Singh/8-31/RCJ3 Criterion Description Describe the experience as clearly, factually, and succinctly as possible. Today’s clinical day started off similar to the last one. Only difference was beginning of the clinical was dense with anxiety. We were supposed to take a third medical math exam and the tensions are running high. Also, we were told that there were no available nursing assistants on the floor. We prepared our minds to have a busy morning with obtaining multiple vital signs. However, I was excited since this would mean we would be interacting with more patients. Describe your thoughts and feelings before, during, and after the experience. Luckily, we were able to find a safe place to take our exams. Due to this we were able to reduce our anxiety and able to pursue our clinical day with a clear mind. And given that our math exam still had to be graded we were unable to give medications to our assigned patients. However, I was lucky enough to watch many of my colleagues administer medications and I can say I am very proud of them that they were able to overcome their initial fear and become more confident. I hope to do the same next clinical day and boost my confidence level as well. Feelings Guiding Questions Evaluation Describe the outcome of the experience and your contribution(s) to the outcome. I was very fortunate to receive the patient that I did. The family was very welcoming and excepting of me as a student. The patient also was very cooperative with vital signs. The family had asked me multiple questions which I answered some due to my knowledge. Everything else I had directed towards my nurse. However, my nurse was least helpful in providing me with the shadowing assistance I needed during the clinical day. This is why I jumped off and pursued my colleagues and their nurses. Despite jumping from nurse to nurse I was very focused on my patient and his care. I followed any changes that were made in his care plan. I also listened in when the pediatricians came and evaluated him. They had changed him from NPO to liquid diet. Hearing this the patient was very happy. After talking with my professor, I brought the patient his favorite orange gelatin to boost his mood. Since the patient was post abdominal surgery. He had undergone a colectomy. I kept a track of his outputs including his urine and bowel movements. I reported everything to the nurse in a timely manner and even the physicians when they had come that morning. They were very impressed with my up-to-date information regarding my patient. Analysis Identify the factors that influenced the success or challenges in the experience. The factors that influenced the success of my clinical day would have to be able to watch my classmates administered their medications as well as stay on top of my own assigned patient. The positive feedback I received from the family and the patient really made me a confident student that clinical day. The only challenge I faced was wasting considerable amount of time looking for my nurse who was also in charge, so she was running around from floor to floor. I wish I had switched off of her sooner and focused more on other cases and exposed myself to more patients. Conclusions Action Plan Describe what you learned from this experience and how this learning can be applied in the future. Describe a plan for additional learning and/or skill development identified through the experience. I learned that it is very rewarding to be in the service of others. This is something that I also had learned many years ago when I became a volunteer at EMT. I’m happy that I am able to continue the service in helping patients and their families feel more confident in the care that is being rendered to them. I will continue to meet my patient and family’s expectations as I continue this path on becoming a nurse. For the next clinical day, I plan on being more thorough with the worksheet that was given to us with our patient’s information. I do admit I fell behind on the medication list on the last page. I plan on being more vigilant and also hopefully being able to administer medications to my next patient given the opportunity.