Introduction I’ve been waiting since I’ve declared to be a nursing major to attend my very first clinical and finally last Saturday on October 17th I attended my first clinical at the Ludlowe Center for Health & Rehabilitation. It felt just like the first day of school! I woke up at 6 am and I felt anxious, sacred, and nervous, but also beyond excited to see what’s ahead of me for the morning. The clinical lasted from 7 am to 1pm, which at first seemed like a really long time but the excitement carried me away and it felt a lot shorter. The early morning was filled with activities that resembled what I have learned in my foundations class. I had the opportunity to visit five different patients and from each of those patients I experienced and …show more content…
When I left my patient’s room I recalled some of the observations that I have made. When we gave our patient a shower I noticed that her feet were significantly darker than the rest of her body. Her feet were dark blue or cyanotic. I also noticed a round looking ball on the patient’s left brachial. I thought back to class lectures and was able to relate the patient’s cyanotic feet to hypoxia. The patient’s cyanotic feet explained her need for the oxygen tube. Walking into my second patient’s room I was a little bit less nervous. I walked into the room with more confidence than how I walked into my first patient’s room. My second patient was also very friendly. But she did not need as much assistance as my first. She just asked to fill up her basin with water. Later that morning, I had the opportunity to take my second patient’s blood pressure. It was difficult to tell the reading of the systolic and diastolic number due to being very nervous and the voice from the television remote but I ended up with a number that was pretty close to the accurate reading. Despite that, I was happy that my first time taking a patient’s blood pressure went …show more content…
I was excited to see what hands on procedures I would do, but I was mostly nervous because I did not know what to expect from the patients, I did not know how the patient would respond or communicate. I think my biggest fear before coming to my clinical was how I would react to seeing older patients. As my morning clinical went on I left less nervous and scared, but I also felt sad when I saw some patient’s chart where it read that they are responsible for themselves. I tried my best to accept the situation how it is and not let my feelings interfere with the rest of my morning. After my clinical ended I was very tired, but I felt great! I thought to myself “I finally experienced something that I will soon be doing for the rest of my life”. I also felt accomplished and proud of myself. I was very nervous taking a patient’s blood pressure, pulse, showering, feeding, communicating and so much more but in the end I did it and I overcame my
A Phlebotomists Nightmare Deep within the bowels of Camden Clark Medical Center I began my workday as any other. My basket consisted of sharp fresh needles, silky gauze, alcohol swabs, and several unused tubes. My patients dreadfully awaited to be drawn as I stock my supplies.
My fourth day at Agape hospice I was the administrative of the day. When I was asked to be the administrative of the day I was nervous again. I was nervous because I was in charge of the office in the front. By being in charge of the front,I had the opportunity to work at the front desk by answer phone calls, and help assist the staffs. I was afraid of things going wrong and thing did went wrong.
Talk about what went well in the scenario. I perform vitals sings and communicated effectively with Mr. Ahmed. I educated the patient in areas such as dehydration, fall risks, intake and ouptup measurements. In addition, I administer oral and intravenous medication to ensure proper drug
I felt appreciated and I felt equally appreciative towards my classmates as I was able to see my role as the student in a different light. I found myself taking mental notes of how my classmates implemented care and interacted with their patients. This gave me ideas of how to improve my own care. I feel that being in a smaller group and in an open room where we were all able to see each other going through the same experience gave us all a boost in confidence. In previous CPR entries I have talked about my own problems with confidence and I feel that being in the PACU assigned as the team lead facilitated in addressing my personal priority of becoming more assertive.
By watching first hand what they do, really inspired me to become an OT. The look of excitement that one patient had
The first day I stepped onto the floor, I felt overwhelmed and I questioned myself if I was meant for this line of work. I was assigned 14 patients. Soon after interacting with all my patients, my perspective and doubts changed. After leaving for college; I started my college days as a full time pre-nursing student. I continued to work as a CNA and
The physical environment in the clinical setting must demonstrate a caring space for the patient and provide the opportunity for clear communication with the patient. For example, the APRN should introduce herself, speak clearly, maintain eye contact and face the patient in a seated position as much as possible during the visit. The emotional space that is created in the clinical setting is also important to the enhancement of learning and in socializing the nursing student into the caring philosophy of nursing. Maintaining a focus on the student and allowing for progressive increase in responsibility within the clinical area helps shape a feeling of self-assurance and teaches the student the role of the APRN (Bradshaw & Hultquist, 2017).
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.
This week I visited three of my patients. On Tuesday I visit Esteban Guzman and Peggy Willis. During my visit with Esteban was quiet and smooth because he was concentrating on writing in his notebook. Something that I notice that was weird was that he moved to a different room and was placed on the first floor. I don’t know why they moved him there, but it was odd to me.
To improve on this area, I should learn to put my personal interpretation and assumption aside and being more proactive in asking the patient to elaborate the story. In addition, I would make sure to
I am happy that my first times doing theses procedure were on babies, instead of an older child that may know what is going on when I walk into the room. This is still something I would like to work on, yet I am happy I was able to attempt this procedure in practicum. A strength that I have is that I have gained a lot of independence throughout my practicum experience. I continue to grow and improve each day that I am at practicum. Even when I am nervous, I jump in and complete my tasks, and ask Jennifer for help, when I am unsure of how to complete a task.
This clinical experience has really helped me to sharpen my communication skills and realize just how important it is to understand mental health. We are told multiple times in class that mental health issues can be seen on any floor and that is the truth. I’ve seen patients in my older adult clinical on the pulmonary floor suffer from issues that range from anxiety to bipolar disorder and depression. Being able to understand how to approach people that suffer from these types of illnesses, allows us, the nurses, to give the patient the best care that we can. It helps to build a trusting relationship and get to know them on a personal level.
One particularly notable patient who I had trouble clicking with was a terminally ill four year old boy named Rahul. I was flustered and unsure of how to react to the fact thatsomebody who at such a young age – an age where I used to play with toys and had no significant worries- could be going through more pain in a day then I had ever experienced in all my years. Any word I could have said felt insignificant and fake – I had no way of consoling the child. I avoided conversation and tried my best to not have to deal with such an awkward situation.
In relation to caring for this patient I displayed strengths in implementing appropriate nursing actions, adapting to change and communicating effectively with the patient to provide patient centered care; however, I discovered weakness such as, a lack of confidence and patient teachings. I believe that the nursing actions I created for my patient this week were well thought out and my ability to adapt to my patient’s changes and mood to implement my actions greatly improved my patient’s overall health. Comparatively, this patient was my first patient I administered medications to and it was evident that I was nervous when explaining the medication’s purpose and actions. However, since then, with practice and my cheat sheet I feel more confident
My First Patient Nursing school allowed me to experience many meaningful moments in clinical from seeing a birth and being part of the happiest moment of families to witnessing the hardest goodbyes to love ones. The experience that stands out the most out of all of the interaction with patient is when I met my very first patient. My very first clinical day at the hospital during my first semester of nursing school, I got to see what I had only heard about or read about during lecture, but perhaps never seen or experience through anyone I know. I got to see a patient who was severely confused. This patient had what medically is known as “delirium”, although I cannot recall exactly what other medical problem this patient had, but I can