During my clinical rotations I have experience so many right and wrong practices. Nurses justify themselves about doing incorrect patient care skills to save time. In one of my rotations there was a nurse that instead of be crushing one medication at the time she crushed all of patient’s medications at once.She said that the correct way of doing it was doing one pill at a time, but that she will no do that because it was a lost of time. It is true that sometimes it is hard to complete your work by doing all your skills by the correct way, but we have to remember that it is not about us it is all about patient care. In order to to bring this nurse to practice nurse’s skill right, I would talk to her an try to get to teach her some time management
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Show MoreOne Nurse, One Shift Shifting Perspectives In the nonfiction book The Shift registered nurse, Theresa Brown starts her story with “I'm hiding under the covers: Im afraid. Afraid of that moment when the rock slips and all hell breaks loose. For me, it was the patient who started coughing up blood and within five minutes was dead, just like that.” This is Brown describing some of the struggles she encounters on a typical shift as a nurse.
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
Reporting medication errors is beneficial to improve the learning process for nurses. The factors of workload, ineffective communication, and distraction all contribute to medication errors (Sears et al., 2013). Nurses often excuse the behavior of colleagues when a medication error occurs, or nurses will pass the buck to a senior nurse to report the medication error (Haw, Stubbs and Dickens, 2014). Implementing a no blame policy for reporting medication errors, and providing nurses with the knowledge and training to report medication errors will result in an increase of medication errors reported. References Haw, C., