Premium Essay

Shift Reflective Report

Submitted By
Words 438
Pages 2
Shift Summary: During this shift, I cared for a patient with idiopathic pancreatitis. This was the first patient I assessed, because the patient was intubated and had two chest tubes. The patient also had a Zassi tube in place; this was my first encounter with a fecal diversion device. Later in the shift, I discovered an opening in the indwelling urinary catheter line. I discontinued the catheter to prevent further urinary leakage and the transmission of bacteria. My other patient was admitted for a COPD exacerbation. This patient was stable all shift. I provided teaching to both the patient and her family, and call the family to update them on which room she would be transferring to. I gave the patient report to the floor nurse over the phone and helped transport the patient. I feel that I did well educating and communicating with the patients and their families. I also feel that I did better giving report. I could still improve on my time management skills. …show more content…
Provide evidence-based practice and determine best clinical practice.
• When I found that there was an opening in the indwelling urinary catheter where a port cover should be, I assessed the patient’s nearby skin for moisture and breakdown. I reported this opening in the closed drainage system to my preceptor and then discontinued the catheter to prevent the formation of infection. I took this as a learning opportunity to not just check how long a catheter has been in place or for urine stasis, but to make sure all tubing is intact on all of my patients with catheters and other tubes.
Competency III.c. Create a nursing plan of care/concept map demonstrating use of EBP, clinical reasoning demonstrating management of simple disease processes for patient across health-illness life span among diverse populations in a variety of health care

Similar Documents

Premium Essay

Relfective Using Gibbs Model

...consequently used to inform and change future practice.” According to Somerville and Keeling (2004) nursing is a profession where reflection is important whereby it helps to identify strengths and weaknesses. Jarvis (1992) mentioned that reflective practice can also be known as a learning process through and from the experiences towards gaining new ideas. The two type of reflective practice by Schon (1987) are the capacity in reflecting in action and on reflecting on action. Based on Schon (1987) theory reflection in action is a process which allows us to reshape what we are working on, while we are working on it. On the other hand, reflecting on action and thinking back on what we have done in order to discover how our knowing in action may have contributed to an unexpected outcome. There are many types of reflective theory to reflect on action. Gibbs Model of Reflection is a common model of reflection that is used within the health professions. It consists of 6 stages which are descriptive, feelings, evaluation, analysis, conclusion and action plan. Description Since graduation till date, I have been working in multidisciplinary ward in a private hospital in southern of Malaysia. I was the team leader for that day and upon taking over report, I felt anxious and worried as I have to work with two junior staff nurse and hospital aide on that particular day. There were a total of 20 patients on that day. Two patients were planned for operation and one patient was to be discharged...

Words: 1006 - Pages: 5

Premium Essay

Practice Exam Two (5,6,19,11,12)

...gasoline to shift inward. B. the supply curve for gasoline to shift outward. C. the quantity of gasoline demanded to move out along the demand curve. D. the quantity of gasoline supplied to move in along the supply curve.   2. Suppose the price of tomatoes dramatically increases. Which of the following could cause this change?  A. Hurricanes during the late summer damages the Florida crop, shifting supply left B. A reduction in tariffs of tomatoes from Central American, shifting supply right C. A news report stating that a pesticide used on tomatoes might cause cancer, shifting the demand to the right D. Advertising for catsup increases demand for catsup, shifting the demand curve to the left   3. An increase in price and decrease in quantity are consistent with a:  A. leftward shift in demand and no shift in supply. B. leftward shift in supply and no shift in demand. C. rightward shift in supply and a rightward shift in demand. D. rightward shift in supply and a leftward shift in demand.   4. An increase in quantity and an indeterminate change in price are consistent with a:  A. leftward shift in demand and supply. B. rightward shift in supply and demand. C. rightward shift in supply, keeping demand constant. D. rightward shift in demand, keeping supply constant.   5. Suppose caviar sales soars at the same time price increases. What would lead to both a higher quantity sold and higher price of caviar?  A. A shift in demand to the right and a larger shift in supply...

Words: 11789 - Pages: 48

Premium Essay

Annotated Bibliography: The Syrian Civil War

...Annotated Bibliography Spyer, Jonathan. "The Battle for Aleppo; A report from the front lines of the Syrian civil war." The Weekly Standard 8 Oct. 2012. Opposing Viewpoints in Context. Web. 25 Oct. 2016 Article Link: Click here for page Summary Annotation: In the old city of Aleppo with a history of religion and the Dictatorship of Bashar al-Assad. A reporter named Jonathan Spyer went along with a group called Free Syrian Army (FSA) to the center of Aleppo and what Spyer says “ There is a sharp change in atmosphere as one enters Aleppo city from the surrounding countryside.” The city changes into a rubble streeted place with craters all over from the bombs that struck that spot. As they got deeper into the neighborhood, they people who lived there...

