FINAL REFELCTION

Ilse Hinojosa

DFC

PN145-01

10/01/2026

DFC

What Went Well

Today was my third day, and I feel like it went better than the previous days. I was able to pass medications, perform more assessments, and continue building connections with the residents. Our main focus today was the skin and musculoskeletal systems. During my assessment, I focused on skin color, temperature, integrity, mobility, range of motion, and the resident’s ability to move safely.

For the first time, I was also able to see a pressure ulcer in person. This was a really good learning experience because I was able to connect what I have learned in class to an actual patient. We assessed the wound and observed the location, appearance, surrounding skin, and signs that could indicate infection or worsening skin breakdown. We assisted the resident with wound care and made sure she was comfortable. This experience reminded me how important repositioning, keeping the skin clean and dry, proper nutrition, and frequent skin assessments are for preventing further pressure injuries.

I was also able to participate in medication administration and administer insulin. I made sure to follow medication safety practices, verify the medication order, and check the resident’s blood glucose before insulin administration.

Opportunities for Improvement

I still want to become more comfortable and organized with my head-to-toe assessments. Sometimes I know what I need to assess, but I want my assessment to flow better so I do not miss anything. I would also like the opportunity to observe or assist with urinary catheter insertion or catheter care because I have not had much hands-on experience with this skill. Practicing sterile technique and learning how to prevent catheter-associated urinary tract infections would be very helpful for me.

Takeaway and Goal for Tomorrow

My biggest takeaway today was learning more about pressure injuries and seeing how important early identification and prevention are. I also gained more confidence with medication administration and insulin. My goal for tomorrow is to continue improving my head-to-toe assessment, pay closer attention to changes in skin integrity and mobility, and take advantage of any opportunity to practice a new nursing skill. I also want to continue communicating with the residents and building trust because I feel like I am becoming more comfortable with them each day.