Patient Interaction Reflection

I arrived at clinical 0630 and picked up patient information the morning of. I reviewed all assigned diagnoses, medications, labs, and orders with my assigned students, and we discussed our plan for the day. We both took report from the patient's nurse and then Elizabeth presented at preconference. Kala shadowed the Nurse Lead and I helped Elizabeth with brief changes, pericare, and vital signs. I continued to check on both Elizabeth and Kala throughout the day. Last, lunch and then post-conferance.

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

On February 10, 2016, I shadowed Michelle in the oncology department, which was an eventful day full of thought-provoking and interesting patient/family interactions. Looking back on my experience in oncology, I truly enjoyed the inpatient interactions I observed. Through my shadowing experience, I gained knowledge on how child life is utilized in the oncology department, how outside programs are incorporated, and how to build rapport in overwhelming environments. This week I was able to reflect back to my knowledge of developmental stages so that I could ask more questions geared towards relating our coursework to practicum experiences. In this journal, I will focus on two patient interactions, each which were unique, thought provoking, and

Working as a scribe in the San Bernardino Emergency Room has provided me with many different types of medical experiences, from seeing gunshot wounds and various lacerations to strokes and ST elevated myocardial infarctions to hypoglycemia and hyperkalemia. Observing the treatment process from triage to disposition has been an exciting experience, in which every patient encounter has only taught me more about the field of medicine and spiked my interests in learning more about the human body. It is truly an amazing experience watching people come in scared and worried, but in the matter of a few hours after various medications, diagnostic studies and procedures they are more comfortable than when they came in. Through this experience, I have

I completely agreed with you about the safety issues that are encountered daily in the surgical areas. There has been implementation of safety intervention to remedy these concerns on patient safety. In most cases, nurses are rushed with the consequences that patients are not properly prepped in the pre-op areas prior to the surgical procedures. Personally I have been in same problem of being rushed to bring the patient in the room. In this particular incident, I just finished a case in another room and have not interviewed this particular patient. I informed the Anesthesiologist and the surgeon to give me few minutes to interview the patient prior to transfer to the operating room. To everybody’s surprise the surgeon wheeled the patient

he lesson that I can take during patient interactions are to try find the best way to accommodate patient's needs and know my limitations. For example I cannot speak Russian and my patients are Russians with limited English, however, I know they need so much help and education. I rather talk to the nurse manager and refer them to another nurse that can speak Russian or to get an interpreter to help me. It might be seem "I am washing my hands" and try to get rid of them, but my attention was to help them better.

Missy felt empowered for change, hopeful, and optimistic. Missy verbalized her comfort and safety with the support that finally someone was actively listening to her as a person, (Miller & Rollnick 2012). Consistency in delivering safe and competent care was an important factor to Missy’s recovery, taking steps to reduce harm by valuing Missy and her family’s cultural

The use of a patient based scenario and reflective model to explore and evaluate the moral, ethical and legal implications of involving others from outside the perioperative team as carers and advocates of the perioperative patient and processes that contribute to efficient management of the perioperative environment.

Assignments at multiple locations within the hospital and clinic allowed me to interact with both patients and their families. Interactions with patients included directing them to emergency, helping with transport to and from their appointments, direct admissions, and discharges. I acted as the intermediate between entering the facility and interactions with physicians and physician surrogates. Being employed at Gundersen has helped me realize just how valuable each employee within our facility is, the role they play, and how much each interaction affects a patient’s

My first clinical day took place on September 16th, 2015 at Saint Barnabas Hospital in Livingston, New Jersey. My preceptor Maria Brilhante, MSN, RN, is the manager of three units. The units that she manages are medical- surgical, bariatric, and stroke. The day began with me observing what goes on the unit during shift- to- shift handoff communication. I was introduced to the staff of all three units. On this day the unit was going through their last day of renovation. Maria had to wear a hat of an interior designer for one of her unit where here main office is located. We laughed and joked about it. Other mangers and physicians commended her on being able to still effectively managing her unit through all the chaos. The reality of it was that the unit needed to be altered to meet patient centered care and also equipment had to be positioned a certain way along with the nurses’ station being relocated so that nurses will be able to access them better. Before this day, I had not realized how important these little thing were in good patient outcome.

The most gratifying experience for me was my interaction with patients. Along the course of their hospital stay, I established a kind of relationship that allowed me to not only see them as patients, but to see them as real people. Each patient had a unique story; a story that defined them a individuals and that had led them to this point in their lives. The patient presenting with a Lupus flare was a 42-year-old female that had to give up her job and career because of the chronic disabilities the disease brought over the years. She had developed chronic kidney disease and was on dialysis waiting to match for a donor kidney. Over the years she had given up hope, and this attitude had an impact on her marriage. Her husband wanted to donate

My first opportunity to work with children was during my second year pediatrics rotation, where I grew to love the specialty. It gave me a chance to interact with age groups ranging from neonates to adolescents, each with their own unique set of conditions. I vividly remember an eight-year-old who was admitted to the pediatric service with congestive heart failure. During my first interview with her, she was very scared and shy. Upon further discussions with her mother, I realized that she associated my white lab coat with injections and pain. The next time I met the girl, I went without my white coat. She was more cheerful and it was easier to gather her problem history. I realized that earning a patient’s trust is the key and to do so, I must empathize with them and creatively address their concerns. This requires verbal as well as nonverbal listening skills and patience. Overall, it was a truly satisfying experience, to make her feel comfortable, understand her issues and provide her the care she needed.

Half of us ran the game booths, while the rest including myself, transported each patient from their room to the game booths downstairs. I helped an elderly lady point and shoot a nerf gun to the target, throw bean sacks to knock down pins, put puzzles together, play the matching game, the fishing game, spin the wheel, and much more. Her favorite booth was the nail painting booth! Every time she won a game, she received a mini stuffed animal. I knew exactly what to do to help this elderly patient play games because I had experience from home, dealing with my grandparents. I knew how to speak slowly and loudly so she could understand how to play. Seeing the joy on her face after winning a game is very rewarding because it shows me that I have done something in this person’s life to bring her great

The building sparkled. It was fresh, it even smelled new. Now hundreds of students streamed through its doors. Curious about the building that only a handful of people had seen before. The air was filled with excitement, it was impossible not to be excited. Everyone had watched the place being built over the past two years. Now it was finished, or mostly finished. Students were ready to claim it as their own. opening day was here at last

Throughout this ten weeks I have learned a lot, especially the skills in lad and clinical. I was really worried that med surge one was going to be hard and I will struggle throughout the course, but our instructor was really awesome she helped us out by teaching us the main key points and what we really needed to know for the upcoming quiz and skills. Safety and patient centered care Is what I would say that was more important throughout this course, the skills we were taught in lab also played an important role, because during clinical it made it easy to understand during our morning assessments, for example, knowing what was normal and abnormal and knowing how to perform our skill on real people with chronic complication. In the beginning