As I am getting closer to the end of the practicum, I can see myself on the floor, daily, with my fellow RN’s. I feel as I am part of the team then simply a student nurse. At the beginning of my student nursing career, I felt that were so many limitations, but then, slowly, these perceived restrictions were removed. There are still things that I am not allowed to do, but now I do not have to ask the nurse if I can do a head to toe on the patient. I walk in the room and perform assessment of vital signs without the nurse guiding me. I would check in first with my preceptor if there is someone or something I should not do, but most of the time I am clear to do so. Since I have been working with my preceptor for five weeks, we have gotten to …show more content…
I did not want anyone to think that I am not a team player. I never think any job is too small for me, because one day I would need someone else’s help on the job anywhere I work. If there was a reason why I was not able do the tasks I would communicate with staff, but I have not done so far. When a client needed to be placed on a bedpan or required a change and the tech was busy, I would jump in and help out. I decided that I would take charge of the situation without being told. When I was done helping with ADL’s of the clients, I also thought when the following pain medication is due and communicated with the client when it was due. It seemed to help when they know that two people are on top of the medication schedule. Communication with each patient is important in the nursing process. When one does not give information to the patient, anxiety levels have the potential to increase. Even if one does not know the answer to a certain question, with just a simple acknowledgement with the patient, the two-way communication can go a long way. Weaknesses My weaknesses would be a skill of inserting IV’s into patients. I have done a few, but I feel as my skills needed continual fine tuning. I know what had to do next time I am on the floor. I need to ask any nurse if they have to insert an IV to let me try first. The fear of doing such a task is starting to dissipate when I approach the client. My
Effective communication is crucial aspect of nursing yet too often is placed low on the priority list, especially at shift change. Information related to the care of patients is frequently disseminated at a crowded, noisy nurse station with several nurses rushing to leave and others attempting to get the information necessary to plan care and limit the constant distractions. It is this interaction that allows for information vital patient safety information to be communicated including the acuity of patients.
This essay is going to explore the nursing process with regard to the prevention of pressure ulcers.
This assignment will focus on the holistic assessment and care plan of a patient who was cared for during practice placement. It aims to discuss how the care planning decisions were made and relate these decisions with the relevant literature. The setting was an emergency trauma and orthopaedic ward and the care plan was developed in order to meets the patient’s needs after 1 week admission. The care plan was compiled by the student nurse and his mentor and aimed to identify the patient’s needs and the necessary interventions to meet these needs.
In class, we learned that doctors are often very specialized and are only concerned about one specific part of a patient’s body. However, PAs are able to spend ample time communicating with patients and assessing their illness as a whole. Jessica Swartz said that she loves that she gets to take care of a patient throughout their entire hospital stay and is able to develop a trusting relationship with many of them. During lecture, Mrs. Hontz stated that many PAs in family practice are able to take care of their patients from birth to death, which allows them to form lasting relationships with them. I look forward to the many interactions that I will have as a PA, which will hopefully show my patients how much I care about helping them feel their best.
I am pleased to state that I have been a registered nurse for forty years. At this moment, I continue working in nursing while pursuing my Bachelor of Science in Nursing degree. My intended month of completion is October 2012. My experience in nursing education has motivated me to continue my education and pursue a Masters degree in a nursing related field commencing in 2013. Thus, in terms of my career planning, my education is a crucial part to my professional development. Extending and deepening one's education, especially within the career field of one's choice, can only bring upon additional professional opportunities as well as opportunities for personal growth. My career planning includes building upon my decades of experience in obstetrics, my particular area of specialty, expertise, and passion, with the assistance and addition of higher education. I believe in terms of career planning, my strengths include foresight, preparation, internal motivation, and focus.
Communication is any form of expressing and receiving of messages between individuals. The importance of Communication in the nursing profession is to maintain high quality care for the patient but also maintain effective collaboration between professionals. Boykins, D (2014) states that the “registered nurse is expected to communicate in various formats and in all areas of practice”. Various formats include speaking to patients and coworkers as well as utilizing appropriate protocols and systems to effectively communicate regards to patient’s status.
Communication involves information being sent, received and decoded between two or more people (Balzer-Riley 2008) and involves the use of a number of communication skills; which in a nursing context generally focuses on listening and giving information to patients (Weller 2002). This process of sending and receiving messages has been described as both simple and complex (Rosengren 2000 in McCabe 2006, p.4). It is a process which is continually utilised by nurses to convey and receive information from the patient, co-workers, others they come into contact with and the patient’s family.
