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Welcome to my ePortfolio! Here are learning activities in my journey to earn an Associate in Science degree and become a registered nurse through the LPN-RN program at Kapiolani Community College.

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9/21/2018 - 9/23/2018= 24 hours
9/21/2019 - 9/22/2019= 16 hours
Attended the Blaisdell Exhibition Hall with Kaiser Permanente to provide influenza vaccinations given to all ages.

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My nursing philosophy is to continue and strive to be caring. My core beliefs and values of nursing are integrity and life-long learning.  From a very young age, I was hospitalized for a rare illness; kawasaki disease. Since then, I have been hospitalized at least five more times and each time, the nursing staff has been so caring and has provided me with compassion. Since I have experienced this from such a young age, I have taken it to heart that this is a life-long journey. I have realized to pick right back up when I have been beaten down. I aspire to create a caring environment as the nurses before me have.

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My goal is to work in an inpatient facility as a registered nurse and provide advocacy for my patients. Medical surgical and pediatrics are the specialities I am interested in because it is where I can best relate with my past experiences.

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Nurs 220-Queen's Medical Center
Medical-surgical= 96 hours
Provided care to admitted adults, including ADL assistance such as, bed baths, feedings, oral care, dressings, and transfers, intravenous medication administration, physical assessments, glucometer checks, admissions, and discharge teachings.

Nurs 320-Kapiolani Medical Center for Women and Children
Pediatrics=84 hours
Provided care to admitted pediatric patients, including ADL assistance such as transferring, dressing, and oral care, physical assessments, intravenous medication administration, injections, foley catheter removals, and family and client education.

Maternity=68 hours
In the Family Birthing Center, I have observed and assisted the RN with vital signs, fetal heart monitoring, and assessments. I have assisted in the process labor and delivery of a vaginal birth. I was able to report and abnormal data to the primary RN and clinical instructor.
In the Mother-Baby Unit, I provided care to the postpartum mothers and their newborns. This included vital signs, BUBBLE and newborn assessments, client teachings and discharge planning. I was also able to report any abnormal data to the the primary RN and clinical instructor.

Nurs 360 Kahi Mohala/Online Simulations
Psychiatric Mental Health=135 hours
Provided care to admitted patients, including use of therapeutic communication skills, utilizing EVE (engage, validate, and empathy), developed process recordings, and provided education and community resources accordingly.

Medical Surgical= 135 hours
Developed care plans and produced coherent SBARs, DARs, and client-centered care. Case studies of various illnesses completed with patient education, resources, and evidence-based research.

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Heart Saver - BLS for Healthcare providers (CPR & AED) exp. 07/2020
Practical Nurse License - exp. 06/2019

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Here are artifacts from my 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 Standard of Practice and Code of Ethics.

In NURS 220 I practiced the ethical principle of beneficence as described in the weekly reflection paper. This experience taught me a valuable lesson to always do your five rights of medication administration. As happy as I am that this did not happen to me, it will always be an issue that I will not forget.

An ethical issue that was brought up during my clinical rotation, was one of a classmates. The client was to be discharged that day and when the blood pressure was checked it was lower than normal. It was then noted that a blood pressure was given outside of the perimeter provided. The patient was also severely dehydrated; had not urinated and did not drink much water all day. With this being said, many members of the staff seemed to only care about the fact that the client was to stay longer, taking up a bed, rather than the actual care of the patient. It was very disheartening for me because it really made me think of how uncaring that scenario was. It was sad to see that the patient was not priority in this situation and that the staff had other concerns. I think that it is important to follow legal responsibilities but also have an ethical mind about everything. One thing I can do is learn from all that happened this week. The med error incident to the ethical questioning of the staff to the bed bugs, this week has really taught me to speak up and have good communication. With good communication, I feel that responsible behavior will follow. I can continue my professional growth outside of the clinical setting by allowing myself to have good ethical practice with others. Behaviors that were seen this week were not my favorite, but I will be able to learn from it and continue on with my professional growth.

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

Here is one reflection that I wrote while in NURS 320 Pediatrics about how completing the course helped me build my foundation and encourages me to continue my nursing career. This experience will stick with me throughout my nursing career, as it was one of the hardest rotations I completed but one of the most rewarding.

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Implement evidence-based practice by locating and evaluating the best available evidence in making clinical decisions; and engage in on-going professional growth and self-directed learning in the practice of professional nursing.

In NURS 360 PMH, I demonstrated understanding of medication and behavioral interventions by searching the literature and presenting using a search engine to obtain an EBP article related to patient care. This article helped me understand the importance of initiating behavioral interventions for ADHD adolescents as it can help dramatically in the long run.

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

In NURS 220 I was able to delegate a task to classmates in the high fidelity simulation, serving as a team leader and participated in primary nursing care. This allowed me to take charge and delegate any procedures/tasks that needed to get done in a safe environment.

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

I had the opportunity to work with multiple nurses and be a part of grand rounds at Kapiolani Medical Center for Women and Children in NURS 320 Pediatrics. Here is my reflection about that collaborative experience which I believe helps in a setting where stress and tensions may become high. With the help and integration of other team members, a patient can overcome and feel comfortable in a hospital setting.

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

In NURS 360 PMH, I was able to identify available health care resources within the community for patients with psychiatric mental health problems as demonstrated here. In the mental health setting, resources become very valuable because it can determine their outlook on life outside of a facility.

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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.

In NURS 320, I have developed a nursing care plan for a patient who had impaired renal function. This care plan consists of all aspects for the patient.