Words: 1799 - Pages: 8

Premium Essay

Reflective Journal on Ethics Game Simulation

...Reflective Journal on Ethics Game Simulation Maria R. Brook HCS/478 Health Law and Ethics January 23rd, 2012 Caroline Etland, PhD, RN Reflective Journal on Ethics Game Simulation In this journal I will write my reflections on two ethical dilemmas presented in Ethics Game's online simulation, which has been designed to teach students how to make ethical decisions through a practical and repeatable decision model. Ethical Issue #1 Presented During my Shift Near the beginning of my shift last night, we admitted a 16-year-old mother, RB. She's in her tenth hour of labor now. Her parents have been with her, and they have chosen to limit the amount of medication and other medical assistance we've administered for personal reasons. Given the length of her labor, however, her situation could worsen. Fetal distress is not currently critical, but it has been increasing gradually, as has RB’s own distress and fear. We have been keeping a close eye on her. I'm not sure her parents understand how dangerous her situation could get because RB and the baby may be moving toward irreversible medical danger if some intervention is not made. Ethical Issue #2 Presented During my Shift One of our ICU's patients, AT, has been unconscious for nearly a day and as yet no definitive diagnosis has been reached by doctors. AT was brought to the hospital by his domestic partner, YM, who was with him while he was in the ER, but was prevented from visiting him in the ICU by CB, the shift supervisor...

Words: 1374 - Pages: 6

Free Essay

Adult Learning Theories

...There is no single explanation or all-encompassing theory that explains how adults learn. The adult learning process is complex, context bound, and highly personal. As a result, there is no single theory of learning that can be applied to all adults. Instead, the literature of the past century has yielded a variety of models, sets of assumptions and principles, theories, and explanations that make up the adult learning knowledge base. The more adult educators are familiar with this knowledge base, the more effective their practice can be, and the more responsive it can be to the needs of adult learners. This fact sheet reviews three major theories and discusses their implications for practice. What is Andragogy? In attempting to document differences between the ways adults and children learn, Malcolm Knowles (1980) popularized the concept of andragogy (“the art and science of helping adults learn”), contrasting it with pedagogy (“the art and science of teaching children”). He posited a set of assumptions about adult learners, namely, that the adult learner • Moves from dependency to increasing self-directedness as he/she matures and can direct his/her own learning; • Draws on his/her accumulated reservoir of life experiences to aid learning; • Is ready to learn when he/she assumes new social or life roles; • Is problem-centered and wants to apply new learning immediately; and • Is motivated to learn from internal, rather than external, factors. Inherent in these assumptions are...

Words: 1656 - Pages: 7

Free Essay

I Would Love to Join

...THE BUSINESS GLOBALIZATION PROJECT The purpose of this assignment is to help you understand and apply text principles to real-world organizations. We have covered in the course business fundamentals, global environments, and generic global strategies. You will conduct research that demonstrates how firms deal with global shifts. In other words, you will build a systemic view of your selected organization's relationship with a global world. The project report consists of individual components and a group component; the individual component accounts for 20 marks and the group component accounts for 10 marks. In total, the project report accounts for 30 marks (the project presentation accounts for additional 15 marks). 1. Select Your Industry and Firms Each group is to identify an industry and each member is to study a firm in the industry. Ordinarily there will be no more than four people studying firms in the same industry. 2. Prepare the Individual paper (20%) Use library and credible electronic sources to find information suitable for answering a)–c) below. This is a research paper; you must consult multiple sources beyond those generated by the organization itself. See information below for guidelines on the number of references required, and the balance between company publications and more objective sources. When writing, think of yourself as an analyst rather than a reporter. This means that when you describe a business activity, you also need to explain how that description...

Words: 1580 - Pages: 7

Free Essay

Success in a Democratic Iran 2.3

...Success in a Democratic Iran 2 Abstract As Iran transitions into a democratic nation, there are many changes that will take place. Along with the changes occurring in the country, there are also worldwide changes. New trends for success in the 21st century are emerging and it is necessary that Iran understands the trends needed for success in a newly formed democracy. Decentralization and an emphasis on personal growth and community are two such trends. Along with new trends, are needed attributes to obtain success in the 21st century such as the ability to think critically and set goals for the future. To prepare the younger Iranian generation for success in the newly formed democratic nation, these trends and attributes must be addressed in the classroom through meaningful learning experiences. Along with individual classrooms, school systems should also adopt a more holistic approach to education that encourages content knowledge as well as knowledge of the changing world and the attributes for success in this world.Success in a Democratic Iran 3 Life in a Democratic Iran: A Plan for Success Iran as a newly democratic nation must face many changes. The characteristics of a democratic nation include individual rights and freedoms, voting rights, free elections, as well as more gender equality. These are all elements that will be new for the Iranian people. Along with the changes presented by a new democracy, Iran must also prepare for the changes...

