Follow Us On Facebook. An attitude is an important thing. It can shape the way the individual sees an experience and how observers see the individual. An attitude can entirely make or break an experience. This is as true in clinical experiences as it is in life. My experience in my senior year clinical preceptorship was without a doubt unique but I feel its uniqueness was in what I made of it, something every nursing student can do for themselves. If there is one lesson to gain from reading about my experiences it should be that the success of a clinical, whether a preceptorship or group experience, is entirely what the student makes of it.
Little did I know these sounds and sights would eventually become more calming than frightening. I kept thinking to myself how was I, a student, going to handle a clinical placement on this floor?
My last medical surgical clinical had been the previous summer, it was now March, how could I possibly remember the necessary skills to be ok here? What if I forgot the important skills? I had been in the same group of large Boston teaching hospitals for every other clinical experience, now I found myself in a small 95 bed suburban hospital.
I met with my preceptor, a nurse with 30 years experience. I was intimidated. She let me know that I would work towards covering her patient load, with her supervision of course. Nurses around the floor began to tell me that she had taught many of them and that she was tough but I would learn a lot. On my first day we met at the patient assignment board to receive report from the night shift charge nurse.
My first patient was on a ventilator, in congestive heart failure and acute respiratory distress syndrome ARDS. I remembered this from one of my first nursing classes, Health Assessment. We went to get 8 am medications; she quizzed me on each of them.
By 11 am I was deep suctioning my patient on the ventilator. Little did I know that five days later I would be extubating this patient as his family moved him to comfort care only.
Little did I know that later that same day I would be performing the post mortem care on this patient. I learned quickly that I would need to adjust to the pace of the ICU, as I had to adjust to every other floor I was on for clinical. Each floor has its own pace, its own rhythm, and as a student we must become a part of the flow, not obstruct it or try to work against it.As a second year nursing student, I felt more confident in Simulation Learning Experience SLE practicum in that, I could integrate my nursing knowledge, skills, and clinical experience into the practice.Family office summit 2018
In the simulation scenario, I simulated the primary nurse caring for a patient with post-operative complications. I learned about general procedures regarding how to approach a patient with post-operative complications.
I learned how to effectively decide which assessments are priority, as well what signs and symptoms posed specific concern in such a scenario. I thought I had done quite well for some part; however, there was a situation in which I did not act as I should have.
Elaborate A female patient with a postoperative left total knee arthroplasty, entered my floor that morning. Before she came in, she had vomited three times. My primary assessments focused on pain and the wound. The patient did not complain of pain, but I found a large amount of blood leaking out of the dressing.
After the blood arrived, my partner disconnected the IV line and connected the blood bag to the saline lock. Under that situation, I really did not how to act in this situation. I believe that there were many problems in the scenario that I was unable to address.
Analyze I was good at several assessments and interventions in that scenario, which could demonstrate my strength. A patient with a postoperative left total knee arthroplasty required specific assessments.
According to Smiththe priority care process should be respiratory and circulatory function, pain, temperature, and surgical site.
Clinical Reflection in Nursing
I focused on pain assessment first, which is very important. Lucas stated that adequate pain management is essential in that, it can make patients mobilize as soon as possible after surgery. As cited in Smiththe most effective interventions for pain include both pharmacological and non pharmacological approaches.
Another good intervention I did was paid more attention on temperature of the patient.How to express sadness in writing
According to Smithif the core temperature was less than 36? Hypothermia may compromise immune function and cause postoperative pain, bleeding, and delay drug metabolism resulting in a prolonged hospital stay. If the temperature was higher than I also figured out some of my weaknesses in this scenario, which should be noted and improved in the future. For a postoperative patient, assessment should begin with an evaluation of the airway, breathing, and circulation ABC status Smith, I assessed the airway and carried out suction, then administered oxygen, but I did not do it immediately.
She had vomited three times, keeping the airway patent and administrating oxygen are very important for postoperative care Smith, In fact, concerning treatment of hypotension in PACU, should always begin with oxygen therapy to ensure hypo-perfused organs meet the need of oxygen Smith, The common cause of hypotension is fluid loss, IV fluid boluses will be given to normalize blood pressure Smith,which is the reason why the doctor ordered the IV and blood transfusion.
