Reflective Journal Entry- Week 16

1. Share what you had expected to learn about the topic before beginning the unit.

Before beginning this unit and looking at the module title I expected to learn more about the accreditation standards that hospitals and other facilities are held to in order to be considered safe for their patients and their employees. 

2. What you actually learned from the unit.

After completing this unit, I feel that I have learned what I expected to learn. I was able to learn more about NPSG's and how these are set and the intervention plans that are set forth in order to bring these goals to light. I also learned about JCAHO and the importance they play in the accreditation of these facilities. 

3. Discuss your feelings/experiences from the activities (individual and team)?

I felt that the activities of this week were beneficial because they educated me on why certain things need to be done in facilities, though as a nurse it seems repetitive. These things have to be done in order to be accredited. Also, if these goals are not being met by the employees they need to keep being addressed in order to improve the care and safety that the patients receive. 

4. How you will utilize the information learned in your nursing practice.

I will utilize the information learned from this unit by better understanding the accreditation standards that are in place and knowing the ways that I as a nurse can make a difference in these things as an employee. In the future this will also help me to be a better manager because I will already understand the importance of this information. 

5. You personal feelings about the material covered.

I feel that this information is important because the accreditation standards are ultimately what keeps a hospital or healthcare facility going. And without these standards our healthcare system would not be capable of providing appropriate care. This is important information for all nurses and healthcare workers to know. 

Reflective Journal Entry- Week 15

1. Share what you had expected to learn about the topic before beginning the unit.

This week I expected to learn about patient safety measures and ways that as a nurse I would be able to better these standards and apply them into my daily practice. I also expected to learn about the different patient safety measures that may need improvement based of current research. 

2. What you actually learned from the unit.

After completing the assignments and discussions for this week I feel that I learned exactly what I expected to learn plus more. I learned about patient safety measures, what safety measure need to be improved based off of current research and I was able to learn more about other aspects of patient safety such as the psychological safety that patients deserve but is often looked over. 

3. Discuss your feelings/experiences from the activities (individual and team)?

I enjoyed the activities that were provided this week. I think the discussion was beneficial because I was able to better learn what other nurses would do in the same situation which gave me ideas of better or different ways to think of a situation. I also enjoyed the literature search because it was something we have not done a lot this semester and was beneficial because I was able to research something that I enjoyed and applied to my current job. Last, as usual, I enjoyed the case study because it presented a different side of patient safety and care that I had not been exposed to and gave the time for me to think about the different steps I might have taken in that situation. 

4. How you will utilize the information learned in your nursing practice.

I will utilize the information that I have learned to week by remembering the different aspects of patient safety that I need to work on so that the patients that I care for on a daily basis will get better care. This will also allow me to give better care to the patients families. The case studies that were done this week have also given me the chance to go through a type of situation I might have to deal with so I already know how I want to react without the pressure of being in a stressful moment. 

5. You personal feelings about the material covered.

I feel that this information that was covered is very important to nursing practice and care. In my opinion it is one of the most important aspects of what we do as nurses. However, I got opened up to a lot of new aspects of patient safety that I did not know about before, specifically from the case study, that helped me to better my nursing practice. 

Reflective Journal Entry- Week 13

1. Share what you had expected to learn about the topic before beginning the unit.

After looking at the title of this unit I expected to learn about how to make our patients feel safe while caring for them in an unsettling environment. I also expected to learn about how certain steps to take in order to create an environment of safety with the families of patients while they are worried about their family member.

2. What you actually learned from the unit.

I learned exactly what I expected to learn from this unit. I was able to learn the best ways to create a safe environment for patients by being a patient advocate and educating myself as a nurse to always be up to date on the most current practices in healthcare. Being educated and being willing to be a patient advocate will give my patients the safety that they deserve while I am caring for them. 

3. Discuss your feelings/experiences from the activities (individual and team)?

I enjoyed the activities that we did this week in the module. I have been enjoying the case study's that we have been doing the past couple of weeks because it gives me the opportunity to apply the things that I have learned into things that I may face in my career. I also enjoyed thinking through how to gain information when it is not directly given to you. 

4. How you will utilize the information learned in your nursing practice.

I can utilize the information that I learned this week on a daily basis because it is important to create a culture of safety for every single patient you care for on a daily basis. I can use the information that I learned by making sure that I am always asking questions so that I am knowledgeable about my patients situation and so I can educate the patient as well. 

