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Journal 3 preceptorship final

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Journal 3 preceptorship final

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Journal 3 preceptorship final

  1. 1. Name:Dave Jay S. Manriquez Date: November2,2016 Instructor:Pam Barbati Placement:Queen’sParkHospital JOURNAL Objective Data: To beginwith,thisismylastjournal forthispreceptorshipexperience.The mostoutstandingthing that I directly observed that stuck out from this work place is their rehabilitationprogram that they are doing to enhanced the physical, and mental state of their patients in the unit. I can site a couple of examples,the followingare:Self MedicationTrial Test,ReadingProgram, MobilizationProgram, andthe Dailyphysical exercise.Toexplaineachone of this,Iwill startwithSelf MedicationTrial Test. Thistestare giventopatientsthatare goinghome withmaintenance medications.Inthistest,the patientsare taught howto openabubble packproperly,toidentifythe rightmedicationanddate.The testwill rununtil they knowhowto do it themselvesoruntil theyare discharge.The nextprogramthatI will be talkingaboutis the readingprogram.This isdone to the elderlypatientsinthe unit,patientswhohave hearingproblem, talking problem, and having anxiety and depression for them to be involved in such activity. Another program isthe Mobilization,thisisforpatientwhohave issueswiththeir mobilityandbalance.Theyare encourage to set up every breakfast, lunch, and dinner to walk to the dining room. Some of them have task to do everymorningwiththe guidance of a physical therapist.The lastprogramthat I will be talking about are for patients in wheelchair, this is the daily physical exercise. On this program the patients involved work with the physical therapist in the unit. Different types of activity they will be doing, like throwing a ball and some other stuff that will strengthen their arms. Reflection/Reaction: I observedall of this since the first day I am in the unit. Duringthat time I am still confusedwhy theyare doingthisthings.Mypreceptorexplainedittome thatthisispartof theirrehabilitationprogram, for the reason that they need to prepare the patients for discharge. Knowing all of this just change my perception of helping because when I am in St. Paul in an acute unit direct help is needed,but with this unit(PATH-Med) itismore passive.Promotingorencouragingthemtodoitbythemselvesactuallydoing more helpforthem.Thisconceptof helpingwasreinforcedbymyclinical instructorwhenshe firstvisited me in the unit, because at first I really thought that when I do everything for my assigned patient I am helpingthem,butactuallyIamnot, I am justmakingthemdependenttosomeone,whichisnotgoodfor them when they are discharge from the unit. Interpretations/Internal Analysis: I thinkmyinitial reactionisjustnormal.Beingconfused meansthatyouare curiousandjustneed some explanationtosatisfythatcuriosity,andI got frommy preceptorthe answerto my questions.The implementationof the programconductedbythe rightpeople,helpthe patientissomeways.Iamtalking about them recovering fast from their illness/condition. The program allows them to regain back their strengthandskills.Italsoallowthemtobuilduptheirconfidence that islostwiththeircurrentcondition. The faster the patient can go home is much better comparing them staying at the unit.
  2. 2. Decision/Determination: After the first visit of my instructor and also after my preceptor talked to me, I change my approached on how I help certain individuals in the unit. Instead doing everything for them, I tried my bestto encourage themtodosome stuff forthemselvesandIonlyinterveneif Isee thattheyreallyneed help.WhatI learnedisthatbefore youstartyourfirstday ina new unit,youneedtocheck itsphilosophy onhowtheyrendercare totheirpatient,sothatyoucanadoptonthatphilosophyandapplyittoyourself. Afterknowingthe philosophyof the unit,I changed myperceptionof helping andI adopt to it. Different settinghasdifferentapproachesonhowyoucan help,so inthe future once I become a License Practical Nurse Iwill followwhatthe philosophyof the unit.If directhelpisefficientIwilldothat,if amore passive kindof help isneeded I will also adopt toit. In the future, as an LPN it is my duty to help my patient for fast recovery. I can do this by treating them with medication,care, providing encouragement, involve them in activities in the unit, and lastly making them independent for themselves. Compare and contrast how your perceptionofthe full role of the LPN has changed from the beginning of preceptorship to the end: At the beginning of preceptorship, my perception is that I need to work only with my preceptor but that perceptionchange quicklyonmy firstday. I needto work withthe other staff as well and other members of the health team.I noticed that collaborationis reallyimportant in nursing,I can’t be a one man show, I need the help of other individuals to make my job easy and also care is properly render to patients. Looking on my preceptor, the role of an LPN is very vast. LPN is not only means giving medications and doing nursing skills, but instead being an LPN you have the full responsibility and accountability of your patient well-being. Not only to your patient you have obligation, you had also responsibility and accountability with your colleagues and actions. Identify how you see yourself fitting into the full role of the LPN: Iam fitforthe full roleof LPN because Idohave thequalitiesthatare requiredforthe job. Ialways take full responsibility of my decision and action. I provide safe competent and ethical care within the legal and ethical frameworkof nursingtomy patients.Iworkedcloselywithmycolleagues,Icollaborate with them in assessing, planning, deliveryand evaluating care. Every conversation that I had with my patient is always client-centered. I do update myself with new technology used in the hospital. I do researchedfora particularmedication,diagnosis,andtreatmentplanconcerningtomyassignedpatient. I voicedoutconcernsto my preceptorandother staff inthe unit.I talkedto the othernurses,care aides, physical therapist, social worker, and nurse practitioner in advocating concern for my patients.

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