When transfusing blood or blood components, assessment is required before, during, and after the transfusion. In fact, we did not do very well in blood transfusion and we should keep the IV line running and set up another blood transfusion line in the other arm.
The scenario was too short, if I had more time, I should assess potential urinary problem and gastrointestinal problem. The safety of a patient is the most priority College of Nurse of Ontario,so it is very important for nurses to apply critical thinking for a nursing process College of Nurse of Ontario, Disclaimer: This work has been submitted by a student. This is not an example of the work produced by our Essay Writing Service.
You can view samples of our professional work here. Any opinions, findings, conclusions or recommendations expressed in this material are those of the authors and do not necessarily reflect the views of UK Essays.
For example performing venepuncture; the patient had very poor vein and my first attempt failed and was very demotivated.
We were never taught in school on how to deal with bad veins except to have two attempts and have someone else do it if you fail. Determined to do the venepuncture successful, I suggested to my mentor, if I was able to pull the vein downwards to minimise the movement of the vein.
With the approval of my mentor, I went in and was successful on my second attempt. If you need assistance with writing your own essay, our professional essay writing service is here to help!Tre quesiti al giorno
If you are the original writer of this essay and no longer wish to have your work published on the NursingAnswers. Essays Disclaimer: This work has been submitted by a student. Clinical Placement Reflection 1 Communication with others within the clinical setting — this may include staff members, patients and relatives. From working within in a team I have learnt that communication in health and social care underpins everything that professionals do and can determine the quality of service that patients receive.
Poor communication between members of inter-professional teams affects the quality of care patients receive and can result in any number of bad experiences for the patients. Thus I made it a personal objective try and avoid these behaviours and if I did for example, use jargon I made sure its universal so that there is no miscommunication.
Your ability to work within a team. During this time on placement I have been able to witness and participate in multidisciplinary team meetings and have also had the opportunity to work with different healthcare professionals such as physiotherapist and also have been involved in ward rounds with doctors and nurses.
The ward I was placed had a great team. I always felt a part of the team, and that I was making a valuable contribution thanks to both my eagerness to take on anything they threw at me, and, their inclusiveness and supportiveness.Creative Nursing Reflection Video
I learnt that holding back and waiting for people to notice you is not a good strategy. Your role and relationship with others within the clinical practice My role and relationship with others within the clinical setting was very important to me.
It was important for me to build the team member relationship with others as it helps to establish a mutual understanding and trust with other team members.I remember all the emotions I felt prior to entering nursing school; anxiousness, fear, excitement, and everything in between.
Aside from the school work, most of those feelings stemmed from what would be a real life experience as a nurse during our clinical rotations. When the time came in the middle of the semester, I was assigned to a cardiac step-down unit with a group of people I did not know.Picture cross puzzle page
On my first day after orientation I remember feeling so excited and prepared for what was to come; little did I know how wrong I would be. I did not know exactly what I expected but I definitely thought at least some things would be easy. I expected talking to patients, interacting with other medical staff members, and performing actions that I practiced prior in lab to be easy.
In fact, the things I expected to be the easiest actually became the most challenging when I met real life people with very real problems. I had to practice speaking to patients without spewing out the medical terminology they teach us in class while still educating them about their medications and their diagnosis. By the time I started clinical, it was around the middle of the semester. I adapted to nursing school quickly and by that time, I thought I had my time management skills under control.
Once again, I was wrong. When I was in the hospital things constantly moved fast; patients were discharged, orders were changed, and my work evolved fluidly throughout the day. It became difficult to time everything correctly so that I could perform vital signs, assessment, medications, all while making sure the patient had everything they needed to be comfortable.
It also is easy to compare yourself to other peers during the clinical experience.
Even though I tried not to, I found myself comparing my knowledge and skill ability to other students. Even though I still experience these feelings, I remind myself that these skills come with time and experience.
Not everyone is in the same hospital or on the same floor so people are bound to perform different tasks. To make it a little easier for me, I had a great clinical instructor who always reminded us of that and always pushed us to reach out of our comfort zone and perform new tasks even if we were nervous.
