Wednesday, November 16, 2016

ISTAN Reflective Journal

For my Istan day, my fellow classmates (Julia James, Brooke Edwards, and Alexis White) and I cared for a 85 year old female admitted for dehydration and urinary retention caused by a drug interaction between 2 home medications she had been taking. We completed many task during our simulation and were very efficient in the time we were given. We performed our assessment, identified the absence of an arm band, called admissions and obtained another one, discovered there was no statlock on the patient’s catheter, applied a new one, we discovered the patient had more allergies then were listed, and obtained an allergy band to place on the patient. Morning medication was administered, labs were drawn, and a sterile urine specimen was taken from the Foley catheter to be sent to the lab.
I feel that I learned team work is very important when working with others to provide care for a patient but I also think that next time in simulations, I will not solely rely on the other members of the team to check behind one another, and I will double check things myself.
The main things I learned from watching my peers is that it is key to communicate properly and have a plan before initiating care, even if the plan goes completely upside down, have some sort of ground plan to fall back on and go back to when things get chaotic and you need to evaluate what things are priority, which is another thing I learned from my peers, it is important to step back and assess how high of a priority are the things you are doing at that moment compared to the things that are waiting to be done. Also, I learned that it is important to be able to handle any situation well, no matter how odd or difficult the situation may be, keep your patient’s safety and well-being in mind first and handle the situation with that in mind.

One of my favorite parts of clinical and simulations is when we are able to take the things we have learned in the class room and out then into effect and it all starts coming together and making more sense. In this simulation, we focused on hydration, encouraging fluids and closely monitoring intake and output, we discussed mediation interactions and how certain medications could affect the patient and also how it is important to keep the patient educated about what is being done to them, given to them, and the status of the care they are receiving.
- Victoria Saranthus  

2 comments:

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  2. Hi Victoria!

    It sounds like you and your group were able to stay relatively busy during your simulation lab! Reading what all you and your group were able to accomplish is impressive. Working as a team in a tight space can prove to be challenging at times, especially when everyone is working on different tasks. And I have to agree with what you said, it's always good to double and triple check everything, especially the things that you yourself did not complete, just to make sure everything was done correctly and catch any potential mistakes from others. The patients health and safety is the most important thing, everything that we do has to be for the benefit of the patient. I feel like you were able to take away a lot of knowledge from your experience and I hope that it benefits you well in the clinical setting or other simulations in the future. Keep up the hard work!

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