Rn Reflection

From the feedback I have received over the years I have identified my practice issue to be increased responsibility and patient load as a new RN. In order to address this practice issue, I need to improve my prioritization and time management skills. This will allow me to better handle the increase responsibility and patient load and will allow me to provide safe, competent and quality care to all my patients. By improving these skills, I will build a stronger nurse-client relationship with all of my patients, and I will become more confident in myself and the care I am providing. My practice issue that I have identified relates to the CNO entry to practice competencies that were mentioned earlier. The competency that relates to my practice

The learning need that I identified from this practice issue, are strategies to increase my time-management and prioritization skills. Overall my learning goal is in the first year of practice, I will use time management and prioritization strategies to help with the increased responsibilities and patient load of an RN to help provide safe, quality patient care. I formulated this goal by using the SMART criteria, which are specific, measurable, attainable, realistic, and timed. This goal is specific to my learning need, as I will use tools to addresses my lack of time management skills and my lack of ability to care for an increased patient load. I can measure this goal by looking patient outcomes and satisfaction, along with errors and near misses and lastly reflecting on the care provided. This goal is attainable as I have some time management skills that I am currently using and I have the knowledge and ability to learn new strategies to apply in my current placement and future health care setting. This goal is realistic, as it is easy to apply these strategies in my placement and this is a key skill that RNs need in order to effectively provide care to their patients. Lastly, this goal is timed as I have provided a time frame for when these skills will be applied, which is during my current placement and in my first practice

Through my research I was able to find three strategies that can be used in the practice setting. The first strategy that I found was creating goals on a daily basis. It is good to refer back to them to see how well activities were planned and to what extent they were achieved. These goals can be adjusted as the day may change due to new or different events. If one does not have goals, then it makes it harder to assess whether or not plans were achieved (Arnold & Pulich, 2004). In the maternity setting, these goals can help organize my care plan for each patient. For example, the todays goal for Mrs. Waxmin can be that I will provide teaching and assistance with breast feeding. While tomorrows the goal will be to allow her to try to independently breastfeed. These goals can be different for each patient but they are patient