Provide specific examples regarding your progress in the ability to plan care for one patient during the clinical shift. 1. Describe your approach to learning about your patient’s story. At the beginning of the shift, I would look up all of the patients that are assigned to my preceptor and follow my preceptor to get RN report on each patient.
Weekly Self S.O.A.P - A. S- Discuss your SUBJECTIVE feelings for this week: This week I finished my rotation in the emergency room. I felt very comfortable in this unit. I was able to put to practice what I have been learning during lecture by triaging and assessing patients. I was able to work in the trauma area and in area 4, where they hold “non urgent” patients.
It is the hospitals policy that a patient isn’t allowed visitors in recovery until after the patient has been assets from the surgery. However, many times the family is so anxious to see their family member they get very upset with me when I tell them they can’t go back right away, many time
On Wednesday, November 18, 2015 I had my clinical rotation at the Surgery Center. I was scheduled to be in the "open" unit, where I was able to watch hand surgeries as well as watch the surgical treatment of a extracoroporeal shock wave lithotripsy. I was also helping with intubating patients, starting tourniquets. I was even able to help for a little while in Post- Anesthesia Care Unit when the other nurses was busy. I 'd help them start the electrocardiogram, blood pressure and O2 Saturation.
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.
I also got an opportunity on the same day to observe two other instructors teaching style, the central nervous system assessment session by Cashman and the musculoskeletal assessment session by MacKenna in the fundamentals lab. I attended four lecfure sessions; one on the nursing process by Wilson, the second one was on therapeutic
What Careers are Available as a Mental Health Nurse Practitioner The careers as a mental health nurse practitioner are similar, but the work locations and health care organizations are very diverse. Here are four potential career opportunities for med students who become mental health psychiatric nurse practitioners (MHPNPs). Family Care Mental health psychiatric nurse practitioners are usually new grads with only one to two years of work experience.
Through my interactions with patients and by telling them their plan of care for the day I open a line of communication with them. For my particular unit, we receive a fair amount of post-surgical patients on a daily basis. For our post-surgical patients, one of the goals we want them to achieve is to be able to ambulate six hours after their surgery. I mention this when I explain to them their plan of care for that day. They verbalize understanding and may ask questions related to the task.
I rounded daily with every department (ICU, MSU, PNU, L&D, BHU) and met every patient. I would receive report from each department Charge Nurse and CNS (who was also novice). I spot checked documentation in the Essentris computerized charting and randomly would check on drug administration. I was involved with disease and discharge management and followed up on all referral consults and processes. I would meet with every CNS quarterly and work on their clinical challenges and also what Process Improvement Projects they were currently working on.
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.
Throughout they day they are constantly charting and observing a machine of each patients heart rate and blood pressure. They do this every hour. They are in constant contact with doctors unlike the nursing home when its only if a patients is seriously injured. Also another big difference is if something is wrong with a patient at a nursing home they have to call the doctor at the hospital they have to use your brain and figure what the thing to do.
My patients have things as routine as check-ups and immunizations, to my diagnosing life-changing diseases. I teach preventative care, and emphasize healthy behaviors, and changing bad habits into good ones. 2. What training and/or education is required to be a Certified Registered Nurse Practitioner?
When talking about nursing documentation, what come to the mind is that, the feeling of dread if being a prisoner because of documentation error regardless either a grammar error or the way the documentation sentences being presented, which then it can be twisted by other parties to charge the nurse as guilty person. Nursing documentation is a legal documentation where this document will be the evidence for hospital staff to defense themselves in case of any incidences that lead to court hearing. According to Ward a freelance online author and writer for Elsevier Medical Publishing (2012), the medical record is the greatest powerful tool for attorneys, legal experts, and expert witnesses use in order to examine the type of care the patient
March 1st marked my first day participating on the floor of Good Samaritan West Highlands. Although I had previously been to Good Samaritan, this was the day I would become directly involved in the care of the residents there. Seven other nursing students joined me for this clinical rotation. Among those seven, I recognized a few of classmates Nancy, Skylar, Lauren and Chase. The goal of my clinical rotations is to gain actual nursing experience in a real-life setting and practice the skills and theory I have learned in my nursing classes.