Weekly Self S.O.A.P - A.
S- Discuss your SUBJECTIVE feelings for this week: This week was a hard one. I knew when I was assigned to the patient that it wasn’t going to be easy. I emotionally separated myself when I was taking care of the patient but when the family came into the room and starting telling stories of how wonderful the patient was; it was hard to separate my emotions from the job. I have volunteered for Hospice for years and have had experience talking with patient’s families but it was a gradually decline for the patient and the families learned to accept their loved one’s terminal illness. This case was just tragic. At first I was a little intimidated because the patient’s blood pressure was so unstable so my nurse and I spent all most the entire day administering meds to stabilize her so I didn’t really do that
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I did improve on the skills I have already learned and practiced in clinical settings. I felt Friday was a much more productive day for me clinically and Thursday was more productive psychologically with my social skills.
P - Discuss your PLAN for improvement, change, new challenges etc. I did go over my shift report with Terri, my nurse on Friday to see if she could critic me and help me improve. She was great and really helped me become more organized. I am not going to say that my shift reports are smooth sailing from now on, I still have a lot of improvement. My brain is always so disorganized so it is going to be awhile before I can do this in a systematic way. My plan for improvement is to keep practicing with my peers on shift reports. I am also lacking confidence in myself, so I need to improve on this. I really need to catch myself before I start putting myself down.
A - Discuss how what you learned in theory this week APPLIES to your patient
I took the Kaplan Integrated test for NUB 440(Medical Surgical) and these were the remediation topics that emerged from the questions I answered incorrectly: multiple sclerosis, lidocaine, peritoneal dialysis, Parkinson’s disease, hip fracture, pneumothorax, prednisone, type 2 diabetes, detached retina, buck’s traction, closed head injury, transesophageal echocardiogram, benign prostatic hypertrophy, cystic fibrosis, glomerulonephritis, cardiac dysrhythmias, thyroidectomy, pressure ulcer, intracranial tumor, cataracts, hepatitis A, stroke, epilepsy, somogyi effect, pancreatitis, meningitis. During my review and analysis, I discovered that I changed 6 incorrect answers to correct answer which was to my advantage. In addition, I changed 1 correct
Secondly, I used safety during medication administration. My preceptor and I would pull up one patient at a time when taking out medications. I also
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
I stayed later yesterday to lighten my load for this morning. I hope we do well. Sarah (Mother): These last five years fell like ten. I never thought nursing was so much work!
My eyes automatically drifted to the tall bright palm tree that moved along with the rhythm of the wind. It’s leafs danced as they presented their welcome. The sun shined down and hugged me with warmth, giving my skin a tingling, but satisfying sensation. I had come from Virginia to California, the famous, constantly spoken of state, that finally reached my sight. The state presented its beautiful attributes to capture my wonder and mesmerization.
Marvine Rodriguez I have learned that i am not as familiar with the computer programs as i thought. I am also feeling unorganized, the start date came faster then I thought. I now know I need to prepare myself for the week. Two days in and I am already feeling more comfortable with everything. Although I still have some anxiety, because I still have a lot to learn.
The evaluation is the final part of my three mandatory written pieces of my graded unit. The final evaluation stage of the graded unit requires me to reflect on how the activity went, whilst highlighting my strengths, areas that require future development and identify my weaknesses, this, in turn, will enable me to adapt my practice to ensure I am continuously supporting patients to the standards set within The Nursing Midwifery Council (NMC). Looking back on the activity, I am proud of myself for being able to plan and follow the activity through to complication. When completing the book with Mr X I found it to be an enjoyable activity that not only offered benefits to Mr X but also to myself, it allowed me to understand the importance of building a therapeutic relationship with a patient. Building a successful therapeutic relationship required me to have good communication and interpersonal skills, (Radcliffe and Ford, 2015), that allowed me to build a relationship with Mr X based on mutual trust and respect.
The first day I stepped onto the floor, I felt overwhelmed and I questioned myself if I was meant for this line of work. I was assigned 14 patients. Soon after interacting with all my patients, my perspective and doubts changed. After leaving for college; I started my college days as a full time pre-nursing student. I continued to work as a CNA and
During the second week, I was feeling more comfortable and confident working closely with the other health care providers and residents in the facility. The most interesting and enjoyable part of my time at the facility was caring and assisting
Making a difference I started my health care career as a nursing assistant at the young age of 16 years-old perusing the dream of one day becoming a nurse. At that time, I really had no idea what I was getting myself into and what it meant to be in the health care. I have been able to touch and impact so many different people’s lives throughout the last 6 years from patients and residents to their family members. Sometimes not even realizing that I was changing someone’s life. Although I’ve helped hundreds of people there is one person that will I will always remember.
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
It was at this exact moment when I experienced my watershed moment. It was at this exact moment when I realized how even the things that we hate doing the most, are absolutely necessary to us because they define who we are as a person. I realized the issue with my life was not that I wasn’t intelligent, or that I was untalented at gymnastics, or that I had poor multitasking skills or an inability to cope with stress. My issue was my inability to want to get the best out of the advantages that the sport brought me. I had lived my entire life without realizing that all the work that I was putting into the gym was to eventually gain something greater.
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.
Today, I am glad I choose nursing because I have overcome my social fears, learn to be a team player, learn how to prioritize and most importantly learned to manage stress. Lastly, I grew as a nurse with each semester because I learned how to respect and treat each patient as a unique individual. I have also learned to put my patient safety as my priority and provide presence because I realized through my clinical experience that, sometimes that all the patients need. Below is the breakdown of how I have developed each semester in nursing school. FALL 2013 • Foundations of Nursing: NUR 2310
Clinical Nursing I Orientation. Today since I woke up I was nervous, anxious and you could say that even scared, but as I learn from my last experience with Fundamental class this kind of emotion of being little scary is normal because nobody knows what the day can bring to us. Also I felt pride and joy because I am proud of where I’ve come so far as being an immigrant who came to this country as many others looking for their dream without knowing the language or even the culture. All my classmates and I were looking forward to meet our instructor because since we started the classes we felt somewhat lost by not having clearly defined our situation with classes and teachers.