RN Program CLINICAL PHYSICAL ASSESSMENT AND CARE PLAN NURSERY STUDENT NAME: Robin Rickards CLINICAL SITE/UNIT: SOH/Nursery CLINICAL DATE: 01/20/15 PATIENT INTIALS: F.P. AGE: 9 days Sex: M RELIGION/CULTURE: Not documented MATERNAL AND LABOR HISTORY: Mother was admitted to hospital on 01/09/15 for labor induction at 39 weeks and 4 days. Active labor began at 1015. F.P. was born at 1837
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absence of trauma informed care practices on an inpatient psychiatric unit. Observation of some staff members quickly resorting to restraints as the first intervention during an escalation of a patient. Inadequate training of staff on how to de-escalate patients. Failure to use least restrictive alternatives as a primary option. Deficit in knowledge/understanding on how to de-escalate a patient. The metrics that would be used to evaluate this clinical problem would be the number of restraints episodes
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first assignment of the concepts in nursing. The nursing process is a series of scientific steps that can be applied to a patient to fulfil his or her basic needs and helps to solve the clinical problem independently. It is based on a nursing theory developed by Ida Jean Orlando in the late 1950’s. It is an essential part of the nursing care plan and consists of five steps. They are: assessment‚ nursing diagnosis‚ planning‚ implementation and evaluation. The nursing process highlights the patient as
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Critical incident The aim of this reflection is to describe my personal experience in wound care and its management. Gibbs (1988) reflective cycle has been adapted in order to provide structure to the reflection process. Description At the care home I had to nurse many client’s who had developed pressure sores. One particular wound stands out from the rest‚ it belonged to a lady in her late 70’s who was immobile and suffers from incontinence and slight dementia. Her wound was extremely large
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CRITICAL REFLECTION JOURNAL Upon reflective exploration of my 16 week journey regarding the overall critical reflection of Nursing 5403 also referred to as Organizational Theory or Administration I‚ I find that I have a more sound and in depth theoretical understanding of key leadership and nursing administrative concepts and processes. This course has increased my knowledge base in regards to organizational design‚ augmented my awareness of healthcare administrative concepts‚ and strengthened
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Case Study 2 Reflection is a method used in clinical practice‚ where one expresses the experiences from a given situation‚ thus helping to learn and improve skills by applying the knowledge gained for future practice (Cottrell‚ 2011 and Schon‚ 1984). It is my intention to use Driscoll (2007) model of reflection to present my understanding of the issues I faced during a recent presentation to the medical centre. This case study involves a reflective account of a patient that I provided care for
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don’t have family around all the time so they enjoy having someone there to talk with them and help them. At the end of every day I feel that as a future Nurse this job will be very rewarding when helping someone in need. Throughout this entire clinical placement I have encountered helping people every day. The majority of my days ranged from performing a bed bath or sitting down for a nice conversation with patients. By performing a bed bath and making the patient feel comfortable and refreshed
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I am one of the first and the few fellow Class of 2015 Nursing students who were faced with numerous adversities and unfortunately stripped of the chance to attend the pinning ceremony. Due to my current situation‚ I am urged to address this regrettably experienced in the nursing department. I have been enrolled in the RN evening nursing program at Essex County College since 2013. Recently in our last semester‚ which ended in December 2015‚ the scheduled exam dates were accelerated directly after
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Introduction It is widely accepted that clinical interviewing is the fundamental diagnostic tool in psychiatry. Indeed‚ Schreiber states that “the psychiatric interview is the essential vehicle for assessment of the psychiatric patient.” Unlike other areas of medicine‚ psychiatry lacks external validating criteria‚ such as lab tests or imaging‚ to help confirm or exclude diagnoses. With the clinician’s diagnosis and subsequent treatment plan being determined by the clinical data obtained from the interview
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The clinical skill I have chosen to reflect on is the administration of Intramuscular (IM) injections. I will use a reflective model to guide me in my reflection. The Gibbs reflection cycle features‚ description‚ feelings‚ evaluation‚ description‚ conclusion and an action plan (Gibbs 1988). The first stage of Gibbs (1988) is description of events. On my clinical placement I had the opportunity to administer a drug to a patient via IM injection under the supervision of my mentor. I had already
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