NR509 Spring Session 2022
inhuman Reflection Week 5 Hallie Keller
Chamberlain College of Nursing NR509
Spring
... [Show More] Session 2022
inhuman Reflection Week 5
The purpose of this paper includes my reflection on my inhuman patient encounter. The process of clinical reasoning does seem to come with experience. Often when first starting working in the emergency department I knew what needed to be done due to chief complaints, and but that didn’t always mean I knew what exactly each lab was ordered for when patients asked, or why the practitioner ordered a certain test. This came with time, and unfortunately there isn’t much downtime in the emergency department to ask the provider the rationale behind each test, so it often became my own pursuit. Obviously if something seemed off or completely different than I would a dress the provider to confirm an order. I do find that we all think very quickly and usually doesn’t have time to hesitate and I find deep down we know what were supposed to do. This is often common in codes, where there are lots of orders being yelled out and lots of different medications with different dosages, but after doing it more than a dozen of times within a couple months I became confident in what I was overriding and drawing up for those emergent situations.
Gathering patient information is the evidence-based improvement strategy I chose to improve my performance in my next virtual patient encounter. My personal strengths include taking a quality and in-depth medical history. “The provider assesses health risks using a health risk appraisal, provides preventative screening/lifestyle behavior change recommendations, and collaboratively develops a 5-to-10-year personalized prevention plan” (Edwards et al., 2021). While reading through journal, this reiterated the importance of reviewing a future with the patient. Although I
see their health goals as well.
IHUMAN REFLECTION
Areas of growth I realized this week are within the EHR, I am use to physically writing down the patient’s history and any details or complaints. This has prevented me twice now from charting in the actual EMR on the inhuman documentation, as I always plan to fill it in the end of the case. Unfortunately, it cannot be accessed after a certain point to provide documentation.
With this knowledge moving forward I will be extra cautious and mindful. My area of growth includes paying attention to details of what is expected from each section. I would give myself a rating of 1 which equals to needs improvement on the next virtual patient encounter. [Show Less]