Clinical Reflective Journal
· This is to be a continuous running document reflecting on each of your clinical day experiences. This needs to be more than just a recount of your day, but your thoughts about the clinical experience and skill performed.
· Document will be submitted WEEKLY to the designated drop box on D2L.
Thursday 08/31/2023
Today was a wonderful day!
Today, we began by writing about our classmates in an effort to get to know one another. We wrote about their ages, husbands, trips, and just about everything else. The topic of drug calculations was then covered. After learning how to calculate drug dosages from Mrs. Jennifer, we split up into smaller groups with our clinical teachers. I followed Mrs. Teri as she offered us some enjoyable tasks with medicine calculations. At 3:00 PM, we bid ourselves farewell and departed. Yes, today was incredibly fruitful.
Thursday 09/07/2023
On the date of Thursday, September 7, 2023, I experienced a highly enjoyable day at my educational institution. The day commenced at 9:00 AM with Miss Amanda facilitating a discourse on the relevance and limitations of technology in healthcare establishments, alongside the repercussions of non-compliance with facility regulations and protocols. The lecturers provided insights into the pre-technology age, wherein all documentation was conducted on paper
Subsequently, Kari Oanes, a member of the library staff, provided us with an informative session regarding the school library and its utilization of advanced technologies. After a period of rest that was rightfully earned, our clinical teachers proceeded to provide guidance on the appropriate usage of mobile devices during clinicals and lectures. The subsequent topic of discussion involved an exploration of time management when we employed the utilization of plates and M&Ms to partition our 24-hour day into eight distinct pieces. This activity facilitated the identification of areas in which time optimization might be achieved, as well as regions that necessitated further attention.
In addition to these fascinating activities, we had a full talk about charting. The clinical teachers placed significant emphasis on the crucial function of charting in our prospective nursing professions, underscoring both its drawbacks and benefits. The individuals offered significant perspectives on appropriate methods for charting, emphasizing the significance of incorporating relevant information, refraining from using labels and diagnoses, presenting information that is transparent and truthful, and use quotations when relaying client statements, all in accordance with the policies set forth by the hospital. The need to maintain secrecy in the field of nursing was emphasized, as well as the potential repercussions that may arise from a failure to uphold this principle.
During the instructional session, our lecturer presented us with the task of constructing peanut butter and jelly sandwiches, but with a heightened emphasis on meticulousness and precision. The game presented a considerable level of difficulty, and I must acknowledge that I did not adhere to all the prescribed procedures throughout its development, resulting in a less than optimal performance.
Subsequently, we partook in our midday intermission and reconvened at 1:00 PM, during which Miss Jennifer provided us with a comprehensive overview of our forthcoming tasks for the ensuing week. Subsequently, we were partitioned into smaller cohorts and afforded the chance to solicit help from our clinical teachers. Ultimately, our day ended around 2:30 PM.
09/15/2023
My alarm clock went off at the usual time of 7:30 in the morning, just like it does every day. I struggled to get out of bed, but eventually did so, and I got started on my morning ritual. I got up at 7:30 in the morning and was on my way to school by 8:30. After I got to school at nine in the morning, I went right to the nursing department to sign in. The submission of my lesson plan was a significant undertaking that was on my to-do list for the day. However, before I could go forward with that, I needed to make sure that it was in excellent condition. After that, I discussed it with my clinical instructor. Their comments were quite helpful, as they allowed me to hone the strategy and make it as efficient as it could be. The lab’s mock accident that took place during the morning was the most exciting part of the day. We were each given a group of four people to work with, and our task was to inspect patient rooms for any potential safety hazards. It was an eye-opening event as we carefully searched for potential hazards and discussed ideas to improve patient safety at the same time. It was essential to work together as a team, and it was a lot of fun to collaborate with the other students. Following the safety drill, we divided back up into our respective small clinical groups. Today was the day that Loretha and I had to deliver our lesson plans to the class. Our discussion centered on dementia, a topic that is both difficult and complex. We had put in a lot of work to prepare, and it paid off with a successful presentation. The conversation that followed was very enlightening, with students expressing their perspectives and experiences in relation to the care of dementia patients. Following the talk, we allowed ourselves a much-needed break. It was a chance to relax and visit old acquaintances at the same time. The school cafeteria offered some much-needed relief, and a hot cup of coffee did wonders for reviving my flagging energy levels. After a brief intermission, we went back to the classroom to continue with another significant component of our instruction, which was the computation of dosages. The ability to administer medication accurately and precisely is an essential one for nurses, and the training we received today presented us with a challenge to improve our accuracy and precision in this area. As the clock inched closer to 2;50 o’clock in the afternoon, we finished up our classes. The day had been fruitful, packed with opportunities for learning, working together, and getting one’s hands dirty. I was filled with a sense of satisfaction as I prepared to graduate from college because I knew that each day got me one step closer to achieving my goal of becoming a skilled and caring nurse.
