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Based on my reflection after my first journal concerning my first direct care week, I have
come to the conclusion that I have improved in direct care with my patients, as well as other
skills. I have performed tasks such as wound care, patient care, observed administration of
My patients these last few weeks have all been diverse in ways that have allowed me to
grow as a nursing student. It allowed me to research their admitting diagnosis, their medical and
surgical histories, and their medications. As I started getting used to preparing for my pre-
planning forms and for my days at clinical, I realized that I have become very familiar with my
clinical site and the patients. These past few weeks I have performed regular tasks such as
assisting my patients and other non-regular patients with assistance to their bathrooms, peri-care,
clothing management and dressing. In addition, I had the opportunity to practice my class skills
of wound care with three different patients, while being overlooked by a CNA, to ensure that it
One of my biggest responsible tasks happened this week. I was assigned to a nurse in
order to learn the process of medication management and administration. Although, I was not
allowed to administer the medications to the patients myself, I was able to learn how serious it is
that medication administration and management is to be done carefully and responsibly. The
administration of Narcotics however, take more steps in order to administer to the patients. The
medications are usually locked but if the patient needs a narcotic the Nurse usually has to take
out another key that is specifically for a narcotics drawer and record on a binder how much it
was taken out and how much it was left in the drawer in order to account for all narcotics when it
many skills that I will need when I become a nurse. It has also taught me the patience and
amount of responsibility that is needed in order to keep my safety and most importantly my
patients safety. Being a nurse involves being attentive with daily responsibilities and the
patients but also by making sure your co-workers are keeping up with their responsibilities as
well. Making sure their work coincides with the policies will ensure that all patients are safe as
well as to maintain a safe and responsible facility. Working alongside VMRCs CNAs and other