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jmlxy

jmlxy

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jmlxy's Latest Activity

  1. jmlxy

    Med Surg Charting HELP!

    Can you tell me what you have in mind? So far I didn't encounter any head injury patients (yet). I would say neuro function and care would be your priority. So make sure to do thorough neuro foci assessments. here is a link I found might be helpful Nursing Care Plan For Acute Head Injury ~ NURSING DIAGNOSES
  2. jmlxy

    Med Surg Charting HELP!

    Thank you vintagemother! I definitely will. I also need to seek out other help myself too. As you mentioned, I might try asking help from RNs or peers if they are available. I know if I completely understand how to chart properly for this format and have some feedback from others, I will do it much better.
  3. jmlxy

    Med Surg Charting HELP!

    I discussed it with her around midterm. She said that I should have charted RELEVANT findings for a problem, though I still need to chart all assessments done for any involved systems. After that, I tried so hard to chart the data based on what she explained but the outcome was same. I really want to master charting cause I spent too much time on it during the shift just because I had to "guess" what my instructor wanted. It sounds horrible and I am so stressed by her now. How can I tackle this? Is there examples, resources that can better explain this type of charting?
  4. jmlxy

    Med Surg Charting HELP!

    I am a nursing student and on med surg floor this term. I use a narrative charting template provided by our school which was used when I was on my medicine floor. My instructor will check our draft before we can transcribe to the progress notes. For charting by exceptions, she always said that I missed important data and was not happy on my charting AT ALL. She said I should chart by actual or potential problems and recommended to use DAR format when charting. I tried my best to do so but still having problems! She said my charting did not reflect my critical thinking of nursing process. In our program, we will do thorough patient researches and medications before clinical, so we would anticipate patient's problems. I did thorough assessments every time but identifying a problem/problems is not easy, especially when the problem I do not anticipate (example: I have a post op day 1 patient who shows s/s of sepsis). I do not know what I could do to help my nursing process and better charting. I am confused. Please help!!!!
  5. jmlxy

    How to improve my clinical performance?

    She did her best to guide us. no kidding. we are allowed to ask RN for help or check things we are unsure. However, RN is also busy all the time. I did try though to catch them whenever it is possible.
  6. jmlxy

    How to improve my clinical performance?

    Thanks hannahleahw, we need to do patient researches on the day before clinical and prepare for it. our instructor likes to ask us things that we did not think it would link to each other, at least at the moment when she tests us. I guess we need to do more researches then? Honestly, we all spend hours in doing so and we thought we have well prepared.
  7. jmlxy

    How to improve my clinical performance?

    Thanks HouTx. I managed to visit open lab to practice at least 1 time per week. There are only 2 days in a week I can go anyway since I have 2 clinical days.
  8. This is my 2nd term of nursing and I am on the orthopedic ward. It is a big jump for me in terms of nursing skills, care planning, critical thinking etc. I feel really stressed when I arrive to the unit as I am afraid of making mistakes, or not monitoring my patients well. My instructor has very high expectation from her students. So she always quizzes us individually and that adds more pressure. In the past 5 weeks, I have filed couple incidence reports! That was insane! I really want to change this situation. What can I do to reduce the stress without it influencing my performance? What's your recommendations/tips/tricks to help you do well in clinical?
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