Clinical Experience Essay
My clinical nursing experience at Chestnut Hill has had a profound impact on my academic and professional journey in nursing. As a nursing student in an accelerated program, I am consistently saturated with a host of medical and nursing care knowledge. In a very short period of time, this information must be absorbed and retained. Consequently, I have found it very difficult to bridge the academic realm of this program with my clinical experience until now. For example, if I am assigned to a patient with hepatitis, it has been difficult for me to recall all of the complications, sign and symptom, treatment options, teaching education and much more. Within this rotation, I have begun to form the vital bridge between what is taught in
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class and the patients I am exposed to during my clinical rotation.
After receiving a brief report on my assigned patients for the day, I enter the rooms to introduce myself, obtain the patient’s vital signs and performed a brief 60 second assessment. I then meet with the assigned nurse to receive the full patient report. The nurses that I have worked with are very informative. They have reviewed with me how to complete focused assessment and full head-to-toe assessment on patients based on their specific diagnosis. Having these experiences and witnessing the nurses perform these assessments with ease as per nursing standards have been impactful. I now feel as though I have a better mental picture and grasp of what an assessment looks like on a real patient. In addition, I feel as though I can perform these assessments with confidence.
Our clinical instructor is truly passionate about the academia and clinical practice of nursing.
Her passion and wealth of knowledge has been very inspiring and has been most impactful in my ability to bridge the gap. In our morning brief report, the patient conditions are explained down to the vascular level of pathophysiology. This explanation and academic review has helped me create a mental concept map of patient. This concept map is filled with patient disease understanding, clinical labs to review, potential signs and symptoms, and nursing diagnosis and care plans. This map has help me with my ability to integrate nursing knowledge with clinical practice. If I am assigned to a patient diagnosis with CHF, I now think ineffective gas exchange, possible SOB, decrease perfusion, low RBC, elevated BNP and much more. I consider factors and ask questions to unearth what environmental factors may have led to the patient CHF and how is it currently being assessed and treated. In addition, I mentally begin to prioritized what the patients need may be due to their diagnosis. For example, if my patient is having a difficult time breathing due to their anxiety finding out the triggers, previous coping methods and treatment opportunities is vital to ensure positive health outcomes. It may also be beneficial to assess new treatment opportunities, respiratory therapy, social work and psych consults dependent on the patient personal health status. As my nursing academic and
professional career continue to grow, developing this tool will be vital to my success and promote encouraging academic and clinical outcomes.
class and the patients I am exposed to during my clinical rotation.
After receiving a brief report on my assigned patients for the day, I enter the rooms to introduce myself, obtain the patient’s vital signs and performed a brief 60 second assessment. I then meet with the assigned nurse to receive the full patient report. The nurses that I have worked with are very informative. They have reviewed with me how to complete focused assessment and full head-to-toe assessment on patients based on their specific diagnosis. Having these experiences and witnessing the nurses perform these assessments with ease as per nursing standards have been impactful. I now feel as though I have a better mental picture and grasp of what an assessment looks like on a real patient. In addition, I feel as though I can perform these assessments with confidence.
Our clinical instructor is truly passionate about the academia and clinical practice of nursing.
Her passion and wealth of knowledge has been very inspiring and has been most impactful in my ability to bridge the gap. In our morning brief report, the patient conditions are explained down to the vascular level of pathophysiology. This explanation and academic review has helped me create a mental concept map of patient. This concept map is filled with patient disease understanding, clinical labs to review, potential signs and symptoms, and nursing diagnosis and care plans. This map has help me with my ability to integrate nursing knowledge with clinical practice. If I am assigned to a patient diagnosis with CHF, I now think ineffective gas exchange, possible SOB, decrease perfusion, low RBC, elevated BNP and much more. I consider factors and ask questions to unearth what environmental factors may have led to the patient CHF and how is it currently being assessed and treated. In addition, I mentally begin to prioritized what the patients need may be due to their diagnosis. For example, if my patient is having a difficult time breathing due to their anxiety finding out the triggers, previous coping methods and treatment opportunities is vital to ensure positive health outcomes. It may also be beneficial to assess new treatment opportunities, respiratory therapy, social work and psych consults dependent on the patient personal health status. As my nursing academic and
professional career continue to grow, developing this tool will be vital to my success and promote encouraging academic and clinical outcomes.