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As nurses, we must not allow our personal beliefs, feelings, and culture to interfere with our nursing judgement. As nurses if we should ever fall sick or ill, we must still put our best foot forward and as soon as the other foot has healed we will put that foot forward too. As nurses, it is our duty to advocate for our patients and strive not to be perfect, but better.

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My goal is to be a RN in the community and serve the people of Hawaii.

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HUGS- Honolulu, HI

January 2017

Assisted in providing companionship to the children in attendance and assisted the employees with

various duties.

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Life long learning experiences are forever. I have been fortunate to be caring for our elderly as an LPN. They have taught me to open my mind and not to let opportunities slip away. They have given me insight on how to live and appreciate life's gifts. I also learned that dying is inevitable and life's only guarantee. I am more understanding and compassionate because of what they have taught me.

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I was part of a cesarean birth in my maternity rotation. The team worked well together and the flow was good. Some of the team members spoke loudly and began talking about personal stories not relevant to the patient. This to me as an observer was annoying and unprofessional. Although these members were side talking, other members were able to perform without complaint or complications. As an outsider looking in (student), I’m not sure what I could have done or even if anything should have been done by me to address this issue. I believe if I were a real team member I would have said something because this is a serious situation that needs 100% focus. This experience definitely has changed my perception of what goes on in surgery.

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My reflection is an experience in maternity that was memorable and educational. I felt that the patient care part came natural and was not out of the ordinary or any different from previous experiences. I introduced myself and they were accepting and pleasant. I was able to feed ice chips to the patient and assist with her pushing by offering to help keep her legs back. I also was able to help with applying a face mask for oxygen and adjusting the straps for comfort and after birth applied ice pack to the perineum area. The nurse was welcoming and made time to teach me about the fundus, pushing, fetal heart monitoring, and expectation. When the MD came in she was very nice and made time to educate me as well. No staff member were disrespectful in any way. After birth, I was allowed to assist in the assessment of the newborn and the mother. My overall experience during this clinical was good considering I am not very interested in this field of nursing.

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See the following attachment on CAUTI.

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In the last semester of our med-surg rotation, I was caring for multiple patients and had to delegate some of the care to the nurse aide. I approached the aides after receiving report and coordinated care for the day. I communicated with the team members and made adjustments along the way. We effectively completed the task for the shift without any major problems. The aides were receptive of me leading and acknowledge understanding under my guidance.

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I was honored to take part in a cesarean birth during maternity rotation.The team worked well together and the flow was good. Some of the team members spoke loudly and began talking about personal stories not relevant to the patient. This to me as an observer was annoying and unprofessional. Although these members were side talking, other members were able to perform without complaint or complications. Every team member pulled their own weight. They were attentive to the patient who was alert throughout the process. The patient asked for pain meds and the CRNA mentioned to the doctor that she had already had some. The doctor and the CRNA discussed what could be given and came up with a solution that satisfied the patient. This was a good experience.

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When caring for the patient, I tried to anticipate their needs by observing and stood by them to show that I was here and ready to assist. I spoke clearly and asked if he had any question. I offered comfort by asking if they needed water, blankets to keep warm, or a need to reposition. When caring for the patient or performing task such as basic assessment, ADL's, or medication administration, I would explain what I was doing and spoke clearly.

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When communicating with the patient and family in my maternity rotation, I identified that their primary language was other than English but they were able to speak in broken English. When communicating with the patient, I observed her behavior and anticipated her needs then asked if I could assist with what I observed as a need at the time. An example, she was breathing heavily between pushing and I asked in a calm manner if she would like ice chips and her response was yes. Using positive reinforcement, I encouraged her when pushing and congratulated her on a good job. I also used silence when I observed her exhaustion. I then would ask the partner if there was anything that I could assist him with. When communicating with the health care team, I was professional and spoke when necessary. I offered assistance and did not shy away from helping. I honestly don’t recall any non-therapeutic communication within the staff and myself.

