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Week 10 Clinical Paperwork 209-2
Week 10 Clinical Paperwork 209-2
Morgan Metzger
In clinical this week, I learned that simply talking with the patient and listening to them
allows for them to feel more comfortable. I have heard many professors mention this throughout
their lectures, and today, I was able to experience that myself. My patient and I talked about his
family, today for about 15 minutes before starting my assessment. He was also asking me
questions pertaining to being a student nurse. I felt that after this conversation, he felt more
Today, our weekly concepts included health promotion, clinical judgement, safety,
mobility and functional ability, elimination, fluid and electrolytes, perfusion, gas exchange,
thermoregulation, and our new concepts infection and isolation. I utilized health promotion by
educating the patient on the signs and symptoms of blood loss such as dizziness and
lightheadedness to name a few. In addition, I educated the patient on call light use. I observed
clinical judgement when the patients nurse asked me to evaluate the patients stools and report
them back to her so that she was able to use interventions in order to maintain the bleeding so
that it does not get worse. I utilized safety throughout the day by performing safety checks. In
addition, I also made sure to utilize the 5 universal precautions. I was unable to observe the
patient’s mobility. However, he was able to independently ambulate to the bathroom and back to
his bed. His functional ability was independent as he was independent at home and in the
hospital when ambulating. As for elimination, I made sure complete a thorough abdominal
assessment through inspection, auscultation, and palpating. I made sure to ask elimination
questions as this was an important concept due to the patient’s reason for seeking care. I made
sure to keep the patients’ “hats” in the toilet empty, making sure to measure the elimination. As
WEEK 10 CLINICAL PAPERWORK FOR 209 3
for fluid and electrolytes, I made sure to calculate intake and output throughout the day and
observe lab values and weight. I checked perfusion by assessing for any edema, as well as
observing SCD’s and checking his peripheral pulses. For gas exchange, the patient was on room
air. The patient did not have any thermoregulation issues that I noted.
As for our new concepts of infection and isolation, I was able to observe the donning of
personal protective equipment (PPE) before the nurse entered the room. First, she donned a
gown, she had already had the face mask and goggles on for COVID precautions, and finally she
donned gloves after performing hand hygiene. The isolation was contact isolation, so the nurse
certainly needed gloves and a gown. I feel that the mask and goggles were also important to wear
to ensure safety.
This week, I thought it worked well communicating with the patient’s nurse throughout
the day frequently. We communicated about the patient and his elimination processes, as she
wanted to keep a close eye on them. I felt that it was a little difficult to know what to educate the
patient on at first as the healthcare professionals were usure of what was causing the bleeding
until they were able to take a closer look the following day. After talking with Mrs. Groubert, she
was able to assist me with the type of education to give this patient, which was very helpful.
No adverse events of issues happened throughout the day. I felt that there were no
I did not witness any healthcare workers not utilize hand hygiene before entering or after
leaving a room.