Preceptorship reflection
- Ensure that your responses are well-organized, clearly written, and free of grammatical errors.
- Include any references to literature or course materials in APA format. 200-350 words in each category please!
- Therapeutic Communication- In an outpatient setting communication with staff is important, they stay in a rotation and discuss which patient is in what room and waiting on what med or items, they all work as a group and assist with all patients. as far as communication with patient and family use nonverbal open communication like good stance and not closed off or asking open ended questions. Using those allowed for me to hear the answers i needed for my assessment and made the patient and family feel welcome.
- Clinical Knowledge and Application- prioritize care by severity, life over limb- follow ABC’s airway, breathing, circulation. I would care for a patient having an allergic reaction or short of breath before an antibiotic needing to be given. I would also give my blood within 30 min of getting it from the blood bank for protocol and verify with a second nurse. Always assess patient and their history and take vitals prior to starting any meds.
- Client Care Prioritization- in outpatient they always have a high turnover, we take our patients in order as they come in. I would still prioritize VS and assessment and if any reactions or complications attend to those and delegate to the other nurses to initiate ABX or the other patient’s needs.
- Evaluation and Documentation- I had an IVIG patient that had to be observed in the ER by two nurses for the entire infusion as the patient has a high risk of an allergic reaction due to patient having a larynx repair and a tracheostomy so she had a high chance of a compromised airway and would be a hard intubation. With her we had to monitor and chart VS every 30 min and run her IVIG infusion at a slower rate.
- Interprofessional Collaboration- we worked together to rotate patients and take labs/ pick up meds from pharmacy. Often times one nurse would take VS while another started an IV or gave medications. One nurse would set up the NS for the blood tubing while the other went to get the blood. Often times the primary nurse would stay with the patient and the charge nurse would be delegated to get the med or blood, whatever was needed for that patient. This allowed things to run smoothly, and they all worked together to prevent complications.
- Delegation and Supervision-we worked together to rotate patients and take labs/ pick up meds from pharmacy. Often times one nurse would take VS while another started an IV or gave medications. One nurse would set up the NS for the blood tubing while the other went to get the blood. Often times the primary nurse would stay with the patient and the charge nurse would be delegated to get the med or blood, whatever was needed for that patient. The patients were taken care of in a timely manner and all received everything they needed with no complications.
- Cultural Competence- we didnt really have anything different, we live/ work in a military town you could make a small one up?
- Communication of Care Tasks- Each day they have to discuss what patient is where and their specific needs, even though they all have their own independent patients they still work as a group to ensure patient safety and needs are met. Work on having certain questions to ask and a better routine?
- Each patient is given education on what they received, they will either get the handout from the medication like the little pamphlet or a printed copy of education. They are also educated to report s/s of a reaction.
- Confidentiality and Privacy- dont discuss patients in the hallway, place everything in the medical records box or shredder, keep paper copies turned upside down in hallway and not visible, close out computer when you walk away. We dont discuss patients over the phone if someone calls unless it is a provider, patients bring allotted visitor with them.
