NR 511 reflection.docx

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NR 511 reflection.docx The student identifies at least one gap in specific patient experiences (i.e. ages, acuities, complexities, procedures, assessments, etc.) AND The student outlines their prac... ticum plan for the next 4 courses AND The student presents a brief plan to narrow the gaps within the context of the planned practicum rotations. (Requires 3 critical elements) During the last 8 weeks of clinical rotation, I worked at a family medicine clinic. My preceptor saw 60 % of pediatric patients and 40 % of adults’ patients. I was able to take care of children, teens, and young adults (age 3 to 18), but was not able to meet with patients less than one years old . Most of the patients’ conditions were mild to moderate, and it was uncommon to see patients with severe conditions. When it came to procedures, I was able to perform venipuncture, vision/ hearing assessment, EKG along with physical assessment. However, many of the diagnostic tests or procedures were not offered at the office due to its limited resources. I plan to find another practicum site and get exposed to more variety of patients and different procedures so that I can expand my clinical experiences. Moreover, I would like to get involved with variety of diagnostic tests according to patient’s condition with my next rotation. The student discusses their overall progression in this clinical rotation by identifying the following: 1) One professional goal that was achieved 2) One goal that was not achieved 3) A plan in future practicums to achieve the goal that was not met. (3 critical elements required) Through the clinical rotation, I was able to learn how to perform a thorough physical assessment according to patients’ various symptoms. Also, I learned that a systematic and detailed assessment including interview and physical assessment is necessary to find out what really is going on with the patients. Furthermore, I was able to provide preventative care through patient education. However, I still need to get more practice making differential diagnosis according to patients’ condition sometimes. I feel that making the lists of differential diagnosis and narrowing down to one final diagnosis is the most important process in patient care to guide treatment. I would like to actively get involved with patient diagnosis process, so that I will be proficient at making differential diagnosis based on my assessment. The student identifies a minimum of three specific areas of professional weakness in the clinical setting AND The student communicates a clear plan address these deficiencies. (2 critical elements required) First of all, the dominant patient population at the clinical site was Hispanics and I was not able to perform a thorough assessment due to language barrier for some patients. I feel that I need to work on learning Spanish to serve the patient population better. Second of all, I feel that I need to work more on physical assessment skills in patients less than 1 year old. I was not exposed to many patients less than 1 year old and even though I could met some baby patients, it was difficult to perform a through physical examination sometimes due to their irritation (for example, cry and move a lot). I will actively engaged with patient care in next rotation especially babies so that I could learn physical exam skills regardless there’s some limitations. Third, I would work on ordering diagnostic tests according to patients’ condition. For this, I would be more proactive on searching rationales on each diagnostic tests that were ordered so that I could order proper tests based on patients’ symptoms to narrow down the diagnosis lists [Show More]

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