PERSONAL JOURNAL EXPERIENCE 4
Iworked in close collaboration with my preceptor nurse, jugglingbetween the ER and the Med-Surge units. I assisted in admittingpatients from ER to the Med-Surge and their discharge after surgery.Operating in two units at clinical provided an array of skills for meto acquire. I learned how to implement transitional care to enhancetimely transfer of patients to the telemetry unit. Additionally, Ilearned to document patients’ details in an EHR, acquired amulti-tasking ability and critical thinking skills that enabled me tomake sound decisions fast. Finally, I educated caregivers to meettheir psychological needs in supporting their loved ones to recoverin conjunction with offering preoperative and postoperative patientcare to assist the patient to go through the surgery and adoptself-care of the surgical wound.
Atfirst, I felt apprehensive because initially I had been in ER andMed-Surge units independently, and I did not know what was expectedof me. It dawned on me that it was a matter of integrating what I hadlearned in both units, and I embraced the clinical experience. Beingquite responsive to events that unfolded in ER created seamlesscooperation with the preceptor nurse and physicians, and patientsreceived timely medical care. However, I need to improve my knowledgeon various illnesses and symptoms because I found myself consultingthe preceptor much leading to a lag in the administration ofemergency treatment. Having worked in fast-paced and critical units,I feel that the experience and expertise gained confirm my readinessto being an RN. Since a medical facility presents an unpredictableenvironment, my highly adaptable capacity enables me to respondadequately to medical situations.
Oneoccasion I encountered at clinical was a patient who had undergone acardiac surgery, having a sternal wound infection. It was discoveredduring the routine nursing assessment of the surgical wound. Fluiddrained from the wound and the patient felt pain in the surgicalregion(Lubin, Dodson, & Winawer, 2013).The priority was to alert the doctor, who arranged for a computedtomography to determine the degree of the wound’s inflammation. Thedoctor prescribed antibiotics for the patient while the preceptornurse and I reconstructed the surgical site, performed debridement,and covered the wound with collagen pads instead of muscle flaps. Ilearned that critical nursing care is necessary for monitoringpatients after surgery, to ensure that they are stable and theirsurgical wounds heal normally.
Lubin,M. F., Dodson, T. F., & Winawer, N. H. (2013). MedicalManagement of the Surgical Patient.Cambridge, England: Cambridge University Press.