Words: 2487 - Pages: 10

Premium Essay

Head of Operational Excellence

...performance in the overall economy. Traditional retail approach based on physical locations is fast evolving into a multi-channel approach in order to provide increased convenience to the final consumer whilst taking advantage of the convergence of information technology. This multi-channel approach is also putting pressure on retailers to re-look at integrating the back office operations to provide seamless services and experience to their customers. In order to address the details of task required for the assignment, the report is organized as follows; Part A: section 1) Applying a standard approach of Structured Systems Analysis and Design to understand the case of Heelz and determine the appropriate solution; section 2); future considerations for Heelz and applying Strategic Systems Integration Planning, Section 3) Conclude by providing a summary of the critical aspect of the change Sally needs to consider as Heelz embarks on this journey. Part B section 4); A reflective summary drawing from the contribution of my class mates on the online forum for Units 4,5 and 6 – with specific reference to Open Source software and section 5); lists the references. Table of Contents: Abstract: 2 Table of Contents: 3 Part...

Words: 2697 - Pages: 11

Premium Essay

Mentorship

...Contents Introduction ………………………………………………………………….Pages 2-3 Discussion…...…………………………………………………………………Pages 4-14 Conclusion …………………………………………………………………...Pages 15-16 References ………………………………………………………………….Pages 17-20 Introduction This essay aims to explore the processes of teaching, training and mentoring of adults. The setting in which this will be explored and linked to, will be one of nursing, although it is recognised that the fundamental theories explored may be applied to any setting where the teaching, training and mentoring of adults occur. The essay will explore the writer’s understanding regarding the role of a mentor within the workplace and the theoretical ties surrounding mentorship and how these are linked into the writer’s role of a mentor. Any names or areas of work mentioned in the essay have been changed in order to maintain confidentiality, clause five of the Nursing and Midwifery Council (NMC) Code of Professional Conduct: Standards for Conduct, Performance and Ethics (NMC 2004). The term ‘mentor’ is defined by the English National Board (ENB) and the Department of Health (DOH) to “denote the role of the nurse, midwife or health visitor who facilitates learning and supervises and assesses students in their practice setting” (ENB & DOH 2001a P6). Nicklin and Kenworthy (2000) define a mentor as someone who by example and facilitation guides, assists, and supports the student in learning new skills, adopting new behaviour and acquiring...

Words: 4754 - Pages: 20

Premium Essay

Gsbs6001 Ass1

...Individual  Reflective  Essay  Bunnings Warehouse  NEWCASTLE BUSINESS SCHOOL   GSBS6005  Emma Alexandra Watts   C3171012  13.04.13      Table of Contents  1. Introduction ......................................................................................................................................... 3  2. Marketing Objectives .......................................................................................................................... 3  2.1 Current Situation ........................................................................................................................... 3  2.2 Objectives ...................................................................................................................................... 4  3 Target Market and Positioning ............................................................................................................. 5  3.1 Target Markets .............................................................................................................................. 5  3.2 Positioning ..................................................................................................................................... 7  4. Marketing Mix Strategies .................................................................................................................... 9  4.1 Product and Price Strategies ..................................................................................................

Words: 5658 - Pages: 23

Premium Essay

Entree

...Business Mgmt., 7e (Scarborough) Chapter 1 The Foundations of Entrepreneurship 1) One of the most significant economic developments in recent business history relates to the: A) growth of blue-chip corporations. B) development of Pacific Rim countries. C) entrepreneurial spirit. D) additional employment opportunities offered by government institutions. Answer: C Diff: 1 Page Ref: 1 AACSB: Reflective Thinking Learning Obj.: 1 2) The recent number of job losses in large corporations compared to the jobs created by small business has changed the perception of ________ for launching a new business. A) prestige B) risk C) financing opportunities D) short-term potential Answer: B Diff: 2 Page Ref: 2 AACSB: Reflective Thinking Learning Obj.: 1 3) The profile of an entrepreneur includes: A) a desire for responsibility and moderate risk. B) confidence in the ability to succeed and determination. C) a high level of energy, a desire for immediate feedback and a future orientation. D) All the above Answer: D Diff: 1 Page Ref: 5-6 AACSB: Reflective Thinking Learning Obj.: 1 4) An entrepreneur is one who: A) is willing to attempt to implement a business concept and then give up if it does not meet immediate expectations. B) understands the process of developing an idea and does not need to understand what it means to bring that idea to a viable business concept. C) knows that the concept they are about to develop will result in a profitable...