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Communicate professionally, clearly, and therapeutically in all interactions.

In NURS 360 PMH, I completed a process recording that is an example of therapeutic communication. This process recording helped me to have self-awareness and to therapeutically communicate with the patient using verbals and non-verbal skills.

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Demonstrate clinical judgement 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.

Here is my case study on COVID-19 that I completed in NURS 360 MedSurg that demonstrates clinical judgement. Based off of current events around the world, this completed case study utilizes health promotion, disease prevention, and restoration theory in assisting patients and patient systems to maintain independence.

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Here are artifacts from my nursing courses that exemplifies how I have met the Program Learning Outcomes in NURS 220 Health and Illness.

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In NURS 220 I practiced the ethical principle of beneficence as described in the weekly reflection paper.

An ethical issue that was brought up during my clinical rotation, was one of a classmates. The client was to be discharged that day and when the blood pressure was checked it was lower than normal. It was then noted that a blood pressure was given outside of the perimeter provided. The patient was also severely dehydrated; had not urinated and did not drink much water all day. With this being said, many members of the staff seemed to only care about the fact that the client was to stay longer, taking up a bed, rather than the actual care of the patient. It was very disheartening for me because it really made me think of how uncaring that scenario was. It was sad to see that the patient was not priority in this situation and that the staff had other concerns. I think that it is important to follow legal responsibilities but also have an ethical mind about everything. One thing I can do is learn from all that happened this week. The med error incident to the ethical questioning of the staff to the bed bugs, this week has really taught me to speak up and have good communication. With good communication, I feel that responsible behavior will follow. I can continue my professional growth outside of the clinical setting by allowing myself to have good ethical practice with others. Behaviors that were seen this week were not my favorite, but I will be able to learn from it and continue on with my professional growth.

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Here is one reflection that I wrote while in NURS 220 about how I might improve my attitude toward clients.

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In NURS 220, I demonstrated understanding of health disparities by searching the literature and presenting using a search engine to obtain an EBP article related to patient care.

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In NURS 220 I was able to delegate a task to classmates in the high fidelity simulation, serving as a team leader and participated in primary nursing care.

Simulation #1

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Simulation #2

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I had the opportunity to work with a wound nurse at Queen's Hospital in NURS 220. Here is my reflection about that collaborative experience.

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In NURS 220 PMH, I provided lists of community resources intended for my client which is included in my psychosocial assignment.

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Please see a nursing care plan that I wrote in NURS 220 for a client who had impaired mobility.

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NURS 220 mental health process recording is an example of therapeutic communication.

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Here is my CIS and NCP paper that I wrote in NURS 220 that demonstrates clinical judgement.

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HUGS volunteer (Help, Understanding, &Group Support) 

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HUGS volunteer (Help, Understanding, &Group Support) 

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09/07/19=5 hours
10/04/19=5 hours
As a HUGS volunteer, I assisted with the providing respite care for families of children with serious illness. I have committed to attend to the child's need and support this community organization.

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Here are artifacts from my nursing courses that exemplifies how I have met the Program Learning Outcomes in NURS 320 Pediatrics and Maternity.

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In NURS 320 Maternity, I have experienced a lecture at Sheraton in which ethical issues were brought up. I will use what I have learned from the Vanderbilt case to maintain the ethical principles of autonomy, beneficence, non-maleficence, fidelity, and justice.

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Here is one reflection that I wrote while in NURS 320 Pediatrics about how completing the course helped me build my foundation and encourages me to continue my nursing career.

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In NURS 320 Maternity, I demonstrated understanding of health disparities by searching the literature and presenting using a search engine to obtain an EBP article related to patient care.

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In NURS 320 Pediatrics, I was able to delegate tasks to my classmates during a clinical day by being the charge student nurse and participating in primary nursing care.

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I had the opportunity to work with multiple nurses and be a part of grand rounds at Kapiolani Medical Center for Women and Children in NURS 320 Pediatrics. Here is my reflection about that collaborative experience.

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In NURS 320 Maternity, I was able to witness the variety of tools in accessing and providing cost-effecting nursing care. Here is my reflection about the health care system.

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Please see my nursing care plan that I wrote in NURS 320 Pediatrics for a client who had impaired renal function.

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In NURS 320 Maternity, I have created a teaching plan that is an example of professional, clear, and therapeutic communication. IN Pediatrics, I have also demonstrated therapeutic communication within my
PMH assignment.

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PMH-Pediatrics

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Here is my CIS that I wrote in NURS 320 Pediatrics that demonstrates clinical judgement.

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11/02/19=8 hours
Attended the Blaisdell Exhibition Hall with Kaiser Permanente to provide influenza vaccinations given to all ages.

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04/25/2017=7.25 hours
Attended a breastfeeding conference which implemented the Spatz ten steps for human milk and breastfeeding program. Allowed me to better understand the critical use of breast milk and to implement the importance through future client teachings.

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Global Neonatal Nurses Institute Conference

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Global Neonatal Nurses Institute Conference

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10/24/2019=7.5 hours
Attended a neonatal conference which provided education for nurses and advocacy to improve care for neonates. The conference introduced different specialties such as transport nurses and also the legalities that nurses must endure.

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Sexual Orientation Gender Identity (SOGI)

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Sexual Orientation Gender Identity (SOGI)

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11/20/2019=1 hour
Attended an inservice at Kaiser Permanente Care Pathway Center about SOGI. It is a new clinical tool that uses sexual orientation gender identity to improve and personalize care for all members of Kaiser. This will be beneficial and lead to equal care throughout.