Specialty Menu for Chinese Patient With Renal Failure Diagnosis: Renal failure is the slow digression of the kidneys in the body system. The disease can either be acute, or become chronic, which is more common among the elderly. Judith Hopfer, April Hazard Vallerand, and Cynthia A. Sanoski describe in Davis's Drug Guide for Nurses how this occurs. This can result from injury or by the aging process where the kidneys begin to shut down. (Hopfer, Vallerand, Sanoski, 496).…
Summary An 85-year-old woman with a diagnosis of chronic renal failure. Complaints of weakness and fatigue after every dialysis session. Dialysis scheduled 3x/week. Upon initial physical therapy evaluation the patient was alert and oriented to person, time, and place. Upper and Lower extremity strength were grossly graded ⅗ to ⅘: Static and Dynamic sitting and standing was rated as good; Patient can walk independently without an assistive device.…
Same Day Surgery During same day surgery, I shadowed Nurse Laura, BSN, RN. We prepared four patients for their procedures. The first patient was an 81 year old, white male. He was a patient of Dr. Workman in for a medi-port placement. A medi-port is one type of a central venous access device.…
NURS 149 – Kaiser Permanente Puyallup Reflection Journal Charity Rominger Kaiser Permanente’s clinical rotation is like a peek behind the curtain – an opportunity to see the inner workings of a doctor’s office. From previous personal experience, I have only seen the hallway and specific assigned room after being called back for a doctor’s visit. It was intriguing to see the rest of the operations, various roles, and responsibilities.…
It was my first day of training. UCSD Medical Center (or whatever the name is). First stop: Emergency Room. As I walked inside I saw doctors and nurses bustling about. To my left a resident was stitching up a bicyclist who had been in an accident.…
This week at clinical I had a Gyn patient for two days and a new mom and baby on the second clinical day. My patient that had on Tuesday with the hysterectomy was a very quiet and kind lady who was recovering very well from her surgery. During and after her cares we were able to connect through learning about her family she grew up with, her family she had grown of her own and about her children and other interests of hers. It made me feel good being able to own the moment through connecting with my patient that also made collaborating and working as a team much easier throughout the day to complete the needed tasks. Another aspect of making the shift go very smoothly was working with Brenda, I enjoyed collaborating with her as she is fast-paced…
This was an excellent week. I learned how to do assessments based on the cardiac and respiratory systems. I was able to serve food, help assist with feeding, and observe the residents chart. In addition, I worked more independently with the residents at the nursing home. I was able to engage in conversation, assist with toileting, and attend a social activity with the residents.…
My patient was a 54 year old, physically active, self employed tree trimmer, who had a massive heart attack. After a stay in ICU he is stabilized and is going home for 1 week with a “lifevest” defibrillator, while he awaits his surgery for stent placement and permanent defibrillator surgery. He has a very complex situation. He is young and just had a massive heart attack.…
Provide a description of what happened/learning activity While on placement on ward 15B (Surgical) at Southport Hospital, I had one specific learning opportunity that I wanted to complete as part of my surgical nursing experience. This was to follow a patients’ journey through a surgical procedure. I was able to arrange this learning opportunity with my mentor and also through the consent of the patient and agreement with the surgeon and theatre team. This chose this learning opportunity so that I was able to experience and understand the basics of perioperative nursing within the three different areas of theatre; anaesthetics, surgery, and recovery. Also, the surgical nursing care given pre and post operation.…
a. One situation I was able to utilize developmentally appropriate techniques to deliver quality care was with my patient when I was taking vitals. This was toward the end of the clinical day, so he knew me a little more and was less anxious. I explained what I was going to do to him so that he didn’t feel as nervous. I let him decide which arm to pick to do his blood pressure and pulse oxygen. I also let him play with my stethoscope when I was getting the blood pressure cuff set up.…
Adult Health III Reflective Journal 3 This week in clinical I was on the Critical Care Unit. My patient was in for respiratory problems. At the start of clinical I was getting report and one of the nurses and was interrupted to assist with a catheter. Was excited to insert a catheter, which was my first time successfully inserting a catheter in to a female patient. During this shift my nurse had three patients.…
I feel that the preoperative briefing that took place before the patient arrived is what allowed the team to work so well in this emergency case, all of the details that was known about the patient was shared to the entire theatre team, with enough time to be able to prepare and collect all the appropriate equipment that was needed but also equipment that was possibile needed so that all avenues of care was covered and prepared. Bethune (2011) stated that teamwork, communication, and efficiency in the operating theatre is widely recognised to be suboptimal. Poor communication is the single biggest cause of medical error. The surgical operating theatre is a potentially highly stressed environment where poor communication can lead to fatal errors.…
My clinical group had our first rotation today on 4 North at the VA. It was a very positive experience, and I look forward to more clinical days on this floor. The nurses were great and my patient was very talkative. This was my first time talking to a veteran about his service, and it was very interesting.…
My first clinical experience was at St. Vincent hospital on a geriatric unit, when I was a second year nursing student. During my time there, nurses often approached me to provide small learning experiences and teach students how to be efficient. When a nurse on the unit asked for help with a bed bath for a patient with whom I was not familiar, I agreed. I wanted to get as much experience as I could. The nurse led me to the patient 's room right away.…
Nursing is a lifelong learning. To grow professionally in nursing I need to reflect and analyse on my clinical experiences. It will help me to improve my professional practice, gain more knowledge and skills, and increase my critical thinking abilities and confidence in dealing with difficult situations. To reflect on what I had learned during my past work experiences I will use Gibbs reflective cycle. It was my first week of work as an Operating Theatre (OT) nurse.…