Welcome back to my blog!
Adult health II clinicals is finally over and I could not be any more excited. I’m just tired lol and it felt super long. It was four weeks of endless paperwork and 12-hour shifts. I struggled taking care of myself during this rotation because I was drowning in paperwork and trying to get enough sleep. Bad tiffany! One thing I like to remind people (which I need to remind myself) is, take care of yourself because you can’t take care of others if you’re unwell.
Today I thought I’d talk about my overall experience in this clinical rotation. I was super nervous going into this rotation because I’ve heard that we were expected to do way more things. I suddenly felt so blank about my nursing skills and abilities.
In this rotation, we had a lot more expectations because our professor was more strict. She ran clinicals her way and sometimes her expectations didn’t match up with our past experiences. We were expected to do much more real nursing stuff but unfortunately due to past clinical experiences, we weren’t as equipped as she expected us to be. Therefore, her rules and regulations were very intimidating to me but as days went by, I got used to it and got through the days just fine. She emphasized time management and the importance of assessing your patients. It may have seemed repetitive at the time but a big chunk of this profession IS time management and assessing your patients. Getting your morning assessment done in time is important because it gives you a baseline and clinical picture of your patient. So if anything happens throughout the day, you would know its not normal. Makes sense, right? We also charted on our patients and it was a lot of clicking. One of the hardest parts was finding time to sit down to chart on our patients and I found that difficult for a lot of nurses as well.
At the beginning, we were assigned 1 patient each. This patient was our responsibility and we were expected to know everything about this patient. Therefore, we picked a patient the night before and did a bunch of paperwork regarding this patient. It required us to learn how to dig through their chart to find out the history and physical, the reason why they’re at the hospital, any relevant labs or diagnostics, and medications they’re taking. The paperwork was lengthy, especially after a 12 hour shift, but I found it really helpful because I liked being able to know what my patient’s situation was before I walked into their hospital room. So I spent a lot of time prepping to make sure I didn’t miss anything significant.
Even though in real nursing life I wouldn’t be able to do that, from all this paperwork experience, I learned how to efficiently find the relevant information I needed to properly take care of my patient. I would rather not do paperwork but hey, I learned new things. The section that took the most time was the medication list. Some patients have 3 medications, some patients have 20. Just imagine researching 20 medications for their recommended dosages, side effects, and nursing interventions. There were some medications that were repeated between patients so I kind of wish I created a database where I could just copy and paste the information but I think I learned it better by manually researching it every single time.
Eventually by week 3, I was upgraded to 2 patients and it was nerve wracking. The paperwork got heavier but by time I got 2 patients, I had learned how to efficiently find the important information the night before. As long as I had the important information, I could fill in the blanks later when I had some “downtime”. The information I needed was the information that told me what I would be looking for during my initial assessment. I did mostly focused assessments meaning I would just focus on the body system that’s affected by the reason why they’re at the hospital. For example, if they’re in for pancreatitis, I would focus on the heart, lungs, abdomen and their comfort levels.
Before this rotation, I set three goals to make the best out of my clinical experience. Here are these goals and whether I succeeded or not:
- Improve my communication skills.
I suck at talking to people. I envy those who can make conversation with anything and everything. Like how do you do it? Teach me yo ways!! I’m just shy and with ill patients, I’m afraid to speak because I’m scared I’ll say something that will offend them. So I just stand there and smile and let them talk. But this rotation, I improved with talking to the patients. Practice makes almost perfect! I tend to practice while driving. It probably looks crazy but I guess it worked because during my mid-evals, my professor told me I did just fine talking to the patients and nurses! YAY!
2. Be more assertive.
I’m not sure if I accomplished this one. But I asked way more questions and was able to ask for help when I needed it. I don’t know, I was pretty excited when I knew the answers whenever my nurse asked me something. That means I’m learning something!!
3. Take opportunities.
I definitely accomplished this one. I was presented with the opportunity to go to the ICU and ED and I initially did not want to go but I decided to take the opportunity and there were no regrets at all! It opened my eyes to other departments and challenged me to think about how I could be better.
And that was pretty much what my clinical rotation was like! I had a really good time these four weeks and compared to my first day, my confidence has boosted. I need to remind myself that I am capable and I can do this. It just takes time.
Say it with me. You are capable and you can do it! It doesn’t matter how long it takes as long as you don’t give up. 🙂
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Signing off from this blog post… I hope you have a beautiful day and don’t forget to shine bright, you’re beautiful. Thanks for reading!✨
❤ , TIFF
Real Nurse (R.N.) in the making.
psst… check out my last post here!
psst… I just started maternal newborn and ugh save me. lol I forgot how to study.
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