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Nurse Expertise Reflection Paper

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I, as a Register Nurse do not consider myself an expertise, I still need to learn and am learning new things daily at my work place. I been a Register Nurse only nine years, I worked in med surgery for one year and presently I been working in NICU, I love working with neonates and their families. The best nursing care is given when you are involved with the patient, and their families. I do get attached to the families after many months of caring for them, it is hard not to. Emotionally caring for the patients does not get in the way to give good nursing. I think you have to get emotionally involved to do your best work, if the nurse is passionate on what she/he is doing, the best care will be given. Most of the time the quality of nursing care are based on policy and procedures and at times we have to deviate from this strict rules to do what is best for the patient. I do some time draw from past experiences, at times with hesitation because each situation is different even that at times appear similar. I collect all pertinent information (patient history, labs, Vital Signs, patient assessments, etc…) before I make decisions. I have been able to see if when something goes wrong with the patient but always missed something, as I get more experience in the nursing field I can now automatically see when the patient is taking a turn for the worst. Once in a while there will be a situation when the patient appears fine, and I have a gut feeling that something is wrong, at that time I do follow my gut feeling, I rather act on it then not. Many of my co-workers have many years of experience (20-40 years), some are passionate as the first day they became a nurse, they are always willing to help, and guide the new nurse and at time to go around the hospital rules. I do follow policies and procedures but, also follow my gut feeling, I do get involved with my patient, and that is the time my best nursing care is given. As a nurse you have to care for anyone that needs your nursing expertise and experience. Listening to the patient, the families, assessing the situation and other nurses experience enhances the quality of care given to the patient.

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