Reflective ISTAN Journal
1. Complete head to toe assessment. Documenting all of my findings
Wound care and culture on right foot puncture wound.
Deep breathing exercises to help increase patients O2 sat levels
Replacing pediatric non-re breather to an adult non-re breather mask and monitoring the patients O2 sat levels as they continued to drop.
2. I realized even more now, that team work is very important, I had an amazing team with Shane and Tabitha and I feel we worked well together, communicated well and pull on each other’s strengths. We remained calm in the chaos and really worked together.
3. I will change my gloves more often. I changed them at least a dozen times and maybe the instructors did not see me but they commented that I pushed my glasses up with gloves on, although I use the back of my hand to push them up, I will be more aware of doing so in the future. And also that it’s OK to ask questions with you do not understand something.
4. I learned that you must always check your medications several times before administering it- and to double check the infusion time on IV push medications. I also learned that communication is very important between team members and to communicate clearly with each other.
5. I feel it is frustrating that Stan has many technical difficulties, when we are told that he had respiration's of 38 and it goes unnoticed when I put my hand on his chest for the entire minute I was assessing his apical pulse and had a hard time get 16 counted and this right after he malfunctioned. I just feel if we are going to get dinged on something like that maybe making sure he is working properly is best. I am not entirely sure what the purpose is if we only hear of the things that we do incorrectly. Positive feedback is just as important as negative and I feel this is greatly lacking in the IStan component. I also feel that if you want it to be a learning experience then the students should not be working hard to do the best they can and they hear the instructors conversations inside the booth that have nothing to do with ISTAN. We are giving it our all and they should be as well. I am not being critical I am just trying to be honest and give accurate feedback.
