My Clinical Experience: A Clinical Analysis

This Friday, September 29th, I had my second clinical observation experience in the Cardiac Cath Lab. I was there from 7:00 a.m. till noon, viewing the flow and duties of the nursing staff on the unit, learning about the procedures done on this specialized unit. Throughout most of the morning I followed Sara, an RN, who had been in the unit for eight years. It was an impressive experience that broadened my previously limited knowledge of the roles and experience of a Cath Lab nurse.

This week my preceptor, Rachel, was the nursery nurse. The duties included bathing newborns, watching newborns in time the mother had to go off the unit for a procedure, covering for breaks, and assessing newborns in the nursery that may have some sort of difficulty compensating. Although I was not assigned to a specific patient, I did help care for about 20 newborns by providing baths and two newborns became cyanotic and our service was paged. In the case of the two cyanotic newborns, rapid assessment, diagnosis, and initiation of therapy was required. Both newborns were choking on their spit up and required suctioning, and a oxygen saturation monitor was applied until oxygen level was within normal limits for several minutes.

During my first day of clinical, I encountered an issue that I believe is very significant. As a student nurse, our duty for this day was to follow our health care aide around the ward and assist in completing resident care. The resident required assistance in many of her daily tasks. The health care aide asked if I would perform one of those and do perineal care for her. I turned down her offer because I did not feel comfortable with my skill level. The resident had a bowel movement during the night. There was a significant odour in the room that overwhelmed me. I really wanted to leave the room because it was so unpleasant, but I stayed in the room so that the resident would not be embarrassed. This feeling of embarrassment, I assume,

My personal strengths for this clinical experience were not being afraid to ask questions or admit that I forgot to do something. I believe I am getting more organized every week. I did my assessment charging in the room this week and it went a lot smoother for me. Although I did forget to chart a few things. I still struggle with cardiac assessment and figuring out the language is and how to chart it. I feel like by now I should be charting the right way but I still find myself struggling.

Discuss a clinical experience in which you had to incorporate one or more learning styles such as visual, kinesthetic, and auditory. Explain the outcomes and how you created an effective learning experience.

My first day at the clinical site of St. Francis-Patewood wasn’t as bad as I was imagining it to be. I was on the mom and baby side and it was rather peaceful and calm. I am sure it was because most of the hard work was over with and that it was now time to enjoy the new bundle of joy. It was a new patient load experience, and I feel as though it was a good experience for it. The nurse I was assigned to was very pleasant and was very understanding of my nervousness but was also able to push my limits, as well as my knowledge growth. She made me think, and she made me feel included, instead of treating me like a follow along puppy. I can’t wait to go to other parts of the 4th floor so I can get an overall experience. I feel like I will enjoy

Days before finals week Maria was in her dorm room studying. She had a physiological dependence to coffee. Maria had total focused awareness after drinking her tenth cup. Her constant and frequent consumption of coffee every day led her to building up a tolerance. As a result, she has to drink ten cups of coffee every day or else it wouldn’t stimulant her. This led her to have a superstitious behavior that if she didn’t drink ten cups of coffee before an exam she wouldn’t do amazing on it. After consistent bombardment of assignments and tests Maria started to feel the stress of finals week. Maria tried meditation to help stop the stress but it didn’t work. After a while Maria started to lose focus and started off to drifting consciousness.

Being able to view a cesarean section that close was a very cool experience and all the doctors and nurses in the room were very nice and welcoming. Once the surgery was over, I was able to assess the mom and we did fundal checks every fifteen minutes. The first two checks had a scant amount of bloody discharge. Then we went in to clean her up so she could feel clean and fresh since her family was going to come visit shortly. From rolling her from side to side, our next fundal check let out a clot the size of a lime, and that was very cool to see. I also assisted mom in getting to do skin to skin and positioning her baby correctly so he could latch onto her breast. He latched on with no problem and ate for about twenty minutes. This couple lost a previous baby boy at twenty-four weeks, so I was happy for them that they were blessed with another boy who is happy, healthy and full of smiles.

My experience with most or should I say all doctors has always been an unpleasant one.

I am in my fourth journal entry and have yet to start my clinicals. I hope to be starting my clinicals next week. The health assessment issue I have faced this week, however involves the equipment that practitioners use to complete an assessment and the proper use of the equipment and how that relates to completing the assessment correctly. When I was approaching the person who had agreed to do this week’s video for the assessment course of what was expected to be completed. After watching the video, they commented that they have been going to the doctor all their life, and they can never remember anyone looking up their nose with a speculum. Of course he was not keen on the idea, and I wound up deferring this portion of the examination. It

Patients Like Me (PLM) is a patient generated research network that strives to improve lives and a research platform in real-time that wishes to advance medicine. On this network, individuals can connect with other who has a common illness or condition, and they can monitor and share their own experiences. In PLM, the information progression data is generated about diseases that can help researchers, medical companies, pharmaceutical companies, and nonprofits, and helps create a more effective care, products, and services. Patient experience with treatments and medication are gathered, which allows treatment efficiency and any side effects to be measured and recorded. If People Like Me were to grow without a General Platform, then the network must continue to add on other niche communities as the group has done in previous

This semester has been very interesting for me. I feel that I have worked hard to be where I am today. In the start of the semester, I was very apprehensive about how the semester was going to look like and if I was ready enough for this semester. I worked on asking questions when I did not understand something not only in class,but in clinical as well. I feel that I took theory and integrated it into my journals when it was needed.

This week’s clinical experience was sad. My patient was a 2-week-old infant who was diagnosed with NAS and abandoned by his mother. Coming into OB nursing I never thought about the negative aspects of the field. I assumed mothers delivered their babies safely for the most part, and lived happily ever after. However, after this week’s clinical I now know that there are many challenges that OB nurses face.

Paula, it sounds like you had an interesting day with that baby. I am working as a pediatric/ nursery float nurse, but I haven’t been trained in the nursery side yet. I believe that we do the same though, being at the bedside with mom and assessing the infant at birth. As a nurse we assess, identify diagnosis, we plan for our patients, we implement the plans, and we evaluate our outcomes (American Nurses Association, 2011). The APGARs are a very important part of the assessment as a nursery nurse. You knew exactly what to do when the APGAR wasn’t where it should have been and you helped to bring it up, which is also important. Quick decision making for the infant had to be made, and you used your nursing process to quickly figure out what to

Discuss the preclinical research and approvals (regulatory and other) that are required prior to commencing human clinical trials. What are the safety and other requirements that need to be satisfied?