Clinical Rotation Essay

Today I started out shadowing again like last week but this week I was determined to see a patient by myself and I did. Once I again felt comfortable with what was going on in the clinic after just observing for a patient or two the M3 student asked me if I wanted to see a patient by myself and I did.

Prior to walking in, my expectations for what I was about to partake in and experience were all over the place. I didn’t know whether to expect the absolute worst types of situations going on such as people being rushed into medical rooms or the most basic situations such as patients waiting for a strep throat test. I did expect to see a wide range of patients in terms of race, class, age, and gender. Contrary to the patients, I didn’t expect to see a wide range of race, class, age, and gender within the staff. I expected to see mostly female nurses, and male doctors, majority being Caucasian and middle age. I didn’t expect there to be that much security or any type of possible crime that could go on within a medical facility. I expected the waiting area and facility to be very large, large enough to accommodate a lot of patients at once. Lastly, I expected that taking our field notes would be a challenge because writing notes down in front of patients would be awkward and during interviews it would be hard to conduct a good interview while writing the whole time.

On September 28, when we went to Tripler Army Medical Center, I was placed in the Cardiac Ward. At that time, I was able to learn so many diagnosis dealing with the patients. The nurse had briefly explained what was going on with each individual patient and the type of treatments they are doing to help. She had also neatly clarified each medication she was giving them and told me exactly what it was used for. I was able to get an experience of hands on by taking a patient’s temperature. I had shadowed as she did so many things to make the patient feel comfortable and did everything to the best of her ability to make them happy. She had taught me how to record every piece of information about the patients on the computer by showing me what

My site for my rotation was the Walgreens on Thomasville road. My preceptor was Doctor Marva Bates. I thought my experience during the first two week of the rotation was going to mainly be with the production aspect of retail pharmacy. I thought I would be pulling and staging medications for prescriptions to be filled and eventually take a role in the actual prescription filling process. The goals and objectives I set for myself at the begin beginning my rotation are as followed:

1.1) Based on the data presented, do you think the EARLY SAVE program has been effective in improving early recognition and response to clinical deterioration in your hospital? Why/ why not?

For this reflection instead of focusing on a specific situation I am going to be reflecting on my feeling throughout the shift. Going into the clinical rotation I was really looking forward to a experiencing the new pace of the surgical floor. Last semester I was on Medicine A. While I doubt I want to work full time on medicine I did fine it as a very easy way to transfer from Long Term Care to the Hospital. I found that it really taught me to prioritize and spend my time wisely while on the floor, because even through it was a slower pace, there was a lot to complete each shift. It also helped me to work on creating therapeutic nurse-client relationships not only with my assign patient but also for the patients I was helping by answering call bells. I found all of this gave me a good background to go into the surgical floor. Even from the moment of report I could tell the more serious feel from how the nurses went through report, it was quick, informative and effective. I was nervous about meeting my co-assign because I did not ever really have a good experience with them on Medicine. However I found my co-assign this week was approachable and answered all of my questions and even helped explain the differences between how she does

You are working in the internal medicine clinic of a large teaching hospital. Today your first patient is 70-year-old J.M, a man who has been coming to the clinic for several years for management of CAD and HTN. A cardiac catheterization done a year ago showed 50% stenosis of the circumflex coronary artery. He has had episodes of dizziness for the past 6 months and orthostatic hypotension, shoulder discomfort, and decreased exercise tolerance for the past 2 months. On his last clinic visit 3 weeks ago, a CXR showed cardiomegaly and a 12-lead ECG showed sinus tachycardia with left bundle branch block. You review his morning blood work and initial assessment.

My first encounter with a Certified Registered Nurse Anesthesia (CRNA) was during my undergraduate nursing OB/GYN rotation. I was impressed with the CRNA when she placed the epidural to the patient in labor. I remembered patient had difficulty staying still due to the contraction, but the CRNA took her time to explain the procedure while comforting the distressed patient. Once the epidural was in placed and the medication started working, I could tell the relief the patient experienced. I realized then that a CRNA goes beyond the delivery of anesthesia, pain management and monitoring of patients. Thus, obtaining this degree will prepare me to ease the patient’s mind through education, pain management, monitoring, experience and compassion.

