Reflection: Clinical Assessment

I came to this conclusion through my shadowing experiences with a perfusionist at a nearby hospital. I was taking medical physiology at the time of my first shadowing, and it was cool to see some relations. But I realized that he knew so much more than me, and he started talking about the base excess levels and how that related to the pH level in the blood stream. Though the second time reassured my drive to pursue perfusion as a career, I was still very curious to learn more of the problem solving process that occurs during the operating room. I realize that how important to build on that knowledge base and to even go beyond what is required to learn new things that might help in case of an unforeseen

For this vSim assignment, I had to repeat the scenario three times before obtaining 100% on it, since I had forgotten about a few important steps when assessing my patient, and in my second try, I had forgotten to check the patient 's electronic health record even though I had already fixed my previous mistakes in the assessment. Three of the most important things I had to do differently in this scenario were to ask the patient about allergies to maintain patient safety before administering any drugs ordered, use the incentive spirometry to improve breathing and educate her about it since she had a hard time breathing due to pain, and educate the patient about wound care at the end before discharging her. Performing the procedures I missed in

The evaluation is the final part of my three mandatory written pieces of my graded unit. The final evaluation stage of the graded unit requires me to reflect on how the activity went, whilst highlighting my strengths, areas that require future development and identify my weaknesses, this, in turn, will enable me to adapt my practice to ensure I am continuously supporting patients to the standards set within The Nursing Midwifery Council (NMC).

Each morning patients came in for assessment and the treatment team developed or altered existing treatment protocols. I longed to be part of this team, working to stabilize each patient so they could return home to pursue their goals. The nurses stood out to me as the team members at ground zero in the unit, working directly with patients, and advocating for them in meetings. As a Nurse Practitioner, I will provide this same standard of holistic care to my patients, taking into consideration their biological, social, psychological and cultural needs while developing and implementing treatment decisions.

Reflecting on the past seven weeks I have acquired countless knowledge, which I will use to further strengthen my profession as an Advanced Practice Nurse. The course allowed me to think beyond my current practice knowledge and acquired innovative ways to evaluate the situation at hand. The learning objective in program outcome four helps set standards that I will use to guide my clinical practice to meet various healthcare needs. Using the case studies has helped to further enhance my knowledge on disease physiological state, using differential diagnosis, disease manifestations, and clinical presentation. It has also taught me the skills on how to differentiate between similar diagnoses to properly identify the problem and treat the patients.

This week we had our orientation at Holy Spirit Hospital in Camp Hill. On Monday, in the Fundamentals of Nursing class, we learned different oxygenation therapy for the patients. We had a chance to go to the Sim Lab and see different types of equipment such as the nasal cannula, venturi mask, simple oxygen face mask, re-breather mask, pulse ox machine and the oxygen flow meter. Although, we were not able to use on the simulation mannequins, we were able to see what they look like and how you would use them.

Today, On Wednesday, September 9, 2015, I attended a beginning of the school year healthcare meeting. The annual meeting was conducted by one of the school nurses and it included all of the second grade teachers. Before today’s meeting I had never attended a health care meeting, but I certainly knew of the importance of having a good relationship and communication between school nurses and educators. A teacher’s responsibility includes so many variables including and foremost a student’s care and safety. Additionally, School nurses help educators in ensuring and caring for student’s and their healthcare needs.

This week at coastal hospice I felt more comfortable with the staff and was able to address some of the concerns without hesitation. The only thing I still do not like is how I have not been able to keep one consistent preceptor during my rotation. This would not be an issue if I was being trained to work there. I think it is a great idea to learn from multiple nurses and get an insight of the way everyone does something differently. However, I feel that in my circumstance, I should be with one preceptor so I can get some insight about myself to see if I am growing as a nursing student. Nonetheless, when I arrived at coastal hospice on Wednesday I met with Merriam and worked with her for a few hours.

