Self-awareness I was extremely nervous about coming onto med-surg unit today because I feel that I have had much that I need to review, but not a whole lot of time to review materials. I was also nervous because I know that many of my fellow nursing students have a lot more experience than I do in health care, so I felt that the nurse I would shadow today may not want someone with such little experience as me. As I was sitting at our meeting spot at 6:40 this morning, I realized that my mentality was already a barrier that I needed to overcome before I stepped out on the unit today. I needed to remind myself that this was a different unit than my mental health rotation. That the nurses on this floor were not like the nurses over on the mental …show more content…
My nurse would ask me if I was comfortable in trying to go handle it on my own and I said that I would be happy to go try to resolve the issue on my own. Each time I walked in and greeted the patient with a friendly smile while first asking him how he was doing and then asking what I could do for him. Each time he would say that he was doing okay and then he would ask if the nurse was around to help him fix his problem. I explained that the nurse was a little busy today, but I could try and help him with whatever problem he had. He then responded that he felt comfortable talking to the nurse about the issue. I told him that I would go get the nurse, but I tried asking him what his concern was again so that I could tell my nurse when I went to grab her. The patient told me that he really would like to discuss it with the nurse. Throughout the day, it seemed that the patient did not like me enough or was comfortable enough with me to take care of him. I later learned that the patient has trust issues with hospital staff, but he had this nurse many times. He trusts her and since he has only met me today, I can understand why he would be apprehensive about me. In addition, I am a nursing student still learning my practice, so I understand why he would be hesitant about my ability to take care of him. However, I feel that throughout the course of the day this patient and I gained some common ground. He became comfortable …show more content…
She had a surgery to fix her enlarged aorta which was causing her much difficulties, but she was being discharged to a rehabilitation center to help her further heal. As my nurse and I were taking care of her today, I noticed that the patient seemed incoherent and confused at times. As I was trying to use critical thinking skills to figure out what was wrong, I noticed that my mindset was still thinking more in a setting of that of a mental health unit. I realized that I was trying to assess her more if she was a patient on the mental health unit because that was my last clinical rotation, but that is not the case for this patient, or really any patient on this floor. The procedures and surgeries the patients have on this unit takes a lot of energy out of a patient and can leave them exhausted. The patient may need extra time to rest or catch her breath from moving from position to position or from place to place, especially because she had heart surgery. In the future, I need to continue to be aware of how draining these procedures can be on a patient and acknowledge that they could benefit from more rest and
Sometimes when patients come into the hospital it can be difficult at times for them when they are feeling bad in knowing exactly what is going on. There are cases where it’s
Valerie, I agree with you, the solution to these problems begins with the charge nurse, Sherry. The charge nurse seems preoccupied and does not give James the time he needs. He is a new nurse to the unit and has questions about this type of surgery and it is the charge nurse’s responsibility to make him feel at ease. Like you stated, the charge nurse should have went and spoke to the patient and try to understand what the issue or issues were with the patient and why she was being nonverbal towards James. The patient’s safety and satisfaction are of utmost importance, it not only reflects on the care given, but the organization as a whole.
Then we were ready to interact with the patient. The patient was in his room, so I asked a nurse technician to direct the patient to stay in the day room for a while. We started to assess the patient when he was walking to the day room. We engaged in about ten minutes of conversation with the patient and got some information including suicidal ideation assessment. After the conversation, we also noticed how the patient interacted with staff and other patients.
It is hard to be compassionate to those patients. The best part is when you see a patient go from not being able to walk, talk and eat to being able to do all of that and more. Brieanna: What advice would you give to a new nurse? Michelle: Start on a med surg floor so that you get every experience possible before you switch to something specific.
While I went to room three in bed two. Helping my resident decorate her tree not long before we left. As we sat in the conference room and talked about that nurse everybody pretty much said the same thing. Shouldn 't have to be that rude at least we 're getting an example of the real world like you said. Once we 're done I went back to the residents and told them have a
the why we approach patients in a certain way. Look forward to broadening my knowledge base, learning theory behind nursing and approaching patients in a different way. When caring out orders and discharging patients today I'm thinking of the learning style and
Working with patient’s that are aggressive can be challenging and even overwhelming at times, making it important of the nurse to self-reflect upon the encountered situation to gain insight and understanding. Being self-aware to one’s own feelings while working with patients and reflecting upon those feelings can benefit a nurse’s practice and care that is provided. As I stood outside the clinic room, I had a lot of nervous energy going because I had no idea what to expect walking into the room and what would happen. I felt hesitant to enter the room which seemed to be a similar response to everyone else as well that was waiting outside their respective doors. As we entered the room I was quite throw off by having the patient sitting on the
After that I went to patient room and introduce myself. I told her that I will be taking care of you today and will administer her medication. She looks little bit nervous
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.
There is one male acute patient whom I have become friends with during my visits at Moccasin Bend. In the beginning of my fieldwork, I was very uncomfortable talking to him as he has severe emotional regulation problems. He has flight of thought as he can begin speaking on one subject and quickly change the topic without me realizing it. Furthermore, he can go from laughing to crying in under thirty seconds depending on the topic. When I first started talking to him, I did not understand what I should do because at one moment we were laughing, and then he starts crying.
She is also unsure whether the patient wishes to report this issue. The social worker was presented with the ethical dilemma of choosing between respecting the patient’s confidentiality or intervening to disclose and report the issue to the hospital
¨ The nurse then said that he's okay but it would be better if they did not visit him. The parents were upset because they wanted to see his son on his
Describe the duties of the professional nurse in this case with Mr. Cole As a nurse we are supposed to have compassion and build a rapport with our patients but we must uphold our ethical principles when it comes to this dilemma. As for analyzing this situation and coming to a decision I would use the nursing process since it provides a helpful mechanism for finding solutions to ethical dilemmas. (Whitehead 2007). I would assess the situation and ask myself about the medical facts, psychosocial facts as well as cultural beliefs, patients’ wishes and what values are in conflict. I would then move on to planning and make sure that everyone is involved during this stage and continue on down the line with the nursing process.
I was given the privilege to shadow Kerry Pullman, RN on the Med Surge/Telemetry unit at Liberty Hospital. Kerry has been an RN for two years after four years as a certified nurse aid and 3 years as a licensed nurse. Kerry has been working on the med surge/ telemetry unit for almost a year after working in long term care, primary care, urgent care, orthopedics and surgery. When asked Kerry stated the hardest part of being a new nurse was “old nurses” she said that often the old nurses will “eat their young”. We started the day by getting report on Kerry’s patients from the previous shift then going over the patients charts to make sure we had all the information we needed for her patients to provide the best care possible.
Last semester was composed of a critical care lecture class and two clinical courses, which were mental health and community. I try my best to be open-minded and willing to make every new experience a learning opportunity. For my community clinical we were placed at an assisted living center. For our first few meetings I could tell that the group’s overall impression of our placement was not favorable. At first the feelings about our clinical were not spoken outright and could be seen as withdrawal.