My perceptions have changed dramatically since the Clinical 1 rotation. I have noticed that the minute I walk into my patient’s room, I start to collect data. I notice if they are breathing normal, what their skin looks like, what their cognition level is, and what equipment they have in their room. I have started to connect the “puzzle pieces” of the patient’s health, rather than just feeling like I have a bunch of random information. My perception of people has continued to stay the same from Clinical 1. I continue to have an interest in learning about patients and believe that they also have something to teach us. I have learned so much from the patients and it is fun for me to get to know different

The rotations through the hospital entities and the integration into the daily activities of management will provide countless learning opportunities and exposure to various types of leadership and management skills and form a strong mentor relationship. It will provide an opportunity to gain a comprehensive, high-level view of the entire organization while simultaneously gaining in-depth understanding and experience in specific areas of most interest. Having the

Public health nursing is an important aspect of nursing field, which contributes tremendously to the safety and health of our society. Public health nurses work hard to assure our communities are healthy and are able to attain needed support to be self-sufficient. However, it seems their hard work goes unnoticed by vast majority of our society. This of course, is my opinion, but I would say that if I were to survey various communities, most people would say that “Nurses just work in the hospital”. I could be very wrong.

Afterward I wheeled them I wheeled them to either the dining room. I brought the residents cookies, and I gave the residents the cookies in the dining room after the rosary was over. I carried a conversation with the residents, and I lend a hand setting up for lunch. I wheeled people to their perspective rooms, asking them how lunch was. I carried a conversation with the residents individually in their perspective rooms. I went back, and I took more of the residents in their room. I assisted in taking them to their rooms and I had conversations with all of them. I sat in the television room and spoke to all of the residents there. Ensure confidentiality with clients at all times. On Wednesday, I passed out coloring books, and I helped some of the residents outline the coloring books and pages. Afterwards, I helped clean up, and I assisted Irma in taking the coloring books and colors. I helped the residents set up by putting a plastic cover on the table. I looked for images that they would like, for example cats, dogs, and flowers. I interacted with the residents and had conversations with each person coloring. I helped put away the coloring materials, and lend a hand setting up for lunch. I wheeled people to their rooms, asking them how lunch was. I carried conversation with them in their perspective rooms. I went back, and I took more of the residents in their room. I

The purpose of this journal is to reflect on my experience and skills gained during my clinical placement at Ben Taub Hospital. On my first clinical day, I was excited and nervous at the same time. My first placement was in the PREOP/PACU area. I was assigned to help a patient who had been in the PACU area going on 2 days. Normally, once the patient comes from surgery they are only in the PACU area for a short period of time before they are discharged home or given a bed in another area of the hospital. This particular patient still had not received an assignment for a bed. The physicians would make their rounds to come check on him daily. The patient was a 28-year-old Hispanic male, non-English speaking, he had a hemicolectomy. He had a NG tube, urinary Foley catheter, and a wound vac. My preceptor had just clocked in and she needed to check on the patient’s vitals and notes from the previous nurse. Once she introduced me to the patient and explained while I was there, she then asked me to check his vitals. (Vital signs indicate the body’s ability to regulate body temperature, maintain blood flow, and oxygenate body tissues. Vital signs are important indicators of a client’s overall health status (Hogan, 2014). I froze for a quick second. I have practiced taking vitals numerous of times and I knew I could do it correctly. I started with the temperature first, when I was quickly corrected on a major mistake I had made by my preceptor. I HAD FORGOT TO WASH MY HANDS and PUT

The second week of my preceptorship brought many new experiences for me, and I can honestly say that each day I spend with my preceptor is better than the last. This week I focused on time management of a full patient load with continued documentation practice as well as admission and discharge procedures. I’ve had brief experiences in my past rotations assisting with discharge teaching and admission assessments however I have never been able to fully take charge and complete the process from start to finish, so this was a great learning opportunity for me.

As a result of my versatile work experience, as well as my community and organizational involvement, I have learned the importance of being a team player in order to perform effectively and efficiency. Having exposure to multiple clinical rotations in variable institutional settings has enhanced my time management skills, multi-tasking ability, and effective communication to both diverse patient populations and fellow practitioners. These qualities, along with my genuine enthusiasm and empathetic passion to help others, will allow me to become an integral component to your residency team.