Personal Narrative: My Clinical Experience

Week three in clinical was difficult for me, I had a great experience overall but I hated seeing and holding a baby that had passed away at 21 weeks. To know what the family could possibly be going through was heartbreaking. I wouldn’t exactly know what to do if I was with the patient and her family exactly. I do know that I did place her in the room when she was admitted to triage. I do feel good about seeing the scenario play out, while being a student rather than being in the field alone. Other than that I was able to see the beginning stage of labor as well as a C-section. Everyone was so bent out of shape on making sure I eat and that I don’t faint, but it seriously wasn’t bad. As a matter of fact I was too intrigued with the mother rather

The clinic that I am doing my clinical rotation is a small family medical office with one physician assistant and one doctor. It is located in Collier County Naples, Florida. Naples is considered as one of the richest city in Florida with a diverse ethnic group like Caucasian, African America, Asian, Latinos, Haitian, and much more. They see any patients start from 6 years old. Most of the patients who come to the clinic don’t have a medical insurance. They are self-paid. My preceptor is a professor of physician assistant at Nova University in Florida over 20 years.

I had such a great day at clinical yesterday. I was finally able to see a vaginal delivery and that entire process. When I arrived in the morning, the mom had just received Cytotec, to help induce labor and ripen her cervix. She was forty-one weeks and zero. Around ten thirty in the morning, she asked for her epidural to manage her pain. We bolused her with fifteen hundred milliliters of lactated ringers to prevent hypotension. Shane was the certified registered nurse anesthesiologist (CRNA) who administered the epidural. It was very cool watching him administer all the needed pain relief medication before he administered the epidural to make sure that it would be placed in the epidural space in the spine. Then administered a small test dose, waited till a few blood pressures were taken, then administered the remaining about through an epidural pump. After the epidural was administered, I was able to administer her foley catheter. I was so happy that I was finally able to place one. I learned a few tricks from Maura (my nurse) as well. She taught me that it was easier to take the top off of the lubricant syringe and to place the tip of the foley inside of the syringe, that way it will not wiggle around and become unsterile. She also taught me to grab from the bottom of the labia and pull up, that way it ensures that I will have a clear entrance to

My first week went really well! I was definately both nervous and excited on the first day. I was nervous because I wasn't sure how the clinic would run and I quickly learned that it is a very fast paced clinic. My CI sees patients every 15 minutes and he is both the only PT there and the owner of the clinic. I have been learning a lot about PT treatments as well as the buisness side of the PT clinic. He has a lot of PT aides that help with exercises and setting patients up with ice and stim ect. The fast paced clinic was definately something I had to get used to. I was a little overwhelmed when we would just start with a patient and a new patient would walk in the door. However, there is a very good flow in the clinic and everyone is always

Our clinicals at Cadbury at Lewes is quickly approaching an end and we are still learning new things each day. Everyday we do something new and so another skill is checked off. Yesterday, we got numerous things done, it was a very busy day.

“I’ve learned that people will forget what you said, people will forget what you did, but people will never forget how you made them feel.” - Maya Angelou

Primary Counselor met with Pt. for his first individual session. Counselor started the session by introducing himself, sharing work experiences and cultural background; explain current position at AMS of DE and counselor desire to develop a therapeutic relationship. Counselor prompted pt. to discuss his current TX progress, any recovery issues and treatment hx. Pt. commented that he is currently taking 60 mg dosage of methadone as instructed by AMS Doctor and he said that it is working well. Pt. agreed to sign his Record of service sheet. Pt. stated that he is 34 years old and was raised in Chester, PA and moved to Delaware when he was 13. Pt. has no kids. Pt. mentioned that he lives with his mother in Georgetown and he feels safe there. Pt. indicated helping her with the rent. Pt. reported that sometimes he stays with his girlfriend who lives in Lewes, De. Pt. is currently working full-time doing floors without set schedule. Pt. indicated that he owns the flooring installation business for several years and with the earnings from this business he can pay for tx fees. Pt. spoke about

