Natalie Wong

N320
Clinical Reflection
Week 6: 5/8/14
The first SLO met this week was SLO #4, Apply basic leadership skills in the care of
families. I was able to meet this through the care of my patient that had his mother at the
bedside. The patient was a 3-year-old toddler, 1-day post-op of a laparoscopic appendectomy.
By educating the mom that walking around will help her son with the belly distention, which is
possibly causing her son the discomfort, I was applying basic leadership skills. I also applied
basic leadership skills when the mom requested morphine for her son, yet informed her that the
scheduled Ketorolac was due soon so we should try see if that helps first before giving the
morphine. The reasoning was that the morphine could potentially make him excessively drowsy
and unable to walk around and thus not helping with the abdominal distention. If the ketorolac
didnt work then yes, the PRN pain medications would be a good option.
The second SLO met was, work with the client to implement plans of care that are based
on culturally and age appropriate assessments and best evidence using information and patient
care technologies that support safe, quality care. How I met this SLO was working with the
patient to get him to walk to the playroom, which would allow him to spend some time to play.
These things support safe, quality care because it promotes the healing of post-op as well as
letting the child express himself through play. Using evidenced-based information, such as basic
as hand washing and how it lowers chances of infection, I was supporting the care of the child by
taking infectious precautions with proper hand hygiene. Infectious precautions were particularly
important to the patient because of impaired skin integrity due to the incision sites from the
surgery.