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Shift Reflective Report

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Shift Summary: During this shift, I cared for a patient with idiopathic pancreatitis. This was the first patient I assessed, because the patient was intubated and had two chest tubes. The patient also had a Zassi tube in place; this was my first encounter with a fecal diversion device. Later in the shift, I discovered an opening in the indwelling urinary catheter line. I discontinued the catheter to prevent further urinary leakage and the transmission of bacteria. My other patient was admitted for a COPD exacerbation. This patient was stable all shift. I provided teaching to both the patient and her family, and call the family to update them on which room she would be transferring to. I gave the patient report to the floor nurse over the phone and helped transport the patient. I feel that I did well educating and communicating with the patients and their families. I also feel that I did better giving report. I could still improve on my time management skills. …show more content…
Provide evidence-based practice and determine best clinical practice.
• When I found that there was an opening in the indwelling urinary catheter where a port cover should be, I assessed the patient’s nearby skin for moisture and breakdown. I reported this opening in the closed drainage system to my preceptor and then discontinued the catheter to prevent the formation of infection. I took this as a learning opportunity to not just check how long a catheter has been in place or for urine stasis, but to make sure all tubing is intact on all of my patients with catheters and other tubes.
Competency III.c. Create a nursing plan of care/concept map demonstrating use of EBP, clinical reasoning demonstrating management of simple disease processes for patient across health-illness life span among diverse populations in a variety of health care

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