The fist area I need most improvement is deciding what priority nursing interventions I should do first. This takes time to learn what is going to kill my patient first and then that decides what intervention I need to take immediate action on. Going into Rochester next year I need to remember to stop and think before doing any interventions, what is most important for my patient based on the ABCs. Secondly, I need to learn how to do focus assessments when I am doing an intervention. For example, if I am putting on TED stockings on my patient while I am putting them on for them I should do an assessment on their feet at the same time so I do not have to come back to do my assessment on their …show more content…
This year when in clinical the nurse asked if I wanted to do the next IV after watching her do the first one and I said no because I wanted to watch her do another one. Unfortunately, when it was my turn the patient’s veins were very hard to see from the skin so she did this IV insertion. My shift at the clinical ended and I did not have the opportunity to start an IV in a patient. Next year if I am asked if I want to do an intervention and I do not feel one hundred percent comfortable I am going to ask the nurse if I can do it while they are observing me and helping me through it. This way I can learn how to do the intervention on a real patient and I still have another nurse observing me and helping me through it. My second goal for my junior year is to feel more comfortable using the phone to talk with a provider or labs. In sim lab, there were several times where I forgot to read back the information that I was told, so next year I need to practice and make it a routine that before I hang up the phone I have read back any information I have received to help minimize errors. My third goal for next year is to learn as much as possible. I am very privileged to do my clinical at Mayo Clinic hospitals next year. I always heard about the unique cases that you do will not see daily are sent to Mayo Clinic. If I can work with a patient with a unique health issue I want to learn as much. I