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    Observation Reflection 1

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    The student observed a care-a-van experience and reflected on what they learned. They observed different nursing roles and saw effective communication between team members. An example of holistic care involved a nurse providing emotional support to a patient. National patient safety goals around correct patient identification and infection control were followed. While initially disappointed, the student found the experience impressive and saw caring interactions between the nurse and patients.

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    Observation Reflection 1

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    The student observed a care-a-van experience and reflected on what they learned. They observed different nursing roles and saw effective communication between team members. An example of holistic care involved a nurse providing emotional support to a patient. National patient safety goals around correct patient identification and infection control were followed. While initially disappointed, the student found the experience impressive and saw caring interactions between the nurse and patients.

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    The student observed a care-a-van experience and reflected on what they learned. They observed different nursing roles and saw effective communication between team members. An example of holistic care involved a nurse providing emotional support to a patient. National patient safety goals around correct patient identification and infection control were followed. While initially disappointed, the student found the experience impressive and saw caring interactions between the nurse and patients.

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    212 views2 pages

    Observation Reflection 1

    Uploaded by

    api-391659138
    The student observed a care-a-van experience and reflected on what they learned. They observed different nursing roles and saw effective communication between team members. An example of holistic care involved a nurse providing emotional support to a patient. National patient safety goals around correct patient identification and infection control were followed. While initially disappointed, the student found the experience impressive and saw caring interactions between the nurse and patients.

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    of 2

    Observation Experiences: NUR 3112P

    Adult Nursing Science II Practicum

    Reflection: Care-A-Van observation experience

    1. Describe a situation when you were unsure of what to do today. How did you feel? What additional knowledge or
    skills do you need in order to handle a similar situation in the future and how do you plan to acquire that
    knowledge? (Minimum 1 paragraph.)

    When I first got there and towards the middle of the day, I felt like I wasn’t sure what to do or
    where to stand so I wasn’t in the way. I just felt awkward because the care-a-van has very little room so it
    was uncomfortable and awkward to walk off the van and then get back on when they were finished with
    the patient. The whole staff was very nice and provided so much information. The staff made me aware
    that Tuesdays and Thursdays were the busier days. So I think for the future, students should go on those
    days. My day was still interesting and like I said previously, I did learn from the staff what the usual day is
    like. My experience on a Wednesday, there might have been 16 patients that came in. They said normally
    it’s much more than that and people wait outside starting at 4:30 or 5AM.

    2. What have you observed or learned about nursing roles in the given experience? What have you observed or
    learned about the intraprofessional team in this setting? What did you observe about the communication and
    collaboration amongst the intraprofessional team members? (Minimum 2 paragraphs.)

    I learned from this experience that each nurse rotates around doing different positions. They have
    someone who is the charge/discharge nurse, someone for labs, and a nurse that checks vitals. So I
    thought it was interesting to know that they do rotate throughout the week. At my experience, there was
    only a nurse practitioner. The staff told me that Tuesdays and Thursdays they had someone from PT, OT,
    a dietician, and a pediatrician.
    This group communicated very well. They had walkie-talkies so when the nurse taking vitals was
    ready for the next patient, the charge nurse or someone from registration would send them to the van. If
    there was an issue or concern the NP came out from the van to go into the church where the discharge
    nurse was at. He made her aware of at information she may needed to know. There was a case
    manager/social worker, so if any concerns got brought up, the patient would go see her. Almost all of the
    staff spoke English and Spanish. There was one translator there today. He was paired with the social
    worker.

    3. Provide an example of holistic care that you observed. (Minimum 1 paragraph.)


    One example of holistic care that I observed was when the discharge nurse was talking to another person
    who was just released from prison. He had hypertension and a lot of anxiety. This nurse could have easily
    dismissed what she was seeing and moved on. Instead, this nurse handed him tissues and encouraged
    him to discuss what was bothering him. He expressed how he had a panic attack in the store because
    there were so many options. The nurse shared her story of being overseas for two years and having the
    same experience. She encouraged to follow the DASH diet, but she knew he was having some
    challenges. She encouraged him to have what looks good but in moderation.

    Rev. 3/5/18
    Observation Experiences: NUR 3112P
    Adult Nursing Science II Practicum
    4. Identify the National Patient Safety Goals that were observed throughout the day. Discuss the effect of the Goals
    on the patient’s outcome. (Minimum 1 paragraph.)
    I observed the staff identifying patients correctly & reducing risk of health care associated infections. It’s
    especially important for the staff to follow the national patient safety because some patients don’t speak English or
    they are on medications that require patient teaching. If a nurse were to mess up and give the wrong medication
    or provide education that was meant for a different patient there could be some issues.

    5. Did you enjoy this experience? Why or why not? (Minimum 1 paragraph)
    At first, I was a little disappointed going to the care-a-van. I had hopes to go to VCU for the burn unit or
    even to the OR. I went in with an open mind and was really impressed with how well the staff were. Also,
    the process of moving patients around was very efficient. There were quite a few moments that the
    charge/discharge nurse had with some of the patients. She showed no judgment towards the patients and
    she genuinely cared about each patient that went to her for discharge.

    6. Compare and contrast a patient issue that you observed today with an evidence-based nursing journal article from
    the Nursing Reference Center (NRC). (Minimum 2 paragraphs.)

    There was one patient that had been in prison for 56 years and he was just released. He is staying at a half way
    house and they told him to go to the care-a-van because they provided free care. He has over a handful of medications
    for his hypertension. The only problem was he couldn’t afford all of them. According to Chauncey, Tran, McNally, &
    McEwan, individuals without prescription drug coverage were more likely to not fill their prescription or skip doses (2006).
    The discharge nurse was really great at finding coupons for cheaper medications. However, this still was an issue for the
    gentlemen because there were still a couple medications she couldn’t find that were cheaper.
    In the article, the authors mention that there are multiple programs through pharmaceutical companies that can help
    patients if they meet the needs (Chauncey, Tran, McNally, & McEwan, 2006). The only issue is that not many people are
    aware about this or it’s not available in certain states. I think it is important for the half way houses to be educated and
    could possibly help patients find access to where to find medications.

    Reference
    Chauncey, D., Mullins, C., Tran, B., McNally, D., & McEwan, R. (2006). Medication access through patient assistance

    programs. American Journal Of Health-System Pharmacy, 63(13), 1254-1259. doi:10.2146/ajhp050457

    Rev. 3/5/18

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