Primarily, Caring Memorial Hospital will be held liable in this malpractice case under the premise of respondeat superior. “Under respondeat superior an employer is liable for the negligent act or omission of any employee acting within the course and scope of his employment” (Thornton, 2010, para. 2). The risk manager Susan Post, JD and the quality assurance director Amy Green were both aware of the potential for increased risk on the Oncology unit. They had been making observations several months prior to incident that related to deficiencies in staffing and safety standards. Per, ASCO and ONS (2012) new staff are required to demonstrate competency and receive comprehensive chemotherapy education. Jeffery Chambers, RN was

Ugh. This book. I remember reading a section of it in one of my previous philosophy courses and I was dreading/eager to finally read it in it’s entirety. Dreading because the small portion I read completely irked me. Eager because there was a possibility that the rest of the book could be great and make up for what I had read. After finishing the book, I still do strongly dislike some parts. My hate is not a strong as it initially was, but just looking at the cover annoys me. Although Nagle claims to want to work in sanitation in order to write “a book that would reveal how much sanitation workers and the Department that stands behind them merit praise and respect”, she presents facts to the contrary (36). She gives example after example of

Why do people shoot small bucks year after year? Is it meaningful or do they do it to show it off? Sometimes I ask myself the same questions. I was brought up to shoot a small one then keep going bigger every year, or to let them go to grow another year. I always wonder if people think about how many big bucks there would be if more small/little bucks were passed up each year. The potential for monster bucks is there, but not only one person in the community can be letting young bucks go knowing that they will probably step over the property line and get shot.

It is very easy to get wrapped up in the day to day tasks that we complete as nurses. But in order to give our patients the best possible care, we must look at our day through a holistic lens. The following essay will outline the theory as created by the “lady with the lamp” Florence Nightingale. We will look at the different components that are important to a patient’s health and outline on to incorporate these components into current practice.

Investing my time in the care of my patient gives the opportunity to not only assist them in a difficult situation, but also to learn more about their diagnosis and the treatment, while comparing it to what we have learned in class. For example, I had a patient that suffered from Sickle Cell Disease and came to the ER during a crisis. Correlating this case to the books and the content learned in class, these patients receive at least 1000 mL of fluids, pain medication, and oxygen. Additionally, I had a patient with meningitis. This individual presented with common symptoms such as nuchal rigidity, muscle pain, fever, and chills. The doctor performed a lumbar puncture exam and the cerebrospinal fluid was in the cloudy range of the spectrum. According to the medical staff present at the time, this fluid is supposed to be much clear than what it was at the time of the test. Asking questions to my preceptor is another action I take in order to achieve my goals and problem-solve my obstacles. Additionally, I assist in different cases throughout the ER. For example, when a new patients come or when patients are deteriorating, the available nurses go into the room and help the other nurse. In these situations, I go and help as well and gain experience on the procedure to follow in

In this assignment, I will reflect on my two practical days in the ward. We were assigned to experience certain wards and had to complete a set of objectives. It was important to work hand in hand with the nursing students and qualified nurses in order to understand what the processes are regarding the patients outside of the Radiography department. I will explain how these patients’ needs will be met when they arrive in the Radiography department. Maslow’s Hierarchy of needs and the four principles of Ethics are also evident in this assignment.

I had the pleasure of visiting with Mrs. Cooke’s fifth grade class during my clinical experiences. Mrs. Cooke has a great rapport with her students and has very little difficult actively engaging students in learning. One of the “takeaways” from my visit references the students’ and teachers’ commitment to the principles of “The Leader in Me”. From a school-wide perspective, East Elementary School does not practice the traditional positive behavior interventions. Instead, the administration has adopted the ideals and principles behind “The Leader in Me”. The Leader in Me teaches students 21st century leadership and life skills and creates a culture of student empowerment based on the idea that every child can be a leader (FranklinCovey, 2009). The program has created 7 habits that promote a positive learning environment. The program is also aligned to several national and state academic standards. The program is designed to teach students about life skills such as responsibility, accountability, leadership and initiative. The learning environment is designed to be student-led. This means that within each classroom, the various roles that teachers serve are now entrusted to the student. Students control the flow of transitions, answering the intercom calls, greeting visitors, passing out papers, and ensuring that their classmates are on task. I fully intend to implement these strategies into my classroom. I observed the students in their various roles and the most