1. Think of a surprising or challenging practice situation in which you felt underprepared, unprepared, or uncomfortable.
2. Select an important nursing issue/topic that was inherent to the identified situation.
3. Briefly explain the situation
4. Identify the nursing issue inherent in the identified situation
   1. As a method of refection, use Carper's Patterns of Knowing to analyze the situation. In your discussion, address ONE of the following Patterns of Knowing:
      1. What do you think was the underlying reason for the situation? (Esthetics)
      2. What were your thoughts and feeling in the situation? (Personal)
      3. What was one personal belief that impacted your actions? (Ethics)
      4. What evidence in nursing literature supports the nursing importance of the identified issue? (Empirical)
5. What new insights did you gain through this reflective practice opportunity? How will this apply to your practice as a nurse practitioner? Be sure to use scholarly literature to support your position.

Think and talk like a nurse. Use a situation of working your first psych unit but patient also had something else medical going on and receiving a septic patient with no orders, receiving no help from the other staff while working a travel assignment, and all labs abnormal, receiving an unsafe staffing ration, and the policy of the unit made me uncomfortable. the unit with receive blood for a blood transfusion from a tube station that's placed outside the unit with no warming of incoming alert or call from the blood bank. And that being my first psych unit assignment. plus they would float me to the trauma unit before receiving trauma experience