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In the following tabs, you will find descriptions of 9 program learning outcomes (PLO) that we 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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Hello! Thank you for taking the time to look through my ePortfolio. While my ePortfolio is not a complete representative of all my work, accomplishments, or capabilities, I hope it serves as an interactive representation of the multitude of projects, experiences, credentials, as well as my potential capabilities in the workforce. I hope as you explore, you will find my love of learning and helping others. Again, thank you for your time. I hope you enjoy learning more about me and what I have to offer as a professional.

-Joseph Chang

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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: Kuakini Hospital
Medical Surgical
Clinical Hours: 108

During this rotation, we built upon the skills learned from our previous semester and honed our clinical decision making skills. Skills performed included: IVPB medication administration, subcutaneous injections, glucose monitoring, converting IV to saline lock, and discontinuing IVs. In addition, we improved on our therapeutic communication and critical thinking by developing detailed care plans for each patient.

NURS: 320: Kapiolani Medical Center
Family Birthing Center/ Mother Baby Care Unit
Clinical Hours: 144

During the maternity-newborn rotation, I observed in the Family Birthing Center, the role of a RN during the ante and intra- partum period. I learned of fetal heart-rate monitoring and the interventions to remediate abnormal fetal heart rates. I witnessed the role of the OR nurse, surgical technologist, Anesthesiologist, OB doctor, and the primary nurse during a cesarean section and epidural insertion. I was also present during a vaginal delivery, and witnessed the interactions between the primary nurse and the residents. On the Mother Baby 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, post-operative monitoring, and provided patient education.

NURS: 360 Castle Medical Center
Psychiatric Mental Health
Clinical Hours: 64 Hours

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 Straub Hospital
Medical Surgical
Clinical Hours: 112 Hours

During this clinical rotation, our clinical instructor focused on preparing us for the real life expectations as a nurse. We began our clinical caring for one to two patients and eventually worked our way up to four to five patients. We honed our critical thinking, time management, communication, and priority setting skills. I had the opportunity to perform numerous nursing skills, such as medication administration (oral, intramuscular, IV, subcutaneous, and topical), wound dressing changes, tracheotomy care, IV start/discontinuing, and documentation. I was also involved with new admissions, transfers, and discharges. This clinical rotation has given me an understanding on what it takes to be a successful nurse.

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Member since spring 2017
One of the main objectives of Student Nursing Association is to prepare students to play active and vital roles in the nursing profession.

H.O.M.E. (Homeless Outreach and Medical Education) Project
Volunteered from 2015-2016
The goal of Hawaii H.O.M.E. Project is to improve access to and the quality of healthcare for Hawaii's homeless. Each week, our mobile clinic travels to Pai'olu Kaiaulu Shelter in Waianae and provide preventive medical services as well as management of acute and chronic medical conditions. Our clinic provided immunizations, TB testing, blood pressure and sugar checks, eye and ear exam, treatment of minor cuts and injuries, and provide limited pharmacological assistance.

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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 discussed types of ethical and legal dilemmas and created a realistic example.

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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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"Make clinical decisions by locating and evaluating the best available evidence."

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 an example.

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Wk_3_Evidence and Health Care Quality Response

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

NURS 362
Attached is an essay written about my definition of leadership and my personal leadership style.

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

NURS 360
In our NURS 360 course, my classmate and I created an psychoeducation presentation called "Couchercise." The idea was to get people moving; even if it was just for a small amount of time. We thought of creative exercises that people could right on their couch between commercial breaks and presented this idea at the Waipahu Aloha Clubhouse.

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360 Educational _ Social Group  Club house Couchercise

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

NURS 362
In our NURS 362 course, we examined healthcare policies pertaining to the local, state, and federal levels.

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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."

NURS 360
Attached is a care plan that I developed specifically for a patient that I cared for during my Med-Surg clinical.

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"Communicate professionally, clearly, and therapeutically in all interactions."

NURS 360
Communicating 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 clinical judgement in the delivery of safe, cost-effective, and quality care, using information and patient care technologies to diverse clients across a wide range of settings. Utilize health promotion, disease prevention and restoration theory in assisting clients and client systems to maintain independence."

NURS 360
With each patient, we examined the pathophysiology related to the client's problem, objective and subjective data. 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 care for.

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Active Learning Template System Disorder

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Basic Life Support for the Health Care Provider (CPR & AED) expires 09/2020.

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Nursing is a truly unique profession. As Myrtle Aydelotte describes, "Nursing encompasses an art, a humanistic orientation, a feeling for the value of the individual, and an intuitive sense of ethics, and of the appropriateness of action taken." The essence of nursing lies in our ability to empathize, lead, and care for those in a holistic evidence base approach. As healthcare is continuously evolving, we as nurses must continue to adapt and seek ways to create efficient ways to improve patient outcomes.

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

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Putting the Pieces of the Puzzle Together: Addressing Modifiable Risk Factor for the Patient and Staff In Preventing Hospital Acquired Skin Injury.

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Putting the Pieces of the Puzzle Together: Addressing Modifiable Risk Factor for the Patient and Staff In Preventing Hospital Acquired Skin Injury.

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by Kathleen M. Vollman, MSN, RN, CCNS, FCCM, FAAN

The Queen's Medical Center
October 6, 2017

Topics Covered:

Outcomes of Early Mobility Programs

Safe Patient Handling

BMAT

Identify Patients at High Risk

EBP Recommendations

Out of Bed Mobilization Strategies

Prevention Strategies for IAD

Fall Prevention

Chasing Zero: Going Beyond the Guidelines to Eliminate CLABSI and CAUTI.
by Kathleen M. Vollman, MSN, RN, CCNS, FCCM, FAAN

The Queen's Medical Center
October 6, 2017

Topics Covered:

National Quality and Safety Initiatives

Reimbursement Strategies

Strategies to reduce hospital-acquired CAUTI and CLABSI

Discussing Nurse Driven Systems

Evidence-Based  Protocols Which Resulted Positive Patient Outcomes

High Risk Obstetrics: Current Trends, Treatments and Issues.
by Jamie Otremba, RN

Hyatt Regency Waikiki Beach Resort and Spa
February 23, 2018

Topics Covered:

Pre-eclampsia

Pharmacologic management options for preterm labor

Risk in elective induction

High-risk elective inductions

Management of post-partum hemorrhage

Collaborative care with ICU and Emergency Department

ACOG recommendations for preventing blood loss

Management of abnormal placental implantation