Foci, Prioritization:
What priorities drove your ability to facilitate care this week?
This week I was only in the PACU for one day and that day I was assigned the team lead role. My priorities while in that role included floating around where I was needed, providing care for not only the patient assigned to myself and my coassign, but also giving a helping hand to my fellow classmates when it was appropriate. I felt appreciated and I felt equally appreciative towards my classmates as I was able to see my role as the student in a different light. I found myself taking mental notes of how my classmates implemented care and interacted with their patients. This gave me ideas of how to improve my own care. I feel that being in a smaller group and in an open room where we were all able to see each other going through the same experience gave us all a boost in confidence. In previous CPR entries I have talked about my own problems with confidence and I feel that being in the PACU assigned as the team lead facilitated in addressing my personal priority of becoming more assertive.
Foci, Client-Centered Care:
What information (assessment data, policies, EBP) did you need in order to individualize care for your client this week?
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I knew after I saw the first signs of blood seeping through the dressing that I needed to assess the abdomen by palpating lightly for distention, and by marking the drainage. I was assessing the dressing every 5 minutes and marking the drainage. I was also keeping a watchful eye on the VS. By this time I had discovered the distention and notified the charge nurse who then contacted the HCP. Since I marked the dressing and put a time on it each time, I was able to provide the HCP with an accurate timeline of events. Without the focused abdominal assessment, the situation could have gone a different way. I feel proud of my