This week I was in 1600, which I have not been on since my first semester. In this floor you see more post surgical patients. I liked the new environment and being exposed to different nurses and types of patients. I was able to take care of 3 patients and feel confident in what I was doing. I believe that because my preceptorship is coming up soon, I have set my mind to think more independently along with feeling more secure in my nursing skills and assessments. Furthermore, having the nurses positive feedback was very reassuring.
O - Discuss an OBJECTIVE summary of interventions and skills you performed this week:
This week I was able to assess my patients and …show more content…
document in a timely manner. I had the opportunity to hang antibiotics via piggy back, hang NS primary bag, do glucose checks, give insulin injections, give narcotics with my nurse at bedside, and push antiemetics via saline lock. I also had the opportunity to assess a three lumen femoral catheter that was not giving any blood return. I was able to assess and drain two JP drains. I was able to advocate for my patient whom was NPO due to a procedure. After returning form her procedure, I was able to call the doctor to have him change the diet order to resume regular diet.
A - Discuss a self-ASSESSMENT of your performance this week:
This week I finally felt completely comfortable with my assessments, skills, and documentation.
I felt I had a grip on my time management. I was able to document right after my assessment with all my patients. I find that this not only helped me remember every detail of my assessment but it also allowed me to go back to the patient at that moment, if I missed a part of my assessment, and finish the documentation. My nurse this week taught me things that I had not learned in the previous semesters. I felt sure of my nursing skills and was thinking “like a nurse”.
P - Discuss your PLAN for improvement, change, new challenges etc.
Like with every other med surg rotation that I have had, I try to take it one day at a time. Learn from my mistakes every day and improve from them. I have learned so much these eight weeks during the different rotations in the ER, ICU and med surg. From being on 1800 med surg and helping a patient transition from being ill to being discharge to being in the ICU and being a part of a code blue, doing compression and having them pass on. I am certain that I will continue learning until the day I retire. I will accept every challenge that comes my way and will not be afraid to ask for help or guidance. I am looking forward to learning more as I develop my career as an independent
nurse.
A - Discuss how what you learned in theory this week APPLIES to your patient load.
This week was our first lecture on trauma and burns. Although my patients did not have any trauma, their bodies had gone through trauma via surgery. I was able to see the big picture and not just focus on one diagnosis. We are taught to look at a diagnosis, how we are going to treat, manage, and look for labs that confirm that diagnosis. This has helped me tremendously this semester. Not only by looking at one or two diagnosis can we help care for our patients, but it also helps us look out for other signs and symptoms that can be present secondary to the primary diagnosis. As previously mentioned, looking at the patient as a whole, like Glenn mentioned during the lecture, helps us be better prepared to care for our patients.