Reflection of Nursing Student

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REFLECTIVE JOURNAL

As a second year nursing student I felt mixed emotions of excitement and anxiety when I was thinking about my upcoming clinical placement because even though I have been working as a patient care assistant at Royal Darwin Hospital for a year and had already undergone clinical teaching block for one week . The responsibility of being a nurse is big and much complex than my current job [1.2 Fulfils the duty of care] especially when handling assigned patients. Thus, need to have a good supervision from my clinical preceptor to meet the best possible nursing care to my patient with in my scope of practice [2.5 Understands and practices within own scope of practice]. My four weeks of clinical placement was taken place in 2B ward (Surgical Unit) at Royal Darwin Hospital.

In the first day of my clinical placement we had an orientation together with the Clinical nurse educator, she told us about the rules and regulation of the ward and the do’s and don’ts inside the ward [2.2 Integrate organizational policies and guidelines with professional standards]. And after that she showed and toured us around the ward making sure that we student nurses will familiarized the area and know where to find fire exit, fire extinguishers and resuscitation trolley in case of emergency [1.3 Recognises and responds appropriately to unsafe or unprofessional practices ]. She also introduced us to the 2B nurses from different cultural backgrounds as we will be working with them for four weeks [2.3 Practices in the way that acknowledges the dignity, culture, values, beliefs and rights of individual/groups].

During my clinical placement there is one patient that really caught my attention. This patient was assigned to my care as part of my clinical training. He’s name is Mr. Wilson (Pseudonym) 46 yr old indigenous male patient 3 days post op; complete toe amputation left foot. He has history of diabetes mellitus for 10 yrs. When I entered in his room I notice that my patient was sweating profusely, restless and skin warm to touch [5.1 Uses a relevant evidenced-based assessment framework to collect data about the physical socio-cultural and mental health of the individual or group]. Before I took his vital signs I introduced myself and told him that I am Stephen Leynes a second year nursing student from CDU. And then ask for his permission to take his vital signs. He is alert and orientated, febrile with current vital sign BP: in normal range; Respiratory rate 20; SPO2 99% in room air; Temperature at 40.2 degrees/Celsius. He has IV cannula in situ right arm. I asked him if he had pain anywhere and replied none at the moment. I opened the dressing and checked the wound site and saw that there is swelling in the surrounding area; haemogenouos small amount in the wound site could be a sign of infection. He currently in a daily wound dressing plan [5.2 Uses a range of assessment techniques to collect relevant and accurate data]. After I gathered the relevant information and wrote it in patient’s chart I went and tell my clinical preceptor and told her about the current condition of my patient. I asked for her evaluation so she went and verified my observation and pleased about the result [4.1 Use best available evidence, standards and guidelines to evaluate nursing performance]. We gave panadol 1gram PRN to Mr. Wilson to reduce his temperature to normal level. However, I need to check his temperature after 1 hour to observe for any changes [6.2 Establishes realistic short- and long-term goals that identify individual/groups health outcomes and specify condition for achievement]. As we were doing the drug administration we observed for 6 right of drug administration. He is currently in IV antibiotics twice a day we sorted out together with my clinical preceptor that it might need a review from the attending physician to increase its effectiveness towards the patients wound healing. After the end the shift, I did the hand over...
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