Reflect on your clinical experiences in the Emergency Room.
• Reflect on your experiences during your preceptorship rotation. For each entry, describe the situation, analyze your actions and their outcomes, and reflect on what you learned and how you could improve.
• Write a journal entry for each prompt below. Each response should be about 200-300 words.
• Ensure your journal is professionally formatted, proofread, and submitted by the due date.
• Submit your journal as a single document, each entry titled and separated.
Prompt 1: Therapeutic Communication Objective: Utilize therapeutic communication techniques to effectively support clients and their families, addressing their concerns with empathy and professionalism.
Use this: pt came in in cardiac arrest with pupils fixed and dilated and they had to stop CPR bc pt was 94 and clinically dead. arguing with the family whether to continue CPR or not
• Describe a challenging communication event with a patient or family member.
• Analyze the verbal and non-verbal strategies you used.
• Reflect on the patient’s response and discuss how effectively your approach supported the patient’s emotional or psychological needs
Prompt 2: Clinical Knowledge and Application Objective: Apply advanced knowledge of pathophysiology to prioritize and execute interventions for multiple clients, demonstrating a clear understanding of the physiological basis for each action.
Use your imagination we did have a tornado warning and on the ground so we had to move all of our patients to safety
•Reflect on a critical care situation involving multiple clients.
• Detail the pathophysiological considerations that guided your prioritization of care.
• Evaluate the effectiveness of the interventions you selected and identify any gaps in your knowledge that became apparent.
Prompt 3: Client Care Prioritization Objective: Prioritize the delivery of client care by assessing the urgency and importance of various tasks and interventions, ensuring efficient and effective patient management.
Use this: lots of abdominal pain, nausea and vomiting virus where multiple people came and went
• Analyze a day with high patient turnover or multiple emergencies. • Describe how you managed your responsibilities and prioritized tasks.
• Reflect on any ethical dilemmas you faced and how you resolved them.
Prompt 4: Evaluation and Documentation Objective: Critically evaluate and accurately document the client’s treatment responses, focusing on managing side effects and adverse reactions to medications and therapies.
Use this: during a blood transfusion which a pt had a previous reaction
• Discuss a specific instance where you had to monitor a patient closely for adverse reactions to medications or treatments.
• Describe the documentation process and how it was used to adjust the care plan. • Reflect on the importance of detailed and accurate documentation in patient care.
Prompt 5: Interprofessional Collaboration Objective: Collaborate with interprofessional team members to provide comprehensive client care, sharing insights and integrating feedback to enhance patient outcomes.
Use this: getting a pt admitted to the floor that needed multiple specialties involved in their care
• Provide an example of how you worked with another healthcare professional to manage a patient’s care.
• Analyze the dynamics of this collaboration and reflect on how interprofessional teamwork impacted the patient outcome.
Prompt 6: Delegation and Supervision Objective: Demonstrate understanding and application of the rights of delegation, ensuring tasks are appropriately assigned and supervised following client needs, situational demands, and team capabilities
Use this: also during a code pt that was high on meth and fighting
• Reflect on an experience where you delegated tasks to other team members.
• Discuss the criteria you used to assign tasks and evaluate the effectiveness of the delegation, including any feedback you provided or received.
Prompt 7: Cultural Competence Objective: Display cultural sensitivity and competence in all interactions with clients and their families, tailoring communication and care practices to respect diverse backgrounds and values.
Just choose one you can think of
• Describe an encounter with a patient whose cultural background differed significantly from yours.
• Discuss how you adapted your communication and care approaches.
• Reflect on this experience and how it has affected your approach to culturally competent care.
Prompt 8: Communication of Care Tasks Objective: Effectively communicate tasks and critical client concerns to team members and supervisors promptly, ensuring clarity and timeliness in the delivery of care.
Use this: in a code blue where the pt came in unresponsive
• Analyze a situation where effective communication was crucial to patient safety.
• Describe the specific communication techniques you used, the immediate outcomes, and how you could improve future communications.
Prompt 9: Education Objective: Educate patients and their families about health conditions, care routines, and preventative measures, employing clear, understandable language and materials suitable for their levels of comprehension
Use this: managing their new diagnosis of diabetes. following up with PCP and support groups
• Detail a situation where you educated a patient or their family about a health condition or care procedures.
• Evaluate the clarity and effectiveness of your educational delivery and reflect on how you could enhance patient comprehension and engagement in the future.
Prompt 10: Confidentiality and Privacy Objective: Maintain strict confidentiality and privacy of client information, adhering to ethical guidelines and legal requirements to protect patient rights and sensitive data.
Use this: when we had a patient come in that I have taken care of at another hospital
• Reflect on a situation where maintaining patient confidentiality and privacy was challenging.
• Discuss the steps you took to secure patient information and evaluate how well you think you managed these responsibilities.
