Personal Narrative: My Personal Experiences In Nursing Practice

Improved Essays
On Wednesday 29th April 2014, I was assigned to the same four patients I had the day prior. One of my patients was admitted for sepsis of the R) knee following a total knee joint replacement two months prior. He was a 67 year old Maori gentleman, MRSA positive with a history of gout, hypertension, GORD, bilateral total hip joint replacements and R) sided weakness following a MVA in 2011. During handover, it was stated to us that this patient was due to have his IVABs at both 1300 and 1400. When I saw the times, I thought something was slightly odd as I recalled one of his antibiotics was given early morning the day prior and is a 12 hourly antibiotic. As I started my shift, I became side-tracked with jobs therefore forgetting to check his medication chart to ensure the times for his IVABs were accurate.
As the day progressed, I had some free time to look over the medications for this patient. I noticed
…show more content…
In turn, I displayed beneficence (doing good) by accepting that I had made a mistake and by informing the charge nurse immediately. I also displayed non-maleficence (doing no harm) by seeking advice from the charge nurse as to whether I should still administer the antibiotics, or wait until the next course was due ensuring no harm was done. I also documented my mistake in the patient’s notes to ensure his team of doctors were made aware of the situation and during shift handover, I advised the afternoon nurse of the error. Furthermore, I displayed justice (fairness) and veracity (truthfulness). In a situation like this, I know I would appreciate being told the truth, so it was only fair that I inform the patient and admit to my mistake. It is also within the patient’s rights to be fully informed of anything relating to their health and delivery of health

Related Documents

  • Improved Essays

    IPPE Institutional Rotation Final Reflection My spring semester rotation, from January 13 to April 21, is at South Texas Regional Medical Center located in Jourdanton, TX. It’s a small hospital with a capacity of 67 beds, providing medical, surgical and emergency care for the population of 4,000 in Jourdanton and 10,000 in adjacent city Pleasanton. My preceptors include Dr. Claudette Leiker, the pharmacy director, and a group of clinical pharmacists.…

    • 509 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Layla Micheli Monica Malt LVN 121 11/17/2017 What were the Contributing Factors to the problems in this Case? Describe them by category below. Equipment (design, availability and maintenance) The Pyxis machine is designed to calculate patient medications and doses accurately and should have alerted the nurse when the dosage was too high for a pediatric patient.…

    • 1228 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    In some cases nurses and/or doctors make a mistake in prosecuting a patient's safety, they must take action; "Disclose the error to the patient. " Unlike in Henrietta's case no one had told her the side effects of her treatments and she was unaware that her doctors had made multiple errors in her diagnostic; "Until that moment, Henrietta didn't know her that the treatments had left her infertile. " Vicki collaborates in "Patient Safety: The Ethical Imperative", "As a patient's advocate, the nurse must speak to the appropriate person of higher authority when incompetent, unethical, illegal, or impaired practice is noted in any health care professional. " For example, when TeLinde was collecting samples, no one objected not even the nurses but Dr. Lawrence Wharton jr. had the liberty to write it down on a SEPARATE sheet of paper in her records.…

    • 873 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    Bopap Case Study Essay

    • 84 Words
    • 1 Pages

    Carl stated he did refuse to place the patient on BIPAP. He said he spoke with the patient and the patient refused BIPAP at the time. I did let Carl know he did not document this interaction with the patient and failed to follow the order which was BIPAP at night. I advised him if his assessment was that the patient did not need BIPAP he should have spoken with the doctor and recommended changing the order to PRN. Let me know your thoughts…

    • 84 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    And why do we have this problem in the first place?” (Chinn & Kramer, 2011, p.64). I feel that I failed my duty to provide this patient with the best care due to my negligent behavior thus I cannot say anyone benefited from my actions. I failed to communicate the patient’s bloodshot eye to the team, which could have led to more complications for the patient. Communication in nursing practice is extremely important, a whole nursing course is dedicated to it; I can now see that this was something lacking in the above clinical…

    • 1863 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    My day started a bit off, I had an emergency that morning that made me run a bit late for clinical. This made me miss some important information such as, how nurses in NCBH hand over to the next shift, but aside that, I had a wonderful day working with nurse Mrs. Osei. She welcomes me by introducing herself, which I responded likewise. She took me with her to do her morning rounds and administer medication to her assigned patient. After we were done with her morning medication, I went to one of her patient whom I was assign to by Mrs. Natasha to perform mini mental survey and general assessment on the patients.…

