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.
On 10/26/16 CM went to unit #222 due a complaint that water was coming from that unit causing some damages to the ceiling in unit #122, situation that has been happing before and was fixed by the maintenance personal. CM ask Ms. Footman was happen she say that anything was fine in her unit, however based on CM observation , the bathroom tub was wet , signs that someone recently took a shower but the floor was dry. Ms. Footman denied having any flood in the unit at that moment.
My patient, MG was a 72-year-old female who came to the emergency department because of a fall in her bathroom. Her admitting diagnosis was a right hip fracture. Other concurrent health challenges she had were: hypertension (HTN), high cholesterol, chronic obstructive pulmonary disease (COPD), and chronic kidney disease (CKD). MG was a full code status with no known food or drug allergies. They surgery she had undergone was a right hip cannulated screw. My patient contributed in care and believed that partaking as much as possible will get her healthy and home sooner. Also, she believed in independence and doing things on her own if capable. After working with MG, I attained a great amount of knowledge in knowing: the
As you know I have worked here at the Cy-Fair campus for the past five years. I enjoy working with the staff and is always willing to help whenever possible. I have work hard to make sure that I am fulfilling my obligations to the students along with any other task that assigned to me. I enjoy my job and work hard to make sure that the Cy-Fair team is successful. What that being said I would like to ask if you could speak with Donna about her attitude towards me. She is very rude and disrespect.
The patient is a 52 year old female who presented to the ED via EMS with bizarre behaviors. Per documentation neighbors found the patient screaming in her house. Per documentation LEO found the patient attempting to drink a closed bottle of alcohol hand sanitizer fluid. Patient presents with disorganized thoughts and irrelevant subject matter when asked questions about behavior upon arrival. Nursing staff was asked about status before the assessment and reports improvements in the patient bizarre behavior.
The professional nursing values I believe are things you can be taught and some you cannot. Nurses are special individuals who ultimately want to care for and help others as much as they can. I agree with all of these values and believe some I will need to work on myself such as competence, illness prevention and patient education. Others I believe I have based on my experience I have already had while caring for others. Some of the qualities I believe I have include: caring, compassion, dependability, empathy, focusing on the patient- defining quality of life, having a holistic patient centered care, kindness, openness to learning, respect for others their dignity and worth and sensitivity. I am currently caring for a man with stage 4 prostate
Specialization – of course all of this have one area that we wanted to specialize. For me it is necessary for creating a professional growth and continuous learning.
For the last 3 years I have worked in an acute care hospital, on the night-shift as a nurse in the labor and delivery unit. This is a 16 room labor and delivery bed unit that also houses 4 additional triage bays, a full time nursery, and a fully functional operating room This labor and delivery department runs as a 24hour, 7day a week unit with each nurse having to take at least 16 hours a month of call on days, evenings, or weekends. This is a very fast-paced unit, which carries a heavy load of responsibility and stress. Labor is unpredictable with that you never know what your patient load may be from day to day. This is an area that requires knowledgeable and multi certified/trained nurses that are always on their toes and have the ability to adapt and react to emergencies without hesitation. This department serves for 7 local obstetricians that service numerous obstetric patients. The unit runs off a weekly schedule book that is filled with routine inductions, scheduled c-sections, on top of all the daily triage patients, that can soon turn into labor admissions. The nurses on this unit are
What is reflection? Reflection is described as the process individuals use for self-development in their future career. The process of reflection has been used for many years in professional health fields such as midwifery and nursing (Lillyman. S & Merrix. P, 2012).
This essay is a reflective piece of writing about the critical indecent of a medication error that occurred during my placement. It is a very concise piece of writing due to limited word count of 1500 words. Duke and Appleton (2000) did a literature review and devised a framework of critical reflection, which illustrates eight stages as compare to Gibbs’s (1998) reflective model that consist of six stages. I chose Gibbs reflective model not only it is easy to comprehend but also to illustrate a critical incident. The Gibbs’s reflective cycle comprises of six stages, which are description, feeling, evaluation, analysis of the incident, conclusion and an action plan. I used these stages as a guidance tool during the process of reflective essay about my critical incident (Parsons and White 2008).
Although reflection is an imperative foundation of nursing practice, it is only effective in promoting future clinical practice when the practitioner continually identifies their weaknesses and strengths to support their personal growth. They will also be required to develop this process during their practice to improve outcomes for service users (Johns, 2013). In accordance to the NMC revalidation process (2015) school nurses are required to provide a record of their knowledge and how it promotes their clinical practice. Clinical reflection is identified as a recognised educational tool for this process (Queens Nursing Institute, 2015). This evidence highlights the importance of the the student school nurse’s role in reflecting on this critical
One of us quickly put on the blood pressure cuff, applied the SPO2 probe and connect the ECG lead to check on her vital sign. I also immediately do the physical checking to check for any bruises or cut. Another staff nurse went to inform the doctor in-charge regarding the incident, where I stayed near Madam Y to comfort and reassured her. I was relief knowing that all the vital sign was normal and she didn’t get any post trauma cut.
As a nursing student, I have a grasp on what nursing is through textbooks and lectures. The more I learn about this profession, the more I learn about what my philosophy is. Although I haven’t gained clinical experience as a nurse, I have gained some clinical experience as a nurse assistant that helps me administer patient care while acquiring knowledge working under the supervision of nurses. This experience helps me to become knowledgeable on what their roles and responsibilities are, and it has inspired me that I hope when I graduate, to equal their skill, diligence and passion.
While working full- time as a technician, I attended college and quickly took all the needed courses to apply into a nursing program. I was attending college and had a full time job. Having both challenged and excited me, since I was one step closer to having my career; just as I promised my grandmother. I finally got accepted into nursing school, graduated, and became a Registered Nurse. Every single patient I cared for, I used my past experience with my family, and used that as my foundation for my bedside manner. I not only cared for the patients, but I also cared for the families. The family members of sick patients were also my patients, and they too require care; warm blankets, water, food, compassion, and empathy. I had been in their