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Examples of clinical observations
Clinical observation example
Career choices in medical field
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Rotation one was a morning shift, I got to experience how the Phlebotomist do morning draws. They all go to different departments. We drew some timed draws, I saw some patients that were not able to identify themselves therefore; we had to look at their wrist band and match the labels to make sure we drew the correct person. The morning draws are usually for all patients, some of the patients were still sleeping; we had to knock and wake them up. Most of the patients where elderly, I liked how the Phlebotomist asked the patients if they needed anything before leaving their room; I thought this was kind of him.
Surgical Tech: As a seasoned surgical technician, I provided training to 7 enlisted personnel on all aspects of the department. I work hand on hand with the general surgeon, nurses, and technicians to ensure quality of care is present at all times. I have scrubbed and circulated over 46 demanding surgical cases with zero discrepancies and zero post-operative infections, resulting in 100% customer satisfaction and promoting mission readiness. Supply PO: As the Supply PO for my department, I have been crucial for the sustainment of the hospital’s mission and delivery of quality care. I efficiently and effectively managed an OPTAR of $156,129 in support of day to day operations of the MOR.
I observed Stefani Poveromo on October 26th in the Marywood Clinic. The clinic contained a piano, a few chairs, tambourine, xylophone and a guitar. The main instrument that Stefani used was the guitar and piano. Stefani works with a boy named Dan; he has Autism and a bit of OCD. Stefani has a great connection with Dan and him with her making the session wonderful to watch.
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.
Nursing Bedside Reporting, Patient Safety, And Satisfaction Scores The American Nurses Association estimates that up to 80% of serious medical errors involve miscommunication between caregivers when patients are transferred or handed off during shift report (ANA 2012). In the nursing profession change of shifts require the successful transfer of information from nurse to nurse to prevent medical errors and adverse events (Sullivan, 2010). Research shows that when patients are included and engaged in their health care there is greater potential to lead to measurable improvements in safety and quality of care.
Despite my young age of just 15, I had the opportunity to respond to any emergency and code in the hospital. I fell in love not only with the adrenaline rush but with the fact that I, a teenager, was experiencing in real life the events that I watched in medical-themed TV shows and movies. Because of my growing interest in the medical field, my mentor provided me with opportunities to observe the work of doctors and other medical professionals in almost every area of the hospital. Luckily, each experience in one area of the hospital lead to even greater opportunities in other areas, some of which few doctors receive. I observed several surgeries- including a gall bladder removal, an exploratory belly, and an open heart surgery-, small procedures in the Cath Lab, and the daily duties in the Radiology, Emergency, Nursing, Intensive Care, Physical Therapy, Pre-Operation, and Post- Operation Units.
This learning actively greatly assisted in building my confidence, which I required in order to be successful in the new graduate RN role. Good collaborative working relationships are based on clear communication and collaboration with the patient and all members of the healthcare team. (Kieft, et al. 2014 ) This semester I had no issues with regards to speaking with physicians and other members of the healthcare team, and I continued to actively participated and contributed to daily rounds on all 3 critical care units.
The Japanese living on the west coast was placed in concentration camps. The type of concentration camp was just like being in prison, and the Japanese did get fed. The Japanese people were not trusted by the military because they were at war with the Japanese. Since the US was at war with the Japanese the military felt as though it would be beneficial to put the Japanese in concentration camps, to protect US citizens from terrorist attacks. The Constitutional issue is that it does not say anywhere in the Constitution that you cannot arrest someone because they are Japanese.
The patient is a 49 year old female who presented to the ED with bizarre behavior. Patient is responding to internal stimuli with disorganized speech. During the time of the assessment the patient was laying down in her bed facing the wall. Patient seemed alert at first, however when asked questions back time, place, and reasons for in the hospital her speech was severely disorganized and nearly incomprehensible. Patient did denies SI and HI by moving her head side to side as to say no to those questions.
When I arrived, I received a badge to be able to get through the building since it’s a locked unit, which means that you must have badge access to be able to get into the operating rooms or any areas that aren’t patient rooms. When I walked in the nurses were doing their daily huddle. That when they talk about how many surgeries they will have that day, and if they are missing any nurses or doctors. I got to meet all the nurses from both the post and pre-operative side. I had previously worked with a few of the nurses before at
During one of my clinical experiences on an extremely busy unit I was watching nurses communicating with each other during a morning report. It looked like it was going to be a busy shift as they were working short. I was on that team and they asked me if I could straight catheterize a patient who has not voided for six hours as soon as possible. I was excited to help them out and to perform my first catheterization. Prior to that shift I had read over that procedure and felt ready to do it.
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
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
One of my major goals was to become more proficient in my reporting skills. I have enhanced my communication skills, and I am now able to give report not only to other nurses, but physicians as well. My reports have become more concise, more organized and I have received a lot of positive feedback from staff. I have had the opportunity to watch several procedures including a nasal intubation, insertion of central lines, and the removal of intra-aortic balloon pumps. The staff were so supportive of my learning, and frequently pulled me away to see new skills being performed.
The perioperative experience involves the preoperative, intraoperative, and postoperative phase. I had the opportunity to closely observe the health care staff during the last two phases of the perioperative process. This experience allowed be to gain a better understanding of the role of nurses throughout these different phases. It was apparent that their day to day duties are different than registered nurses in other areas of the hospital. During the perioperative experience, I was able to observe the role of the registered nurses, the role of other staff members, the progression of the nursing diagnosis, and patient teaching.