Reflection Paper On Clinical Experience

Throughout my clinical experiences, there have been quite a few circumstances I have been placed in that have remained with me whether good or bad. All of them have been learning experiences for me whether it is how to improve and to do better next time from a mistake, for me to learn that this is or is not how a patient should be treated, how to handle family situations, and many others. One experience that I was able to participate in that will remain with me because I had not experienced this before was during my critical care rotation in the fall of 2015. This patient was dying and we were implementing comfort care for him.

Hospital and other health care facilities should set strict guidelines on infection control to sanitary officers, caregivers and family members as long as they come in-contact with an inpatient.

This policy was adhered to most of the time. Some nurses made the decision not to adhere to the policy and procedure regarding contact precautions, presumably because they had decided they would not going to be touching the patient or their surrounding area! As mentioned earlier this is a risky way to behave.

Its the duty of CNA to make sure that their patients have good and clean hygiene that will help them on their road to

I am a nursing student from Australian Catholic University. This role play is about the vital signs. Now, I am going to write a reflective write about the video of my role play of TPR which is a part of assignment and done by me and my other two friends.

Keeping our hands clean is one of the most effcient and important steps we can do as humans to avoid getting sick or spreading germs to other people. Unwashed hands spread many diseases such as the flue, E. coli, and salmonella. Unfortunately, hand hygiene is still one of today’s most leading causes of infection in health care facilities. The risk of clinicians, patients, and visitors not complying with hand hygiene protocols creates a practice problem for nurses and their patient care. The cause of health care infections, also known as, health care-associated infections (HAIs) are increasing along with the rise of the inability to control or treat infections that are multi-drug resistant. Lack of proper hand hygiene is a major problem in clinical settings sourcing from critical care divisions where the most contaminations are prevalent. This paper will discuss how hand hygiene affects the nursing process and solutions of how to better prevent HAIs within the nursing scope of practice.

After a total of three clinical days so far, I have already encountered different situations and gained a great deal of experience. However, one particular event seems to stand out and this event happened on my third clinical day. In this episode, I was trying to get the patient up from bed to get her ready for breakfast but she refused to cooperate.

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.

Prevention strategies of nosocomial infections related to poor hand hygiene include revision of: orientation, training processes, competency assessments, equipment cleaning, handwashing procedures, switching to the use of single-use IV flush vials, adding strategically located waterless hand rubs, defining supervisory expectations, conducting in-services, team trainings, and tracking systems (Infection control related sentinel events, 2003). Potential solutions to noncompliance include: consistent skin protectant application, reduced time required for handwashing, and antiseptic stations at the bedside and room entry points (Boyce, 1999). Hospital administrators must create an organizational atmosphere in which adherence to recommended HH practices are considered an integral part of providing high-quality care (Boyce, 1999). Improvement in infection control

Among reviewing CNAs at a long-term care facility, it was seen that some CNA’s did not take off their gloves between giving perineal care of a patient after the patient used the bathroom and the CNA reached for the patient’s attire to put on the patient for that day. The CNA put every patient at risk of contracting the infection and the patients clothes could have became a source of C-diff. There are many cases similar to the one above where health workers are in a rush and do not perform their job/skills that they have been taught correctly. Health workers being in a rush also is due to shortage of staff. The CNAs at the long term facility discussed in this paragraph work a 9:1 ratio, which causes challenges for the health workers to give quality care to the patients.

First of all i would like to say that when i first arrived i was kind of nervous butexcited at the same time ireally did enjoy my experience on my clinical field shift so anyways when i first arrived we introduced ourselves to each other then we did a walk around the ambulance making sure the lights, signals, and etc. was working properly then the EMT took me inside the ambulance to give me a breaf overview of all the supplies and equiptment that is stored in the back of the ambulance soon after that the paramedic arrived so therefore we proceeded to start our shift

Mistakes are made in the healthcare field every day and there are a few ways that this can be prevented. We are going to discuss different ways to decrease the chances of errors for the safety of our patients. Every facility has or should have, somewhere in the building, a copy of the national patient safety goals and it is important that you know what they are and where to find them. As we navigate through the goals that are to be discussed, we will touch on a few that are very important from reducing the risk of healthcare associated infections to improving the accuracy of resident identification. With all this in mind we can greatly reduce the risk we put or patients in every day.

Nurses are at the forefront of patient care whilst they are in the healthcare system and to ensure that patients remain safe should be of high priority to all nurses. Nurses have specific responsibilities in looking after patients, and nurses must ensure they comply and adhere to the policies, procedure and guidelines which are set out by the HCS. Nurses must ensure that they are always working in accordance to the RNs standards of practice, and by doing this it will help the nurse in delivering clinical safety to all patients (Nursing and Midwifery Board of Australia (NMBA), 2016). Standards 2 & 6 relate to the nurse providing a safe environment for patients, engaging in quality nursing care and to engage in effective therapeutic relationship with their patients. When nurses follow the standards as set by the NMBA, they are ensuring that they are adhering to policies and procedure as set out by the healthcare provider which will in turn be ensuring preventable harm to the patient does not occur. (NMBA,2016)

A couple of years ago, my mom got a bellybutton pain in her lower-right side of the abdomen. It was an intense pain which moved all around her belly. She decided to ignore the pain, thinking it could be something temporary. Days went through and nothing could relieve the discomfort she felt. My dad decided to take her to a private doctor right away. The doctor had her do some blood tests accompanied by some others. When the results were ready the doctor asked us to take mom immediately to the hospital. He said something related to surgery and I lose control on myself. We had never been as scared of surgery as this day. We knew this kind of surgery was not as risky as others. The problem was hospitals in Honduras. Doctors back then did not care about the patient. Patients in the hospitals would get their wounds infected and they would die. I lacked trust in the abilities of the doctors. Not because they missed the knowledge required in doing this, but their interest in the patient was none. They knew the government was going to pay them either way. Therefore, they mistreated some patients. My mom received a

Looking back to the first day of clinical to the last day I have changed a lot during this time. During the whole clinical experience I had to use a lot of the growth mindset in-order to get fully through the whole process. My clinical teacher and I didn’t quite have the same opinion on certain things. While we did struggle through are different mindsets, it was a great learning experience. I will have people I work with that I don’t always agree with and I will have to find a way to compromise with them. This was something we talked about with each other and worked through. So, Im grateful in that aspect in learning how to deal with those situations. I also changed in that I’m more confident in giving my lessons to my students, along with I tried to not be as scared in-front of them.