Reflection On Clinical Context And Experiences Of Patients

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Clinical Context & Experience
I completed my final two shifts on 11/24 and 12/1 at Sharp. The unit had a pretty large census both nights, so we were fairly busy both nights. During this shift I had to notify the doctor twice and felt the most relevant journal topic was advocacy. The first night I had three patients which included a 84 year old man who sustained a hip and right shoulder/humerous fracture from a fall at home and a history of HTN, CKD, MI with coronary stent placement, and diabetes, an 86 year old woman admitted for rapid A-fib with history of TIA, HTN, CHF, and rheumatoid arthritis, and finally a 35 year old woman who was being discharged following her treatment for polynephritis. During my final shift, I cared for a 71 year
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These patients had several medications for their chronic conditions such as diabetes, CHF, COPD, and hypertension. This lead me to administer several medications throughout these shifts. In addition, I performed several blood glucose checks, skin care treatment, and performed all assessments and charting for all six patients, and performed change of shift report on five patients. In relation to advocacy I had to advocate for almost every one of my patients in different ways. One patient needed an additional medication to control his heart rate, one patient had some cultural preferences she wanted to include, and another family who was not happy with their care on a previous unit. These two shifts were a great end …show more content…
First #1 Personal Learning Objective: by the end of semester I will demonstrate effective communication by proving comprehensive shift to shift RN hand off report on at least one patient. I gave shift to shift hand off report for five of my patients between the two shifts. As I continue to practice I 'm growing and becoming more confident in report and more thorough. Next, #2 Personal Learning Objective :by the end of semester I will demonstrate effective time management by providing holistic care for at least 2 of the three patients without the help or assistance of my preceptor. I cared for six patients total between my two shifts . I am growing and developing better time management skills and feel more confident and less stressed with a heavier patient load. I really enjoyed the added responsibility and am gratefully for the opportunities to practice my skills this semester. Finally, #5 Personal Learning Objective: by the end of semester I will demonstrate effective patient advocacy by communicating the patients wishes and decisions regarding their treatment options to the physician. I used advocacy multiple times during these shifts to express both the patients desires and needs regarding the care to multiple members of the healthcare team. Kalaitzidis and Jewell (2015) insist that nurses at as a translator between the patient and healthcare team and this is one of the reason that

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