5. You personal feelings about the material covered.

I enjoyed the information that we talked about this week because I feel like it is very applicable to every nurse no matter what stage of your career that you are at. I also feel like this is one aspect of nursing care that makes a nurse great compared to average in the eyes of the patient. The safer the patient feels the faster they recover and the more likely they will trust the healthcare workers that are caring for them. 

Reflective Journal- Week 12

1. Share what you had expected to learn about the topic before beginning the unit.

Before beginning the assignments for this unit I expected to learn more about common errors and mistakes that occur in the healthcare field. I also expected to learn about ways that these errors and mistakes can be prevented or worked on in order to improve the healthcare field. 

2. What you actually learned from the unit.

After completing all of the assignments for this unit I feel that I learned exactly what I expected to learn at the beginning of the unit. I learned about different errors that occur in the healthcare field and the steps that are taken in order handle these errors and prevent these errors from occurring again. 

3. Discuss your feelings/experiences from the activities (individual and team)?

I feel that all of the activities for this week were relevant to the topic of the unit. It also helped me to can even further education and knowledge on the topic because we worked with the same case study throughout the majority of the assignments. I liked being able to continue to learn more about the case study and how to prevent and improve those methods that were missed by those healthcare workers. 

4. How you will utilize the information learned in your nursing practice.

I will utilize this information by being more aware of those common errors and near misses. I will also use the information that I have learned to motivate myself to continue with evidence based practice and keep up to date with research, policies and procedures of the facilities that I work at. 

5. You personal feelings about the material covered.

I feel that the information that was covered this week was extremely important because it is a huge topic within healthcare and is something that is always needing improving. I feel like this topic could be continued for more units because I feel like there is so much to learn. 

Reflective Journal Entry- Week 11

1. Share what you had expected to learn about the topic before beginning the unit.

This week I expected to learn more about how to create a culture of safety for the patients I am caring for currently, as well as, how to create this culture as a manger of a hospital unit.

2. What you actually learned from the unit.

After completing this unit I better learned how to create a culture of safety and what that entails. I learned that there are multiple ways to accomplish this and that this will better the quality of care that each patient receives during their stay at the hospital. 

3. Discuss your feelings/experiences from the activities (individual and team)?

I enjoyed the activities this week, especially the case study because it was good to see this type of safety issue be realized in a real life situation. This was a good learning exercise for me to better learn how these issues could be solved and the best way to go about solving them. I also enjoyed the discussion because this is a common thing that happens in the workplace where there are not enough workers for patients due to nurses being sick. I liked coming up with ideas on my own and reading the opinions of my teammates. This is something that could be easily fixed as long as there are certain policies and procedures in place. 

4. How you will utilize the information learned in your nursing practice.

I will utilize this information by making sure that I always have patient centered care and am using teamwork in order to prevent unsafe things from happening to my patients. I feel like these two components are most important for me to implement into my nursing practice for me to provide a culture of safety for my patients that I currently care for. 

5. You personal feelings about the material covered.

I really enjoyed the material that was covered this week. I think the real life case study really helped me to better grasp the concepts that we needed to learn and helped me to realize how I can apply things into my nursing practice. Creating a culture of safety for our patients is really important so that the patients can focus on recovering and not worry about being safe during their hospital stay. 

Reflective Journal Entry- Week 10

1. Share what you had expected to learn about the topic before beginning the unit.

This week I expected to learn more about informatics and how this applies to the healthcare system. I expected to learn more about how technology can improve nursing care and can ultimately provide greater quality of care and safety for our patients. 

2. What you actually learned from the unit.

I feel like after completing all of the assignments and discussions from this week I learned what I had expected to learn and how to go about solving problems if the technology does not line up or if others are not willing to use this new technology.

3. Discuss your feelings/experiences from the activities (individual and team)?

I really enjoyed the activities from this week. I liked reading other individuals responses to the discussion and how they would solve that situation. I enjoyed this discussion because that type of stuff happens daily in the hospitals where nurses and doctors are not on the same page but need to be. Learning from others will help me when I am put in a situation like this in the future. I also liked evaluating the fact that EMR's are not free of errors. I think it is a common misconception that this is the case, but it was eye opening while I was researching this topic, the different errors that can occur. This made me realize that I still need to be careful using EMR even though I feel like I am covered. 

4. How you will utilize the information learned in your nursing practice.

I will use this information by applying the discussion and case studies into my nursing practice. When these types of situations come up I will better be able to solve these issues because I have already taken the time to think and research how to improve these problems. 

