Post graduate college of nursing Hayatabad Peshawar

Reflection of 4th clinical week

Momal shunaid

Generic BSN 8th semester

Description:
On June 17, 2022 we we had our 4th clinical day in emergency ward. As we entered to hospital at 9:00
AM, and move towards Nurse Counter, The head nurse told us to take vital signs of patient. At the same
time staff nurse guiding me that how to monitor blood pressure step by step.During the procedure, I
was assessed by head nuser to see whether I was doing it correctly or not to guide me in my mistake.
After the procedure, I explained findings to head nurse and also recorded in the clinical chart.

Feelings:
Prior to the practical class of blood pressure, I was nervous and worried about the procedure. I
was somehow confident also because I had already done it before in my home during my BS
Nursing. Besides that, my anxiety level was increasing by doing that procedure. Once the staff
nurse shows the demonstration, I felt relief that it was common that I did before during my BS
Nursing and was going to perform now. However, I was surprised when I did not find the
brachial pulse of my patient which was one of the step-in measuring blood pressure. After that
staff nurse helped me, I felt happy and satisfied with my performance as it went very nicely and
smoothly.

Evaluation
According to my preceptor, I was able to demonstrate the procedure nicely .One of the good
experiences for me as I did the procedure by following the guidelines. Following the guidelines
during the procedure made me confident and lower my anxiety level. Besides my good
experiences, I also had some bad experiences of poor communication skill. As my patient was
chitrali, it was hard for her to understand some of my words during the procedure due to my
pronunciation error. Apart from that error, I tried my best to perform my skills and also tried to
make a strong interpersonal relationship between us.

Conclusion:
In conclusion, I felt more confident than before in communicating with the patients. The staff
nurse helped me in exploring my theory knowledge and gained practical experiences. Moreover,
that practical class also helped me to identify my mistake and taught me to improve my mistake
in further clinical. Similarly, this will also help me in real hospital practical during my internship.
All the thing that I learned in a practical class will be my guidelines in my placement and will
make me more confident. .

Action plan:
In order to measure blood pressure timely and effectively in the future, I will practice more on
my family members and friends. From my practical class, I also learned that during blood
pressure measurement the valve should be turned on slowly. So, in the future, I will keep in my
mind regarding the turn on and off of valve and about the cuff release. I will also document
correctly in the clinical chart and will also consider the environment while measuring blood
pressure