resident behaved the prior clinical day. It rests imperative to not only retain background knowledge of my resident, but also to distinguish how she has transformed over my time with her - physically, mentally, and emotionally. Going into this week's clinical, I will be able to utilize my knowledge to make an assessment of her current condition. Along with taking a look back on my assigned resident's information, I also reviewed the concept of perfusion.
She makes sure she is specific on what the clinician has done correct. She also introduces her clinicians to services the company provides through job shadowing. She believes in written supervision so there is no miscommunication and the employee understand what was discussed. The next question was about what clinical consultation means to her and she said “Clinical case consultation, to me, would be the staffing of a clinical case to discuss diagnostic criteria and modalities of treatment (A. Tuggle, personal communication, December 2, 2015).” The next question was about clinical consultation and she said she does not have one theory to clinical consultation. Another question I asked was what model of clinical consultation do you use or identify with in your supervisory experience and she responded with the same answer as “clinical case consultation, to me, would be the staffing of a clinical case to discuss diagnostic criteria and modalities of treatment (A. Tuggle, personal communication, December 2, 2015).” The last three questions is about emergency management system (EMS).
At the end, after discussion the consultant should summarize the daily plan for the patient. During the ward round an educational point may be highlighted. Consultant should use every opportunity to discuss and teach the team members. Consultant can ask questions to the team members and discuss the case. Team members should actively participate in discussion and should come out with ideas and suggestions regarding the management of the patient.
Look back: In my final reflective journal I want to reflect neglect the patient in clinical sitting. Clinical one B courses in the bridging program enhance us to develop skills, give best quality of care to the patient establish autonomy while in practice. Elaborate: Every Sunday, I practiced clinical 1B course in the male surgical word in Al-Qassimi hospital, I noted that in the word they neglecting the patient. I feel embarrassed in front of the patient when he knew that nobody came to see what he want. Also, I am not satisfied with staff care to their patients.
It is known as such because of the limited time availability for clinical teaching, it gives way for a simple framework for teaching during daily patient care (Neher et al., 1992). Muthamilselvi, (2014) stated that teaching in the clinical setting is supported by mutual trust and respect. Clinical learning and teaching should be aimed toward focus on essential knowledge, skill and attitude. As it relates to nursing there are teaching strategies and approaches such as: Bedside Clinic which always help to study the specific problems associated with a particular disease or disorder, the patients’ presence is always required for this. It can be conducted by the either the head nurse of a particular ward or the clinical instructor.
I have found this assignment of reflecting extremely interesting and have enjoyed learning new things about myself and the care I give in clinical practice. It has given me more confidence in delivering care and enlightened me to always support patients as individuals. I have grasped a competent understanding of the benefits of reflecting on practice and will endeavour to reflect on all my practice placements in the
This stage is demonstrated by the nurses who have generally worked in a clinical environment for four to five years. The proficient nurses learn from experience what typical events to expect in a given situation and understand the manner in which plans need to be modified in response to these events. They usually continue to refine their reading of particular situations. Stage Five-Expert At the expert level, nurses with their extensive background of experience has an intuitive grasp of situation which no longer relies on analytical principle (rule, guideline). The expert nurses have worked in a clinical environment for over five years.
Next, I will be discussing on implications of fall risk on the risk of liability in nursing. Finally, some conclusion will be drawn as to summarize the assignment. There was an incidence happened when I about to start my 4th day of clinical posting duty, mostly I will get to know and check on my patients first with the updated patient’s information as usual after the report was taken. I go straight to my responsible cubicle. Check for every patient’s need.
(2000), mentioned that, by helping a patient adapt to change and regain control would lead the patient to accept their altered identity and learn to reorganize their life within the framework of their disability. As a nurse, I believe one more major component in nursing is providing the patients health educations. A nurse with critical thinking and reasoning would plan the discharge care plan for the patient’s as soon as possible after admission to hospital. As for MI patient, cardiac rehabilitation is important for