Specialty Menu for Chinese Patient With Renal Failure Diagnosis: Renal failure is the slow digression of the kidneys in the body system. The disease can either be acute, or become chronic, which is more common among the elderly. Judith Hopfer, April Hazard Vallerand, and Cynthia A. Sanoski describe in Davis's Drug Guide for Nurses how this occurs. This can result from injury or by the aging process where the kidneys begin to shut down. (Hopfer, Vallerand, Sanoski, 496).…
It was my first day of training. UCSD Medical Center (or whatever the name is). First stop: Emergency Room. As I walked inside I saw doctors and nurses bustling about. To my left a resident was stitching up a bicyclist who had been in an accident.…
NURS 149 – Kaiser Permanente Puyallup Reflection Journal Charity Rominger Kaiser Permanente’s clinical rotation is like a peek behind the curtain – an opportunity to see the inner workings of a doctor’s office. From previous personal experience, I have only seen the hallway and specific assigned room after being called back for a doctor’s visit. It was intriguing to see the rest of the operations, various roles, and responsibilities.…
Same Day Surgery During same day surgery, I shadowed Nurse Laura, BSN, RN. We prepared four patients for their procedures. The first patient was an 81 year old, white male. He was a patient of Dr. Workman in for a medi-port placement. A medi-port is one type of a central venous access device.…
I feel that the preoperative briefing that took place before the patient arrived is what allowed the team to work so well in this emergency case, all of the details that was known about the patient was shared to the entire theatre team, with enough time to be able to prepare and collect all the appropriate equipment that was needed but also equipment that was possibile needed so that all avenues of care was covered and prepared. Bethune (2011) stated that teamwork, communication, and efficiency in the operating theatre is widely recognised to be suboptimal. Poor communication is the single biggest cause of medical error. The surgical operating theatre is a potentially highly stressed environment where poor communication can lead to fatal errors.…
Direct Patient Care How did you feel about your performance in the clinical setting this week? What went well? What would you change about what you did or didn’t do? Describe a patient(s) you cared for this week. What were the patient’s medical diagnoses?…
I had taken care of 1 of the patients in preceding weeks; however, the 2 others were new to me. The shift was going fairly smoothly. I had learned the charting system and how to interact with my colleagues as a beginning…
My patient was a 54 year old, physically active, self employed tree trimmer, who had a massive heart attack. After a stay in ICU he is stabilized and is going home for 1 week with a “lifevest” defibrillator, while he awaits his surgery for stent placement and permanent defibrillator surgery. He has a very complex situation. He is young and just had a massive heart attack.…
a. One situation I was able to utilize developmentally appropriate techniques to deliver quality care was with my patient when I was taking vitals. This was toward the end of the clinical day, so he knew me a little more and was less anxious. I explained what I was going to do to him so that he didn’t feel as nervous. I let him decide which arm to pick to do his blood pressure and pulse oxygen. I also let him play with my stethoscope when I was getting the blood pressure cuff set up.…
This routine is totally different from where I had my 205, though the same medicine unit, but I prepare to learn new things which will enhance my experience and add to my knowledge in this nursing career. The first day went well, I collaborated with the team nurses by assisting them in all patients care within my scope of practice. For instance, I performed all the vital signs on the patients and charted them in the patient’s charts respectively. I also assisted in feeding an independent patient with his meal, provided peri-care for some patients, assisted in lifting, using my Total Lifting and Repositioning (TLR) knowledge, did bed making, and keeping the patient’s room tidy and clean. It was highly demanding, but these tasks kept me busied and enabled me to gradually adjust to the unit’s daily…
My clinical group had our first rotation today on 4 North at the VA. It was a very positive experience, and I look forward to more clinical days on this floor. The nurses were great and my patient was very talkative. This was my first time talking to a veteran about his service, and it was very interesting.…
Provide a description of what happened/learning activity While on placement on ward 15B (Surgical) at Southport Hospital, I had one specific learning opportunity that I wanted to complete as part of my surgical nursing experience. This was to follow a patients’ journey through a surgical procedure. I was able to arrange this learning opportunity with my mentor and also through the consent of the patient and agreement with the surgeon and theatre team. This chose this learning opportunity so that I was able to experience and understand the basics of perioperative nursing within the three different areas of theatre; anaesthetics, surgery, and recovery. Also, the surgical nursing care given pre and post operation.…
Nursing is a lifelong learning. To grow professionally in nursing I need to reflect and analyse on my clinical experiences. It will help me to improve my professional practice, gain more knowledge and skills, and increase my critical thinking abilities and confidence in dealing with difficult situations. To reflect on what I had learned during my past work experiences I will use Gibbs reflective cycle. It was my first week of work as an Operating Theatre (OT) nurse.…
Adult Health III Reflective Journal 3 This week in clinical I was on the Critical Care Unit. My patient was in for respiratory problems. At the start of clinical I was getting report and one of the nurses and was interrupted to assist with a catheter. Was excited to insert a catheter, which was my first time successfully inserting a catheter in to a female patient. During this shift my nurse had three patients.…
I had the great opportunity to wear scrubs and to do clinical rotations. I learned about each career professions within that hospital. I experienced the feelings of sympathy, empathy, and warmth. Once, I was given the task to pass out breakfast trays and to help the patients if they needed their cereal bowl opened or a banana to be peeled. Seeing how helpless patients were made me feel eager to assist them.…