Recall a clinical learning experience you enjoyed. Describe the experience and identify specific aspects such as educational setting, motivational strategy, learning theory, and delivery of content (how was the material presented).

I have worked as RN in a level one trauma center for about 3 years now, working in the Burn ICU has been one of the biggest challenges I have faced in my nursing career. Some people may assume that the Burn ICU does not care for very sick patients like other units, but in actuality it is so specialized that a well-trained CTICU nurse would struggle. One of the biggest learning experiences I faced since being in the Burn ICU was during a horrible burn trauma activation involving 6 male individuals that were burned while working at the local power plant. It was about 5:45pm, when the charge nurse pager went off with a burn trauma alert. Yes, I happened to have taken over charge nurse at 3:00pm, while managing one patient in the ICU. Back to back the pager went off 6 times, with different burn trauma alerts. Before I knew it, my charge phone was ringing and it was the hospital supervisor informing me that we were going to be transferring out all the patients in our 6 bed ICU to other ICU’s to make room for the 6 burn victims arriving. Suddenly, before we knew it we moved all of our patients and the new burn victims came rolling in. All of the burns were ranging from 60-90% total body surface. I individually managed one of the patients while navigating the unit and med-surg burn floor. It was about 6:30pm, I called in 4 nurses to come in early to help assist with debriding these patients. By the end of the shift at 7pm, all 6 patients were being lined and started on CRRT, along with arterial lines placed and central lines. I somehow had to manage my nursing skills appropriately and take charge of the entire unit. At 7:15p, I lost pulses on my all 4 extremities and my patients bladder pressure was sky rocketing. After about 10 minutes, the plastic surgery team was at the bedside performing fasciotomies and trauma surgery was opening up my patients’ abdomen at beside to help relieve bladder pressure.

During this one individual experience I learned so much about myself. My time management, assessment skills, nursing knowledge and team leadership skills were all put to a test. Thinking back I thought I would have fallen apart, I had only been a RN for a little under two years at this time and I was still questioning all of my skills and abilities. Walking out of the hospital that night I could have not been any more exhausted and discouraged, wondering if I had messed something up or forgotten something. I tried my best to think to myself “you are leaving and you kept this 90% full thickness burn victim alive, that is what you are here for.”

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

 

I remember when I was in nursing school there was a clinical instructor that everyone talked about and no one wanted to be in her clinical group.  My second semester I ended up in her group and because of what everyone had said about her I was very nervous and anxious to be in her group.  She was very hard because she expected each of us to know our drugs we would be giving for our patients down to the smallest detail and what their medical conditions were and why exactly they were in the hospital.  It all seemed like a lot to remember or memorize the day before clinical and she always asked each of us questions before, during and in conference after each clinical day. 

It became a great experience when I understood that she was only trying to get us to critically think everything through and that she wasn’t out to fail us.  What she expected from us was that we participate and try to give her reasonable answers, she never belittled us when we were wrong, only provided answers.  She motivated me to challenge myself without fear of failure.  I enjoyed learning from her so much that I requested her again when I found out she was teaching clinical again in my fifth semester. 

I feel that the cognitive learning theory best describes the method by which I learn.  “According to this perspective, the key to learning and changing is the individual’s cognition (perception, thought, memory, and ways of processing and structuring information). Cognitive learning—a highly active process largely directed by the individual—involves perceiving the information, interpreting it based on what is already known, and then reorganizing the information into new insights or understanding” (Bastable, 2013, p. 73).  As a very visual learner I absorb what I see and hear in order to process it and be able to understand and use it in my practice. 

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Please see attached files

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

 

Discuss a clinical experience in which you had to incorporate one or more learning styles such as visual, kinesthetic, and auditory. Explain the outcomes and how you created an effective learning experience.

I remember a very specific case where I was instruction a patient in the how to check her sugar and given her self insulin. We first started out with a brochure and video, kinda boring. (visual and auditory)  But then we progressed into the demonstration or kinesthetic  moment. We started with me demonstrating the how to use the accucheck machine. by first showing how to do the controls and then having the patient do the same but then her doing her finger prick. I then demonstrated  how to dial the flex pen to the correct dose after doing the calculation with the patient according to her sliding scale. I then showed her where to give her shot and to make sure to use alcohol to cleanse the area prior to injection.  Before her discharge she was able to demonstrate back to me the entire process from start to finish.

After about 3 months the patient was readmitted to the hospital for a complication of minor surgery and she was able to do her own checks and injections while she was in the hospital. She has now become one of our patient liaisons that speak to new diabetic patients and share their experiences.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

 wk3

Topic 2

You have been assigned to teach a class using gaming, in which 75% of the students are from a particular ethnic group (you decide the content area, class size, and ethnic group). Choose the topic of your choice and take into account the ethnic group’s special needs. Describe your approach, and provide details regarding the assumed characteristics of the ethnic group. Identify the tools or technology, services, and resources needed for developing the instructional gaming material.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"