The more experienced you become the more improved you begin to notice your skills of assessment become. It gradually becomes more natural, it feels innate. It develops at a pace you barely recognise and then suddenly you're able to piece things together. It takes time, you gain knowledge through your experiences and you gain insight and judgement from these experiences too. Textbook knowledge is great, but having experience of real life events is what creates your own wealth of evidence based practice that you can refer to. Knowledge is undeniably important. It's logical you should know certain normalites and abnormalities.
I've noticed my skills of assessment become more tuned since I've received rights to document on the hospital system. You notice everything you do become more important and logged in some diary like space of your mind. Every intervention, every test result, every observation becomes a matter of remembrance and encased in your memory ready to be scribed. Your input becomes a little more important when you have your own patients to create documentation on.
Recently I've been looking after a bay of six patients and a side room. It built up from an initial three, to six then to seven. Charting, assessing and logging and creating communication that contributed towards their care.
I've noticed my ability begin to develop.
More so with the previous weeks, I start to link things to develop the bigger picture, I understand things more, the contraindications, the advantages and disadvantages, the normals and abnormals and I can create links between condition and symptom. I can utilise A B C D E to benefit my clinical skills and ability to assess a patient. I used it this morning. My clinical skills, combined with utilisation of judgement to notice a mans breathing pattern had distinctively changed. I recognised his rate and depth was increasing over a short period of time and that his accessory muscles were in use when he inhaled and exhaled. I noticed the tone of his skin to be different; his urine output was in decreasing amounts and my understanding of this contributed to me creating connections and thus determining a deterioration in his condition and health.
I can notice myself learning and putting into practice the clinical knowledge I have developed in school and previous experience. This is the first time I have felt I am on my way to making a nurse.
- Loola.
I've noticed my skills of assessment become more tuned since I've received rights to document on the hospital system. You notice everything you do become more important and logged in some diary like space of your mind. Every intervention, every test result, every observation becomes a matter of remembrance and encased in your memory ready to be scribed. Your input becomes a little more important when you have your own patients to create documentation on.
Recently I've been looking after a bay of six patients and a side room. It built up from an initial three, to six then to seven. Charting, assessing and logging and creating communication that contributed towards their care.
I've noticed my ability begin to develop.
More so with the previous weeks, I start to link things to develop the bigger picture, I understand things more, the contraindications, the advantages and disadvantages, the normals and abnormals and I can create links between condition and symptom. I can utilise A B C D E to benefit my clinical skills and ability to assess a patient. I used it this morning. My clinical skills, combined with utilisation of judgement to notice a mans breathing pattern had distinctively changed. I recognised his rate and depth was increasing over a short period of time and that his accessory muscles were in use when he inhaled and exhaled. I noticed the tone of his skin to be different; his urine output was in decreasing amounts and my understanding of this contributed to me creating connections and thus determining a deterioration in his condition and health.
I can notice myself learning and putting into practice the clinical knowledge I have developed in school and previous experience. This is the first time I have felt I am on my way to making a nurse.
- Loola.