Self Reflection On Hospital

Today was my third week in Metro Hospital. I was assigned one patient to work on time management with my clinical instructor. The patient I worked had surgery because she had a periocciptal aneurysm that had not yet burst. She chose to have the surgery because she learned the risk of having an aneurysm. I have learned that first thing I need to do is to check to see if the patient is alive because it is my responsibility to care for the patient. But I read the doctor notes prior to understand the priority assessment for the patient which is q4 neuro check and incision assessment. I thought I was able to prioritize my assessment well. I was also assigned to pass medications that day as well. I was able to state the classifications and indications
As I was guided through the day, I was able to finish everything by 9:30. Now I could finish reading in the doctor’s note about my patient’s surgery. I thought this plan was very helpful because it was clear, which made it easier for me to plan my care for my patients. My weakness for this clinical day is confidence, although it is improving day by day. As I continue this program, my ability to critical think will improve as well as my confidence. I believe for me, they both go
The priority of care was to assess his neuro status. Talking to him, he seemed to have a colorful personality. He was talking to me about how he was a “player” when he was growing up. Now that he has grown up, things has slowed down. When the nurse was passing meds to him, she would ask the general questions that nurses would usually ask to a patient such as “would you rather take your meds with water or juice”, and the would respond “why don’t you use common sense”. I liked how she was able to tolerate the patient’s shenanigans. Just talking to the patient, I need that he was adamant in what he wants. I remembered helping my patient get to the bathroom after asking if he wanted to use the bedpan. He was so adamant about using the bedpan, so wanted to use the toilet because it would cause “less mess”. I helped my patient get out of bed to use the toilet. As weak as he is, I needed extra help because he was super heavy. I put him down for a minute, as the nurse aid came to my assistant to help my patient in the toilet. He was in severe pain when we ambulated him. His blood pressure elevated, which showed that he was in severe pain. For next time, I know now to encourage the use of bedpan regardless. Overall, I thought today was a busy and successful day. I was able to time manage properly and assist my patient for needs. I helped Alyssa clean her patient and got my careplan