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Aloha! My name is Tiffany Ly. Thank you for visiting my e-Portfolio, while it is not entirely complete, it is a brief introduction into my nursing journey. I am ready to embark on this challenging career, pushing me to be the change I wish to see in the world.  I hope you enjoy!

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My nursing philosophy is to care for the sick, whoever they may be. I plan to make a difference in the lives of the young and the elderly. I am eager to provide preventative care and to encourage and empower patients to take control of their own health, teaching them how to govern their lives for the better.

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After completing my Bachelors in Nursing, I would like to work in the Emergency Department and become a travel nurse. I enjoy the fast pace setting, and the challenges of the higher acuity. My long-term nursing goal is to purse a Doctorate's degree in nursing, and become a Nurse Practitioner.

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NURS: 210: Leahi Hospital
Long-term Care
Clinical Hours: 90

During this rotation, I learned to apply the knowledge and skills taught in our Fundamental course while caring for patients in a long-term care facility. I performed physical assessments, attained vital signs, administered medications, assisted with ADLs, provided G-tube feedings, performed wound care and dressing changes.

NURS: 220: Kaiser Moanalua Hospital
Medical Surgical I
Clinical hours: 90

During this rotation, we built upon the skills learned from our previous semester and honed our clinical decision making skills. Skills performed included: IVP medication administration, subcutaneous injections, glucose monitoring, NG Tube insertion, post-par-tum care, and discontinuing IVs and Foley catheters. In addition, we improved on our therapeutic communication and critical thinking by developing detailed care plans for each patient.

Nurs: 320: The Queen's Medical Center
Labor and Delivery and Postpartum Unit
Clinical hours: 71

During the maternity-newborn rotation, I observed in the Labor and Delivery, the role of an RN during the postpartum period. I learned of fetal heart-rate monitoring and the interventions to remediate abnormal fetal heart rates. I witness the role of the OR nurse, surgical technologies, Anesthesiologist, OB doctor, and the primary nurse during a cesarean section. In the Postpartum unit, I assisted in caring for both mother and baby. The skills I performed included physical assessment of a newborn and postpartum woman, newborn cord and circumcision care, how to feed, swaddle, and change a newborn's diapers, post-operative monitoring, and providing patient education.

NURS: 360 Castle Medical Center
Psychiatric Mental Health
Clinical Hours: 60

During this clinical rotation, I had to opportunity to work with a number of client with mental illnesses. We focused on developing our therapeutic communication skills and various mental assessments. I was able to co-facilitate group activities which focused on psychosocial and psychoeducational topics.

NURS: 360 Lab/Clinical
Medical Surgical
Clinical Hours: 210

During this clinical rotation, our clinical instructor focused on preparing us for the real life expectations as a nurse. We honed our critical thinking, time management, communication, and priority setting skills through a number of virtual simulations. I had the opportunity to learn and perform numerous nursing skills, such as medication administration (oral and IV), IV start/discontinuing, blood transfusions/transfusion reactions, chest tube insertion and care, COVID-19 disease process, prevention, treatments, documentation, and delegation of tasks. This clinical/lab rotation has given me an understanding on what it takes to be a successful nurse.

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The Queen's Medical Center
Emergency Room Technician
December 2019 - Present

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Basic Life Support for the Health Care Provider (CPR & AED) expires 08/2022.

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Dole Cannery
January 18, 2019
A program designed for patients, caregivers and healthcare providers to learn more about patient care and treatment of chronic lung diseases.
I listened to presentations surrounding lung cancer, COPD, pulmonary fibrosis, and other chronic lung diseases.

Topics Covered:

Thoracic surgery and how it is used in lung cancer treatment by Ayman Abdul-Ghani, MD.

Targeting STK11 Mutant Lung Cancer by Taran Gujral, PhD.

Astha-COPD Overlap Syndrome (ACOS) by Elizabeth Tam, MD.

Pulmonary Fibrosis by Philip R. Foti, MD.

Low Dose CT Scan by Shephard S. Kosut, MD.

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By Jamie Otremba, CNM, APRN, MSN
Hyatt Regency Waikiki Beach
September 20, 2019

Topics Covered:

Obstetric Emergencies Preparedness to Improve Outcomes

Mental Health Crisis Psychiatric Emergencies Violence

Severe Hypertensive Disorders in Pregnancy

Fetal Evaluation: tests to assess fetal well being

Post Partum Hemorrhage

Trauma in Pregnancy

Amniotic Fluid Embolism Syndrome (AFES)

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Member since Fall 2018
One of the main objectives of Student Nursing Association is to prepare students to play active and vital roles in the nursing profession.

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Clinical Support: Volunteer Medic
February 18, 2019

I had the opportunity to work with nurses and physicians and provided supervised medical care to runners as a medic.

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Introduction

In the following tabs, you will find descriptions of 9 program learning outcomes (PLO) that I have successfully achieved upon completion of our Associate Degree in Nursing from Kapiolani Community College. I have included evidence of how I met each PLO, as well as assignments, projects and reflections that I have completed throughout the nursing program.

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"Evaluate nursing care based on Hawaii legal and ethical framework and the American Nurses Associated Standards of Practice and Code of Ethics."

NURS 362
In our NURS 362 course, we debated the ethical dilemma regarding DNR vs Full Code in Pediatrics. Below is the presentation we created for the ethics debate.

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"Describe and analyze episodes of clinical practice and self-care; and identify areas of strength and those requiring development."

Reflecting upon one's experiences is a good way to self-evaluate and learn. Below is a reflection from NURS 360.

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"Provide nursing care that incorporates evidence supported by research."

NURS 362
In our NURS 362 course, we researched relevant health related topics and find possible solutions using evidence based research. Below is an attachment of a presentation we researched about the prevention and management of pressure ulcers.

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"Demonstrate leadership in nursing practice."

NURS 362
Attached is an essay written about a nurse whose leadership qualities I admire and hope to model after.

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"Collaborate with multidisciplinary health care team members."

NURS 360
Below is an example of an SBAR where I communicated with the physician from our medical-surgical course.

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"Participates in making recommendations for improving patient care within the health care system."

In our NURS 362 course, we examined healthcare policies pertaining to the local, state, and federal levels. Below is a presentation on the H.B. 2451 health care policy.

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"Advocate for deliver of client-centered care."

NURS 360
Attached are three care plans that I developed specifically for a patient that I cared for during my psychiatric clinical.

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"Communicate effectively with clients, families, and health care team."

NURS 360
Communication is an integral part of a nurse's job. Throughout each semester, we practiced and honed our communication skills through SBAR, reporting, and documentation through DARs. Attached is an example of a DAR from my NURS 360 course.

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"Demonstrate effective clinical decision making in the delivery of nursing care."

NURS 360
With each patient, we examined the pathophysiology related to the client's problem, objective and subjective date. Through our findings we use clinical judgement to develop the proper interventions, discharge planning, and coordination of care. Attached is an example of an active learning template which I completed on a patient I cared for.

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March 23, 2019 - May 10, 2019
I volunteered with HUGS to provide respite care for children and family involved in the HUGS program. It was a rewarding experience being spend time with children and provide parents' free time for themselves.

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NURS 360 Psychiatric Mental Health, is a hybrid-online course designed to facilitate an understanding of psychiatric mental health. Attached is a certificate of completion from the American Psychiatric Nurses Association for assessment of suicide risks.