End of Shift Journal Entry

QUESTION

How do you develop an end of shift journal as a nursing practicum student in IMC unit with 3 patients, one was discharged, One new admission

Patient One has thoracic surgery, history of Afib, COPD,Htn,lumber fusion

Patient Two has a BPH, and foley catheter on history of BPH

Patient Three is on dialysis, 3 litres fluid was removed during dialysis and history of stoke, Htn,

The entries should reflect on how you feel about your experience, positive or negative, and what you are learning. Reflect on how you are progressing in meeting your objectives, on how you are developing into your professional role.

Develop 3-5 SMART goals for what can be accomplished during 100 hrs nursing practicum in ICU/IMC unit

ANSWER

End of Shift Journal Entry

Date: [Insert Date]
Shift: [Insert Shift Time]

Today’s shift in the IMC unit was both challenging and rewarding. As a nursing practicum student, I had the opportunity to care for three diverse patients with unique medical histories. Reflecting on my experiences, I am pleased with my progress in meeting my objectives and developing into my professional role as a nurse. However, I also acknowledge areas for improvement and look forward to setting SMART goals to enhance my skills during the remaining 100 hours of my nursing practicum.

Patient One

Patient One, post-thoracic surgery with a history of Afib, COPD, HTN, and lumber fusion, presented complex care needs. It was a fulfilling experience to provide post-operative care and assist the patient in managing multiple chronic conditions. However, I realized the importance of further enhancing my assessment skills to recognize early signs of complications, such as respiratory distress or cardiac arrhythmias.

Patient Two

Patient Two, with BPH and a foley catheter, required close monitoring of urinary output and assessment of any potential catheter-related complications. My interaction with this patient highlighted the significance of providing empathetic care and considering the emotional aspects of their condition. I learned the importance of open communication with patients, addressing their concerns, and ensuring their comfort during their hospital stay.

Patient Three

Patient Three, on dialysis with a history of stroke and HTN, underwent the removal of 3 liters of fluid during dialysis. This experience exposed me to the complexities of managing fluid and electrolyte balance in patients undergoing dialysis. I realized the need to further develop my knowledge in renal care and understand the implications of fluid shifts on the patient’s overall condition.

SMART Goals

Specific: By the end of my 100-hour nursing practicum, I aim to confidently recognize early signs of respiratory distress and cardiac arrhythmias in patients with thoracic surgery, Afib, COPD, HTN, and lumber fusion.

Measurable: I will achieve this by actively participating in daily rounds, collaborating with the healthcare team, and seeking guidance from experienced nurses and preceptors.

Achievable: I will dedicate time each week to review relevant literature and attend educational sessions on respiratory and cardiac assessments.

Relevant: This goal is pertinent to my professional development, as it enhances my ability to provide timely and appropriate interventions, leading to improved patient outcomes.

Time-Bound: I will evaluate my progress in meeting this goal every two weeks and make adjustments to my learning plan as needed to ensure achievement by the end of my nursing practicum.

Conclusion

The end-of-shift journal entries have provided me with valuable insights into my experiences as a nursing practicum student in the IMC unit. As I reflect on my progress, I recognize areas for growth and development in my nursing skills. Setting SMART goals to enhance my assessment skills, empathetic communication, and knowledge in specialized care areas will help me make the most of my remaining 100 hours in the ICU/IMC unit. I am excited about the learning opportunities ahead and look forward to becoming a more competent and compassionate nurse.