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Nursing practicum experience journal entries

Nursing practicum experience journal entries

This week’s Journal entry will be added to your Week 7 and the previous course’s Journal entries.

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This comprehensive Practicum Experience Journal demonstrates your ability to apply nursing and specialization theory to your practicum and practice experiences, along with your time log that provides evidence that you have completed the required practicum experience hours.

Drawing from evidence, concepts, and/or theories (evidence) learned in this program and your specialization, you will analyze one problem, issue, or situation (event) you observe during your practicum experience. You will decide if the observed event is consistent with or different from the evidence, how the event mirrors or differs from the evidence, and how evidence might be used to enhance the similarity or diminish the difference, if appropriate. Sometimes, a deviation from the evidence-based practice is necessary during different situations. If you do not work on-site with your preceptor in the week your journal is due, you may reflect on experiences from a previous week of your practicum for your journal entry.

For this assignment, you must use the template attached

Your journal entry should be week-based and sequential so that all journal entries are contained in one file. The journal entries must include the following:

•Describe the observed activity (no more than ½ page).
•Using an evidence-based approach, analyze the problem, issue, or situation.
•Include minimum of two scholarly sources, formatted according to APA requirements.
•Reveal how the real-world might mirror or diverge from program-related evidence, concepts, and/or theories.

NB: The observed activity is that a nurse is not following the right technique for intramuscular injection. Wrong site and wrong technique

Nursing practicum experience journal entries

Clinical Practicum Reflection Essay

During my first day of clinical practicum in MMW AQH, the register nurse made a medication error and did not report it, she instead she tried to cover it. I would like to reflect on the incident and what I have learned from that situation as a nurse.
Elaborate

This incident happened during- my first clinical day in MMW AQH around 1pm while administering drugs by a register nurse, I was observing her practice in drug administration. She started to prepare the drugs on advance she asked me to collect the drug charts from patient bedside and nursing station .While she was distributing drugs for patient she was attending their needs and answering doctors order by the time goes she become distracted and lost her concentration this situation made me confused and not knowing which patient is next. The nurse had many task to do at the same time. She continued in drug administration but this time with improper way of patient identification, when we reach to the room where incident happen patient requested to take his drugs later as he still having his lunch she kept the drug near to him and left .After we finished three more patient she went back to him as remembered something she was looks stressed and panic, I asked her what happened she did not reply instead she asked the patient to give her back the tablet.

Patient handed the tablet back to her then she gave him another tablet, I realized this was a drug error it was her luck that patient did not take the medicine, she start to explain to him what happen and asked for apology, the patient was so angry yet feeling sorry for her. He questioned her if he had the drug who will take the responsibility? She did not answer. He was not willing to cause a trouble for her so he kept quiet. She proceeded with her work like nothing happen, I was expecting her to report but she did not, when I asked the reason, she reply as long as no harm happen there is no need to report beside that there is no time to report. This left me thinking how many medication errors left un-reported?
Analyze

This experience left me disappointed it was hard for me to accept what happen because I have fixed believe that patient safety is first regardless how busy the nurses are. Since then so many question gushed to my head, why this incident happen? What are the causes? Was the staff nurse afraid? Is the nursing negligence acceptable? To answer these questions I have to recall the situation .It was obvious that the circumstances the staff nurse was in made her prone to such incident, her lack of concentration and her unprofessionalism in administering medication made her close to put patient health in danger. However this should not excus