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GIBBS

This document discusses a nursing student's experience in their clinical rotation in an obstetrics ward. During their time as a student nurse staff, they noticed some issues with how vital signs were being charted for some patients. Specifically, some charts were missing plots of vital signs over time, making it harder to properly monitor patients. The student learned that accurate recording of vital signs is important for determining if a patient's condition is deteriorating. Going forward, they will be sure to confirm vital sign charting with nurses and implement regular chart reviews to prevent recording issues. Overall, the clinical experience helped expand the student's professional nursing skills and understanding of patient care.

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62 views1 page

GIBBS

This document discusses a nursing student's experience in their clinical rotation in an obstetrics ward. During their time as a student nurse staff, they noticed some issues with how vital signs were being charted for some patients. Specifically, some charts were missing plots of vital signs over time, making it harder to properly monitor patients. The student learned that accurate recording of vital signs is important for determining if a patient's condition is deteriorating. Going forward, they will be sure to confirm vital sign charting with nurses and implement regular chart reviews to prevent recording issues. Overall, the clinical experience helped expand the student's professional nursing skills and understanding of patient care.

Uploaded by

Genesis 1:1
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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FATHER SATURNINO URIOS UNIVERSITY

San Francisco St. Butuan City 8600, Region XIII Caraga, Philippines
Nursing Program

GIBBS

For the past three days of our 3rd Head nursing duty at Butuan Medical Center, we have been
assigned to the Ob ward, where we cater to all obstetrics and gynecology patients. During our responsibility,
we were able to experience being an Ob-ward nursing staff, and we were able to experience being the head
nurse. As student nurses, we are obliged to do morning circles, attend endorsements, morning rounds,
bedside care to patients, and do chartings. During my bedside care to my patient, there’s one thing that I
have noticed, and that is how they do chartings, especially the vital signs taking. Some of the charts do not
have plots, thus altering the monitoring.
Being student nurses, we are taught to do the ideal task, and thus, it is critical for us to do chartings.
Vital signs should be monitored, especially when dealing with the patient’s life and condition matters. I was
partially relieved when the staff nurse told me that the patient was in the order of “MAY GO HOME.”
However, I can’t get out of my mind about what could happen if the patient is in close monitoring and was
indeed overlooked. Nevertheless, the staff nurse told me that things like this hardly occur.
The clinical exposure in the OB ward as a student staff nurse has taught me how to be vigilant,
empathetic, and adaptable in any cases that I may meet throughout my nursing career, even for limited
days of providing care, cooperating with the group prioritizing tasks. Most significantly, adequate
communication with the medical team and other staff workers. Vital signs checking is the cheapest and most
important information gathered on hospitalized patients; thus, it is crucial not to forget.
Vital signs taking play an essential role in a clinical setting as it is a tool to determine if the patient
is at risk of deterioration (Henriksen et al. 2014) because sometimes, even though vital sign changes
accurately predict it, clinical deterioration often goes unnoticed, or is not detected until it is too late to treat.
This is mainly caused by inadequate recording of vital signs or an inappropriate response to abnormal values.
Indeed, monitoring crucial signs in clinical practice is indisputable (Brekke et al., 2019).
As a result, the most logical thing to do in situations like these is to confirm the staff nurse on duty.
A regular reminder to examine charts might also be implemented to prevent a recurrence.
Generally, the clinical duty helped me learn and expand my professionalism in the field. It helps me
advance my understanding; all favorable achievements increase our optimism, while all adverse outcomes
strengthen my drive to study and grow. If I could be rechallenged in the same environment in the future, I
would apply everything that I have learned, and all things considered, errors will once again be fixed, and
experience will indeed expand.

Henriksen, Daniel Pilsgaard et al. “Prognosis and risk factors for deterioration in patients admitted to a
medical emergency department.” PloS one vol. 9,4 e94649. 9 Apr. 2014, doi:10.1371/journal.pone.0094649

Brekke, I. J., Puntervoll, L. H., Pedersen, P. B., Kellett, J., & Brabrand, M. (2019). The value of vital sign trends
in predicting and monitoring clinical deterioration: A systematic review. PloS one, 14(1), e0210875.
https://doi.org/10.1371/journal.pone.0210875

Zyrah Marie G. Loreto


FSUU/SSN

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