There are many concerns the scenario illuminates for practicing nurses. Prior to going out on placement to a healthy facility,
The idea of shift work is a common one, but for nurses this is not a simple changing of staff during a certain time, change of shift signifies a time of purposeful communication between nurses and patients, in order to promote patient safety and best practices (Caruso, 2007). During this time, there is the possibility for this critical opportunity to relay important information to become disorganized by extraneous information, rather than concentrating on the needs of the patient (Sullivan, 2010). Often the patient is left out of the conversation, and is not a part of the process. Patients and families can play an important role in making sure these transitions in care are safe and effective (AHRQ, 2013).
The applicant requests an upgrade of her uncharacterized discharge to honorable or general, under honorable conditions and change to the narrative reason for her separation. The applicant states, in effect, she is requesting an upgrade because she was being pulled from training after the first 100 days due to an injury she sustained. She went to sick call and was immediately pulled from training. She requested repeatedly to continue with her training, but was denied repeatedly. The applicant contends she chose the military as her career and was devastated when she was pulled from training.
Nurses play an essential role in the healthcare industry. The nurse workforce is made up of licensed nurses: registered nurses (RNs), licensed vocational nurses (LVNs) and licensed practical nurses (LPNs), along with nurse aides. Registered nurses are responsible for assessments of patients’ needs, development of care plans, medication administration, and treatments, while licensed vocational nurses perform specific care under the delegation of the registered nurses and supervisions. Nursing aides perform activities of daily living (unskilled attention) to the patient. Adequate nursing staffing is essential to both patient care and outcomes, also to the retention of nurses while inadequate staffing creates problems for both the patients and
Jata MacCabe Mrs. Jamieson (4) Sociology 120 October 7 2015 Beverley Allitt: Nightingale Nightmare Do No Harm “I will not do anything evil or malicious and I will not knowingly give any harmful drug or assist in malpractice.” Before a nurse may assume custodial responsibility over any patient, they must first pledge the Nightingale Oath. This vow states that as that as a healthcare professional your first responsibility must be assuring the safety of each patient in your care. In all healthcare facility interactions, a fundamental trust in medical professionals is required to assure timely and effective treatment —a deep-seated faith in healthcare workers assures prescribed medications and rehabilitation regimens are strictly adhered to.
Recognizing, acknowledging, and understanding medication safety is important when administering medications. Understanding which medications are high-risk ones, being familiar with the medications being given, remembering the five most important rights when administering medications, communicating clearly, developing checking habits, and reporting the medication errors will lead to safe outcomes for the residents. However, errors do occur from a lack of experience, rushing, distractions, fatigue, doing too many things at once, not double checking, poor communication, and lack of team work. It is not only the staff that commit errors, but also the work environment that contributes to the medication error. Two examples are poor reporting systems
(2013) suggest that the safety of patients is important and therefore, professionals and all stakeholders should encourage a practice that does not compromise the humanity and dignity of the service user. Nurses have a duty of care to support patients and to help them to make choices that offer the least amount of risk and make them aware of the implication of their choices and the risks involved (NMC, 2015). However, that is if they have the mental capacity to understand all of this. The Mental Capacity Act (2005) states that it is assumed that everyone has capacity unless it is proven otherwise. Acton (2015) also identified the need for professionals to fully understand and implement the Mental Capacity Act (2005).
Nursing is a highly respected profession and patients will seek advice from nurses. Therefore, nurses should learn how to react to situations that may not align completely with their own personal moral or ethical beliefs. Abandonment in the practice of nursing is not only detrimental to the health of patients involved, but to the nurse responsible for their care. If a nurse abandons his or her patients he or she has now been placed in a situation open to possible litigation, board discipline of classes or fines, and loss of licensure. As stated by the Oklahoma Board of Nursing, “abandonment may occur when a licensed nurse fails to provide adequate patient care until
The nurse must ensure that all staff are properly trained, medications are correct and up to date, all children must have access to healthcare, and nutritional considerations must be taken into account. Cheryl’s most important job is to make sure that the teachers caring for the children are properly trained on what to do in a medical situation or emergency.
Delegation is one of the most complex nursing skill. It takes clinical judgment and practice. RNs are required to assess and evaluate the needs of the patient and then utilize the appropriate caregivers in order to achieve desired patient outcomes. For an example a post-op elderly patient is receiving IV antibiotic and PRN IV pain medicine. In addition, she can take a PRN pain medicine by mouth for break through pain.
It is the person and their physical, emotional, and psychological needs that are the basic focus of nursing’s attention. In order to care for a patient, the nurse must incorporate all these needs. For example, providing reassurance with an anxious patient who just finished hip surgery. Care also plays a major part when taking care of a unique patient. Caring influences my personal philosophy because it is the most important aspect of nursing.
Nurses are determined to accomplish one thing in their career; save and change lives. That being said, nurses must have the determination and drive to do what every it takes to assist their patient. Nurses are naturally determined to make sure that their patients are able to recover and return back to their normal lives. As described in Fundamentals of nursing: The art and science of nursing care, “Autonomy is the right to self-determination.
Evidence-based resources/books are available to prevent medication error, strategies to be used to ensure correct medication administration and high alert medication require extra caution when administering can improve the student nurse’s ability to think analytically and solve medication administration problems. The Nursing student must be taught math calculation for medication administration often. Adequate practice with real problem solving can effectively reinforce these skills and provide the
A Case Study6 Nurse caring for a patient at a disadvantage by not having information that may be necessary to make critical decisions for safe patient care. Patterson et al (2004) examined hand off in settings with high consequences for failure, such as, NASA, the Johnson Space Center in Texas, Nuclear Power generation plants in Canada, a railroad dispatch center in the United States and an ambulance dispatch center in Toronto. Patterson found that hand offs in these settings were interactive, verbal, face-to-face interactions between incoming and outgoing personnel. This allowed for questioning and checking for accuracy of information. Validation of information was found to be an important factor in maintaining the plan for care or daily
Please answer the following questions, 1. State your understanding of your main duties and responsibilities. My duties are to provide efficient and knowledgeable care to those patients in critical conditions, using nursing process and nursing judgement. My responsibility is to provide competent care and promoting patients safety. 2.
