Nursing Reflective Essay

The staff reported that she would be yelling and kicking when they tried to assist her to do things. The staff texted Susan, Mable has a scratch on her arm and needed a bandage, they did not know how she got it. Susan (who is an RN) arrived, she took a photo of the four inch gash/skin tear and Susan provided first aid to the wound. Mable has multiple bruises as well. The staff then wanted to shower her Grandmother, despite recommendation that they sponge bathe her because of the wound, they showered her anyway (Susan's aunt noted that the shower had feces in it).

Nurse Practitioner are registered Nurses who serve as primary and specialty health care providers under a physician. Much like a geriatrician, Gerontological Nurse Practitioners work with elderly patients, diagnosing illness, conducting exams, and prescribing medication. (“Geriatric Nurse…”). These type of nurses work at nursing homes, with home healthcare services and in hospice facilities, or run your own private practice. A geriatric nurse work with finding illnesses and diseases, prescribing medication and therapy, routine check-ups and screenings, etc…etc.

They had not been checked off on vital signs or any part of physical assessments yet. Therefore, I assisted students and their patients with the proper way to ambulate and get non-independent patients on the commode or to the bathroom. Overall, I felt that my biggest

IHI Certificates and FEMA Certificate- Current and Future Practices The IHI and FEMA Disaster Management certificates I completed was, shared decision making, quality in health care and introduction to the incident command system for healthcare/hospitals. All of these topics are very relevant to my current and future nursing practice. Shared decision-making and quality in health care are fundamental components to a nurse daily practice.

The lady then looked at the paper and realized it was wrong and started to laugh and said “ I am so sorry I wrote the wrong one down.” I knew that if I didn 't notice the papers they would have done surgery on my right knee instead of the left knee. I was moved to another room where other people were surrounded by nurses getting prepared for surgery. The moment I was stationed in my room I was surrounded by different nurses. There was the anesthetic nurse, the head nurse, the assistant nurses and even the nurses that are in training.

The nurse thanked me for my help and as I was drawing up the saline Katie’s mother smiled at me and told me I would never forget this experience. She and her husband were both very thankful to the staff as they were leaving the hospital when Katie was being transferred. In that moment I felt a part of the team and I was happy that the nurse let me get involved with something that I was competent with and capable of completing successfully under supervision. I think looking back I should have taken initiative and gone to my preceptor before entering the room, so she could have informed and prepared me for what I was about to see. Although the nurses were very helpful once Katie was transferred.

I will give my patient the pseudonym of Jane, who was diagnosed with psychotic depression. Jane was attending the bathroom when I was called to assist her. She felt unable and unmotivated to clean herself after utilising the toilet. I encouraged her to stand with minimal assistance as requested. I ensured that my voice was quiet throughout, so that no patients around us could hear what was happening.

The professional nursing values I believe are things you can be taught and some you cannot. Nurses are special individuals who ultimately want to care for and help others as much as they can. I agree with all of these values and believe some I will need to work on myself such as competence, illness prevention and patient education. Others I believe I have based on my experience I have already had while caring for others. Some of the qualities I believe I have include: caring, compassion, dependability, empathy, focusing on the patient- defining quality of life, having a holistic patient centered care, kindness, openness to learning, respect for others their dignity and worth and sensitivity.

My goals for my second clinical were to know how to read electrocardiogram strips and to take more opportunities to talk with my patient. During clinical I learned that my patient had a history of Atrial Fibrillation and Rapid Ventricular Response. In my mind I attempted to picture how those dysrhythmias differ from the normal sinus rhythm. My patient also had family present to offer him support. I meet my goals though asking questions to my patient and his partner throughout the shift.

I have always been told that I care so much about other people, more than myself at times, that I worry about others and sometimes I can be too nice. To some people these traits can be negative; to me I look at these attributes as positives in my life. I have been a nursing assistant for 12 years in almost every clinical setting in the hospital, but primarily in the mental health setting. I truly believe that my traits of caring too much, being compassionate and worrying (or advocating) about my patients is why I have thrived and actually been extremely happy in the clinical setting. There were days, especially in mental health, when all a patient needed was someone to care about them and to be a little nice to them.

This experience also allowed me to respond to Brandon needs by using various caring and communication strategies to draw from previous SP scenarios, apply the positive characteristics gained from them, and improve upon the negatives. What I had learnt in class the week of this scenario was developed and expanded during the application of care. While completing Brandon’s bed bath, I had to alter my newly acquired cleansing technique because his spinal injury prevented him from moving his legs independently. Additionally, my aim for this provision of care was to allow Brandon to feel comfortable and safe throughout the entire care process, especially during his bed bath. I took action to accomplish this goal by drawing upon my previous SP experiences, making sure at least two bed rails were up at all times, only exposing the part of his body being washed, and most importantly, I recruiting my partner to lift and move Brandon’s legs while I washed

At that point time a patient had to go the wash basin. Since there was not anyone in the cubicle, the patient stood up and try to go to the wash

Introduction This essay is a reflective piece of writing about the critical indecent of a medication error that occurred during my placement. It is a very concise piece of writing due to limited word count of 1500 words. Duke and Appleton (2000) did a literature review and devised a framework of critical reflection, which illustrates eight stages as compare to Gibbs’s (1998) reflective model that consist of six stages. I chose Gibbs reflective model not only it is easy to comprehend but also to illustrate a critical incident.

The nurses were clear. No visitors. They refused to let us see Johnny who was in critical condition. We wouldn’t take no for an answer. It was our buddy in there and we would do anything to see him.

The world is still unknown to me and yet I still have questions to ask myself about my future. Life is filled with questions that don’t have an answer. If there is a question without an answer then it would feel like an answer without a question. Knowledge is an important aspect in my life because I want to seek answers to find out more on how the world works, like having a big picture on life as a functioning unit. This is also the reason why nursing is the field I want to major in.