The situation I will be reflecting while be my first experience performing tracheostomy care. This reflection will analyze the issue of time management and its importance in a successful nursing practice. I have also outlined the actions I have taken to advance my nursing practice as a result of this reflective exercise.
The first and only time I performed tracheostomy care on one of my patients was early this semester. It occurred during my second night shift the medical /surgical ICU level 2 step-down unit at Sunnybrook Hospital. A level 2 step- down unit means that the patients on the unit don not ventilators, and that the unit only intermediately receives patients with tracheostomies. It was my second night in a row, and I was eager to attempt tracheotomy care for the first time. In the room with me were my preceptor, the patient, and the patient’s sitter. I gathered all the necessary supplies and entered my patient’s room confident in my ability to perform the procedure. I was confident in my ability to complete the intervention as I had prepared by reviewing the textbook guidelines on tracheostomy care, watched an Evolve nursing skills step by step video, and had seen my preceptor perform the skill twice, the previous evening. The reality of the experience was very different …show more content…
Stress contributes to anxiety which can “impede concentration, memory and problem-solving ability, and so negatively affect task performance” (Lei, Jin, Shen, Li, & Gu, 2014) A students ability to learn in a clinical environment is very different from school. Clinical settings have become “progressively more stressful” therefore nursing students need to learn effective interventions to help decrease anxiety which can lead to improved efficiency in their nursing practice. (Lei, Jin, Shen, Li, & Gu,
The first and only time I performed tracheostomy care on one of my patients was early this semester. It occurred during my second night shift the medical /surgical ICU level 2 step-down unit at Sunnybrook Hospital. A level 2 step- down unit means that the patients on the unit don not ventilators, and that the unit only intermediately receives patients with tracheostomies. It was my second night in a row, and I was eager to attempt tracheotomy care for the first time. In the room with me were my preceptor, the patient, and the patient’s sitter. I gathered all the necessary supplies and entered my patient’s room confident in my ability to perform the procedure. I was confident in my ability to complete the intervention as I had prepared by reviewing the textbook guidelines on tracheostomy care, watched an Evolve nursing skills step by step video, and had seen my preceptor perform the skill twice, the previous evening. The reality of the experience was very different …show more content…
Stress contributes to anxiety which can “impede concentration, memory and problem-solving ability, and so negatively affect task performance” (Lei, Jin, Shen, Li, & Gu, 2014) A students ability to learn in a clinical environment is very different from school. Clinical settings have become “progressively more stressful” therefore nursing students need to learn effective interventions to help decrease anxiety which can lead to improved efficiency in their nursing practice. (Lei, Jin, Shen, Li, & Gu,