Charge Nurse Reflection

Ø List all information that should be included in their staff notes during periods of increased monitoring. Ø Recognize the Primary Care Provider FAX Report and Orders. Ø Name at least 10 interventions that can be implemented during the first 24 hours after a fall. Keith and Hathrow (2009) in their journal article discussed that training nurses is crucial in successfully implementing such preventive programs. This is because Steps of Fall Management/Fall

Especially when it comes to giving medication, details matter. Doctors and patients rely on nurses to be focused and careful. The best registered nurses are meticulous, paying attention to the smallest details because they know just how important they are. Communication is, in my opinion, one of the most important aspects of nursing. As a nurse, you’ll regularly work one-on-one with patients, and proper communication in such situations means far more than just giving a dose of medicine or starting an IV.

Compassion is showing care for others and displaying a positive attitude towards the care and concern of others. According to How does it really feel to be in my shoes? Patients' experiences of compassion within nursing care and their perceptions of developing compassionate nurse, "The importance of this relational aspect of compassion to the participants in this study cannot be overlooked when planning and implementing care. Compassion is a process that can be nurtured through attention to patient-centered assessment and planning of care. Patient centeredness is no stranger to nursing discourse, however, adopting this element to care and compassion is challenging in today's healthcare arena, especially when treating massively increased numbers of patients" (Bramley and Matiti, 2014).

The human factors that affect efficient communication involve patients’ moods or reactions towards the services provided by the nurses. Therefore, nurses are advised to exercise patience and understanding of the conditions of their patients. They should seek to serve the clients regardless of whether they are rude or welcoming. In cases where communication is hindered due to lack of cooperation from the patient, the nurse can seek assistance from their supervisors. Also, nurses are advised to shun from forming predetermined perception of patients to ensure that they can communicate

For example, when patient asks for a favour to be showered despite odd timings or during busy hours, nurses have to obey their needs and meet their expectations. Therefore, patients will gradually feel that they are well taken care of during their stay in the hospital. Without good communication, there will not be a good healthcare service. The Importance of Good Communication between Patient and Health Professional, Journal of Paediatric Haematology and Oncology (2011), wrote that “Communication is the most important component of our work with patients. It is the cornerstone of our interaction with people.

It is also very important to be able to know when you need to seek any sort of help because even though people really try to tough it out, going through their emotions and venting to someone is very beneficial. If someone is going through a really tough time do not judge them or try to belittle them. They might be going through something deeper than what the surface

Coping Patients often go through many challenges especially at the end of life care. One of the problems is coping with the stress and stressors. Coping is an integral part of any treatment; therefore, the patient often needs to develop some managing mechanisms. These are learned although, at some point, the patient is only left with few or no coping mechanisms (Caswell et al. 2015).

In some cases, lack of communication leads to the patient death. (Ann W. Latner, 2015) So, effective communication practices are essential to save the patients’ lives by sharing the vital information of the

In this First Clinical Practicum, it is incredible that I have spent 8 weeks to work in medical and surgical wards. Standing out of laboratory, all new things in the wards are curious to me so I am aggressive to explore and grasp every chance for study. Apart from many psychomotor skills I have learnt and applied, I found something I have to improve for my further nursing field. In this reflective journal, I would like to focus on one significant item which is communication. Kimberly B. Chapman (2009) mentioned that as healthcare providers try to accomplish more in less time, the relationships between patients and providers-and among partners-naturally suffer.

In the article “Skills for Nursing Practice” The authors note that Nursing takes skills such as leadership, communication, teamwork, and compassion. These skills are focused around patients, and promotes dignity and respect toward the patient. When becoming a nurse, one of the most important skills is to be organized. This helps with decision making, critical thinking, knowledge, and being professional (Felton). When working in an ER it is important to be up to date with what is going on, and remaining calm in stressful situations.

I never expected how much of a difference it is until I sat and talked with each nurse. Working a the Canyon Hills Manor can change from day to day but a normal day will start by waking up at 4:45 am and getting yourself ready and going to work and get there by 5:30 am. As they arrive they get reports from the night nurse, which there is only one head nurse at night. Then they continue their early morning by passing out meds to all of the patients. That takes about two hours.

I arrived at Hospice around 0750. I gave the name of our contact, and she showed me where I needed to go. There was a little confusion with who I was going to go with, so I waited outside the office until they were able to figure it out. I ended up getting placed with a lady named Judy and she was very helpful throughout the day. We sat in her office until nine and she just asked me questions about myself, like where I was from and what kind of nursing I was interested in going into.

Basically, this program focuses on early identification of patient at risk for sepsis by working with each nursing unit to help identify signs of sepsis. Once a patient shows symptoms, a “ Code Sepsis ” is called and treatment implemented (communitynewspapers.com, 2016). In this particular incident, once the team arrived to the room, they decided to implement the Resuscitation Bundle for Severe sepsis. Immediately, my nurse and I started to complete all the orders within an hour, which is the time frame set for completion of treatment. During my intervention in this case, my main concern was to carry the orders within the timeframe to avoid the patient to go into septic shock.

In addition, there 's concerns as to how the patient is taking her medication and the changes of mental health providers. I feel that the mother needs to be consistent with her mental health services and work with us as we are not working against her. One positive thing I can share is that Marie is motivated to get her children back." The Supervisor then provided this writer the patient new DCF worker contact information: Maribel Santos @860-418-8239. This writer thanks the Supervisor for her input about the patient 's case.

Brieanna: What does a typical day at work look like for you? Michelle: First thing in the morning I have assessments, than I pass out morning meds. I have hourly rounds, chartting all day, med passes all day, usually a discharge and an admission, make sure the patients go to the bathroom regularly and I treat symptoms as they arrive. Brieanna: What are the best and worst parts of your job? Michelle: The worst parts of my job are the aggressive patients, when the patients treat the hospital like it is a hotel, and the patients who do it to themselves and aren 't willing to change.