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Reflection 1 CVH

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Self-Reflection Form

STUDENT NAME: Natasha Singh


Clinical Agency: Unit:

NRS.218
Type of Unit/Population:
Reflection Guidelines (Gibbs, 1988)

Students will reflect upon 3 clinical situations.


Describe what happened, what was the significant event?
Feelings: Describe what you were thinking and feeling? Discuss how your knowledge base and aspects of the significant event contributed to these thoughts and
feelings?
Evaluation: Explain what was positive and negative about the experience based on the impact it had on you, the client, and/or institution?
Analysis: What sense can you make of the situation? What question(s) did this experience raise for you? What does the CNO Compendium of Standards and
related literature suggest regarding this situation?
Connect the significant event to one ability and related learning outcome
Conclusion: What else could you have done in this situation?
Action Plan: If a similar situation arose again what would you do? How has this situation combined with your understanding of the literature influenced how
you will care for future clients?
Goals are SMART:
S= specific M=measurable A= achievable R: realistic T = time sensitive
Goals should be evidence-based and/or supported by feedback from clients and members of the interdisciplinary care team

Event 1:
Feelings: My first reflection will be dedicated to documentation. Documentation has always been scary for me because I know
that anything I write can be held against me and I always need to make sure whatever Im documenting is 100% accurate.
Evaluation: The positive impact of documenting is that I get to practice. The scare of it also helps ensure that Im documenting
correctly and accurately. The negative view could be that I become too scared and forget to document something. And
documenting incorrectly or forgetting to document something can greatly affect the patient because you are now tampering with
importation that is used by all helping professionals and treatment can be skewed. Analysis: CNO standard on Documentation
require you to document complete and accurate data. Because my license is on the line, I understand the importance and know
that documentation is the one aspect in nursing that I must become comfortable with because I will always have to be doing it.
Conclusion/Action Plan: I will continue to document everything that I did with the patients. If at any time I feel uncomfortable
again, I will ask my professor or nurse to walk me through that steps that I am struggling with to make sure my documentation is
complete and accurate. GOAL: My goal is to document comfortably on my own within the next two shifts I have at the hospital.
Event 2:
Feelings: My second reflection will be dedicated to punctuality. I was late to clinical twice. I was terrified to come late the
second time because one, I had been late previously and also because I felt almost helpless to the situation. Evaluation: There
are not much positives about being late other than I arrived safely instead of rushing to clinical but the negative would be the
impression I leave on my fellow colleagues for coming late twice. Analysis: I did question my instructor as to what time we
actually had to be at clinical for as that had a role in why I was late as well. After talking to my instructor I realized that I should
basically prepare for the worst so that next time I can be in control of the situation and not be late because in the real world I
cannot be showing up late for my shifts. This can relate to the CNO standards on accountability because I have to take
responsibility for my own mistakes. Conclusion/Action Plan: For the next time, I will ask the instructor to clarify when we
should be at the hospital for instead of relying on third parties as well prepare for my trip to the hospital from the night before so
Im ready and can be on time. GOAL: my goal is to be at clinical for 7am, therefore I will leave home at 6am.

Event 3:
Feelings: The third reflection will be dedicated to basic patient care. Ive had to perform basic patient care on at least 2 patients
every day that Ive been to clinical. I never really liked performing basic patient care since I started the nursing program and had
to do so in the long term care rotation. I feel nervous while performing basic care because I feel that I will hurt the patients or
that I will take too long. Evaluation: the positive outcome is that I get a lot of hands on practice performing basic care which is
making me becoming better at doing so. The negative is that I still feel uncomfortable performing basic care at times. In the

beginning, I feel the patient may have sensed I was nervous but having to work with the same patient over and over has made me
a bit more comfortable and has made her more comfortable with allowing me to do so as well. Analysis: I believe that the more I
practice performing basic care on all my patients, the more comfortable I will become. I wondered if I was the only one who felt
this way but after speaking to colleagues, I now know its a normal feeling. According to the CNO Standards, the nurse must
determine appropriate care for a particular patient considering the clients overall health. Conclusion/Action Plan:
Understanding that we are in our rehabilitation rotation, I learned that in interest for the patients recovery process, we must let
the patient do as much as they can. Working with my specific assigned patient, I was nervous about giving peri care but learned
after that she was able to complete peri care on her own. This will help me with my patient but I will also perform peri care on
other patients if my nurse allows me to so that I can get more practice. GOAL: my goal is to perform complete basic patient care
on my next shift at the hospital with confidence and in a timely manner. I am allotting myself 15-20 minutes for my next patient.

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