Description
Please break your paper into 3 paragraphs with headings addressing the 3 parts of the rubric. I understand it was difficult if you were in child development centers, but you still need to explain how you demonstrated leadership, interprofessionalism, and basically how it helped you grow as a nurse. Your simulation also offers quite a bit of opportunities for you to think like an RN and prioritize and delegate. If you cannot match the rubric topics to your experience than say that and describe. (Reminder that a paragraph should be no more than 3/4 a page). This paper should be about 1 page in length. (ok if longer)Basically talk about what you learn in the clinical? does it support to your lecture? Communication, nurse to patient, nurse to nurse, around 2-4 page, follow the rubric. I also attached 2 samples she provided. the subject was pediatric nursing and I had nightshift clinical for this term.
Unformatted Attachment Preview
Running head: NURSING EVOLUTION
1
Stephanie Martinez
Nursing Evolution
NURS 307
West Coast University
Professor Dyer
July 30, 2018
Nursing Evolution
2
Reflection on Current Theory and Clinical Class:
Theory and clinical courses supported each other as I was able to visualize and take part
of a health care team collaborating care for my 2-month old patient with epilepsy at Children’s
Hospital, Los Angeles. Theory instruction taught me how to prepare and implement nursing
actions for a lumbar puncture procedure in the hospital; such as maintaining a prone position for
my client post procedure to prevent a headache and implementing seizure precautions. In
addition to supporting my knowledge base for optimum and safe care the Program Learning
Outcomes allowed me to provide health care education for the family of my patient, plan
preventative interventions that were effective and efficient, as well as develop effective
communication to decrease procedure related anxiety, and comply with professional standards of
moral, ethical, and legal conduct in practice for my patient. This gave me a new perspective on
the human experience and how families deal with a child who is ill and the psychological effect
it has on the whole family. As nurses it is important to inquire and analyze many aspects of our
care to ensure the patient is comfortable and safe within our scope of practice. Social and cultural
aspects of this course enabled me to learn how this affects parents and how their different views
influence the way children’s care is delivered. For example, Spanish speaking families may have
difficulty understanding the course of disease and the care that is being coordinated.
Communication Style:
I developed effective communication for interacting with my patients and their families,
as well as the health care team of RN’s, doctors, RT’s, and patient care associates by providing
holistic, patient centered nursing care to children from ages 2 months to 20 years of age. I
communicated with the healthcare team in a professional manner by making direct eye contact
Nursing Evolution
3
and correctly documenting findings and observations. I was in constant communication with my
charge nurse to ensure I communicated changes in condition and vital signs that were out of the
patients baseline. The population I served consisted of caucasian and hispanic origin and I was
sensitive to their needs by answering questions, directing them to the proper personnel, and
inquiring how they felt about the care being provided. During rounds I communicated the
importance of medications, procedures, as well as psychosocial understanding. I made sure to
listen to their needs by making eye contact when appropriate, leaning slightly forward, in a
relaxed position without making them feel rushed.
Leadership:
I demonstrated leadership by providing safe, quality nursing care under my instructors directions
and enabling coordination within a health care team. I was confident and made sure to complete
my tasks of patient rounds, documentation, and effective communication was completed prior to
moving on to the next task. I took accountability for every action I took and the effect it had on
the care delivered under my responsibility. I was able to make independent decisions such as
post care for lumbar procedure using evidence based practices that were taught in class which led
to high quality nursing care. I implemented seizure precautions without the need for constant
direction and reported vital signs that were out of the norm for a 2-month old client to the RN.
Rounds were made taking into consideration the patients views and and cultural practices. I was
also able to collaborate with my fellow clinical nursing classmates and assisted them in showing
them how to document and find sources on the electronic medical administration record to lead
to better care delivery.
Nursing Evolution
4
Running head: NURSING EVOLUTION
Nursing Evolution
Nicollete Juarez
NURS 307 – Developing Family and Community
West Coast University
1
NURSING EVOLUTION
2
Nursing Evolution
The theory class helped me understand the foundation of nursing pediatric care by
learning the basic information that served as my basic foundation knowledge I significantly
needed to become successful in my clinical experience during this term. Learning how children
transition through different stages of development, acquiring knowledge about major health
promotion and disease prevention concepts, application of nursing process to pediatric patient
population suffering from different types of acute and chronic diseases, nutritional requirements
for pediatric requirements and current issues regarding health care in theory class allowed me to
apply the concept of nursing process and critical thinking during patient care and support and
performed the therapeutic nursing interventions specific for the patients and families assigned to
me during clinical rotations.
During my clinical rotation this term, I have provided holistic patient centered care by
utilizing therapeutic communication not only with my patient but also to their family members. I
was able to prioritize their needs and provided it with the highest quality of care that meets the
standard protocol of my clinical site. I was able to participate in a collaborative care for the
patient assigned to me. I was assigned to an eight-year-old male patient who was admitted to the
pediatric intensive care unit of the hospital. The charge nurse asked me to take the patient’s
temperature and assisted her in providing personal care to the patient such as removing the soiled
diaper and changed it to a new one, provided oral care, and repositioned the patient. During the
care, the patient had an episode of seizure which lasted about three minutes. The charge nurse
who was with me at that time, instructed me to watch the clock to remember when the seizure
started and asked me to time the duration of the seizure. She also yelled out for the rest of the
staff to inform them that the patient was having a seizure. She asked me to help her turn the
NURSING EVOLUTION
3
patient to the left side while she gave instructions to the LVN and another RN nurse in the room.
The charge nurse also gave instructions to the Respiratory therapist as the patient’s oxygen
dropped to 72 %. I have never witnessed a child had a seizure prior to that day and it was really
intense. After the seizure stopped, the nurses and Respiratory therapist worked on the patient to
stabilized him. I assisted by attending to their every request such as getting them new towels,
diaper, wipes, etc.
I have seen a lot of situations where the application of leadership concepts and skills and
decision making were done to ensure that high quality nursing care, healthcare team coordination
and collaborative care happens. In addition to the seizure episode event that I already described
above, I wanted to share that the same team I mentioned above had shown excellent care to the
same patient while I was there throughout the day. They were able to assess the patient and
quickly identify that his health status was declining really fast. They were able to render and
implemented therapeutic nursing interventions by constantly and effectively communicating with
the primary doctor, the pharmacy, the laboratory and diagnostic department, and family. The
patient had three more episodes of seizure lasting about three to four minutes and the last
episode, the patient became unstable and unresponsive. The team followed protocol on what to
do during a seizure on every seizure episode the patient had. After the last seizure, they were
quick to determined that the patient’s status became unstable and the doctor decided that he
needed to intubate the patient. As soon as the doctor told them the plan, everyone worked into
action. The charge nurse called the pharmacy to order the medications needed for intubation, the
respiratory therapist gathered her equipment for ventilation support, the LVN and other RN
started another IV line on the patient and the primary doctor provided oversight and made sure
that everyone is up to the task. I witnessed how quickly everyone moved to gather all the
NURSING EVOLUTION
4
necessary tools, equipment and medications needed and completed the intubation procedure. The
situation was intense, emotional and chaotic but I would say that it was an organized chaos. I
could tell from everyone’s faces who collaborated in that patient’s care that they were under a lot
of pressure and stress, but they worked cautiously, effectively and safely trying to save the
patient’s life. The doctor took charged of the situation by respectfully telling his team on what
they needed to do. The team which included of two RNs, one LVN and one Respiratory
therapist, effectively communicated with one another, did the tasks assigned to them by the
doctor and most importantly, they showed support to one another during the entire ordeal and
setting their differences and emotions on the side.
Purchase answer to see full
attachment