    • 292 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    ICU Patient: Post-op elderly Caucasian male (open heart) Indication: Acute Renal Failure Condition: Unstable Monitoring: Vital signs blood pressure, electrolyte, urine output and fluid status Drug on board: One time 2 doses of 1 grams CaCl the previous night Hold: No medication to hold now, usually an ACE Order of Drugs: Calcium chloride 8 grams in NaCl 0.9% 1000ml.…

    • 418 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Gibbs Reflective Cycle

    • 548 Words
    • 3 Pages

    I am reflecting on medication administration using different stages of Gibbs Reflective Cycle such as description, feelings, evaluation, analysis, conclusion and action plan (Gibbs, 1988). Medication administration is a key element for nursing practice. During my CPU class, my tutor demonstrated how to administered medications to patient using five rights which were right patient, right drug, right time, right dose and right route (Bullock & Manias, 2013), to follow the OSCA criteria step by step and to use proper asepsis technique, then I was asked to administer a drug to the patient (dummy). Firstly, I asked my tutor to observe my medication administration procedure. According to the patient notes, patient was due for Heparin injection through subcutaneous route.…

    • 548 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    In March of 2015 I decided to take a huge leap of faith and start back to school to become a Reg.istered Nurse. The thought of a Bachelors in nursing never rossed my mind at the time I was just ready for something new, something more. At that point I had been in the dental field for sixteen years and I was ready for a change. What really helped drive this diction to change was my part time job working at a nursing home, I knew then I had more to give. This dream however was not a new dream it was one a long time in the making.…

    • 515 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    I am proud to say that I found my purpose in life. Being a nurse is my calling and it is a privilege. I am called to nursing and found it so meaningful and enjoyable to work and serve the public. I have enough compassion for my patients. I believe I was suited for this.…

    • 102 Words
    • 1 Pages
    Decent Essays
  • Decent Essays

    I admired the nurse that took care of my aunt up to this day and hold them in high respect. I invested hours in their office whenever I visited my aunt in the moments of her surgery or to pick up her medicines. Few years later, I had been volunteering at a local hospital, this made me fully realize the hard work nurses put in their work line. My overall experience with the nurses that I encountered was positive. In my senior of high school, I took a course on health and human anatomy.…

    • 109 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Ffp Case Study In Nursing

    • 962 Words
    • 4 Pages

    1. The patient presented pre-surgery with deranged INR of 1.6. Fresh frozen plasma (FFP) ordered by the surgical team. Incomplete blood product checks by a medical officer (MO) and lab staff resulted in the incorrect unit of FFP being collected. The MO handed over the FFP to the ward nurse.…

    • 962 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Compromise In Nursing

    • 746 Words
    • 3 Pages

    Medical nurses working when all is said in done practice may have fundamental impact in the general practice group, upgrading the procurement of essential consideration administrations, and procurement of profitable backing to the group (Merrick et al., 2012). Every medical nurse's part is individual, rehearse particular and variable; in this manner, the open doors for every individual practice in utilizing or holding the attendant's administrations are additionally changed (Wachter, 2008). These open doors ought to be considered in perspective of practice specifics, for example, understanding demographics, case-blend, workload and current staffing (Merrick et al., 2012). The advantages of medical nurses working when all is said in done practice…

    • 746 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Medication Reconciliation in the Hospital Setting The transition of patients from an acute care setting to a home setting is often challenging and stressful. It can be complex for the patient to understand the instructions for discharge and, more importantly, it can be challenging and dangerous when it comes to ensuring the patient understands the medication reconciliation process. Successful transition to home is multifaceted and depends partially on an accurate and complete overview of all medications with the patient. This is an imperative safety measure across the continuum of care (Ruggiero, Smith, Copeland, Boxer, 2015).…

    • 825 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    Health professionals want to maintain a perfect image, therefore, admitting to an error be challenging. Nurses need to maintain a high standard of behavior on and off duty and take full responsibility for their action and claim accountability of any mistake made. Documentation is a vital part of nursing as it contains all the information of the patient which then can be accessed by the government organizations during an audit. In RN Liz’s instance, she breached the code of rights, domains of the competence and standards of the principle in the code of conduct. She did not show professionalism and did not take proper responsibility while administering medication to Mr. A. she also failed to document the incident and to speak to or take advice from her co-workers or seniors RN’s in response to her situation of feeling…

    • 1927 Words
    • 8 Pages
    Great Essays