What Is A Clinical Exemplar? Essay

Experience is sometimes regarded as the best teacher. Many things can be learned in a classroom and by formal academic study, but many cannot. Reflective practice is a form approach to learning through experience. Reflective practice is a lifelong learning process to promote continual development of the nurse. Reflective writing practice helps the nurse to gain knowledge and to challenge their own ideas and concepts. The idea of reflective practice is not only to see what happened, but to see the situation through new eyes, eyes that can help in personal growth and to develop ways to respond differently in the future.

In this clinical setting, I felt welcomed and respected as each individual was informative and helpful to expanding my knowledge regarding wound care. At the beginning of the day, I was introduced to all the healthcare staff and was directed to each learning opportunity that was provided that day. Additionally, I was formally introduced to each patient by the designated health care worker to ensure that they were comfortable with me witnessing the procedure. The atmosphere in this clinical setting was tranquil including the artwork, lighting, and overall aroma. In regards to my personal items and privacy, I was kindly directed to an area in which my items were secure. Overall, I felt the environment in the wound care clinic was appropriate and professional and this was an additive to my comfort being in that

It seemed like a normal day coming into work, it was a Tuesday. 6:45 a.m. on a Medical Surgical Floor, the night shift was eager to give report so they could go home, and all the day shift nurses were drinking their coffee getting ready for the 12 hour shift ahead of them. My name is Staci Deland, I am a Registered Nurse on a Pediatric Medical Surgical Floor. This day I am talking about is about to become much busier than it normally does. After rounding, one of my patient that was post-op day five from a laparoscopic cholecystectomy had changed since Monday. She had a history of emphysema and also was on 14L of oxygen via simple mask and her saturations were

In the absence of serious neurological deficits and persistent non-radicular low back pain, sufficient evidence has not been established on whether or not surgery is useful.

When the first patient entered the room, I noticed that he was wearing a hearing aid, so I had to speak a bit louder than usual. I greeted the patient, introduced myself, and asked his name and the reason for him visiting

During the home health observation day, there were several opportunities to observe a variety of patients with varying levels of functioning ability, different illnesses, and different needs and levels of interaction with the nurse. The first patient seen was a seventy-three year old Caucasian female with an ulcer on her right heel. Several weeks prior, she had scratched her left leg and she also had several small wounds on her left leg. The orders were to clean and redress the ulcer. She has a history of end stage renal disease, pneumonia, weakness, diabetes, dialysis, and right hip fracture. Upon entering the home, the patient was found to be sitting in a wheel chair in the living room watching television with her husband close by her side. She greeted the nurse with a smile and began to update her on her current condition. Her heel was “hurting” and she rated her pain an 8 on a scale of 1 to 10. She also had some “swelling” that she could not “get to go away; because, she could not get up and walk. They need to fix my foot so that I can get up and get around.” She told the nurse that she had been to see the doctor “yesterday” and the doctor had given her a written order that she wanted her to see. The order was written for an evaluation for a soft pressure shoe fitting. The nurse read the order to

As the surgical first assistant, I assessed the patient’s vital signs, the wound sites, and the overall condition after a handover to the PACU nurse. During this transition from the intraoperative phase, I endorsed surgical incision sites, dressings and patient’s postoperative condition.

My clinical duties performed that day involved practicing many of the skills I have learned throughout this nursing program. Initially, I was responsible for getting a good hand off report during our walking rounds that morning. I utilized the method Filipina had showed me during our first shift together. I went according to systems and this way I began to create a picture of Ms. R condition. She was there because she had a partial colectomy. During this procedure, the surgeons removed parts of her large intestine due to her history of bowel obstruction. She had an ostomy, which required that I put special care towards the newly created stoma. I was responsible for a full head-to-toe assessment. In addition, I was responsible for recording my findings on her chart in the computerized system. I passed her medications and was responsible for explaining what

I will continue applying this outcome after I graduate. I will continue using the references available for making a clinical decision while providing consultation to the customer or any health care professionals. For example, if a pregnant lady comes to the pharmacy asking for a recommendation about the use of Zantac during pregnancy, I will make sure to confirm through the resources available that Zantac is pregnancy category B and therefore it is safe to use in pregnancy before providing any recommendation to her.

For this reflective piece I am going to write about a situation I encountered whilst on my community placement with the district nurse. To write the essay I will be following "Johns model of structured reflection" as a basis to structure my reflection around.

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.

I am extremely excited to begin my preceptorship on the Orthopedic floor at UPMC Presby. I am confident that this clinical opportunity will help me gain confidence and competency before graduation. I am unsure what to expect during this rotation. However, I would like to be pushed out of my comfort zone and forced to experience a new environment. I believe that challenging environments help facilitate the best possible growth in students, especially in the clinical setting.

In this assignment I am going to reflect on a clinical situation that has taken place during my placement. I will be using the Gibbs’ reflective cycle which will include the skills of assessment, planning, implementation and evaluation of care and link it to the registered nurse standards for practice – standard 4 , comprehensively conducts and assessments (nursing and Midwifery Board of Australia [NMBA], 2016). The Gibbs’ reflective cycle consists of 6 stages which starts with a description of the situation and what I observed, the second stage is to describe what were my feelings and thoughts were at the time, third stage is an evaluation to explain what worked well and what was good, fourth is an analysis to link the incident to what we have been learning , fifth stage is the conclusion to talk about what else could have been done and the final stage is an action plan to set out next steps for if it was to happen again (Gibbs' Reflective Cycle, 2014).

My eight weeks’ clinical experience was different than the past. Once I arrived to the hospital, I cheeked my female patient’s shift report and nursing intervention. This time why different? my patient was in the isolation room. I have to wear PPE before I enter the patient room. I was nervous to cover my face, hand gloves and gown. when I entered the patient room, I greeted and asked about the night. The patient was tired and stared at me, she talked with low voice, it was very hard to here. I offered her to assist morning care. She waved her hand and said “not now”. I realized what I learned in the class the people who has pneumonia hard to breath and powerless.

Clinical exemplar is a process aimed at fostering self-awareness, empathy, critical thinking skills, professionalism, excellent communication skills, and individual’s well-being through purposeful and deliberate thinking by reflective writing. (Wald, H.S., Borkan, J.M., Taylor, J.S., Anthony, D., & Reis, S.P., 2012). Thus, reflective writing has quickly become part of the educators ' curriculum to teach students in the healthcare setting. This integration is very important because the aforementioned skills have proven to help develop a trusting and positive caregiver-patient relationship with long lasting positive outcomes for the patients and all involved. It also serves as a framework for other healthcare professionals to follow as the clinical exemplar presented below will testify. (Wear, D., Zarconi, J., Garden, R., & Jones, T., 2012)