Tuesday, February 26, 2019

Reflective journal Essay

My third week of clinical placement at Trillium infirmary assigned on the same unit and same patient. Arrive early(a) in the lobby of 4J Rehab meet with our Clinical teacher and group mates. Started with pre-conference had apprise for the day activities assigned as schedule to be with our Clinical Instructor in giving 1000 am medications. After the briefing, I went to the blank space where, met my new preceptor , exchange of greetings little bit of introduction round me and her. We started by taking the endorsement from the emergegoing night shift nurse. check into the plan of care of our assigned patient.She asked to get the manual Blood instancy Apparatus and handed me her pager. I was thinking why the pager. She notice me in confusion of the pager, she just smiled and said I want you to feel your the accredited nurse and I am just your assistant, dont worry I am at your side just answered ok. We went to each patient room, greeted patient, took the vital signs, recorded i t my notebook, does the head to toe legal opinion . After all of these activities we went back to the nurses station where I do the documentation with regards to patients vital signs.At some 900 in the morning we do the morning care for each patient, I had the outlook to assist her male stroke patient change his catheter. We finished around 930 and had our break. After the break 1000 Am sequence to give the medication for my assigned patient together with my preceptor as per schedule. My assigned patient is male 51 years old Spanish who has an Ileostomy case. The medication that I was going to give are pain medications and for his hypertension. My clinical instructor asked me in like manner about the medication routes, and the classification of the drugs.So grateful to her my Clinical Instructor she is so kind and willing to give us all the information we need to learn. I also documented in the MAR sheet, signed the drugs that I gave. I also had the chance of changing the dres sing of my assigned patient, Ileostomy case. Prepared the materials needed for the procedure. Feeling nervous at the beginning, my first time to do this kind of dressing, packing ribbon on an stoma. With my preceptor around who is so cooperative and teaching me the proper elbow room to do it I feel confident and grateful to her too.Me and my group mates had also the chance to watch doing the bladder scanner knowing the tot up of urine in the bladder. One of my group mates did the in and out catetherization, but unfortunately it did work out, something is blocking maybe pus. I also helped the transferring of patient from bed to wheel chair using the manual Hoyer Lift. look at tired that day but happy I learned a lot of challenges, having this positive attitude, experiences during my clinical duty I know I can handle and deal with the situations that I will be encoutering.

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