Journal Week 13

1. What did you actually learn from the unit? Your personal feelings about the material covered?

This week it was fun to look at different ways to motivate employees. I think this is HUGE. Where I work I feel like they do a good job trying to reward employees and keep them motivated to do a good job. This helps to boost the morale of staff and I think in turn it has a huge impact on patient satisfaction. 

2. Discuss your feelings/experiences from the team activities? Did it change your opinion on the subject? If so, how? If not, why?

The team activity was great because it gave me insight into what my teammates thought would be good ways to motivate their employers. I agree that money is not necessarily a good motivator. I liked a lot of the ideas that were presented and think we came up with a great list that we could implement into hospital units/floors to boost the morale of the staff and encourage them to keep working hard.

3. How you will utilize the information learned in your nursing practice?

Like I stated above, I do not think that simply offering money is a good morale booster or motivator. If I made more money working somewhere and hated the environment I would rather work for less money and love my work. I think it is so important to have good motivators for staff and nurses because happy nurses = happy patients!

Skin Assessment Journal

This week from the videos It was really just a good review of assessing the skin and looking for abnormalities that could cause potential problems in our patients. A break in the skin creates a door for germs and bacteria to use to enter our bodies. The video this week wasn’t helpful for any other thing than just the review. I found the readings to be a lot more informational and they contained info that I want to use and incorporate into my practice. 

This week from the reading the most helpful thing to me was the link to the different descriptions of skin lesions. I am not a lesion expert by any means but this list was extremely helpful because it provided pictures and descriptions of what different lesions could look like. This will be helpful in my practice because when assessing wounds, rashes, etc It will be important to be able to describe the lesions accurately so that we can monitor if they are getting better or worse. At my workplace, we are required to take pictures of wounds and put them in the patient’s charts so that we have photographic evidence of the wounds progression/digression.

This week from my actual assessment I learned that everyone is at risk for skin alterations no matter how young/old they are. After doing this assessment on my patient I realized how important it was to keep her as dry as possible to prevent the breakdown of her skin. Often when we think of skin breakdown we think of an incontinent older adult that needs to be changed more often. This was similar in a way because rather than having incontinence moisture affecting her skin integrity she had sweat. After doing this assessment I put two and two together and really encouraged my patient to let me know when she got sweaty so that we could get her new sheets and a gown. This made her much more comfortable and helped to reduce her risk of skin breakdown. In the future, I want to be better at accurately describing lesions I find on the skin like I stated above I think it is a super important part of our assessment. 

Journal Week 12

1. What did you actually learn from the unit? Your personal feelings about the material covered?

Bargaining and conflict resolution are great skills to possess. It is important to fight for what you deserve in the workplace whether it’s your benefits, pay, or time off. Conflict is everywhere and we need to know how to handle it in a professional way. This unit helped me to look at different ways to handle conflict and see what kind of communication that I use.  The bargaining assignment also helped me to look at the possible immediate losses but the greater outcomes. 

2. Discuss your feelings/experiences from the team activities? Did it change your opinion on the subject? If so, how? If not, why?

The team activity was interesting because it gave me the opportunity to look at what my other teammate’s thoughts were on how to solve a conflict. I think we all go about things differently and it’s good to see others perspectives. The bargaining activity was a bit confusing but it was interesting to see what my other teammates bargained for. 

3. How you will utilize the information learned in your nursing practice?

Like I stated above, I think knowing how to take on conflicts is super important because they are all around us. Many people have different ways to communicate and it’s important for us as nurses to understand this. We will be talking to a variety of people all the time and may run into conflicts and need to know how to effectively communicate and solve these problems. 

Nose/Mouth/Throat Assessment Journal

This week from the readings I learned a couple things about testing for strep throat. First, I have heard before that the rapid strep tests can show a false negative and are not the most reliable test. This article, if I understood it right, is suggesting that assessments/tests for strep should not be based on one test or symptoms alone.  As providers, we need to look at symptoms, rapid strep tests, and even throat cultures. Strep that goes undetected can cause a number of serious health problems in children and even adults. This article studied mainly children but found that we need to enhance the ability to perform a number of different tests on children presenting with strep throat. 

