Best, Best Professional Role Transition Revised Critical Thinking Clinical Activity Description The Critical Thinking Clinical Activity allows th

Best, Best Professional Role Transition

Revised Critical Thinking Clinical Activity

Description

The Critical Thinking Clinical Activity allows the Role Transition student to present a clinical case utilizing the nursing process to their clinical faculty and peers. The student will incorporate particular categories/subcategories from the NCLEX-RN test plan, as well as emphasize target interventions. The student will provide a written reflection on their experiences in clinical relating to their transition to practice.

Instructions

Select one patient on which to complete the Critical Thinking Clinical Activity. You will present to your clinical group and individual faculty via prearranged Zoom meeting. The clinical faculty will assess student work and provide feedback. See separate grading rubric for this activity.

Guidelines:

1. Complete information on your patient to provide your classmates and faculty with some context.
a. Background: age, sex, ethnicity, allergies, significant med/surg history
b. Reason for visit or hospitalization

c. Social history

2. Utilize the SOAP format to critically think through the nursing process related to the top priorities you have identified for this patient. Be sure that the content in the assessment and plan sections correspond to the information in the subjective and objective sections.

a. SUBJECTIVE is only what the patient tells you (statements or questions; complaints or concerns)
b. OBJECTIVE includes physical assessment data, interval test data, lab or blood work, other objective data, current orders, current medications
c. ASSESSMENT includes the interpretation of information in the previous two sections. This is your “summary” which includes medical/nursing diagnoses. Prioritize your patient’s problems or diagnoses. Clearly identify nursing priorities. Identify treatment goals for each problem or diagnosis.
d. PLAN includes the interventions which were/are/will be implemented. Be sure and establish priorities for the interventions. (You may notate them as #1, #2, #3, etc.). Provide a brief explanation as to why you have prioritized them this way.
e. Identify the following patient needs and provide specific information about each need:
i. Case management or discharge planning
ii. Patient education
iii. Psychosocial, spiritual, and/or family support
3. Complete the reflection at the end. (This is just for the clinical instructor and is not presented to the group during oral presentation.)
4. Students will present their SOAP activity (#1-2 above) orally to fellow clinical students and clinical faculty instructor. This is a graded activity, and successful completion is a requirement of Role Transition clinical.

NUR 4642: Professional Role Transition

Critical Thinking Clinical Activity

Student name:
(Refer to instructions and grading rubric when completing this activity.)

Patient initials: N.O

Date of care:

Background: N. O is a 74 years old Female, White or Caucasian and has a past medical history Alcohol dependence in sustained full remission, Arthritis, Depressive disorder, Gastric ulcer, Hypertension, Thyroid disease, Tremor. She has a past medical surgery of Eyes surgery(Cataract), Joint Replacement(Hip), Keratoplasy, cystoscopy. No known Allergies. Never a smoker

Reason for visit or hospitalization: Alcohol Withdrawal

Pertinent social history, including living situation, for discharge planning or case management purposes: Family history of drinking Alcohol

S: Mrs. M is an 74 year old female with a compliant of alcohol withdrawal. The patient is alert and oriented x3, but anxious. Patient reports, she is a “heavy drinker” and has been drinking since she was 16. She reports alcoholism in the family. Patient state she has been drinking 5 days in a row (couples of bottles of wine in a day), last drink was around 1900 last night 11/19/2021 (red wine). She complained of shortness of breath when experiencing alcohol withdrawal. Patient reports this is not her first-time experiencing withdrawal. Patient report frontal headache and nausea. Patient pain level was 4 out of 10.

O: The patient ‘s vital signs were as follows: B/P 150 / 88. Pulse 65 and regular, Respirations 18 per minute, and pulse 65, OX 97% on 2L Oxygen via nasal cannula. Her lungs are clear to auscultation bilaterally, no wheeze. Bowel sounds are active, and the patient has a bowel movement today 11/20/2021 both soft. Patient is incontinent of urine and wearing a diaper. Skin intact at this time. Skin color is cool, no rashes or lesions, edema, clubbing cyanosis. CIWA Score is 15.

A: The patient’s status is improving and she is less short of breath than upon admission. Currently, the patient is at risk for falls due to anxiousness and withdrawal, she is on fall precautions enforced.

P: Initiate fall precautions with a bed alarm, continue CIWA protocol with ativan

Case management or discharge planning needs

Patient education needs

Psychosocial, spiritual, and/or family support needs

Reflection: Provide your reflective responses to the following questions. Write a well-composed paragraph (approximately 4-6 sentences) for each set of questions. (Three paragraphs total.)
1. How do you feel about the experiences you are encountering in clinical? What are your strengths of performance and areas needing growth?

2. How have you integrated in the healthcare team? Provide examples. Describe the partnership/relationship you share with those preceptors /nurses with whom you work.

3. How would you characterize your transitioning to the role of professional nurse? What is helping or hindering your transition? What is your plan to continue to progress forward?
Rev. JD/2.28.21

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