Clinical Journal Entry
During the first day of my clinical, I had the opportunity to shadow my preceptor because of some technical problem I did not have my login, so I couldn’t have access to the patient records and all the information’s I needed. Consequently, I shadowed my preceptor. In fact, it was a learning since I did observe how she does her charting, reporting, how to start, organize and prioritizes during a shift. The culminant point of the day was the admission of a patient from the PACU. Before the patient came to our unit, there was a great communication between the nurses who took care of the patient before his admission to our unit. The patient had a surgery on his neck and he looked fine at first glance. We assessed him and followed all the protocol
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After gathering our patient’s information we got a report from the previous shift. The nice part was that my preceptor had most of the patient we had the day before. So she was well informed about the care of these patients and was able to give me detailed information about each of them. It makes the work easier when the nurse knows her patient. This week I started my clinical by helping a wound nurse who came to assess and change wound dressing of our patient. That patient was admitted for overdose and with some infected wound on the back of her both legs. I did assist the wound nurse during her assessment, the wound nurse did talk through the process of changing that patient dressing she explained that the real problem of this patient could be a low perfusion on her extremities, which might be the cause of the patient slow healing process. I also had the opportunity to pass the medications of all the patients we had, and I also did a shift summary for one of the patients, with the supervision of my preceptor. Under the direction of my preceptor, I did place a normal saline to one of my patients. It was exciting because I do not get to place an IV fluid more often. The report I gave to the coming nurse at the end of my shift was catastrophic, I think I need to be more organized
After gathering our patient’s information we got a report from the previous shift. The nice part was that my preceptor had most of the patient we had the day before. So she was well informed about the care of these patients and was able to give me detailed information about each of them. It makes the work easier when the nurse knows her patient. This week I started my clinical by helping a wound nurse who came to assess and change wound dressing of our patient. That patient was admitted for overdose and with some infected wound on the back of her both legs. I did assist the wound nurse during her assessment, the wound nurse did talk through the process of changing that patient dressing she explained that the real problem of this patient could be a low perfusion on her extremities, which might be the cause of the patient slow healing process. I also had the opportunity to pass the medications of all the patients we had, and I also did a shift summary for one of the patients, with the supervision of my preceptor. Under the direction of my preceptor, I did place a normal saline to one of my patients. It was exciting because I do not get to place an IV fluid more often. The report I gave to the coming nurse at the end of my shift was catastrophic, I think I need to be more organized