Describe your clinical experience as a Nurse Practitioner in a child and family clinic for this week/ 0-18yrs old
Weekly Clinical Experience 3 Describe your clinical experience for this week.
Did you face any challenges, any success? If so, what were they?
Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.
Mention the health promotion intervention for this patient.
What did you learn from this week's clinical experience that can beneficial for you as an advanced practice nurse?
Sample Answer
This is a reflective summary based on a simulated clinical experience typical for a Nurse Practitioner student or novice provider in a child and family clinic (serving ages 0-18 years old).
📅 Weekly Clinical Experience Summary: Child and Family Clinic
This week's clinical experience, my third rotation, focused heavily on acute sick visits and well-child checks for the school-age population (6-12 years). I managed approximately 15 patient encounters, including five well-child visits, four acute respiratory illnesses, two dermatological issues, and four follow-ups for chronic conditions (ADHD and asthma). I practiced autonomously in gathering history and performing physical exams, presenting my findings and differential diagnoses to my preceptor before finalizing treatment plans.
Patient Assessment: Acute Otitis Media
Patient: A.J., 7-year-old male.
Signs and Symptoms (S&S)
Chief Complaint: Left ear pain and fever for 2 days.
Subjective: Reports feeling "stuffy." Ear pain (otalgia) is rated 6/10, constant, and worse when lying down. Reports intermittent fever, last documented at 101.5°F (38.6°C) this morning. No vomiting or diarrhea. Denies sore throat or cough.
Objective: Tympanic Temperature: 100.8°F (38.2°C). Left Tympanic Membrane (TM): Full, bulging, erythematous, with decreased mobility observed on pneumatic otoscopy. Right TM: Clear, mobile, and pink. Remaining physical exam is unremarkable.