A. Clinical Strengths & Needs
• Strengths: Today, I began that start to feel like I am perfect certain skills as well as gaining more confidence. It’s amazing how much I have learned and have grown as a future nurse. I’m also beginning to realize how attached I am to my resident; I am constantly assessing to ensure my resident’s health. Objectives I met today were demonstrating professional values of caring and holism; implementing strategies to promote, maintain and restore health; and demonstrating effective clinical decision-making and safety in practice. An example of objective 1 was during a depend change, I noticed my resident had a redness on his right bottom. Since, he had redness on his bottom, I placed a pillow under his right side
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Even though, my resident has a history of reoccurring redness on his bottom; I reported this observation to the CNA, charge, and wound nurse to make sure they are aware of this occurrence. Like I have mentioned before, I am becoming attached to my resident; it’s my job to ensure he gets the best care. An example of objective 4 was, right as I greeted my resident’s I noticed his oxygen tubes were pressing against his face and his upper lip and that the tubing was starting to leave imprints in his skin. I was concerned that a pressure sore could develop, therefore, I advocated for my resident, and asked the charge nurse for something to relieve the pressure. I was given foam pads to place on the tubes that go behind my resident’s ear. This significantly relieved the pressure off of his skin; which was extremely rewarding. I enjoy advocating for my resident; I believe everyone deserve the best care. Advocating for a resident is an important factor that results in the resident receiving the best care. Lastly, an example of objective 5, was when transferring my resident to the dining hall, I told him to lift his feet while moving his wheel chair. During this this process my resident started to drag his feet; leaned forward and
CCIB LPA Perryman-French received a call from Mildren. her husband Julian lives in this facility. He is non-ambulatory and requires assistance to utilize the bathroom. Mildred stated that when staff call in, the director does not replace them or cover behind them, the result is that her husband cannot get the assistance he needs to use the bathroom. This has increased his accidents.
CCIB received a call from Susan, her Grandmother was at the facility for four weeks, moved in 11/17/2015, Mable Werane (DOB 09/08/1914). While she was there, the family thought maybe she was having trouble adjusting to the new place as the one she lived at for 8 years had just closed. Two days after she moved in, she had a doctor appointment, her family noticed that she was wearing depends, even though she never wore them before. They discovered that the staff was not taking her to the bathroom every four hours as she was accustomed, just left her in the depends. The family also started to notice that when they changed her, they seemed to just toss her around, she would be overheard saying "Don't, Don't and Ow, Ow."
As lifelong learning continues, it is important to focus on patients and family outcomes through teamwork collaboration, advocating, effective communication, and equally, self-driven to accomplish goals to create and coordinate activities to promote professional development, is why I have chosen to apply for the ambulatory nurse educator
On Thursday 11/19/2015 at 2019 hours, Security Officer Omar Alonso was instructed to relieve Security Officer James Johnson in the Specialty Care Unit who was on a Patient Standby in E.D. (51S) for room # 40. The patient, Wanda Laboy-Capo (DOB: 03/06/1965, FIN# 84862336), had been brought in by EMS from a traffic accident and was acting in an erratic manner. The patient had ripped out her I.V. and attempted to elope from the Unit on several occasions. Security was stationed inside the Specialty Care Unit to keep an eye on Ms. Laboy until her family members arrived at which time she was going to be released to their custody according to her assigned Nurse, Karl Tabora.
Were you surprised by the strengths identified? Overall, I was not surprised by the strengths identified after completing the assessment. The five strengths identified included: achiever, learner, focus, restorative, and futuristic.
Foci, Client-Centered Care: What information (assessment data, policies, EBP) did you need in order to individualize care for your client this week?
From the words of Robin Williams, playing the character Patch Adams “You treat a disease, you win, you lose. You treat a person, I guarantee you, you'll win, no matter what the outcome” (Farrell & Shadyac, 1998). This quote encompasses the concept of strengths-based care, as Adams recognizes that one cannot holistically aid an individual when focusing on their deficits. While this concept has only been accepted recently, Myra Bennett, a renowned nurse, had been implementing segments of strengths-based care over 90 years ago. After examining and explaining the theoretical approach of strengths-based care, I will illustrate how the unique stories of Myra Bennett influenced the notion of care that I hold.
The RP reminded the facility the resident is receiving a Medicare Assistant Waiver and could not afford the one on one care. The RP stated the facility was aware of the resident 's medical condition by her personal physician and the resident 's medical issue had not changed since admission. The RP stated the facility was provided with detail information regarding the resident’s needs and
This paper will discuss the organization, mission, vision, values, and goals of the organization I am currently employed at. The nursing mission of the organization will be discussed, in addition to the unit nursing mission and its consistency with the goals of the organization as a whole. How my work relates and contributes to the unit’s mission as well as strategies to strengthen the mission and vision will be included. Lastly, the nursing department structure will be discussed along with pros and cons of using that organizational model. Organization Mission, Vision, Values and Goals
As a novice practitioner and member of the health care team I believe I have come a long way from when I first began the nursing program. I have expanded on my communication skills with patients and overall knowledge of nursing. Within the hospital setting I am now more confident than I have ever been before. I use to walk into a patient’s room and not know what to say. I now do not have to think about what to say when entering a room, it just comes naturally.
The second key aspect related to expertise,the nurses must have technical skills in order to provide effective and safe care. The third aspect mentioned that nurses must have communicative capabilities. The nurses serve as spokespersons for patients who are often in vulnerable positions. The nurses are easily accessible and can act as a link between the patient and other professions.
According to my preceptor last semester I demonstrates a sound understanding of self-care, self-reflection and work life balance. I also have an “understanding of the components of the nurse patient relationship, by maintaining an open and professional relationship with the patients.” I am also “demonstrated self-direction and initiative” (B. Mahy, personal communication, DATE). Rena Hania, my current preceptor indicates that my strengths include “Maturity, professionalism and desire for autonomy. Asks appropriate questions, and have a gift for connecting with my patients” (R. Hania, personal communication,
In the past I have shown my strength in this area of nursing care when looking after family members that have fallen victim to sickness. Whenever someone tells me that they are not feeling well, I immediately jump into action and try my best to make sure that they feel “cared for” .The feeling of pride and satisfaction I experience after caring for a person that is unwell is what originally made me choose nursing as a career. Caring is a basic attribute of human growth and development (Griffin 1983). This is why, as a nursing student I know it is such an important strength to be utilised when helping a patient to feel better.
Leadership within the healthcare field is necessary to increase skills, organization, understanding, and control within the workplace (Huber, 2014). The leadership role tends to fall into the hands of one who is trustworthy, knowledgeable, motivating, committed, and adequately communicates to the team (Huber, 2014). With each leader comes strengths and weakness, hence, the reason why self-assessment and reflection on leadership skills are necessary. Over the course of this essay I will perform a variety of self-assessment and reflection tests in order to identify my strengths and weaknesses as a current and future nurse leader. Results
Providing care to a patient is a particularly challenging process that requires a great deal of effort from a nurse. A nurse’s ability to give quality care to their patient is an important aspect to a patient’s life both now and in the future. As such, nurses must exhibit specific qualities in their practice in order to maintain the best standard of care for their patients. Given this, I believe that the standards of knowledge, advocacy, and self-awareness are foundational to the nursing practice and to a nurse’s capacity to provide quality patient care. Knowledge