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During my med-surg rotation I would enter my patients room and begin my assessment. The first thing I observe is safety. I make sure that the bed is in the lowest position and the rails are up. If the patient would like to get up to ambulate, I would make sure they have orders and assist them as ordered. It is always important to make safety a priority.

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One way I have contributed to the health care system is making sure I do not waste hospital supplies. I have observed many times the unnecessary use of items or hoarding of items in a patients room. These issues increase cost for hospitals and patients. I have made an effort to only use what is needed and not take in extra items. I have also addressed these issues with my peers and staff members.

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Queen's Medical Center
Student Nurse – Medical/Surgical (II) Nursing

Fall 2017 (October 2017 – December 2017)

128 clinical hours on Medical/Surgical unit (orthopedics). Performed daily assessments, IV therapy, intramuscular/subcutaneous/
intravenous push medication administration, foley discharge, medication administration, patient charting, wound dressing changes, platelet and albumin administration, TPN feeding, ongoing discharge teaching. Worked with surgeons, PA's, CNA's, PT, OT, dietitians, social workers, care management, and other RN's to perform care at its best level.

Queen’s Medical Center - Punchbowl

Student Nurse – Psychiatric Mental Health

Fall 2017 (August 2017 – October 2017)

56 clinical hours at Queen’s Medical Centers Family Treatment Center (patients under 18 years of age) and Kekala Unit (18 years old and above). Performed daily mental health status assessment, took vital signs, and ensured safety for all the patients. Provided psychoeducational and psychosocial activities for the patients to promote better mental health status.

Kapi'olani Medical Center for Women and Children

Student Nurse - Pediatric

Spring 2017 (March 2017 - May 2017)

66 clinical hours on a pediatric unit. Performed daily physical assessment, took vital signs, performed nasogastric tubefeeding, administered medication orally and via NG tubefeeding, started IV piggyback medication, and provided family centered-care for patients. Also observed: PICC line insertion with a registered nurse; bone marrow aspiration and assisted providing patient care in PACU; and observed Respiratory therapist providing breathing treatment and chest vest therapy to patient.

Kapi'olani Medical Center for Women and Children

Student Nurse - Maternity

Spring 2017 (January 2017 - March 2017)

66 clinical hours on a Labor & Delivery unit and Mother/Baby unit. Performed daily assessment for both mother and baby with a focus on BUBBLE assessment for the mother and head to toe and reflex assessment for newborn child. Observed c-section delivery, circumcision, and assisted on natural vaginal delivery.  Participated in in-service learning about Jaundice. Provided family-centered teaching to patient on topics such as SIDS, pre-eclampsia, post-partum hemorrhage, newborn safety, sitz bath, mastitis, DVT, and other major subjects highly related to maternity. Assisted in discharging patient and educating patient upon discharge on newborn baby's safety and car seat safety.

Queen's Medical Center - Punchbowl

Student Nurse - Medical/Surgical (I) Nursing

Fall 2016 (August 2016 - December 2016)

96 hours on a Med-Surg/Orthopedic floor. Performed daily assessment, took vital signs, PEG tube feeding, medication administration via PEG tube, IV piggybacks, flushed central line and PICC line, wound care and dressing change, wound vac dressing change, blood sugar check, heparin/lovenox/insulin/eopgen subcutaneous injection administration, assisted doctor for chest tube removal, and assisted patient with basic care. Followed a wound care nurse and assisted with ostomy care and wound vac dressing change. Followed a nurse for PICC line insertion. Provided ongoing discharge teaching to patient. Worked together with physical therapists, occupational therapists, speech therapists, nurses, hospitalists and surgeons for the care of my patients.

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Licensed Practical Nurse/ License Valid in the State of Hawaii

Healthcare Providers CPR and AED Certification

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See Attachment

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September 2017. Provided educational teaching regarding skin care to clients and employees. Participated in social activities to build professional relationships.