Clinical Setting Experience Reflection Paper

Clinical Setting Experience Reflection Paper

Clinical Setting Experience Reflection Paper

Reflection Journal

Being part of the clinical team that takes care of the patient is exciting. Recently I took part in the clinical rotation where I was attached to a night house supervisor. The night shift ran from 1930hrs-0730hrs. I worked with Anju, who was a registered nurse with a bachelor’s degree who worked on the night shift as a house supervisor, a role that she enjoyed doing based on her explanation. I followed the supervisor and observed what she was doing in terms of patient management and administrative roles. Our shift began with receiving reports from the day shift nurses.

The reports provided included patient history, laboratory findings, prescribed medications, nursing intervention, and general wellbeing of the patient including any special reports. The reports were useful in providing the incoming staff with more information that could be used in the continuity of care. During the rotation, we did rounds in most of the departments. Activities during the rounds included updating patients’ notes, admission of new patients, and receiving reports from previous nurses Notably, the departmental reports were well organized, and this made the whole process easy. Clinical Setting Experience Reflection Paper

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Reflection on Action

On the other hand, one area that I faced challenge was attending a code blue on a patient who developed cardiac arrest. The situation was confusing as it required urgency and quick thinking. The patient was desaturating on oxygen, restless, and gasping for air. On the other hand, the family members were in panic and were blaming the nurses on the day shift for having neglected the patient. Various response units were activated. The medical doctor responded in time and with help of other clinicians and nurses tried to resuscitate the patient.

However, resuscitation was uneventful. This even led to further panic as family members were turned into chaos. It required the effort of the house supervisor and the security to manage the situation. Anju remained calm, empathized with the family, and helped them understand what led to the imminent death of their kin. The conversation was fruitful as the family members accepted the outcome following the informative information they received. According to Cullati et al. (2019 Clinical Setting Experience Reflection Paper), effective communication is necessary in coming up with solutions in case of disagreement.

Reflection on What I Learned

Finally, I earned that the roles of house supervisor were not only limited to patient care but also included the admission of patients, supervising others, act as staff representatives, educated patients, foster relationships, and carry out administrative roles of the hospital (Weaver & Lindgren, 2017). Anju took me through all functions of the house supervisor in a practical way. She was constantly involved in making calls to the hospital administration concerning the needs of various nurses who were called to air their concerns. She explained to me that she had the mandate of presenting the pleas of the other nurses so that solutions could be met. This meant that sensitive issues were addressed before the eruption of violence. Additionally, we provided education to patients and relatives concerning their conditions while addressing their special concerns including prognosis and effectiveness of treatment. Clinical Setting Experience Reflection Paper

Conclusion

Doing clinical rotation after grasping knowledge from theory was even more relieving. Prior knowledge on patient admission procedures, updating the clinical report, and handing over duties helped me understand most activities during my rotation. For instance, I was involved in presenting patient history and discussing management plans for several patients. My confidence was boosted and my passion to serve many patients grew even bigger. Finally, my knowledge in mathematics and statistics enabled me to collect censuses from departments. The census results were useful in planning and budgeting to ensure equity.

Clinical Setting Experience Reflection Paper References

Cullati, S., Bochatay, N., Maître, F., Laroche, T., Muller-Juge, V., Blondon, K. S., Junod Perron, N., Bajwa, N. M., Viet Vu, N., Kim, S., Savoldelli, G. L., Hudelson, P., Chopard, P., & Nendaz, M. R. (2019). When team conflicts threaten the quality of care: A study of Health Care professionals’ experiences and perceptions. Mayo Clinic Proceedings. Innovations, Quality & Outcomes3(1), 43–51. https://doi.org/10.1016/j.mayocpiqo.2018.11.003

Weaver, S. H., & Lindgren, T. G. (2017). Getting safely through the shift: a qualitative exploration of the administrative supervisor role. Journal of Nursing Management25(6), 430–437. https://doi.org/10.1111/jonm.12481

Journal Assignment Instructions

Introduction: Describe your most recent experience in the clinical setting.
Describe 1 specific activity that you engaged in

Reflection on action: Was it easy/difficult, pleasant/unpleasant etc.
What you found easy or difficult
What you liked about what you did

Reflection on what you learned:
How you might want to follow it up
How you used your theory knowledge on the subject

Conclusion: Identify gaps
What other information do you need
What could you do differently in this type of situation next time

MY POINT
– followed night house supervisor
– did rounds in most of the departments
– listened to hand off reports from previous nurse
– attended code blue and followed the process when someone dies
– collecting census from the departments
– learned the roles of nursing house supervisor
– staffing issues. Clinical Setting Experience Reflection Paper