Weekly Self Reflection

Today was another busy but fulfilling day. I got checked off with my head-to-toe assessment. I followed my regular nurse, Nurse Clea. Since I mostly knew the routines of my patients, I started by doing rounds. I checked my patients one by one to see if they were stable and responsive. 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.

My first activity was sitting in the bed board meeting. This takes place every morning with the Chief Nursing Officer (CNO), departments nurse managers, departments charge nurses, house supervisor, wound care nurse, Infectious Disease (ID) and social services.

I feared my first code blue, I dreaded the day it would actually come. It was something I had never experienced before, and the unknown of it all made me uneasy. I constantly thought I wouldn’t know what to do, or I’ll forget everything and freeze up. I thought will I cry? will I scream? And the worst thought, all nurses I am sure has thought, “will my patient die.” Every tangible and intangible repercussion of a code I not only thought about, but in detail played out each outcome in my head. And then the day finally came, “Medical alert, code blue, 3rd floor, Room#___,” I cannot tell you exactly the chain of events that followed but one thing I can say for certain is, I saw a whole other side of me I seized to know that existed until those

Upon arriving to the unit this morning, I quickly realized today was going to be a chaotic day with the current patient census, and all of the new admissions. I was able to assist the night charge nurse with today’s assignments, while she helped with the code, and the day began. I informed my team that today was going to be a long day, and encouraged them to use each other and myself for help. I recommended they taking a few minutes to coordinate their work after receiving report.

According to Patterson & Krouse (2015), It is important to transfer the message in a good way, for that the communication skills is one of the most important basic skills of nursing leadership. More than that, communication in nursing can make their job efficiently and help them to communicate with a wide range of people, including the patient, patient 's family, and healthcare providers. However, unlike bad communication, which increases nursing staff problem and can lead to worsening the patient health condition, a good communication saves time and reduces the problem of nursing staff in resaving and deliver the right information. Furthermore, communication is not only talking with the patient it’s also listening to what the patient 's family and healthcare providers are saying to collect more information that helps the nurses to save lives. In this paper, I will reflect my communication that goes well with one patient.

Surgical Tech: As a seasoned surgical technician, I provided training to 7 enlisted personnel on all aspects of the department. I work hand on hand with the general surgeon, nurses, and technicians to ensure quality of care is present at all times. I have scrubbed and circulated over 46 demanding surgical cases with zero discrepancies and zero post-operative infections, resulting in 100% customer satisfaction and promoting mission readiness.

After 11 weeks of working in the lavines I am transferred to work in the infirmary. I attend to the sick patients and try to cure them with the little resources we have. I have no experience in the medical field at all, I’ve decided it is my job to keep spirits up or to help people die in peace. Not many people who walk into the infirmary walk out again, as I stated before there were many selections and the weak simply aren 't strong enough to get well. I’ve seen every injury you could possibly imagine from the common killer, Typhus, to internal mutilation from the experiments. I see death everyday, I see the young and the old move on to a better world. There was one girl who was so afraid of death, she was so young, I told her to close her eyes and rest, I sat next to

As I approached the scene I saw two Suffolk County police department sector cars on scene and a first responder. This was a summer evening, you could still feel the humidity lingering in the air. Over the radio, the cops relayed that CPR was in progress. I approached the house, entered using the side entrance. Before I even step foot in the door I could hear sobbing and the distress in a woman 's voice. I carried in the necessary equipment, the cops were actively doing CPR as the advanced life support provider (ALS) was looking for IV access. As EMS personnel we took over for the cops, we placed a LUCAS device on him, it 's a device that does compressions for you. Then, we continued ventilating the patient and placed him on a backboard in preparation to transport and move the patient.

The job required more talking and interactions with others. Discharge patients by pushing them thourgh the door in a wheelchair. Delievering and returning unneeded supplies. Newspaper pass out gave me a oppurtinity to interact with the patients. One lady told me her story and I was suprised on what she had been thorugh. Attending events with little kids. I was in charge of a station and no one would come. I tried to play

From the beginning of my nursing endeavors, I knew that working at Broward Health will be my goal. My work towards it wasn’t easy, but I hope that this healthy challenge will be rewarded one day. Whenever I could, I choose to have my clinical rotations at one of Broward Health System hospitals. My first three clinical rotations were on oncology floor at Broward Health, where I was exposed to patients with various and serious conditions. Despite the fact that most of these patients were suffering, they fought and had hopes in them that really made me going. My clinical rotations were not only interesting, but gave me necessary experience and strength to get through my nursing school. I’ve learned to be present in the moment for patient’s emotional

The thing I did best today, was, communicating with my patient, and doing his physical assessment. My clinical rotation this quarter for Galen College of Nursing ,is at the VA medical center, in Louisville Ky. The VA medical center is a govt hospital for the veterans. My clinical group and I, are working on the medical surgical/telemetry floor. I had to sit out of classes last quarter, so I was a little nervous about getting back into things. But, to my surprise, I was able to, get right back into it.

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

I was highly impressed by the overall teamwork in the emergency department. It has a sense of organized chaos that would have taken me some time to adjust to. My nurse and I ended up going through a large group of patient during the time I was there. The nurse has this uniformity to how she would get her tasks done. The thing that through me off was the amount of stuff got done with our patients by other people. The CNA was always there to get vitals and take care of anything additional the patients needed. The resource nurse helped with our potential stroke patient. He went through the whole neuro assessment and after my nurse and I placed a catheter he was quickly sent off to interventional radiology to get a clot removed. The efficiency

Looking back when I started my nursing school, I can proudly say that I have evolved both physically and psychologically. I was not sure if nursing was the right choice for me at first because I had difficulties interacting with people outside my family circle. The first semester was challenging for me because I did not know how to interact with my class mates and felt isolated each time there is a class activity. I joined a study group later that semester and it has been an excitement ever since.

I have always hated writing about myself, and I always dreaded assignments in school where I had to describe myself. I always wanted to avoid doing these assignments because I did not want to sound narcissistic, or self-absorbed. I dislike people like that now, because I used to be one of those people. It took many lessons learned before I humbled myself; I am still learning to humble myself today with recent experiences I have had. Although I hate to write about myself, I have always liked to reflect on myself. I spend a significant amount of time just thinking about myself as I go throughout my day. I constantly question myself: why am I the way that I am, what could I have done better here, what is my place in the world, etc. In the context of this paper, I have come to a conclusion. In the past, I was a leader. Now, I realized I have failed. Despite what my MBTI test may say, I am a leader no more.