5. You personal feelings about the material covered.

I feel like the information covered this week was very beneficial because it allowed me to learn more about informatics and apply case studies into my daily nursing practice. I feel like the information was relevant to the changes that are being made currently in healthcare. I feel like these case studies would be a great tool to provide to nurses who have been in the field for a longer period of time so that they can also learn the information of how to deal with these situations like I did this week. 

Case Study- Week 10

A newly hired registered Nurse (RN) is assigned to work at the telehealth work center.  The RN is monitoring the in coming data from home-bound (based) patients from arount the county, checking to see if there are any situations which require nursing interventions and taking the appropriate actions. One (1) patient is a type II diabetic. He reports his fasting blood sugar level of 54. Another patient who has congestive heart failure (CHF) and regularly reports in on daily basis does not send in any information (data).

• What is the best course of action for the RN to take regarding the diabetic patient?
• As the nurse I would call the patient and talk to him as soon as possible. First, I would instruct him to not take his regular diabetes medications or insulin. I would tell him to eat something with sugar such as milk and graham crackers if available because this increases blood glucose over an extended period of time. If this is not available he should drink juice, eat jelly, or take a glucose tab to get a spike in blood glucose. Last, I would instruct the patient to call somebody or have somebody that lives with him sit with him until his blood glucose rises, is within normal range, and is stable. I would instruct the patient to check his blood glucose levels every fifteen minutes until they are stable in order to gage if he needs more sugar or not. 
• How should the RN proceed regarding the lack of information from the CHF patient?
• As the nurse I am worried about this patient due to his regular reports every day. At this point I would try to get a hold of the patient by calling their house or cell phone. If I did not get a response I would call his family members or emergency contact to see if they have heard from him and could go check on him. I would also call his primary care provider, or the agency that provides home health for this patient to have them contact this patient as well. 

Critical Thinking- Week 10

The registered nurse (RN) in reviewing orders and completing the medication reconciliation (Med Rec) in the electronic Medical Record (EMR). Med Rec is a process for double checking medications, where the RN verifies that the details of the medications written on the provider's orders match those recorded in the medication administration record (MAR) used by the nurse. During the Med Rec process, several alarms/alerts go off.

• Does the use of EMR guarantee error-free patient care? If yes, why? If no, why?
• The use of EMR does not guarantee error-free patient care. The EMR has the potential to contribute to medical errors if policies and procedures, as well as monitoring of compliance, are not carefully developed and implemented. 
• What types of nursing behavior regarding the use of EMR's might contribute to jeopardizing patient safety?
• Copy and Past (Cloning): Copying information from a an earlier instance and pasting it into the record for a current visit could carry forward information that is neither accurate nor appropriate for the encounter. Copy and paste also runs the risk of duplicating an error multiple times.
• Templates: Although templates can enhance documentation, they may result in inaccurate information fi they are not individualized to the patient. For example, a template for a neurological assessment, with a box for "normal value," would indicate that the patient was alert and oriented to time, place, and person even though the patient was an infant.
• Computerized Physician Order Entry (CPOE): Pre-programmed prescription orders for common drugs and dosages make it easy to selecta n unintended drug or dose from drop down menus. In addition, many EMR systems include routine pop-ups for drug dosages, interactions, and allergies, and with the hectic schedule of a nurse, there is a tendency for them to ignore warnings, routinely override, or even turn off such "patient safety" prompts.
• Untimely Record Modification: If modification to records is not transparent, EMR alterations can potentially be subject to allegations of fraud and incomplete records.
• What are the dangers of excessive system alerts in computer charting systems?
• The nurse could be subject to allegations of fraud and incomplete records. The nurse may not remember exactly what was done or administered, and the specific times that these things happened. If she inputs the wrong times, medications give, or implementations performed this could cause other nurses to have dangerous behaviors as well. 
• How can the nurse guard against the potential effect?
• Establish personal and practice policies regarding electronic order entry.
• Use the systems and policies in place for dealing with orders and charring that occur when the workstation or system is temporarily down.
• Bring out progress notes and evaluate them from time to time
• Beware of generic templates.
• Become familiar with the tracking features of the EMR
• Print out a note to be sure your entries are in your own name.
• Understand how the time-stamp feature works, so that you can time your documentation accordingly.
• Ensure that only appropriate staff members have had access to your patients records.

Reflective Journal Entry- Week 9

1. Share what you had expected to learn about the topic before beginning the unit.

This week I expected to further learn about quality improvement strategies that could be used in a clinical setting to improve the patient care and safety that is provided. 