Journal Entry—September 21, 2023
Today was a busy day of studying, socializing, and preparing for clinicals next week.
All our clinical instructors met in a large hall to start the day. The sight of them all was impressive. We were told to start with dosage calculations. Math isn’t my strong suit, so this usually makes me nervous. Despite my best efforts, I scored a 9. One error may seem minor, but healthcare requires accuracy. I had to repeat all the calculations. The event humbled me and taught me to double-check my work.
After dosage calculations, we formed small groups. For effective healthcare communication, we practiced SBAR (Situation, Background, Assessment, and Recommendation). Clear clinical communication is essential, therefore practicing this ability with my peers was fantastic. We examined numerous circumstances and ways to communicate information concisely but informatively.
One of our classmates presented on heart failure during break. The presentation was educational and well-prepared, plus they gave us sweets. Little things like this make nursing school more fun.
After the break, our clinical teacher addressed our clinical rotation next week. It excites and worries me. It’s our first time implementing our knowledge in actual healthcare, and the responsibility feels big. The lecturer reassured us and explained the week’s expectations. Although intimidating, it was a necessary milestone in our learning path.
The day ended, and we went home. Now I know that despite its problems, the day was a day of growth and preparation for our nursing careers. Thanks to my classmates and instructors, I’m excited for next week’s clinical rotation and its lessons.
09/28/2023
My first day at St. Catherine South began early. I arrived at the facility at 5 AM, excited and nervous about the day. I was excited and nervous to start my healthcare career. Once inside, I met my instructor and classmates who were also on this adventure. It was comforting to see familiar faces and know we were all in this together. We were a team willing to learn and help locals. At 6 AM, our lecturer assigned us residents to care for. This was the time to apply classroom theory. After being assigned to care for a resident, I felt responsible and determined to do it well. My morning began with a bed bath to make my resident feel clean and comfortable. Skill, compassion, and decency were needed for the hands-on experience. I thoroughly checked his skin after the bed bath to discover any abnormalities. Pressure ulcer prevention and resident safety depended on this procedure. It highlighted the importance of healthcare detail. I fed my residents breakfast in the morning. A simple yet important job showed the value of basic care and human connection in healthcare Later in the morning, I shadowed a helpful nurse. Pressure ulcer assessment, essential for skin health, was taught to me. I also witnessed and learned how to put catheters in men and women, pass drugs, and change wound dressings. These abilities were crucial to nursing, therefore I wanted to learn everything I could. We met with our instructor at 10 AM to discuss our experiences and get feedback. It was time to reflect on what we learnt and get feedback on how to improve. This feedback loop was crucial to our learning. After our brief meeting, we resumed our resident care and support. The day was filled with learning, caring, and growing. The 11 AM lunch break was a welcome pause to refresh and catch up with classmates. It allowed us to bond over our heath journey. Our first day at St. Catherine South ended at 2 PM. A long and rewarding day of new experiences and lessons. I left feeling accomplished, knowing I was on the correct route to a rewarding healthcare career. My first day in nursing was amazing, and I looked forward to the days and difficulties ahead.
10/05/2023
When I woke up at 5 AM and got ready for the day, it started. When we got to Saint Catherine, our clinical instructor told us what to expect from the shift and gave us our regular clients. One of my clients unfortunately overslept, which meant I had to make some changes to my plan.
Because of the delay, I chose to give this client’s reviews more attention. Even though everything seemed fine, I saw that the blood pressure reading was a little above the normal level. Besides this, the client didn’t say they were in any pain, and all their other vital signs were fine. Because of this finding, I kept a close eye on the client’s blood pressure all day.
Afterwards, breakfast was served, and at 9:50 AM, I gave the client’s medicines. After that, I took a break at 10 AM, and while I was away, I had a good conversation with my teacher. We talked about how my hourly rounds were going, and I let them know about any big changes or notes I had made.
As part of my job, I went back to making my hourly runs until noon. As the day went on, I felt more confident in my ability to get my work done quickly and well. But to make sure I had a full picture of what had happened that day, I planned to talk to my clinical teacher again.
