Introduction
Practice and experience gained during a clinical dialysis experience are essential for documentation, as they can help analyze performance more effectively. Additionally, observing during the week can help identify factors that may have contributed to work-related issues. Reflection is an essential aspect that helps analyze how practice is combined with theoretical learning analytically. Thus, personal experience is essential for testing the knowledge gained in practice.
Development of Knowledge
This week, a case involving a patient helped deepen our understanding of kidney function and the type of care required. The patient in question had a diagnosis of Acute Kidney Failure (AKF) with a Do Not Resuscitate (DNR) status, leading to ventilator dependence. At the same time, significant Blood Pressure (BP) fluctuations are observed with a rapid decrease in indicators from 127/44 to 97/39.
In connection with a specific diagnosis, a treatment has been proposed in the form of adjusting the Ultrafiltration Rate (UFR) on the dialysis machine to reduce the rate of fluid from the bloodstream. This can help draw plasma out of circulation, which is the leading cause of the drop in blood pressure. The UFR adjustment had a positive effect by gradually lowering the UFR. This experience can help you have a positive impact on the patient’s hemodynamics.
Therapeutic Communication
During the clinical experience, a patient was encountered who was unable to communicate verbally due to a medical condition. Thus, it was necessary to use the board for communication. This could help the patient communicate their wants and needs more clearly. At the same time, the patient’s emotional state was depressed due to the inability to communicate normally. The whiteboard approach has been reasonably practical, but communication enhancement can be used in addition to explaining to patients what the communication board is for.
Teamwork/Collaboration
An example of effective teamwork in clinical practice is the case of a patient experiencing a severe drop in blood pressure. At that moment, the medical team was fully united in responding and providing the patient with proper assistance. On the other hand, an ineffective case of interaction can be called the care of a patient with diabetes and complex dietary restrictions. In this instance, a misunderstanding arose between the nursing team and the dietary department, resulting in a decline in the quality of care.
Time Management/Organizational Skills
During the clinical experience with dialysis, the need to improve skills to provide the best possible care was identified. One such improvement could be the use of a checklist for prioritization. Implementing this method has helped me better manage my responsibilities. Thus, I was able to reduce the time spent organizing my work, allowing me to be more punctual. In the area of organizational skills, an improved record-keeping system was used to ensure improved access to clinical information.
Conclusion
In clinical practice, an essential aspect in addition to direct care is the proper organization and management of time. In this way, one can organize the working time much more efficiently. The implementation of specific practices, such as proper record-keeping, has significantly contributed to providing the best possible care to patients. At the same time, improving the skills and methods of organizational work with medical personnel made the work more qualitative and professional.