Experience Essay On Clinical Experience
Clinical Experience Assignment # 2
Virender Kaur
California State University, Bakersfield
Clinical Experience Assignment # 2
An issue that I encountered during one of my clinical rotations at Bakersfield Heart Hospital was a leadership and patient advocacy issue. On the last day of my clinical, my preceptor and I were assigned to triage. We saw one patient who came in with shortness of breath and high blood pressure, and another one who came in with headache. So, after doing the initial assessment, both of those patients were given rooms. Later, the physician went in their rooms to do his assessments, and after that he placed the orders in the computer for both patients. Fortunately, my preceptor checked the orders, and …show more content…
An 84 years old female patient came to the ER due to shortness of breath and high blood pressure, so she was put on BIPAP. The physician prescribed nitroglycerin patch and morphine to bring down the blood pressure. So, I went in her room to put the nitroglycerin patch on and give morphine via IV push. I told her why she was getting those medications, and the patient accepted to get the patch, but she said she doesn’t want to take morphine. So, I respected her wish and told the physician that she doesn’t want to take morphine. In this situation, I respected her right to self-determination by respecting her choice (Marquis & Huston, 2015). However, fifteen minutes later, the patient called us and told us that she would take the morphine because her family had explained her that it would benefit her. So, I again ask her to make sure if she is sure about taking morphine, and she said yes, so then I gave her morphine. The issue of patient autonomy will affect my future nursing career because it is very important to respect patient autonomy and give them an environment where they feel they have control over the situation for positive patient outcome. So, in future, I will continue to respect patient autonomy because the nursing values central to advocacy emphasize compassion, autonomy, respect, and patient empowerment (Marquis & Huston,
Virender Kaur
California State University, Bakersfield
Clinical Experience Assignment # 2
An issue that I encountered during one of my clinical rotations at Bakersfield Heart Hospital was a leadership and patient advocacy issue. On the last day of my clinical, my preceptor and I were assigned to triage. We saw one patient who came in with shortness of breath and high blood pressure, and another one who came in with headache. So, after doing the initial assessment, both of those patients were given rooms. Later, the physician went in their rooms to do his assessments, and after that he placed the orders in the computer for both patients. Fortunately, my preceptor checked the orders, and …show more content…
An 84 years old female patient came to the ER due to shortness of breath and high blood pressure, so she was put on BIPAP. The physician prescribed nitroglycerin patch and morphine to bring down the blood pressure. So, I went in her room to put the nitroglycerin patch on and give morphine via IV push. I told her why she was getting those medications, and the patient accepted to get the patch, but she said she doesn’t want to take morphine. So, I respected her wish and told the physician that she doesn’t want to take morphine. In this situation, I respected her right to self-determination by respecting her choice (Marquis & Huston, 2015). However, fifteen minutes later, the patient called us and told us that she would take the morphine because her family had explained her that it would benefit her. So, I again ask her to make sure if she is sure about taking morphine, and she said yes, so then I gave her morphine. The issue of patient autonomy will affect my future nursing career because it is very important to respect patient autonomy and give them an environment where they feel they have control over the situation for positive patient outcome. So, in future, I will continue to respect patient autonomy because the nursing values central to advocacy emphasize compassion, autonomy, respect, and patient empowerment (Marquis & Huston,