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I understand that it isn't possible to learn everything that I need to know in class or in a span of 3 years of nursing school to be an effective RN. Instead, I actively participate in extracurricular activities to supplement what I have learned and what is not covered in school.

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Attended Devices for Epilepsy seminar on 4/11/2018

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Attended Devices for Epilepsy seminar on 4/11/2018

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Listened and asked questions regarding epilepsy to an Expert. I was introduced to the latest technological advances towards preventing an epileptic episode.

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Welcome to my ePortfolio! I am currently in my 4th semester, N360, of the KCC ADN program. Here are my learning activities and experiences in my path to earning an Associate in Science Degree in Nursing.

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My philosophy for nursing is ever-changing as I delve deeper into this career. My primary focus is the well-being of each individual and meeting their expectations. One example of this was during my fourth clinical week of N320, a patient's family member questioned the need for antibiotics when the client was having a hypersensitivity reaction to the treatment (rashes over the body). I educated her that the antibiotics were necessary to help prevent any infection and that the client was being given proper medical treatment for the hypersensitivity reaction. The family member understood the teaching and consented to continue the antibiotic therapy. My overall goal as a nurse is to continually grow my knowledge base and interpersonal/intrapersonal aspects for myself.

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My professional goal is to work in an ICU or ER as a registered nurse for 2 years. I enjoy how intense situations can become in an ICU while utilizing every nursing skill that I have learned.
After 2 years, I will decide on whether I wish to stay in Hawaii or become a travel nurse. Modern healthcare is not readily available in most parts of the world, especially in 3rd world countries. I want to contribute to those areas where modern healthcare is not provided, in anyway possible; whether it be my skills or just the mental support of someone being there for them.

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I am currently a member of NSNA since Jan. 2018.

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I am currently in my second semester as a Student Nurse at Kapiolani Community College.

Graduation Date: Dec. 2019
Associates in Science Degree in Nursing

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Nurse 210: Kuakini Geriatric Center, 90 hours at Immediate Care Facility (ICF) 3. Provided total care to 6 different individuals on a one week rotation, including vitals, medication administration, enteral feeding, wound care, and therapeutic communication.

Nurse 220: Queen's Orthopedic Department 96 hours at Queen's Tower 8. Provided total care to 6 different patients on a one week rotation. I provided medication administration (oral, IV, IV piggybacks), wound dressing changes, Glucose checks and insulin shots, vaccination shots, and pin care. I also shadowed a wound nurse on two separate shifts, performing wound dressing changes and 13 wound vacs under wound nurse supervision.

Nurse 320: 60 hours at Queen's Maternity Emma Tower 10. Provided total care to L&D, Newborns, and postpartum patients. I administered meds, full head-to-toe assessments, and watched a C-section.
60 hours at Tripler Pediatrics department. I was able to assess and observe various procedures such as EDGs, colonoscopies as well as had the privilege of being a part of a code team as a documentation nurse for my patient during a status epileptics episode.

Nurse 360: 60 hours at Queen's Kakela/pediatric Psychiatric department. Provided psychiatric mental health skills to patients with mental illnesses. Engaged in therapeutic activities in conjunction with the OT and my classmates.  Comfortable to engaging 1:1 with patients while using assessment tools such as Suicide risk, BURNS anxiety/depression, etc., and assessing each patient.
96 hours at Kuakini Respiratory Department. Provided assistance with ADLs, IVPBs, suctions, wound care, physical assessments, postmortem care, and med administration.

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American Heart Association BLS - exp. 12/2019

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Here are my artifacts from the KCC nursing courses that exemplifies how I have met the Program Learning Outcomes

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Evaluate nursing care based on the legal and ethical framework of the state in which they practice and the American Nurses Association Standards of Practice and Code of Ethics.

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Attached is a reflection of Week 3 of my Clinicals in Nurs 210

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In Nurse 211, my group created a padlet researching the health disparities in Obesity in the Samoan Population of Hawaii

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Employ leadership skills in implementing and/or delegating the delivery of safe nursing care to clients and client systems.

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Collaborate with the multidisciplinary team to advocate for clients, client systems, and groups in meeting their health care needs.

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Contribute to the improvement of the health care system through the involvement in interdisciplinary activities and choose from a variety of tools in accessing, interpreting, and providing cost-effective nursing care.

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Develop therapeutic relationships based on mutuality, respect, cultural sensitivity, caring, and the belief and value systems with the client, client systems and community.

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Communicate professionally, clearly and therapeutically in all interactions.

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Demonstrate clinical judgment in the delivery of safe, cost-effective, quality care, using information and patient care technologies to diverse clients across a wide range of settings. AND Utilize health promotion, disease prevention, and restoration theory in assisting clients and client systems to maintain independence.

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Ethics: Utilize ANA standards of practice and code of ethics to identify potential legal and ethical issues in the delivery of nursing care

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Ethics: Utilize ANA standards of practice and code of ethics to identify potential legal and ethical issues in the delivery of nursing care

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Attached is my reflection paper of week 6 clinical rotation for Nurse 220 about an ethical situation

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Reflection: Use a structured plan to reflect on personal nursing practice

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Reflection: Use a structured plan to reflect on personal nursing practice

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Attached is my reflection paper of week 2 clinical rotation for Nurse 220 that demonstrates my improvement on palpating the popliteal artery.

