Learning reflection

week 1

The things i did during my first week of internship are :

Getting to understand the ward, its protocols.

What it entails to be a scrub nurse and different tools used in the surgical room

what is expected from you by your colleagues and other staff members .

learning from my mentor nurse on the process on becoming a scrub nurse

Description :

My mentor nurse and i has been in different surgical procedures, where i have been given the opportunity to scrub in as well under the proper supervision of my mentor. in as much as i have learnt basic skills of scrubbing in at school, i can say that the technique of wearing double gloves and taking of the gown has ben more enlighten. My mentor nurse, has tutored me on several techniques on the various ways to remember the tools used. Also, hand disinfection and sterile equipment been kept sterile has been also the focus of our practice in the first week.

Feeling :

It was quite astonishing at first, to see everything in plane sight and close proximity, the time it takes and the effort everyone puts into in every surgery in my first week. it made me understand he proper essence of team work and team understanding, as during the process you get to understand that even without spoken words, communication is passed on. My mentor nurse has been able to guide me this first week and also mentor me with patience and understanding.

Evaluation:

On evaluation , my mentor Nurse was with me and has given me good feedback and i intend to keep working hard on myself during this internship period..

Analysis:

on my reflection while we have been working on identify each tools in that are been used for each operation i have understood that sometimes the pattern are similar and with time it will get to you.

Conclusion:

my conclusion, i appreciate the immediate feedback and support from my mentor nurse and how the different staff members are willing to help me grow professionally, also, i think that as time goes on i will gain more confidence and more know how on how to handle things.

Action plan:

My action plan in the future is that I will be away to take on more responsibilities with the monitoring of my mentor nurse and also identification of tools properly.

Week 2

• Scrub nurse
• Instrument nurse
• understanding the different responsibility of every team member

Description :

I have been able to scrub in and make couple of mistakes still while wearing the double gloves the easiest way but my mentor nurse has been very helpful in this. i have been able to work aseptically and minimize the feeling of trying to put my hands down wile putting on the sterile gown.

I have been able to assist other scrub nurses in giving them different equipment and tools that could and will be used during the procedures and doing this has also made me feel that i can be trusted by the staff of the ward.

Been a scrub nurse or an operative nurse requires that you gather knowledge of the procedure and what might happen during the procedure and understand the function of everyone who is there as well. My mentor nurse has been rally informative and educating me on every procedure and this has made every procedure feel like i have been in the planning process, as i understand what is expected of each person before, during and after the procedure.

Feeling :

i feel much comfortable at this moment and glad that both my mentor nurse are giving me the guidance and opportunity i need to carry out this process and my questions are been answered when i ask.

Evaluation:

my mentor nurse has commended my effort and i appreciate the guidance

Analysis:

my reflection for this week, is the ability to handle the equipment and tools the right way and aseptically. i have been able to work on my confidence, trying to use Finnish language as well and feedback helped properly.

Conclusion:

is that with confidence it is able to come out one shell and perform my duties properly.

Action plan:

I plan to continue to learn and focus on the pathway which i have discussed with my mentor nurse and try to ensure that i can start to achieve them from the third week.

Week 4

Working with the Anesthesia Nurse

Taking of vital signs

Monitoring of vital signs during surgical operation

Medication

Description

During this week i have worked closely with the anesthesia nurse and doctor, and understood the routine of how things are done and the communication route between an anesthesia nurse, anesthesia doctor and other surgical team that makes the procedure move smoothly.

understanding of the vital signs and different parameters for different patients has been explained adequately to me, thereby making me able to follow on every patient that undergoes a certain procedural process.

I was able to follow up on the medication given to each patient and also monitoring the medications, thereby giving the opportunity to act as soon as possible.

i have understood virtually, the most important medications needed for a surgical procedure and know which drug comes first and which helps what in a certain situation.

Feelings :

I have felt much more calm understanding all this and appreciating the significance of why active an anesthesia nurse must be at all times.

Evaluation :

My mentor nurse has given a positive feedback on my willingness to ask questions where i feel lost and ability to understand different situations.

Week 5:

LEARNING SKILLS
In the beginning of the internship i came with an open mind to improve on what i have learnt from school and to embrace the learning skills of professionals in the working field.

ETHICAL COMPETENCE AND PROFESSIONALITY
I understand that even when a patient is on the surgical table either on general anesthesia or local, the right and privacy of that patient must be respected at all times and also the dignity of the patient.

WORKING SOCIETY COMPETENCE
I have worked and enjoyed working in this environment and the staffs has been cordial and helpful, for this i can say i have grown very well in this field of studies.

I have done my best to follow the working schedule and also tried to do so independently with the help of the each shift head and this has made my internship a success as well.

PATIENT-ORIENTED NURSING CARE
The patients has and its always my first concern and i have ensured to put their concern first before any other, also considering that every patient is different and has an individual need and as such must be treated as an individual.

EVIDENCE-BASED NURSING AND DECISION-MAKING
I have been able to make research on my own and also read couple of booklets here in the ward given to me by my mentor, also my mentor has explained holistically through the process of been in the anesthesia side or as an instrument nurse and this has helped me grow.

CLINICAL NURSING CARE
I can gladly say that my clinical skills has improved radically and this is a huge thanks to the staffs of the department and especially my mentors for their flexibility and willingness to let me try new things.

I have had the opportunity to try and learn everything at the ward and even more and this is a great tool for the future and shapes my idea of my future as a nurse.

I do believe that my goals were achieved and met my expectations and a big thanks to my mentors.

Goal to be achieved in my next internship.

in my next internship i do hope to work more in Finnish language and also communicate more and more with my mentors.