NR 511 – Clinical Experience and Gap Review

NR 511 – Clinical Experience and Gap Review

NR 511 – Clinical Experience and Gap Review : In this NR511 clinical rotation, I followed two preceptors in two different family medicine practice settings where I saw a total of 130 patients and completed 126 clinical hours. With this rotation, I had the opportunity to see a wide range of the adult population from age 18-85. The majority of the adult population fell in the age range of 22-55. Upon reviewing the clinical report from the MyEvaluations logging tool, about 62.7% of the patient population seen in this clinical rotation were Caucasian, which is representative of the ethnic population in the Middlesex county of New Jersey. I also saw 22 (17.4%) patients from the Asian population, which comprises of people from Far East, Southeast Asia, and the Indian subcontinent.

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Clinical Progression

 

Overall, I felt that my progression through this clinical rotation was appropriate as a novice nurse practitioner student. ..

Areas of Weakness

 

Even though I am improving on my assessment skills in this clinical rotation, I feel that my area of weakness is developing differentials for acute concerns. Developing differentials for “common cold” symptoms have become easier as I gain more exposure to cases of upper respiratory infections and bronchitis. However, I still have trouble with other acute concerns such as orthopedic injuries and abdominal pain. My other area of weakness involves choosing the appropriate antibiotic regimen. With a wide range of antibiotic choices, I am not as confident in choosing a specific medication. To address these deficiencies, I plan to create a document during spring break with the most common complaints seen in the primary care setting, along with symptoms, differentials, and possible treatment plans. I will also study the different classes of antibiotics for specific illnesses ranging from respiratory to dermatology disorders.

 

NONPF Competencies

 

It is important to understand that the FNP role includes preventative healthcare, as well as the assessment, diagnosis and treatment of acute and chronic illnesses for patients in the primary care setting (Thomas et al., 2014).  …

 

The second NONPF competency within the technology and information literacy area was met during clinical rotation where I was …

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References

Thomas, A., Crabtree, M.K., Delaney, K., Dumas, M., Kleinpell, R., Marfell, J., . . .Wolf, A. (2014). Population-focused nurse practitioner core competencies. Retrieved from https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/Competencies/CompilationPopFocusComps2013.pdf

 

Hsien-Cheng, L., Meng-Hsiang, H., & Chen-Wei, Y. (2014). The influences of computer system success and informatics competencies on organizational impact in nursing environments. CIN: Computers, Informatics, Nursing, 32(2), 90-99.