2. What you actually learned from the unit.

After completing the activities for this unit I feel that I have learned more about benchmarking and the process it takes in order to create a benchmark and continue to improve. Benchmarking is one of the most important quality improvement activities because it is something that can be measured and something for us to work towards. 

3. Discuss your feelings/experiences from the activities (individual and team)?

I enjoyed the different activities for this week. The discussion was interesting and a lot harder than I expected it to be. I thought benchmarking was a simple task, and I did not realize the many steps it takes to create a benchmark. It was an eye opening experience. I also enjoyed the other activities because they were helpful in giving me a good look at myself and the way I do and should handle certain situations. 

4. How you will utilize the information learned in your nursing practice.

I will utilize the information that I have learned from this unit to contribute to the creation of benchmarks and being able to better understand the purposed and improvements that need to be made at my current job. I will also better be able to go through the process of figuring out a way to work around a problem that I am having using the "why" theory. 

5. You personal feelings about the material covered.

I feel like this information that I learned this week is very valuable to me and in my improvement as a nurse. I think this information will help me to better improve the quality of care that I give to my patients to improve their safety. I also think it was a good reminder of the importance of the quality improvement strategies that we have learned so far in the semester. 

Reflective Journal Entry- Week 8

1. Share what you had expected to learn about the topic before beginning the unit.

This week I expected to learn more about quality improvement strategies that I can use in my future career in management positions to better improve the quality and safety for my patients. 

2. What you actually learned from the unit. 

After completing this unit I feel that I have built upon the foundation I had of quality improvement strategies and learned more of these strategies from the different assignments that were presented this week. 

3. Discuss your feelings/experiences from the activities (individual and team)?

I enjoyed the activities from this week because they involved a lot of "real life" type case studies. These really helped me to focus on the quality improvement strategies that I have learned and apply them to these situations. It was also interesting to read about the different strategies that my teammates talked about in the discussion compared to the things that I listed. 

4. How you will utilize the information learned in your nursing practice.

I will utilize this information by using these quality improvement strategies in my every day practice. I can use these strategies to make sure that each of my patients gets the quality care that they deserve. I can also apply the case studies that we have done this week to situations I might face in real life. 

5. You personal feelings about the material covered.

I feel like this information is important for us to learn about whether we end up being nurse managers or not because these helps us to give better quality care to our patients. It is information that can be applied in different situations and things we can educate other nurses on in order to improve the quality of care the unit as a whole is able to give. 

Reflective Journal Entry- Week 7

1. Share what you had expected to learn about the topic before beginning the unit.

I expected to learn about more quality improvement strategies that would help me to better my practice as a nurse and learn how to better manage a unit.

2. What you actually learned from the unit.

After completing this unit I feel that I have built upon the foundation I had of quality improvement strategies and learned more of these strategies from the different assignments that were presented this week. 

3. Discuss your feelings/experiences from the activities (individual and team)?

I enjoyed the activities from this week because they involved a lot of "real life" type case studies. These really helped me to focus on the quality improvement strategies that I have learned and apply them to these situations. It was also interesting to read about the different strategies that my teammates talked about in the discussion compared to the things that I listed. 

4. How you will utilize the information learned in your nursing practice.

I will utilize this information by using these quality improvement strategies in my every day practice. I can use these strategies to make sure that each of my patients gets the quality care that they deserve. I can also apply the case studies that we have done this week to situations I might face in real life. 

5. You personal feelings about the material covered.

I feel like this information is important for us to learn about whether we end up being nurse managers or not because these helps us to give better quality care to our patients. It is information that can be applied in different situations and things we can educate other nurses on in order to improve the quality of care the unit as a whole is able to give. 

Reflective Journal Entry- Week 6

1. Share what you had expected to learn about the topic before beginning the unit. This week I expected to learn about improvement strategies in nursing because that was the title of the module.
2. What you actually learned from the unit. This week I learned about benchmarking and the ways that these strategies can help improve nursing cares on hospital units by comparing to other units or facilities. I also learned about hospital balanced scorecards which help to set goals for healthcare workers to improve their standards of care.
3. Discuss your feelings/experiences from the activities (individual and team)? I enjoyed the discussion this week because I did not know a lot about benchmarking and researching as well as seeing what others on my team said helped me to gain a better understanding of the benchmarking tool. I also liked the case study this week because it was applicable to my current job and made me think about the things that I should change in my nursing care in order to reduce the risk of my patients getting catheter induced UTI's.
4. How you will utilize the information learned in your nursing practice. I will utilize this information by noticing different benchmarks, goals and targets that are in place in my current line of work. Prior to this unit I had not noticed these but after this unit I feel it is really important for me to recognize these so I can implement these into my nursing practice. This could also help my facility because I would be able to point things out that have changed in the standard of care, especially related to urinary catheter insertion and care.
5. You personal feelings about the material covered. Personally, I felt like this unit was beneficial because I am very much a goal oriented person and now knowing about benchmarking I will be able to use this aspect of my personality to better my nursing skills.

