Bon Secours Memorial College of Nursing

NUR 3112P: Adult Nursing Science II Practicum

Peer Leader Practicum Experience

Student Name: Allie Lanna Clinical Date: 2/1/17

The purpose of this experience is to gain leadership by:

A. Continuing to develop and refine leadership and communications skills, including time
management, giving and receiving of constructive peer feedback, and conflict resolution.
B. Incorporating critical thinking strategies to prioritize patient acuity and delegate
accordingly within the student’s practicum group.
C. Refine problem solving and nursing process skills by applying theoretical concepts to
practicum situations.
D. Contributing to overall care and safety of patients.
E. Conduct group post-conference

Pre-Practicum/Pre-assessment

1. Role of Peer Leader

a. For pre-assessment, conduct a general overview of all assigned patients to your
clinical group.

2. Construct a list of patients with rank acuity (top 5 only) and give rationale to validate and
support your decisions.

During Practicum

1. Role of Peer Leader

a. Get report from either the night RN or the students.
b. Make patient rounds following report.
c. Assist colleagues with care as needed.
d. Monitor that documentation being entered in Connect Care in a timely manner.
e. Monitor that all peers are administering medications on time and doing treatments
as ordered.

2. Find an article that relates to one of your peers’ patients and share with the practicum
members during post-conference.

3. Lead discussion of patient experiences with the practicum group.

Rev. March 5, 2018

 Bon Secours Memorial College of Nursing
NUR 3112P: Adult Nursing Science II Practicum
Peer Leader Practicum Experience

Post-Practicum Paperwork: Clinical Analysis

4. Finalize the acuity list by adding or subtracting pertinent information. Are there any
changes in the acuity ranking of the assignments? Give rationale.
a. Pre:
 1. 2112
 2. 2105
 3. 2180
 4. 2174
 5. 2176
b. Post:
 1. 2105
 2. 2112
 3. 2174
 4. 2135
 5. 2111
c. Yes there were changes. After looking over and redoing the acuity rankings, I
realized that patient in 2105 needed to be moved up to 1 because of their SOB,
being obese and being more at risk for pressure ulcers. This patient was on 3 liters
of oxygen. Also, this patient had more cardiac issues such as congestive heart
failure, EF was 10-20%, and also had duodenal ulcer hemorrhage. This patient’s
Hgb (10.0) and Hct (32.3) were low. The patient in 2174 was moved up because
of this patient’s WBC was 13.2, so I’d be concern for any possible infections. The
patient in 2135 BUN (34) and Cr. (2.35) were raised. This patient also had cardiac
issues such as CAD, HTN, a fib, and aortic regurgitation. On top of the cardiac
issues this patient had CKD stage III. The patient in 2111 was moved to the acuity
because of his end stage renal and acute renal failure with hypoxia. This patient
ended up going to dialysis

2. What problem(s) or concerns did you encounter as the peer leader? What did you do to
solve the problem(s)?
a. Ultimately, I think the biggest concern was being able to manage everyone
throughout the unit evenly. Since it is a much bigger unit than oncology, I was
worry I would spend too much time on one side and not enough on the other. I
just started to watch the time and would rotate around to make sure if someone
needed help or extra hands they would be able to find me.

Rev. March 5, 2018

 Bon Secours Memorial College of Nursing
NUR 3112P: Adult Nursing Science II Practicum
Peer Leader Practicum Experience
3. Describe 3 principles of servant leadership and how you portrayed each of them as a peer
leader. (Minimum 3 paragraphs. Reference in APA is required.)
a. One principle of servant leadership I feel that I portrayed was listening. According
to Neill & Saunders (2008), servant leaders can seek and clarify the will of the
group by making a commitment to intent listening. I made sure to get in contact
with my peers to find out what works best for them and what is more helpful for
them. I found out that making sure to be on top of medication times and
communicating with Mrs. Faw. I think it was important that I discussed what the
group would like to see versus me assuming and doing my own thing. I don’t
think the day would have gone as smoothly as it did without the knowledge of
what works best for the group.
b. Another principle of servant leadership I feel that I portrayed well was awareness.
Neill & Saunders (2008), suggest that awareness of the values and issues of the
healthcare setting can help provide the organization to find solutions for critical
concerns. I think that I portrayed this well because I communicated with the group
of what they valued most. As stated above, the main was being on time with
giving medications. There were quite a few students that had to give antibiotics,
so it was very important that the students could gave them on time.
c. The third principle of servant leadership was persuasion. Neill & Saunders
(2008), stated that the using persuasion instead of positional authority is another
hallmark of servant leadership. There was a student who had the opportunity to
replace a Foley. She seemed very hesitant at first, considering it would be her very
first time doing it. Instead of saying go get it done, I tried to motivate her and
encourage her to do it.

Reference
Neill, M. W., & Saunders, N. S. (2008). Servant leadership: Enhancing quality of care and

staff satisfaction. JONA: The Journal of Nursing Administration, 38(9), 395-400.

DOI: 10.1097/01.NNA.0000323958.52415.cf

Rev. March 5, 2018