The essay is about evaluating and examining the student nurse progress in meeting all the objectives written in her action plan. An action plan is a tool used by the student nurse to list down her actions or the steps that she will do in achieving her objectives in a specific timeframe. The nursing student also discussed and reflected on evaluating herself. Therefore, an evaluation which is about assessing is required in her Learning to learn assignment. Furthermore, the student nurse needs to assess and reflect well in her essay to pass her learning to learn assignment.
The transition from student nurse to registered nurse can be exciting, stressful and challenging and reality shock can be experienced (Kaihlanen, Lakanmaa, & Salminen, 2013). The skills knowledge and values learned during the 3 years period of the undergraduate program should be demonstrated while working as a Registered nurse. The transition from nursing student to professional nurse is complex and multifaceted experience (Clark & Springer, 2012). Therefore, it’s essential to guide the student during their learning process for their professional development. It is difficult for the student nurse to work on their own unsupervised right after completing their program. Being independent registered nurse will take lots of practice skills wise and knowledge wise. The transition from student to staff nurse ‘is a common rite of passage that marks the end of initial educational preparation in the discipline and the
I was able to check the patient in a systemic order and to make her feel comfortable around me allowing openness and honesty about medical conditions. I responded to the patient in a professional way as to not make her feel uncomfortable and to represent myself as a professional. The patient felt very comfortable with me during the interview, I had asked her upon completion if I was professional and if she felt comfortable. She said that I was very gentle in examining her and that she was very comfortable speaking to me. During the examination there were moment when the patient and I had light conversation, as I did not want the experience to feel cold and calculated. She showed me picture of her family and the books that she loves to
In the professional setting, knowing the patient through his or her diagnosis, name, history of present illness, laboratory results or reason for staying in the hospital only contributes to the manner of physical care of the patient. However, recognizing the patient 's spiritual needs such as emotional support, mental positivity, and intellectual understanding of his or her situation gives a better assessment, as well as a trusting relationship between the nurse and the patient, as per personal experience. In the ward, it is evident that most of the staff nurses spend their time doing documentations, preparing medications, following-up laboratory requests, as well as reading through the patients ' charts to affirm the physician 's order. Throughout the duration of our shifts as student nurses, I see that the most that the staff nurses get to be conversant with the patient is when certain procedures (such as feeding through nasogastric tube, taking
I've very adaptive to new technology such as programs used for online documentation and electronic MARS. Other registered staff in my unit often comes to me for problem solving and troubleshooting with our online documentation program. I always put my patients first and I take the time to listen to my patients & families, no matter how busy my schedule may be. I work well under pressure and in a solo or team environment. I strive to become more knowledgeable in nursing in order to provide the best care I can to my clients In order to excel at my profession and passion I need to do everything I can to make myself better. As part of that, I did not stop with Bachelors, I did my masters, then I did Medical-surgical certification & I am also certified preceptor, have certification from UCF. My upbringing developed my core beliefs of community, family, loyalty, compassion and honesty. It also taught me that all things worthwhile require hard work. I love being a nurse, but recognize my yearning for more. I love nursing and have enjoyed my time as a floor nurse although my work experiences are acutely based, I have observed the direct relation between primary and acute care. As a nurse primarily working with patients, I have observed how patient miseducation, miscommunication, and
It is no secret that communication is key when providing direct patient care in a skilled nursing facility. However, there is a noticeable lapse in the communication between the care team when providing care to the individual or groups of individuals. Two main parts of any care team are the registered nurse and the certified nursing assistant, as these are the two people whom have the most direct and impactful roles with residents in a skilled facility. The Registered Nurse and the Certified Nursing Assistant play similar roles in providing patient care, but have different roles in its entirety. The role of the Registered Nurse (RN) is defined as having the competency and skill to provide direct and indirect health care to individuals, their families, and communities around them. Services are also provided designed to give out medications, to promote comfort or healing, promote healing, and to also provide the dignity of their patients and patient’s families (American College of Rheumatology, 2015).
Communication is one of the basic survival skills of human and also a fundamental part of nursing. Effective communication would help to promote a positive nurse-client relationship which is crucial for the delivery of quality nursing care (Sheppard, 1993; McCabe 2003).
It was during my first week clinical placement in the ward when I came across with the Waterlow risk assessment tool. My mentor made sure that I got all the risk assessment tools commonly used in the ward as these will play a key part in my duty as a qualified staff nurse. True enough, this risk assessment tool became visible in every patient’s charts and serial risk assessment was done on a weekly basis.