Reflective Journal Entry-Week 5

1. Share what you had expected to learn about the topic before beginning the unit.

This week I expected to learn about different roles of healthcare professionals. I expected to learn about how nurses can help other professionals and how they can help us to make sure all of our jobs are completed. 

2. What you actually learned from the unit.

This week I don't feel like I learned a lot about the different jobs that each healthcare professional does. I do feel like I learned a lot about interdisciplinary teams and how these can be useful to the overall health of our patients. I learned how to approach interdisciplinary teams and determine when they are necessary in order to better the recovery of my patients and their overall education. 

3. Discuss your feelings/experiences from the activities (individual and team)?

I felt like all of the different activities this week were useful in order for me to better understand the information that was needed to learn. The team discussion was useful for me because it was in a case study format which helped me to understand different views of the situation which will help me in real life situations that I might be in. The individual case study was also useful for me to go through the interdisciplinary team process. However, the critical thinking exercise was confusing to me and how it applies to the current unit. 

4. How you will utilize the information learned in your nursing practice.

I will utilize the information that I have learned this week in my daily nursing practice. Due to the different case studies that I completed this week individually and as a team will help me to apply these nursing processes into my nursing practice. It will also help me to use the interdisciplinary team when it would be useful and how to help interdisciplinary teams to be successful. 

5. You personal feelings about the material covered.

I feel like this information is important to talk about and learn about in as a nurse. I believe that multiple nurses have a wrong idea about what interdisciplinary teams are used for but after this unit I will be able to use this team in a better and more efficient way. 

Reflective Journal Entry Week 4: Legal and Ethical Issues

1. Share what you had expected to learn about the topic before beginning the unit. Before beginning this unit and looking and the objectives and overviews for this module I expected to learn about ethical issues that pertain to quality improvement and nursing.

2. What you actually learned from the unit. I learned about current ethical issues that involve quality improvement and I also learned about different ethical and legal situations nurses and quality improvement personnel have to deal with and further critically think about how I would act or conduct myself in these types of situations.

3. Discuss your feelings/experiences from the activities (individual and team)? I really enjoyed the learning activities this week because I felt like they were all really applicable to my career in nursing and are things that I can look back on throughout my career and see the way I thought through these types of situations when I had a lot of time to research and think about the issues as well as take into consideration what my team members opinions were in these types of situations. These learning activities were very thought provoking and were great learning experiences.

4. How you will utilize the information learned in your nursing practice. I will definitely utilize the information that I learned this week throughout my career. There are so many different types of legal and ethical situations that I will be placed in as a nurse and to have the experience of critically thinking through those types of situations previously in this class will help me to critically think through similar situations in the future. I also learned a lot from this module on how to prepare or prevent these types of situations from happening with charting and using the modes that are put in place to protect me such as incident reports.

5. You personal feelings about the material covered. I feel like the material covered in this module was very beneficial for me and will be material I can look back on in order to continue to improve my nursing practice. I think it information that nurses do not think or avoid thinking they will run into throughout their career but is something we need to realize will happen and having the chance to experience it through these assignments and case studies will be beneficial for us in the future.

Reflective Journal- Week 3

1. Share what you had expected to learn about the topic before beginning the unit.

This week I expected to learn about specific quality improvement strategies that would help me throughout my nursing career. 

2. What you actually learned from the unit.

I learned about quality improvement strategies and competencies that are available as checks for nurses in order to improve the care we give to our patients. I also learned about different resources that are available with these competencies that are valuable for nurses to participate in because it betters our understanding of how to give better care to our patients. I also liked the case study and the critical thinking activity this week. I thought it was interesting to research both topics and better understand patient quality and patient centered care. 

3. Discuss your feelings/experiences from the activities (individual and team)?

I enjoyed the discussion this week because it was like a real life situation where I was able to bounce ideas off of other nurses. This helped me with my critical thinking skills as well. It was an activity that helped me to recognize the roles a nurse plays as a patient advocate. I also enjoyed the individual case study this week because it gave me the opportunity to research resources that could help me to become a better nurse as far as the QSEN competencies are concerned. 

