Clinical Experience-Situations Acquired Knowledge and Experiences with preceptor
My clinical experience this term has been exemplary. I learned a lot from my experience working with diverse clinical groups. I am now confident in most clinical areas I was initially troubled in. Specific clinical areas that I was able to build on include performing a pap smear and STI tests. This came against the backdrop of heightened efforts to enhance female reproductive health. As Jayapalan & Bindu (2020) reports, a pap smear remains a valuable nursing procedure targeted at diagnosing Human Papillomavirus and other sexually transmitted infections that are risk factors for cervical cancer. This informs my delight in being knowledgeable in these procedures.
During my clinical rotations, I was able to assist my preceptor with intrauterine device removal and prostate examination. I noticed how uneasy some men are with prostate diagnostic processes, with some reporting being embarrassed with the process. This was an affirmation of Baratedi et al. (2019) reports that indicate that negative perceptions of the direct rectal examination used in the evaluation and diagnosis of prostate cancer are a perceived barrier to communities’ engagement in the process. Also significant in my learning process and clinical experience this term is how to read an x-ray. I was able to read an x-ray of a patient with a right ankle sprain.
Incision and drainage procedures are other crucial nursing roles vital in treating an abscess. In my clinical experience, I got to incise and drain an abscess. My experience with cardiac patients was also worthwhile. I learned how to read EKG readings. In one instance, I read an EKG of patients who presented with chest pain and had an ST elevation. In this instance, I referred the patient to cardiology immediately. This was per Reed & Cannon’s (2021) findings that ST elevated myocardial infarction is time sensitive and requires prompt interventions.
Baratedi, W. M., Tshiamo, W. B., Mogobe, K. D., & McFarland, D. M. (2019). Barriers to prostate cancer screening by men in sub‐Saharan Africa: An integrated review. Journal of Nursing Scholarship, 52(1), 85–94. https://doi.org/10.1111/jnu.12529
Jayapalan, S., & Bindu, R. S. (2020). Papanicolaou Smear: A diagnostic aid in sexually transmitted infections. Indian Journal of Sexually Transmitted Diseases and AIDS, 41(2), 143. https://doi.org/10.4103/ijstd.ijstd_114_16
Reed, G. W., & Cannon, C. P. (2021). St-segment elevation myocardial infarction. DeckerMed Emergency Medicine. https://doi.org/10.2310/em.1079
We’ll write everything from scratch
This is your final week, and it is time to reflect. Discuss your clinical experience this term, as it relates to clinical practice, and some examples include situations, acquired knowledge, and experiences with your preceptor. Citation and reference required.
Length: A minimum of 250 words, not including references
Citations: At least one high-level scholarly reference in APA from within the last 5 years
Clinical experience this term has been probably the best one thus far. I took away a lot of information from my preceptor. I felt like my knowledge was exceptionally more advanced and I was able to practice independently much more. An example of a situation was that because I have seen so many cases by my third clinical course, I noticed many repeat cases and was able to successfully decipher situations and make appropriate diagnoses. I felt like I acquired almost an intuition based on my previous experiences which helped me form a good understanding of patients. “The experienced clinician is reminded of a situation that occurred in the past when presented with a certain new situation. Research on intuition shows that it develops after a long experience in a particular setting and that it is based on unconscious thought that is probably an exquisite pattern matching” (Dunphy et al., 2019, p. 46). An example of this situation is when a person came in with similar symptoms of a cough but had GERD and I was able to differentiate the symptoms. Another example is with a patient who came in with chronic conditions like type 2 diabetes or hypertension and hyperlipidemia I knew in advance what the doctor will be prescribing. Using clinical practice guidelines also made studying much simpler and more understandable. “In the era of evidence-based medicine, clinical practice guidelines (CPGs) have become an integral part of many aspects of medical practice” (Vachhrajani et al., 2019). Using evidence-based guidelines helped mentor the patients and gain their trust as my education sources came from a valid perspective as well. Overall, this was probably the best term I have had so far.