Write briefly about your clinical experience. Include

Write briefly about your clinical experience. Include your actions and feelings during the experience. Make connections between your expectations and the actual experience. Include what you felt was particularly effective in your delivery of care and what helped you to be effective. What didn’t go so well and what could you have done differently to be more effective or improve your performance? 2. Plan of Care for the day: You should be thinking about the nursing process for this section. Briefly describe your patient’s illness/injury and their presentation. (Patient with COPD exacerbation) How did the shift report support your understanding of the patient’s situation? Did you need or ask for any additional information? Explain. What were your nursing concerns? This is your analysis of the data. Discuss inter-professional communication with other members of the healthcare team. 3. What ideas/suggestions did you or would you propose to the inter-professional healthcare team regarding your patient(s) priority problem? Use SBAR communication format. Discuss how you prioritized care for more than one patient throughout the day to meet the needs of each patient. Describe your contribution to advancing the patient’s progress toward wellness. What was the outcome for the patient? Provide one knowledge deficit care plan. 4. Management during the experience: Describe your organization plan at the start of the shift. How did your organization’s plan workout? Did you make changes to your plan during the shift? Describe any delegation you did this shift, if you did not delegate today, discuss how your assigned RN delegated. Was the delegation appropriate? 5 rights of delegation? 5. Personal Performance Discuss your time management – did you get everything done on time and to your expectation of completeness? Reflect on an actual or potential legal/ethical concern related to the experience. If you passed meds-(montelukast 10mg, Azithromycin IV piggyback 250ml, and enoxaparin 0.4ml) Reflect on how the med pass went. If you performed a new skill: Reflect on your skill performance. Discussion of critical thinking before and after your skill should be included. If you did not perform a skill: describe a skill including a critical thinking discussion of before and after skill completion. (Examples: NG tube insertion, IV piggyback/push, central line dressing change, blood administration, etc.) SCIENCE HEALTH SCIENCE NURSING NUR 273

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