My clinical experience today has been a completely different, from any others. Today, Ashley my preceptor was scheduled as the charge nurse. I was surprised by the differences between a floor nurse and a charge nurse with their different responsibility each of them possessed. My first thoughts of a charge nurse were to merely fill in the cracks in the floor, to assist other nurses maintain their patient loads and to cover breaks and lunches, all the same, that is not always the case. This clinical experience has supplied me with a whole new aspect, as well as, a great deal of esteem for the charge nurse. In addition, to the previous mention responsibilities of a charge nurse, in

My first clinical I felt my greatest accomplishment was not being shy and hesitant. The first day we had clinical was the first day that I got the opportunity to float to another floor, I was very nervous at first. Going into a new place for anyone is different at first because you don’t know what to expect. I think what made my experience so great was the endoscopy nurses and doctors, they were some of the nicest and helpful people I’ve met so far. I got a wonderful opportunity to learn next to the doctors doing the procedures and also see other roles of the healthcare team like the nurse anesthesiologist.

Day four of clinicals was really long. The first patient was scheduled from 8 until 1, he was getting fitted for 4 crowns and an implant crown. When the patient came in he had a horrible odor and looked like he hasn’t taken care of himself in months. I seated him down and the dental assistant just glanced at his teeth and looked at me strangely and whispered come here and look. I look in this old man’s mouth and saw nothing but a brown layer of plaque and calculus build up and it disgusted me. How could someone not take care of their selves? Anyways, we ended up sending him to the hygienist's room next to us and they cleaned his teeth extra good. He came back into the room and Dr. Williams came in and quickly did a check up on his teeth and

It’s been a year since the incident. Everyone is either gone or is trying to leave but the wealthy who are isolated from the rest of the nation, living large. We all thought it was possible, but no one thought it would actually happen. We didn’t think this country would run itself so far into the ground that it is beyond recovery. No one thought he could do this. Tuesday, November 8, 2016. The day it all started, the day he came to power. Everyone was either watching it happen live or asleep in their beds. Once morning came it was official, he became our president.

I remember when I started my recovery I was discharged from the detox program into a six month transitional program. Transitional living that deal with people recovering from addiction are often referred to as recovery residences. The Transitional Living Center provided me a place where I could re-establish my own self-worth. When I was at the transitional housing I felt safe from the possibility of a relapse. My recovery plan was individualized according to the determination of my needs. They taught me what my triggers were and how deal with them in positive ways. I remember when my six months were up and I was getting ready to be transferred into the supportive housing program to be integrated back into the community. Supportive housing allowed

Growing up our fears circle around things like monsters under the bed and in the closet, but once we reach the adolescent stage the monsters are a lot less physical. We almost become like superheroes unable to be harmed, indestructible. Situations where we are the ones lying in the hospital bed are few and far apart. I had forgotten I am not invincible, and rather than blowing off the amount of pain I was in I should have done more about it.

Today was the second day of my 6-week placement at Ward 3A-Logan Hospital, I have originally been paired with a demand casual pool RN, however, the said RN is not confident enough to handle me as her student nurse at the time. After the scrum at 7am, and the handover on the 4-bed bay + sides, I politely ask her if I could take one patient as it was one of the instructions of my CF during the orientation on day 1, but I was answered with “I’m not really familiar with the area and I’m from the demand casual pool...” Having sighted my CF at the corridors, I excused myself from the RN and discussed the matter to my CF, and she allowed me to be buddied with a very good EN, informing me that “she is an EN” before letting me to the bay and introducing me to my new buddy EN.

My most significant experience in my life is unforgettable. I was there with my sisters, my mom, and my dad. It was the most horrifying event that I have ever witnessed. The daunting image in my head is still clear as day, as though it happened yesterday. This event did not affect only me, but also my family. The story that I am about to tell you may change the way you see things and it may not. All I can say is, it