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  • Essay / Experience at Icu

    Table of ContentsTransitionEthicsCommunicationCritical ThinkingVocationWorks CitedIt is the requirement and hope of all colleges and of life in general that a nursing student move forward; from nursing student to practicing nurse. A process that can be described as transition. Various skills and experiences need to be addressed. One of the required lessons is practical experience working in the intensive care unit. Students are expected to acquire essential critical care skills and knowledge. They are exposed to the roles of intensive care nurses. I had the opportunity to practice intensive care nursing. This article is a description of my experience. This includes transition, ethics, care, health promotion, communication, standards of practice, critical thinking, vocation and implications in various fields. Say no to plagiarism. Get a custom essay on “Why Violent Video Games Should Not Be Banned”?Get the original essayTransitionThe transition from nursing student to field practice is stressful, especially in the intensive care unit. Sometimes, when my tutor questioned me, I felt like I had forgotten everything. Throughout my experience, at different points, it was overwhelming to put into practice everything I had learned and be able to understand why I was doing it. However, the more I worked and the more my tutor and those around me taught me, the easier my job became. Looking ahead and transitioning into my role as a nurse, I like to think of a quote I heard when I was in high school “Success is not final, failure is not fatal: It’s courage that counts. » (Winston Churchill). I think of this quote because sometimes the transition from student nurse to nurse practitioner seems overwhelming and scary. However, I need to know that everyone who has gone from student nurse to nurse practitioner has made mistakes, doesn't know everything, and will always continue to learn. In one article I read that they gave great ideas on how to solve problems when transitioning. Assess the problem, identify what is holding you back, identify stressors, use effective communication, respect personal space, look at both sides of the issue, and develop a positive action plan. (Hunt, 2016). The other method I would use has seven steps. Here are the steps: I. Identification of the issues II. Understand the interests of those concerned (affected)III. Write down possible options or solutionsIV. Option evaluationsV. Selection of the best optionsVI. Document the agreementVII. Conclusion of emergency agreements, monitoring and evaluation. The process was very constructive in making decisions. However, I have always consulted with my team (Hicks, nd).EthicsWhen I think of ethics and nursing, I think of non-maleficence, beneficence, fidelity, justice and autonomy. These are some of the first principles we talked about when we entered the nursing program. I believe they are essential to ethics and nursing because they protect your patient and are fundamental concepts in nursing. These concepts are “do no harm,” be kind, be honest, honor your commitment, and respect the patient. In intensive care, many ethical conflicts arise. There are often ethical dilemmas. Some of the ethical issues I encountered included end-of-life care issues and verbal abuse. According to the ANA Code of Ethics, patient autonomy must always be respected. Patients have the right to decidehow they want to be treated (Kim, 2015). Some of the most difficult moments have been when I have seen ethics come into play more than at any other time. For example, when patients' families decide to place their loved one in comfort care and let them leave peacefully. When talking about this option to the family, we can see that some members did not necessarily want, as they said, to "give up", but they also see that sometimes this is what the patient wanted instead of stay on the machines for a while. prolonged period. I think that for my future in nursing, ethical issues will always arise. However, I have to remember that my job is to advocate and respect my patient's wishes, whether I agree with them or not, that's not what I'm here for. I also think that if it's possible, I would like to learn more about working in palliative care, so that I can better educate myself and understand all that it entails. Especially since the field in which I intend to continue working is that of intensive care, whether with children or adults. both for patients and for oneself. A good nurse must have, among other qualities, a caring character. One thing I have learned from my practice is that the best nurses truly and sincerely care for their patients. In intensive care, comforting and supporting patients is very important. Patients are vulnerable and afraid of many things, but especially death. Deaths are common in intensive care. The patient must be accompanied and find a friend with the person who takes care of him. I always made sure to create bonds with the patients I cared for. I was able to understand patients' fears and be able to support them. I thought it was an easy task, but I realized from experience that having a person you trust is not an easy task. However, I am well prepared for the future. I believe that nurses play a very important role in health promotion. As a nurse, by teaching our patients about evidence-based research and communicating the best information available, we can help our patients and their families lead healthier lives. Who knows where I will be in the future, but the great thing about nursing is that you can do so much with it. I could promote health through education, practice, or even research.CommunicationCommunication in the ICU involves both verbal and nonverbal expression. A nurse must be able to tailor messages so that they are clear. Message delivery should involve both verbal and non-verbal cues. Improved expression of concepts and ideas using body language, facial expressions and gestures is a very important skill (Integrated Approach to Overall Clinical and Communication Skills for Patient Interviews and OSCE Examinations, nd) . Communication in the intensive care unit can sometimes be difficult because many patients are intubated. However, it is still very important to talk to patients and let them know what you are doing or going to do next. Because you don't know if they can hear you and if they can, they are prepared for what is about to happen. Communication with the patient's family is also very important so that we can ease their anxiety and help them understand what is happening. For patients who have difficulty communicating, the use of images, symbols and icons has been of great help. A skill I learned in practice (a skill I will always do) is/