Name
Chamberlain University
NR-325 Adult Health II
Prof. Name
Date
This week in clinical was a remarkable experience that allowed me to engage closely with a complex patient case. My patient had a history of multiple health issues, including atrial fibrillation, which significantly affected her heart rate and created challenges in stabilizing her SPO2 levels post-surgery. Although this patient had not required oxygen support before, she became oxygen-dependent after her surgery, highlighting the intricate ways in which past health issues can lead to unexpected complications. Observing how these factors intertwined to impact her recovery deepened my understanding of patient care and the importance of monitoring for secondary issues following procedures.
My assigned nurse this week was very supportive and dedicated to teaching, offering me the opportunity to shadow her across various patient interactions. Under her guidance, I gained hands-on experience with essential tasks, including bathing a patient, discharging a patient, and transferring another patient between rooms. I was also able to assist with medication administration, observing the process of pulling medications and participating in the discharge of meds under the supervision of another nurse. A notable skill I practiced involved setting up a patient’s PCA pump, where I learned the importance of having a second nurse present for cosigning and verifying dosages. These experiences reinforced my understanding of clinical processes and safety measures.
The highlight of my week was the relationship I developed with one of my patients. Building strong patient relationships was one of my initial concerns, and I was relieved to find myself growing more comfortable and confident in this area. Although I felt somewhat uncertain and overwhelmed during my first week, this week allowed me to move beyond my initial hesitation and actively support the team. I completed essential tasks such as taking vital signs and performing a head-to-toe assessment on my patient, which helped me feel more assured in my clinical abilities. Clinical practice has allowed me to appreciate the real-world application of nursing, where tasks feel different compared to theoretical or online practice. Skills such as head-to-toe assessments seemed challenging in theory but flowed naturally when executed in a clinical setting. As I continue in my clinical journey, I am excited to develop further and explore more of what nursing has to offer.
Activity | Description | Personal Insight |
---|---|---|
Patient Care Experience | Managed a complex patient with a history of atrial fibrillation, resulting in complications post-op. | Highlighted how interconnected health issues can influence recovery, emphasizing comprehensive post-operative monitoring. |
Skills Practiced | Assisted with bathing, discharging, patient transfers, medication administration, and PCA setup. | Reinforced essential nursing skills, understanding the importance of protocols, supervision, and safe medication handling. |
Patient Relationship | Built a strong rapport with a patient, addressing initial fears of patient engagement. | Developed confidence in patient interaction, showing personal growth from initial week challenges to this week’s progress. |
American Psychological Association. (2020). Publication Manual of the American Psychological Association (7th ed.). Washington, DC: American Psychological Association.
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