1-31-11--Clinical 
I spoke with Yanira today about improving her organizational skills.  Today was the first day with two patients.  I gave her some helpful tips and will monitor her progress.  

Research was done poorly.  I will speak with Yanira about this when I see her at school.  

Yanira is demonstrating a lack of transferring theory to the clinical setting.  Her patient was on bedrest.  When we spoke about the nursing care she should provide.  She stated that the patient should be repositioned, but she had not repositioned him that day.  He was in the same position all morning.  She stated she knew she should do it, but totally forgot about it during her care.  At the beginning of the shift, she reviewed the chart for any changes, but did not know that her patient\'s diet was changed--for important because it was changed due to dysphagia.  When I told her about it, she was able to state how a dysphagic patient should be positioned and monitored.  


Today, Yanira\'s patient was on fluid restriction and she handled his care much better today. She demonstrated that she learned from her past experience. 

Mrs. Miller