When I think back on my day at Saint Katherine, I can say that it was a useful experience full of many tasks and difficulties. I was able to put what I had learned in the classroom into practice by doing things like giving medications and doing evaluations. Even though the client’s blood pressure was a little high, I stayed alert and kept a close eye on their situation.
Looking ahead, I’m really looking forward to next week because it looks like I’ll have a great chance to give intravenous shots. Without a question, this upcoming experience will help me learn and improve my clinical practice skills.
My time at Saint Katherine has given me a lot of useful knowledge as a clinical student. With each day that goes by, I feel better about my skills and learn more about how to care for patients properly. And I’m excited about the new tasks and chances that will come my way as a healthcare worker.
10/12/2023
On Thursday, October 13, I went to Saint Catarina for my regularly scheduled clinicals. It was 5:00 AM when I awoke and got prepared for the day. I picked myself up some coffee at Starbucks on the way and by the time I got to the side at 5:30 AM, everyone from the team was already there. Each student was assigned a resident. I knew I would learn a lot from this resident, and I was looking forward to the challenge. At nine in the morning, I began my examination by looking at every inch of his body, but I was unable to take his vitals since the equipment had died. My client had GI tubes. i called my instructor to give medication as she had to watch me do it.And then at eleven o’clock, we had to go deliver COVID vaccines, and I was very eager because it was my first time doing this and I was so so happy to do this. I got everything right, with lots of corrections from my teacher, which I liked. After administering the COVID vaccine, I brought the residents to bingo, where they had a great time and proved their intelligence by correctly answering every question. After that, at 2P, I went to see my teacher, and the class and I had a debriefing session.
Thursday 10/26/2023
My clinical rotation in Saint Catarina began before sunrise. I awoke to the alarm clock ringing at 5:00 AM. As I prepared for the day on a chilly morning, I felt anticipation. Starbucks was my first stop for a hot cup of caffeine, which would be my daily companion. I was surprised to find the crew assembled and energetic when I arrived at the clinical site at 5:30 AM. I was always impressed by my classmates’ punctuality and dedication. Everybody had a resident, and it was encouraging to observe the group’s camaraderie. A remarkable woman, my resident had lived a life of commitment before coming here. She oozed warmth and elegance as a devout sister in a local church. Her kindness had affected countless lives. I gently woke her up with a grin and “Good morning.” After helping her get ready, I made her a dietary-compliant breakfast. I carefully collected her vitals and skin checked her after breakfast to monitor her health. Later that morning, she had therapy. She persevered despite her initial reluctance. I was inspired by her perseverance. She related anecdotes from her life as a reverent sister, giving me advice, I would recall long after the session. Lunch came around noon. Her favorite was prune juice, which she called “prone juice.” At her request for more, I smiled and gave her a second serving, happy to see her enjoying her dinner. I briefly took a break at lunchtime to talk to my instructor about the day’s progress and obstacles. My instructor helped me improve my patient care skills. I felt fulfilled when the day ended and the sun set. My experience with my resident reminded me of the joy of human connection and the privilege of helping others. I left the clinical location with gratitude, having learned about patient care and the human spirit.
11/08/2023
I woke up at 7am on Thursday and had coffee, I proceeded my taking my son to his medical appointments and later studied my fundamental notes since I had exams on Wednesday. I then went over the swift river. I went through numerous tries because this was had for me.I later want to work that day and came back at 10pm
11/08/2023
As usual, I arrived at St. Catherine’s at 5:45 AM for my clinical rotation on Thursday morning. I enjoyed spending another day with my prior resident since the routine became comfy.
I had grown to love my resident, a sweet woman who valued even the tiniest gestures of care. I entered her room to find her asleep. I gently woke her up and gave her a soothing wipe to make her feel ready for the day. Her caring CNA was making her breakfast.
After settling my residence, I continued my clinical tasks. I observed many patient care procedures on a busy morning. I recorded vital signs for my resident to track her health.
I watched a nurse collect blood and treat a wound in another resident’s room later that morning. I like learning about nursing care and seeing different parts.
At 10 AM, I returned to my sweet resident’s room to deliver lunch. After some pleasant talks, I charted her progress and updated her care plan to ensure the healthcare team had her needs documented.
My clinical day ended at 1 PM. I bid goodbye to my resident and promised to come next week. After leaving St. Catherine’s, I thought about the deep relationships I had built with the residents and the valuable experiences I was obtaining as a student nurse.
Each visit to St. Catherine’s underlined the need of compassionate care and how tiny acts of kindness improve residents’ lives. I eagerly awaited Thursday to learn and support the great residents.
Minnesota State Community & Technical College
© PNSG 1514
1.2020, 8.2023
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