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Month: November 2022

Post HELP Assignment

Throughout my time of seeing patients with the HELP program I feel that I got a routine down of how to talk to the patients and be observing for signs of delirium simultaneously. I did not see any clients experiencing delirium, but I was able to look at the paperwork to get a sense of what their baseline was and observe for any changes.

            The most meaningful aspect of my volunteer experience was with a patient I saw first in the HELP program and then at clinical the next week. I had a really good conversation with this patient, as we talked about all the books he liked to read and how he liked that he was able to read in the hospital. He was in a great mood and was very enthusiastic about his recovery. At clinical I was able to help him with the discharge process, so that was a cool moment for me to be able to care for a patient in two different settings.

            I did meet my learning goal of getting better at recognizing and remembering signs of delirium. None of the patients I saw were in active delirium, but I was able to observe for any changes from previous visits and look for factors that could potentially cause delirium. I also met my goal of becoming more comfortable seeing patients in a different setting, which is something I will take with me moving forward, as I may be caring for patients in many different settings as a nurse. 

Proposing Change

Since we identified our topic of preventing CLABSI’s we have learned a lot about CLABSI rates in the hospital and why and how they occur. The literature review did not really change any assumptions I had about the topic but gave me a better insight into why CLABSI’s occur so frequently. We did need to make our topic more specific at the beginning of this process as we started out with the broad idea of CLABSI prevention but narrowed it more specifically to “scrubbing the hub”. One finding that I had not previously thought about was access to supplies. One of the studies mentioned how some units did not have enough alcohol or chlorohexidine wipes which are used to clean the caps to central lines.

            Since reviewing the statistics in the literature and seeing nurses on the floor not always “scrub the hub” I will always think about CLABSI prevention when going into practice. I know that I will always be busy but taking a minute to “scrub the hub” will be beneficial to my patients in the long run, and result in better health outcomes for them.  I will also try to remember to carry alcohol wipes in my pockets so I can be efficient when doing central line care for the patient. 

            One thing our team has been successful with is organization and getting our work completed before the due date. We have also been successful with distributing our work evenly and working together to get the project done. Our team process usually included sharing a google doc where we could all work on parts of the section of the project due each week at our own pace, and before the due date we would go over it to see if any edits needed to be made. We would also use class time to make any revisions if we had already finished the majority of the section that was due for that week. I think this process has worked well so far, and the amount of work has been distributed fairly. 

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