Assignment: Professional Role Transition- Revised Critical Thinking Clinical Activity
Description
The Critical Thinking Clinical Activity allows the Role Transition student to present a clinical case utilizing the nursing process to their clinical faculty and peers. The student will incorporate particular categories/subcategories from the NCLEX-RN test plan, as well as emphasize target interventions. The student will provide a written reflection on their experiences in clinical relating to their transition to practice.
Instructions
Select one patient on which to complete the Critical Thinking Clinical Activity. Youwill present to your clinical group and individual faculty via prearranged Zoom meeting. The clinical faculty will assess student work and provide feedback. See separate grading rubric for this activity.
Guidelines:
• Complete information on your patient to provide your classmates and faculty with some context.
o Background: age, sex, ethnicity, allergies, significant med/surg history
o Reason for visit or hospitalization - Fecal Impaction, constipation, vomiting
o Social history
• Utilize the SOAP format to critically think through the nursing process related to the top priorities you have identified for this patient. Be sure that the content in the assessment and plan sections correspond to the information in the subjective and objective sections.
o SUBJECTIVE: Is only what the patient tells you (statements or questions,complaints or concerns)A 43-year-old female with past medical history of anoxic encephalopathy who is being seen for fecal impaction, constipation, vomiting. Patientunable to provide any history due to nonverbal and non-responsive.
o OBJECTIVE: Includes physical assessment data, interval test data, lab or blood work, other objective data, current orders, current medications
o ASSESSMENT: Includes the interpretation of information in the previous two sections. This is your "summary" which includes medical/nursing diagnoses.Prioritize your patient's problems or diagnoses. Clearly identify nursing priorities. Identify treatment goals for each problem or diagnosis.
o PLAN: Includes the interventions which were/are/will be implemented. Be sure and establish priorities for the interventions. (You may notate them as #1, #2, #3, etc.). Provide a brief explanation as to why you have prioritized them this way.
o Identify the following patient needs and provide specific information about each need:
- Case management or discharge planning
- Patient education
- Psychosocial, spiritual, and/or family support
• Complete the reflection at the end. (This is just for the clinical instructor and is not presented to the group during oral presentation.)
• Students will present their SOAP activity (#1-2 above) orally to fellow clinical students and clinical faculty instructor. This is a graded activity, and successful completion is a requirement of Role Transition clinical.
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Patient initials:
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Date of care:
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Background:
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Reason for visit or hospitalization:
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Pertinent social history, including living situation, for discharge planning or case management purposes:
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S:
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O:
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A:
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P:
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Case management or discharge planning needs
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Patient education needs
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Psychosocial, spiritual, and/or family support needs
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Reflection: Provide your reflective responses to the following questions. Write a well-composed paragraph (approximately 4-6 sentences) for each set of questions. (Three paragraphs total.)
• How do you feel about the experiences you are encountering in clinical? What are your strengths of performance and areas needing growth?
• How have you integrated in the healthcare team? Provide examples. Describe the partnership/relationship you share with those preceptors /nurses with whom you work.
• How would you characterize your transitioning to the role of professional nurse? What is helping or hindering your transition? What is your plan to continue to progress forward?
Format your assignment according to the give formatting requirements:
• The answer must be using Times New Roman font (size 12), double spaced, typed, with one-inch margins on all sides.
• The response also includes a cover page containing the student's name, the title of the assignment, the course title, and the date. The cover page is not included in the required page length.
• Also include a reference page. The references and Citations should follow APA format. The reference page is not included in the required page length.