From the videos this week I got a good refresher of the assessments of the throat, nose, and neck. Because the throat is so hard to visualize I think it is important to be able to assess what you can see well so that if there is something off you can get tests to further look into areas you may not be able to assess. I had forgotten the importance of checking out patients teeth and gums and dental infections can travel in the bloodstream to the heart causing endocarditis which is a huge problem.  It is important for us to stress the importance of seeing a dentist every 6 months to our patients because a healthy mouth is extremely important. 

This week from the actual assessment I was able to practice a lot of these smaller assessments that I have not performed since the first semester. The videos helped to remind me how to palpate the lymph nodes of the neck. I think noticing enlarged lymph nodes in our assessments could help to locate areas of infection. My patient was overall very healthy and did not have any problems in regards to her nose, throat, or neck that I was able to assess. Next time I want to improve upon my assessment on the thyroid… I’m not sure how soft or hard to palpate that area and felt that maybe I was palpating too soft. 

Week 11 Journal

1. What you actually learned from the unit? Your personal feelings about the material covered?

This week it was beneficial to go over the importance of planning. I love making plans and can see how beneficial they are in not only life but in a business setting. I liked that this week we learned about the importance of making a couple different plans because we cannot plan out exactly what will happen but just an idea. It is important to have backup plans to fall on when things don’t go exactly as planned. 

2. Discuss your feelings/experiences from the team activities? Did it change your opinion on the subject? If so, how? If not, why?

The team activity was helpful in trying to plan out the future of health care in two different communities. We tried to space out the hospitals, clinics, and specialty buildings evenly throughout the block land. Making things more accessible to different parts of the population is important. I think it is important to make plans for a monthly basis, yearly basis, and every 5, 10, 20 years. We should always be looking to the future. I never thought how important it would be to plan for advertising as well, technology is always changing and so are hospitals so we have to be aware of these changes and plan accordingly for our advertisements.

3. How you will utilize the information learned in your nursing practice.

I think it is important to plan our your life and have goals set for yourself. I am a huge planner of things and at times it drives my husband crazy but I secretly think he likes it! When we have a rough sketch of what we want to happen in our life we are better able to stick to our set goals and track our performance to achieve them. I think it is also important to have flexible plans that can change based off of emergency situations. 

Head Ears and Eyes Journal

This week from the videos was a great review of all the assessments that can be done on the eyes alone. I think the eyes have the ability to tell us a lot about what is going on neurologically. The videos were also a good review of the anatomy of the eyes and ears, it has been a while since I took anatomy. It is important to understand the anatomy and physiology of the systems we are assessing so that we are better able to identify problems. 

This week the reading from the textbook was also a great review of the assessments that can be done on the head eyes and ears. On my floor, we do not focus too in depth on the ears but do small assessments on the pupils and head. I think from this reading and this weeks chapter I could incorporate more of the assessments into my daily practice. I think it is important to check patients hearing and vision because we do a lot of teaching and if a patient cannot read or hear what we are saying we are doing it for nothing. 

From performing the actual assessment, as usual, I got to hone in on my skills and practice what I learned from the readings and videos. I had not used an ophthalmoscope, or otoscope since the first semester so it was helpful to figure out how to use them again. Visualizing the eardrum was a little more difficult as well as the inner workings of the eye. These are things I would like to practice so that next time I am able to identify them with ease in my assessment. 

Week 10 Reflection

1. What you actually learned from the unit? What are your personal feelings about the material covered?

This week was eye-opening, it is interesting to look at different scenarios and see how different types of people take to change. I know sometimes I am more open to change than other times. These weeks activities helped me to look at myself as a person accepting/not accepting changes. I think it is important to be open to changes whether we understand what the benefit/reasoning is behind it or not. I think it is also important for us to ask questions and clarify changes that will be made so that we can be better prepared when the changes take place.

2. Discuss your feelings/experiences from the team activities? Did it change your opinion on the subject? If so, how? If not, why?

I think it was fun to learn about the “who took my cheese” scenario and how it relates to how we act when faced with changes. I liked reading everyone’s responses and who they most related to as a person accepting changes. I think often times we like to think we are the person to takes well to change but often times I don’t think we are. 

3. How you will utilize the information learned in your nursing practice.

I will try my best to be more open to changes in my nursing practice. New policies are implemented in the nursing setting all the time as new research reveals betters ways to practice. Sitting in our comfort zone will get us nowhere, we need to get out there and be open to trying new things. I think more often than not new things bring more benefits to us in the long run. I will try to take changes within the workplace and my own personal life in stride rather than Heming and Hawing about them.

