Reflection On Clinical Rotation

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.

Nursing, and everything that it entails, cannot be easily described in just one simple word or phrase. It goes beyond the meaning of a profession and the stereotypical definition of treating the ill. Nursing is the “protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations” (American Nurses Association, 2010, p. 1). Therefore, it is a career that requires dedication, passion, critical thinking, and knowledge. It demands commitment and an understanding of its core values and concepts, as well as the nurse’s own personal philosophy and principles.

During my course with NSCC, where I am studying to become a Continuing Care Assistant. Each student is required to work in a continuing care facility alongside other health care providers for a month. I attended skills development placement at Harbour View Lodge located in Sheet Harbour. This placement has given me the opportunity to apply my knowledge, and skills that I have studied and practiced in the classroom. When entering the facility the first week I felt nervous and excited at the same time.

On this day October 24th, 2016 many events happened at Jessie Trice Community Health Center (JTCHC). As usual, I was exactly on time to start my clinical rotation at 8 am. My rounds were made in the clinic looking for something out of place and improvise with my assistance. A morning huddle was hold at the nursing station. Everyone met to listen to the points Joel Polanco, RN would present.

Introduction Therapeutic communication is the interaction between a nurse and patient, which focuses on the physical, sociological and psychological state of the patient. The nurse line of duty is expected to have multiple of interactions with patients and to be unreserved to them. There are several of ways to communicate effectively to improve the relationship between the nurse and patient. With this, nurses are able to comfort the client and their family members when disclosing information severity of the illness or injury. Allowing them to know what is going happening, rather than keeping them uninformed causing the families to assume and constantly guessing it to be much worst than it originally is.

Professional Experience: 1-Clinical clerkship in the Eastchester Nursing home in Bronx, NYC : May 2015- present and December 2014-April 2015: working under supervision of Nursing home Director Dr Mortazavi,got introduced to EMR(electronic medical record), responsible for acquiring a complete history and physical exam as well as charting the patients required plan in management, involved performing routine in-patient follow up, admission note and discharge summaries. 2-Family medicine hands-on clinical rotation in DeTar Hospital Navaroo,Victoria,TX April 25,2015-May17,2015 .Working under the supervision of Program Director Dr Ontai and Dr Nwanegbo. My day-to-day tasks included taking medical history, doing a physical examination,

Since this course would be my first PA course, it is very exciting. Throughout college, I have been taking courses not entirely relevant to the Physician Assistant major. I hope to learn many practical aspects related to physician assistance such as; learning how to take a patient's vitals, learning how to administer a full physical examination, learning about certain diseases, learning how to obtain and record a patient's history. I also want to understand the clinical process in more depth, learning and appreciating the art of medicine, as well as having a deeper appreciation and understanding about the Physician Assistant profession. I also want to obtain a very strong foundation on the Physician Assistant major before graduate school.

I was recently informed that my clinical orientation has been changed to Friday, 9/2/16 and I was wondering if you would please allow me to switch days or possible have both days off since we do not have a provider for either day. Also, I have the clinical orientation date in writing this time if you would like to see it.

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”.

This week we want to the hospital to learn more about the staffing process. On Monday, our supervisor gave us a chance to create a job description for chief of clinical nutrition, clinical dietitian I and clinical dietitian II. My group starts with chief of clinical nutrition we assumed the basic function about his or her job is supervisor to the clinical nutrition staff coordinating inpatient and outpatient clinical nutrition services. In addition, he or she is responsible for keeping communication between the medical and nursing staff. On the other hand, when our supervisor gave us a job description form of chief in National Guard Health Affairs (NGHA), the basic function of chief is coordinating all departmental functions.