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Evidence-based Practice: Utilize reliable sources of information to support nursing care decisions to individuals

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Evidence-based Practice: Utilize reliable sources of information to support nursing care decisions to individuals

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Attached is a paper I wrote on CLABSI and techniques to prevent CLABSI to help improve my care on patient's with central lines.

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Leadership: Identify nursing care situations requiring the need for delegation and leadership. 

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Leadership: Identify nursing care situations requiring the need for delegation and leadership. 

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In Nurse 220, our class had two sim lab days, where we would be given a situation and roles (Primary and secondary nurse, and a CNA). We would assess the patient and identify priority needs for the patient.

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Collaboration: Practice in the role of professional nurse as part of the interprofessional health care team

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Collaboration: Practice in the role of professional nurse as part of the interprofessional health care team

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On the first day of sim lab in Nurse 220, I was given the primary nurse role and had to delegate tasks to the secondary nurse and CNA.

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Health Care System: Identify factors that influence access and continuity of health care

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Health Care System: Identify factors that influence access and continuity of health care

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Attached is my NCP of week 5 clinical rotation for Nurse 220 about the patient's need for antibiotic therapy adherence upon discharge.

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Client Centered Care: Deliver client centered care

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Client Centered Care: Deliver client centered care

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Attached is my NCP of week 3 clinical rotation for Nurse 220 about the nursing interventions I performed and the patient's response to my care.

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Communication: Use therapeutic communication skills in the development of relationships with clients and families

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Communication: Use therapeutic communication skills in the development of relationships with clients and families

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Attached is my reflection paper of week 4 clinical rotation for Nurse 220 about my use of therapeutic communication with my patient and family.

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Clinical Judgment: Develop a plan of care for clients that incorporates evidence based strategies and clinical judgments using assessments data from information and patient care technologies and an understanding of the clients perspective and illness experience to support safe, quality nursing care

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Clinical Judgment: Develop a plan of care for clients that incorporates evidence based strategies and clinical judgments using assessments data from information and patient care technologies and an understanding of the clients perspective and illness experience to support safe, quality nursing care

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Attached is an NCP of week 4 clinical rotation for Nurse 220 that demonstrates developing a plan of care for my clients.

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Volunteered by entertaining children with special needs. I familiarized myself with children and paid attention to their likes/dislikes.

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APNA Effective Treatments for Opioid Use Disorders

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APNA Effective Treatments for Opioid Use Disorders

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Attached is my APNA Effective Treatments for Opioid Use Disorders Certificate

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APNA Effective Treatments for Opioid Use Disorders

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Attached is my APNA Suicide Risk Inventory Certificate

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SOL- Kapiolani CC - Success for Online Learning

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SOL- Kapiolani CC - Success for Online Learning

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Attached is my SOL- Kapiolani CC - Success for Online Learning Certificate

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SOL- Kapiolani CC - Success for Online Learning

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Smiles for Life, a National Oral Health Curriculum

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Smiles for Life, a National Oral Health Curriculum

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Attached is my Smiles for Life, a National Oral Health Curriculum Certificate, March 11, 2019

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Smiles for Life, a National Oral Health Curriculum

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Waipahu Clubhouse offers services and learning opportunities for those with mental illnesses. I interacted with the members and presented psychosocial/psychoeducational learning activities for the members.

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N360 Psychiatric Mental Health Clinical Meets All 9 SLOs

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N360 Psychiatric Mental Health Clinical Meets All 9 SLOs

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N360 Psychiatric Mental Health Clinical Meets All 9 SLOs

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On September 24, 2019, I attended an AA meeting to interact with those dealing with Alcoholism. Attached is my reflection journal.

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Leadership:  Employ leadership skills in implementing and/or delegating the delivery of safe nursing care to clients and client systems. 

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Leadership:  Employ leadership skills in implementing and/or delegating the delivery of safe nursing care to clients and client systems. 

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Attached is my N360 Med-Surge Team Leading evaluation on the clinical day that I took on the role as team leader for my clinical group.

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Collaboration:  Collaborate with the multidisciplinary team to advocate for clients, client systems, and groups in meeting their health care needs. 

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Collaboration:  Collaborate with the multidisciplinary team to advocate for clients, client systems, and groups in meeting their health care needs. 

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Attached is my N360 Med-Surge WSE discussing my performance regarding collaborating my primary nurse and unit clerk.

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Evidence Based Practice: Make clinical decisions by locating and evaluating the best available evidence. 

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Evidence Based Practice: Make clinical decisions by locating and evaluating the best available evidence. 

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Attached is my N360 Med-Surge Journal regarding use of an Evidence Based article to deliver effective care to my patient.

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

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

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Attached is my N360 Med-Surge Journal regarding my reflection on my performance for that clinical day.