Neurological Assessment Journal

 

From the Bates Videos this week I was able to refresh my memory on a lot of the different neurological assessments there are. I do a few on the main ones at work on every patient but some of the more specific tests would be super helpful in specific cases where someone had a neurological deficit. It was extremely helpful to watch the testing of the Cranial nerves again as I had forgotten some of the different tests we do to assess them. 

From the readings this week the article I found most interesting was the article about the implementation of the Quick Confusion Scale in Emergency Departments. Although there were only able to get data from roughly 200 participants they found that it was just as effective as the Mini-Mental State Examination test. This could potentially be a big deal because in the ED you are all about getting tests and assessments done efficiently and in a timely manner. The QCS was also found to be much faster in assessing acute-mental status than the MMSE. I think it would be interesting to see another study on a larger scale and possibly in other departments of the hospital and see if it works well in others areas. I didn’t realize how many different scales there were to assess cognition and neurological status. Prior to the reading, I had only heard of the Glasgow coma score and the MMSE.

Having a patient for this assessment that actually had some apparent neurological problems was extremely helpful in working on these different assessment skills. The last few assessments I haven’t had a patient with issues specific to the module. I think in working with people with neurological problems you have to speak in clear simple terms. Often times I think we get frustrated with patients who are confused when we should be more patient. This is something I think I can improve upon in my own practice, being more patient with those who have a hard time understanding me or are confused. I also want to practice assessing the cranial nerves more as I feel they could be helpful in future practice.

 

Reflective Journal Week 9

1. What did you actually learn from the unit?

This unit was very informative and interesting because staffing and scheduling I think is a big part of what makes me interested/not interested in a specific work environment. I think every unit/hospital/company has a little bit different method to scheduling and staffing. Personally, I picked the job I currently have because of their nurse:patient ratio and their willingness to work with my school schedule. 

2. Discuss your feelings/experiences from the team activities? Did it change your opinion on the subject? If so, how? If not, why?

This week for the team activity it was interesting to try and put together a schedule for a medical unit. I think it would be really hard to be over a ton of nurses, LPNs, CNAs, and Clin supervisors schedules. I honestly don’t think I would want to make the schedule… you would have to work with so many different peoples wants/needs and try to make everyone happy even though that is next to impossible. I have a lot of respect for the people who make schedules; they must be organized, and aware of the different needs of each employee. I have had both great schedulers and terrible schedulers and they make a huge difference in the morale of employees. 

3. How you will utilize the information learned in your nursing practice? Your personal feelings about the material covered?

This definitely gave me a lot more perspective into what a scheduler go through. It was also interesting to see the different ways that units staff in the discussions. I will have a lot more respect for those who are trying to create a schedule. I think it is important for workplaces to work with employees needs as it makes for a better working environment and happier employees. 

Week 8 Reflective Journal

1. What you actually learned from the unit? Your personal feelings about the material covered? 

This unit was helpful in looking at what nursing is going to be in the future. As a new grad, I am the future of nursing. Talking to many nurses who have been in the field for a long time so much has changed in the last 10-15 years. We rely so much on computers and technology for our work now and in the past, they didn’t. Nursing will continue to evolve and change and with that, it is my job as the future of nursing to keep educating myself so that I can evolve and change with the times and continue to provide excellent patient care. 

2. Discuss your feelings/experiences from the team activities? Did it change your opinion on the subject? If so, how? If not, why?

This week the only team activity was the discussion post on our opinions of the future of nursing. As a whole my group had pretty much the same opinion, the future of nursing involves a push for furthering education and working to get MSN and Ph.D. degrees. We also discussed the shortage of nurses and what this will mean for nursing schools and us as new nurses. 

3. How you will utilize the information learned in your nursing practice.

I have always planned on continuing my education in nursing and I plan on getting an MSN one day. For now, I will continue to work on my BSN and see where that takes me. I have looked into several different MSN programs including CRNA programs and Forensic Nursing programs. I want to keep learning and gaining new knowledge because I know it will only help me to be a better nurse. I love learning new things and I think that mentality will take me far. I believe that education is so incredibly important.