My First Clinical Experience: The First Clinical Experience

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The First Clinical Experience
It was an early morning in April. My friends and I arrived 45 minutes early to our long term care facility in Scottsdale, Arizona. The three of us sat in my car and anxiously awaited stepping foot into the care facility as we had no idea what to expect. I began to wonder what the patients would be like and how I would care for them. My heart began to race as I was afraid of hurting the residents and not promoting healing from their ailments. Honestly, I didn’t know what types of illnesses would place individuals in the healthcare unit in the facility. That terrified me. I wanted to know everything I could ahead of time in order to appropriately care for the older adults on the unit, but that knowledge wasn’t attainable.
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My learning community of ten students and our instructor walked into the building, through many hallways, and onto the unit—our first nursing unit. We walked through the center room, which intersected the four hallways of the unit, and into the conference room where we would hear report. The night nurse began rattling off a long list of patients to the day nurse and I could not believe that one RN was responsible for so many patients. Not only was she responsible, but she also was required know everything that was going on with each individual. It blew my …show more content…
My partner and I were designated to help care for an elderly gentleman who recently had an ischemic stroke. Our resident was sleeping in a chair in the center room and neither of us wanted to wake him until it was time for breakfast. I asked one of the LPNs on the unit if she needed any help and she wanted us to take our residents vital signs before medication administration. We awakened him and walked him to his room to provide for privacy while we took his vital signs, which included taking blood pressure manually. This was a skill that I was not entirely confident in, but I knew it was crucial and something I needed to do; it was essential to put my patient first. I felt for my resident’s brachial pulse, placed the cuff on his upper arm, put the diaphragm of my stethoscope where I felt the pulse, and began squeezing the pump. When I had finished taking his blood pressure, it was very low. I took the blood pressure again, and the second time was just a low as the first. The patient was on an antihypertensive medication and I knew that administering the medication with a blood pressure that low could result in life-threatening

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