I am only a second semester nursing student. By now, I feel like I have experienced it all but I know I have only seen a small fraction of what the realities of nursing are.
Going forward with my clinical experience I remind myself that I am a student and that the whole purpose of my clinical experience is to learn and become better.
Even though it is embarrassing in the moment, I also tell myself that is okay to make mistakes and it is better to make mistakes during clinical with an instructor around than as a practicing Registered Nurse.
I still struggle with all of the things I have mentioned, but I know that I have learned so much and feel so much better as I step into the hospital now compared to that first day on the cardiac step-down unit.
Your email address will not be published.Students often what to know what to expect in nursing clinicals. Your nursing clinical experience presents the opportunity to work with real patients, experience work environments you may want to pursue once you have earned your Bachelor of Science in Nursingand learn how you will work with fellow nurses, physicians, and other members of the health care team.
It may sound intimidating, and maybe even frightening, but your clinical experience offers you a learning opportunity to build the foundation of your nursing education. I had a year of coursework before I began my clinical experiences.
And I could. I was ready to go. The first few days at clinicals were, in my mind, fun. Taking blood pressures, charting on my paper care plan maps; it was great.
However, a lot of my classmates did not share in my excitement. Was it 12 hours of mundane learning? Well, truthfully, yes. I enjoyed my time, but years later, this single experience has taught me how to treat my nursing students. I tried to go into each clinical experiences with an open mind, despite any reservations I had on the branch of nursing I was studying. The coolest, scariest, most exciting part was absolutely my psychiatric nursing clinicals.
Overall it was fascinating. I loved every minute of it. I went to a state psychiatric hospital, where I did clinicals on a floor where people were criminally declared insane, and most had been convicted of heinous crimes.
However, this clinical experience, although scary please note, I was incredibly safeI learned so much. I learned how you can have compassion for someone who has done some things you only read about because they were in a deep state of psychosis. I was able to interview patients who had different life factors that contributed to their mental health.
I was in my final clinical—critical care. It was in a busy ICU, very fast passed. The nurses were kind, thoughtful, and wanted us to be there so they can teach us. On my first day, a patient coded. Watching the staff come together in an effort to save the patient was truly a pivotal moment in my nursing career. On our lunch break that very afternoon, I went to human resources. I was interviewed for a student nursing position a few days later, and a week after that, I was offered a job on the critical care unit that I had witnessed the first code.
It was the blessing of a lifetime; I learned so much that year, and it helped me be a better student. To this day I tell student nurses to try and get a job, doing anything, in a setting that interests you.
My experience also led to my first job: As soon as I graduated and passed my boards, I segued into my first job in that exact same unit.During my first clinical rotation I was flabbergasted at the amount of new information that I aquired daily. The influx of information was both exciting and overwhelming at the same time, but the challenges of each clinical day increased by desire to complete the program and become a practicing professional nurse practitioner.
The most comforting aspect of my clinical rotation was the fact that my clinical preceptor, who has been practicing as a family nurse practitioner for fourteen years, was also challenged at times.
In addition, she was always referring to the clinical guidelines, utilizing evidenced based references, and discussing new advancements and changes in current practice.
What to Expect in Nursing Clinicals
Her humble bedside manor, commitment to her patients, and continuous learning endeavors were inspiring. I was very fortunate during my first semester see a great variety of patients, from infants to elderly and psychiatric to gynecology.
This well rounded population of patients allowed me to draw information from every class that I had taken thus far in the program. The wide mixture of patients and diagnoses has shown me that there are clinical guidelines for almost every diagnosis in every specialty that have been made available for practitioners to assess and follow. Patient by patient, I have been exposed to numerous different guidelines and realize that I will never know the details of ever one, but I am thankful that I have been shown where to find the resources and how to utilize them.
In addition, my clinical experience allowed me the opportunity to work with a diverse population of patients from different counties and with different health care insurances or no coverage. I have come to understand that it is imperative for practitioners to understand the health beliefs of different cultures and to respect their values, working with them and not against them to optimize their health.
