Patient Care Conference 72 Hour Reflection Report

I communicated with the patient’s, my preceptor, other nurses, the PCT’s, PT, and the kitchen staff. When I was in the patient’s room I was sure to explain what I was doing, and answer any questions the patients had about their plan of care. I worked with my preceptor throughout the shift, asking questions, clarifying orders, clarifying medications, procedures and more. I communicated with other nurses by thoroughly receiving and handing off report. I communicated with the PCT’s that I would perform the vital signs for my patients and worked with the PCT when my patient needed labs to be sent down.

During a clinical shift, I would be responsible for providing care to patients with malignant hematological diseases, completing pertinent assessments and teaching skills, such as how to care for the mouth when experiencing mucositis and how to avoid infections. Self-reflection on Professional Practice All nurses registered in the general and extended classes are required to complete their self-Assessment every year. Self-Assessment is a self-directed, two-part process that results in a learning plan (CNO self assessment 2018). Through the process of self-assessment, you identify your areas of strength and learning needs (CNO

Outcome 5: Use Basic Communication and Collaborative Skills to Optimize Patient Outcomes Brenen Dapkiewicz NU 311 Fundamentals of Nursing Practicum Washburn University School of Nursing Knowledge Q1: Describe how you utilized several communication skills you were introduced to in class. During my long-term care experience last Friday, I was exposed to many forms of communication. There was non-verbal communication, where you could just see that a patient was maybe anxious or content.

Additionally, this experience helped me to develop effective therapeutic communication techniques and enforce skills to provide enhanced care for the resident. An improvement that I would make for next semester is to improve my execution and time management while performing tasks. I intend to perform skills with greater confidence and improve my overall interactions with the patients, families, and health care workers. Improving these interactions will benefit in the overall comfort of the patient and improve the care that I will provide to them. Overall, this Long Term Care experience provided me with the necessary fundamental skills practice and critical thinking development that will be utilized in the following semesters and throughout my nursing

Description: In week 7 we had visited Wesburn Manor, the Long-term Care (Clinical Placement) setting. It was our first time there, therefore as a group, we oriented the place. At this time, we went to each nursing station on each floor and introduced ourselves from the organization we were from and how we will be providing patient care to the clients in this setting. We were educated by our clinical instructor on the different access codes in the building, the policies and guidelines, our assigned floor and the appointed personal support worker. Our role of professionalism as a nursing student was represented as we came prepared and greeted each healthcare and staff member.

My first activity was sitting in the bed board meeting. This takes place every morning with the Chief Nursing Officer (CNO), departments nurse managers, departments charge nurses, house supervisor, wound care nurse, Infectious Disease (ID) and social services. The purpose for this meetings is to address important information to plan the day. Some of the information that was mention was: How many patients are admitted at this time, open beds, pending discharges, foley telemetry, central lines, sitters, and inmates.

Reflecting on the past seven weeks I have acquired countless knowledge, which I will use to further strengthen my profession as an Advanced Practice Nurse. The course allowed me to think beyond my current practice knowledge and acquired innovative ways to evaluate the situation at hand. The learning objective in program outcome four helps set standards that I will use to guide my clinical practice to meet various healthcare needs. Using the case studies has helped to further enhance my knowledge on disease physiological state, using differential diagnosis, disease manifestations, and clinical presentation. It has also taught me the skills on how to differentiate between similar diagnoses to properly identify the problem and treat the patients.

Introduction As we approach graduation many BScN students are prepping their resumes and settling into the mindset of “I’ll apply to anything, just hire me!” We thought it was important to ensure that our future graduate think ahead to all the many different nursing careers that are out there, what role they think they would be happiest in, what training might be needed for that role and how to be successful in the interview. This reflection will examine my experience working as a group to complete a facilitation in the Nursing 4Q03 class. Facilitation Experience (planning, conducting, evaluating)

According to Bramhall (2014), Effective communication one of the basic skills of nursing staff, which enhances patient care. Add to this the communication plays an important role in showing empathy and thus it becomes easy for the patient to report positive experiences or even the bad ones. I think that the most important things are to communicate not only with the patient but also with healthcare team members. In addition, nurses need to be able to communicate successfully with all member of the health care providers and to provide and give the full information about the patient

During a clinical shift, I would be responsible for providing care to patients with malignant hematological diseases, completing pertinent assessments and teaching skills, such as how to care for the mouth when experiencing mucositis and how to avoid infections. Self-reflection on Professional

Upon arriving to the unit this morning, I quickly realized today was going to be a chaotic day with the current patient census, and all of the new admissions. I was able to assist the night charge nurse with today’s assignments, while she helped with the code, and the day began. I informed my team that today was going to be a long day, and encouraged them to use each other and myself for help. I recommended they taking a few minutes to coordinate their work after receiving report. At 0745, when Jane informs me that the patient in 408 has fallen, I am quick to get into the room and do an assessment again.

This week we had our orientation at Holy Spirit Hospital in Camp Hill. On Monday, in the Fundamentals of Nursing class, we learned different oxygenation therapy for the patients. We had a chance to go to the Sim Lab and see different types of equipment such as the nasal cannula, venturi mask, simple oxygen face mask, re-breather mask, pulse ox machine and the oxygen flow meter. Although, we were not able to use on the simulation mannequins, we were able to see what they look like and how you would use them.

I was able to create better therapeutic communication skills, pick up on the patient’s ticks, learn how to assess for triggers, etc. I will use this in the future because I will come in contact with patients who suffer from a mental illness on any floor I work on. They may not as serious as some of the patients I worked with on this clinical rotation, however, it is still important, as a nurse, to recognize and address mental health issues with patients. I also learned just how important self-care for nurses is. It doesn’t take long for nurses to begin to feel burnt out and lose passion in what they do.

Investing my time in the care of my patient gives the opportunity to not only assist them in a difficult situation, but also to learn more about their diagnosis and the treatment, while comparing it to what we have learned in class. For example, I had a patient that suffered from Sickle Cell Disease and came to the ER during a crisis. Correlating this case to the books and the content learned in class, these patients receive at least 1000 mL of fluids, pain medication, and oxygen. Additionally, I had a patient with meningitis. This individual presented with common symptoms such as nuchal rigidity, muscle pain, fever, and chills.

Through this initial assessment, the nurse can obtain information that is crucial in providing the client with effective holistic care. Nursing assessment framework tools are used to help the nurse obtain accurate information about the patient’s wants and needs. This initial assessment based on subjective and objective data, helps to determine the patient’s actual problems and potential problems (Weber & Kelley, 2013). An assessment is carried out to obtain objective data and a physical baseline of the patient on admission.