4. How you will utilize the information learned in your nursing practice.
I will utilize the information that I learned this week to better educate myself on ways that I can improve in my nursing practice. I will utilize the resources that I found to improve my QSEN competencies. 

5. You personal feelings about the material covered.
I thought this material was interesting to learn about because I love learning about specific ways to improve my nursing care. I also like applying this information to real life situations. I feel like the information that I have learned in this unit will greatly benefit my nursing skills and quality of care that I give to my patients.

Reflective Journal Entry- Quality Improvement

1. Share what you had expected to learn about the topic before beginning the unit.
 After reading the title of this module and of the lectures I expected to learn about ways to improve the quality of my care that I give my patients as well as the quality that people receive in general in the hospital.
2. What you actually learned from the unit. 
I learned that quality matters in all aspects of business, especially healthcare because it is such a vital part of peoples lives. I also learned more about what people/patients expect as far as quality goes in the healthcare setting. I learned about my own opinion of quality in healthcare from the patient and the nursing standpoint. I also learned that there are always ways to improve the quality of care given, but as a nurse I always need to be working at this.
3. Discuss your feelings/experiences from the activities (individual and team)?
I liked learning more about how other people viewed quality from the discussions. I liked reading about different definitions that I can now add to my personal definition of quality. I also liked reading about how others view quality in healthcare. Like I talked about above, it was interesting to see on a personal level how my view of quality differs as a patient and a nurse. I would like to work on this to see if I can make this list more of the same items. 
4. How you will utilize the information learned in your nursing practice.
I will utilize this information by applying it and improving the quality of care that I give to my patients on a daily basis. I will take the things I learned from the evaluation I did on myself to treat my patients the way that I would want to be treated. I will also look at the experiences that others have had from the discussion and apply those things to my nursing practice. 
5. You personal feelings about the material covered.
I feel like this material is essential in becoming a better nurse. Without quality of care we are not going to be the best nurses and our patients will suffer because of that. Learning about ways to improve the quality of care and applying this will help us to become better nurses and give our patients the care that they deserve. 

Critical Thinking 2- Week 2

• What do you consider elements of quality care when receiving healthcare services?
• Safety: I want healthcare workers to use proper techniques and have proper safety while caring for me such as washing their hands before assessments, using sterile technique with IV's and making sure that nothing bad will happen to me when I am under their care.
• Timeliness: When dealing with healthcare I do not want to be waiting for long periods of time for a thirty minute check-up.
• Effective: I want those caring for me to be sure I will benefit from the things they suggest. I also want them to be effective when I visit them. For example, I do not want to have to go back to the doctor multiple times for different tests, I would rather get it done all at once. 
• Equitable: I want to receive the same standard of care that every other patient receives when they walk into the doctors office. I do not want to receive less care because I am a nurse or because I do not make as much money as somebody else. 
• What do you consider elements of quality care as a professional nurse?
• Patient centered care: When I provide care to my patients that makes them feel respected and so they feel their needs are met based upon their values that, to me, is considered quality nursing care. 
• Advocacy: I want to be able to know my patient well enough that I can be an advocate for them and stand up for the things that they want as a patient and help other health care professionals know if I disagree with things they suggest or have the patient do. 
• Safety: I want my patients to feel safe when they are in my care. I also want to make sure that I am doing things to prevent harm to them, no matter how little these things may seem. Improving a patients safety is improving their health in my mind. 
• Are the two similar or different?
• When prompted with these two different questions it seems that different answers come to my mind. However, I feel like this is because I am on the opposite side of answer these questions, for one I am a patient and for the other I am a nurse. However, overall, I feel like the way I would want to be treated as a patient, would be the way that I treat my patients as a nurse. The priorities of these things might be different depending on the situation but ultimately if I listed every single detail I would want these lists to be the same. 

Introduction

Hello! I’m Alyssa and I am completing my BSN at Utah Valley University. My ultimate career goal would be to become a CRNA. I am working at Riverwoods Surgery Center in the PACU and will float to the OR and Pre-op occasionally. I would eventually like to specialize in some form of critical care to help me with becoming a CRNA. Something that people may not know about me is that I teach piano and violin lessons on the side. I am using this blog for my Quality and Patient Safety class as a reflective journal to communicate the things that I learn along the way throughout this class.