Words: 6629 - Pages: 27

Premium Essay

Management Information System

...Basically, submit only your answers, not the instruction and questions. All instructions and questions are highlighted in yellow (except for the homework number and due dates). Thus, before submitting your homework, remove all of the yellow areas. If you keep the yellow area, the plagiarism detection system may put a flag on your homework. Instruction 4. Save your answers in a file as “hw2_[Purdue Career Account].doc” (e.g, “hw2_yij.doc”), and submit the homework to BlackBoard. Instruction 5: NO late submission will be graded. If you run into any technical problems in uploading your homework, please contact ITaP (http://www.itap.purdue.edu/help/customer/index.cfm) and resolve the problems. If the issue is not resolved on time, please report the circumstances to the instructor and the TA immediately. Instruction 6: Since the...

Words: 3289 - Pages: 14

Premium Essay

Vocab

...220 Spring 2016 Vocabulary Homework Assignment – Chapters 10-16 in Taylor et al textbook – Worth 100 points Chapters 10 – 13 due Thursday February 25 Chapters 14 – 16 due Thursday March 3 Please define the following words using your Fundamentals of Nursing textbook and/or a medical dictionary. Please indicate the text and page number you used to obtain each definition. (If you want to make them flashcards you may, just make sure that your name is on them and they are rubber banded together so I can record and return them easily.) Chapter 10 Assess Concept mapping Decision making Dynamic Evaluate Expected outcomes Implement Interpersonal Nursing diagnoses Nursing process Outcome identification Outcome oriented Plan Reflective practice Systematic Cerebral Vascular Accident (CVA) Chapter 11 Cue Data Data base Documentation Emergency assessment Focused assessment Inference Initial assessment Interview Minimum data set Nursing history Objective data Observation Physical assessment Review of systems (ROS) Subjective data Time-lapsed assessment Validation Multiple Sclerosis (MS) Prioritize Factual Accurate Relevant Interpersonal competence Virus Consultation Laboratory study Diagnostic study Chapter 12 Constipation Cancer Actual nursing diagnosis Collaborative problems Data cluster Diagnosing Diagnostic error Health problem Medical diagnoses Possible nursing diagnoses Risk nursing diagnoses Standard Syndrome nursing...

Words: 458 - Pages: 2

Premium Essay

Portfolio

...This reflective account demonstrates an ability to critically reflect on experiences within my nurse training, particularly within my third and final year. The reflective model selected is Gibbs (1998) (appendix 1) which incorporates description, feelings, evaluation, analysis, conclusion and an action plan which is divided into sections for ease of reading. All names have been changed in accordance with the NMC (2008a) guidelines regarding confidentiality. This piece includes reflections on my own learning using the NMC proficiency, managing care. As this covers a vast array my focus is primarily on medicine management, managing risk and delegation. Description of events During placement within the Accident & Emergency (A&E) department I saw my paediatric mentor on three occasions, the remainder of the time I worked with adult trained staff. As a consequence of this when a child was admitted, I was given the responsibility of caring for them. For the duration of a particular shift I worked with Sue, an adult nurse. Sue recognised that I was competent in my practice as I had worked with her on previous occasions with adults and consequently praised me. Sue, qualified for over twenty years, indicated that she only knew the basics of children’s nursing and suggested that I probably had more knowledge of children than her. This comment left me unsure of her depth of knowledge of paediatric nursing and somewhat concerned me. During my shift, Jay, a two year old was admitted...

Words: 3382 - Pages: 14

Premium Essay

Acc Chapter 17

...and Financial Management   True / False Questions   1. The purpose of all accounting is to provide internal and external decision-makers with the financial data they need to make their decisions.  True    False   2. There are three points at which operating in a foreign currency raises accounting issues: when transactions are made in foreign currencies, when foreign subsidiaries consolidate their results to the parent company, and when debt is acquired in foreign currencies.  True    False   3. FASB 52 requires that companies record foreign currency based transactions at the spot rate at the time of the transaction.  True    False   4. Consolidation is when a company's various results are aggregated into one report.  True    False   5. The current rate translation method translates current assets at the rate in effect when they were acquired.  True    False   6. The temporal method of translation translates fixed assets at the rates in effect the day the assets were acquired.  True    False   7. Whether to use the current or temporal rates depends on the functional currency of the foreign operation.  True    False   8. Accounting is an objective, fact-based discipline and not influenced by culture.  True    False   9. Accounting standard convergence is unlikely, given the complexities of the systems, all of which would require harmonization.  True    False   10. With convergence of accounting standards, accounting...

Words: 11686 - Pages: 47