In addition, a thorough understanding of health care insurance coverage along with supplemental health care programs is essential to getting patients the testing that they need to remain healthy while also being able to afford groceries, clothing, and gas for themselves and their family. In addition to the great amount of medical wisdom that I acquired during my clinical rotation I also gained a lot of knowledge about health care financing. I was surprised that providers placed their own orders and charges for the services that they provide.
I have come to understand that providers must have a clear understanding of diagnosis and billing codes to ensure that they are charging the patient appropriately and not committing medical fraud. I was grateful that my preceptor provided me with information on how to bill and charge for visits and procedures. Overall, I have learning a lot over the semester about health care finance and am looking forward to increasing my skill and comfort level in the financial arena next semester.
Throughout the semester I have recognized that the formation of a trusting practitioner-patient relationship is one of my strengths, while managing non-compliant patients is a weakness that I would like to fortify during my next clinical rotation.
At the end of my first clinical semester I feet comfortable going into a patient room and providing care, along with a treatment plan that the patient will be receptive to. But, I have a difficult time providing firm and direct education and instructions to non-compliant patients who do not care about patient education or following the clinical guidelines.As a final year nursing student, I believe this course will help me to acquire the skills necessary for inter-professional practice.
Furthermore, I will be able to develop competencies necessary to provide patient-centered care. For my classroom experience, my team members and I have been. To learn and in order to develop more skills. Nursing school is the same.
In this paper I will discuss health and health promotion and what it means. I have chosen to give thought to the event described in this essay as I feel that it highlights the need for nurses to have effective communication skills especially when treating patients that are suffering with a mental illness.
Upon arriving to the Nursing home for the second time on Thursday November. In order to help me with my reflection I have chosen Gibbsas the model to help guide my reflective process.
This is an iterative model with six stopping points, using these stopping points as headings; I will be able to reflect fully on the incident. So, what is reflection? On the other hand, it should be mentioned, nursing is not for everyone. Although, I do not mean the typical responses of "Oh, I do not think I could handle another person's blood" or "Oh, I would be too afraid to give a shot". While those are valid points not to go into nursing, there are more challenging aspects of the career in most areas such as not being able to come home for the weekends or holidays, being.
Furthermore, the essay will identify and analyse the different models of reflective practice, the effectiveness of the models and how healthcare professionals can apply this within their profession. Also, the barriers that may prevent a healthcare professional from reflecting will be discussed in this essay and how it will impact the quality of care delivered to patients. Reflection and reflective practice can be defined in many ways. There are many demanding professional adjustments when transitioning from student nurse to graduate nurse and the use of refection during this time is said to be a very important tool in guiding the learning process.
It is common in the field of nursing to utilise reflection to critically analyse certain experiences and reflect on how they made them feel and react. This involves looking deeper into a particular experience and deciding what was good, what was bad and what would be a better course. Debriefing in the simulation as a reflective tool Simulation is one kind of reflective tool that widely use in nursing education. National League for Nursing NLN described that simulation was a teaching technique that encouraged students to use and apply their theoretical knowledge in clinical scenarios Their are many demanding professional adjustments when transitioning from student nurse to graduate nurse and the use of refection during this time is said to be a very important tool in guiding the learning process especially in the transition of a student nurse into a graduated registered nurse.
My Clinical Experience Essay
It is common in the field of nursing to utilise reflective journalling to critically analyse certain experiences and reflect on how they made them feel and react. This involves looking deeper into a particular. Introduction As the demand for nursing education grows and with the rapidly advancing roles of nursing, educators need to stay up-to-date. With the comprehension and use of educational theories, nursing educators can support student knowledge and development into practice.
These theories are outlines of cohesive concepts and principals that describe, explain, or predict how people learn. Every one learns differently. Reflection of Nursing Student Words 6 Pages. The responsibility of being a nurse is big and much complex than my current job [1.
Thus, need to have a good supervision from my clinical preceptor to meet the best possible nursing care to my patient with in my scope of practice [2. My four weeks of clinical placement was taken place in …show more content…. My four weeks of clinical placement had thought me lots of things that can help me to become a better nurse in the future.Football games unblocked google sites
I give my outmost respect and thanks to my clinical preceptors to the learning and knowledge they have imparted. I have learned a lot from clinical placement because 2B ward is a surgical unit I came to understand the complexity of wound care.
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