Personal Objectives
Targeted Objectives
- To give medication using phyxis independently.
- To look through patients’ MAR in order to administer the scheduled medication.
How my Personal Objectives Were Met
My first objective was to assess different patients independently and give them the targeted medications using phyxis. I also wanted to administer such medicines accordingly based on each patient’s MAR. I began by asking my preceptor if it was possible to carry out all the assessments and administer the right medications. I then examined the medicines and analyzed their specific side effects. For instance, I observed that beta-blockers should be administered when the blood pressure is around 90/50. Digoxin is usually given as a cardiac stimulant (Eizenberg, 2010). Before administering this drug, it is appropriate to assess the apical for a minute. Pain assessment should also be done after administering the drug. The effectiveness of the medicine should also be checked after every hour.
After completing all these assessments, my preceptor indicated that I had made several errors. By the end of the day I was able to chart all my assessments and findings correctly. My preceptor was also happy because I was able to administer medications and use phyxis independently. It was also my opportunity to use the concept of evidence-based practice throughout every drug administration process. I achieved my objectives by ensuring that the right medicines were administered to the selected patients. I also collaborated with different patients and workers to promote the most appropriate medical practices (Eizenberg, 2010).
Use of Nursing Processes and Development of My Clinical Decision-Making Skills
Nurses should embrace the power of different processes to support the health needs of their respective patients. Evidence-based practice in nursing is something embraced by many practitioners. During my clinical practice, I followed the five nursing processes in an attempt to achieve my objectives. I completed the assessment process by collecting the best information from my patients. The gathered information was used to dictate the most appropriate nursing diagnoses (Dason, Dason, & Kapoor, 2011). The third process was to prioritize the best goals based on the targeted patients’ outcomes. I developed a proper care plan for every patient. The best interventions were embraced to treat every patient. This objective was achieved by integrating my clinical expertise with the diverse needs of the targeted clients. The right medicines were administered to the patients. The final stage was to evaluate the health progress of every patient. This practice was critical towards realizing the targeted health outcomes. These processes made it easier for me to administer the right medicines to the identified patients.
Discussion of Leadership
Leadership remains one of the core pillars of nursing. My clinical practice gave me the opportunity to understand effective leadership can transform the nature of healthcare practice (Eizenberg, 2010). The supervisor supported my practice by encouraging me to remain focused. The preceptor also made it easier for me to outline and rectify various mistakes. The individual also used desirable skills to influence my performance. I was able to offer quality and consistent care to every patient. The individual became my role model during the period. The actions undertaken by this leader explain why it was easier for me to achieve the above objectives. As well, most of the nurses were ready to empower one another. They helped each other thus recording the best results. My instructor also informed me about the importance of administering complete doses for urinary tract infections (UTIs). Such lessons explain why appropriate leadership is relevant towards supporting the objectives of both patients and nurses (Dason et al., 2010).
Topic: Evidence-Based Practice
APA Format
Dason, S., Dason, J., & Kapoor, A. (2011). Guidelines for the diagnosis and management of recurrent urinary tract infection in women. Canadian Urological Association Journal, 5(5), 316-322.
Article Summary
The article begins by acknowledging the fact that urinary tract infection (UTI) is a major problem affecting women. More often than not, treated UTIs tend to reappear in many women. Bacterial infection and persistence are some of the leading causes of recurrent UTIs. The common symptoms of recurrent UTI include repeated pyelonephritis, low uroflowmetry, trauma, and bladder calculi (Dason et al., 2010). Conservative measures used to prevent such UTIs include modification of various predisposing factors such as sexual activities. Low-dose antibiotics can also be taken continuously. Dason et al. (2011) argue that “post-coital antibiotic prophylaxis can be used to prevent UTIs” (p. 320). Vaginal estrogen and self-start antibiotics are also useful whenever managing recurrent UTIs.
Standards of Practice and My Nursing Approach
My nursing practice in caring for someone with this condition met the current evidence and standards of practice. This is true because I was able to administer appropriate antibiotics. As well, my instructor explained how UTI recurrences should be treated using complete doses. Moreover, the article presents new approaches that can be used to support women with recurrent UTIs. Evidence-based practices are useful in my nursing care (Eizenberg, 2010). I now understand how to use the best processes in order to support the health goals of my patients.
Reference List
Dason, S., Dason, J., & Kapoor, A. (2011). Guidelines for the diagnosis and management of recurrent urinary tract infection in women. Canadian Urological Association Journal, 5(5), 316-322.
Eizenberg, M. (2010). Implementation of evidence-based nursing practice: nurses’ personal and professional factors. Journal of Advanced Nursing, 67(1), 33-42.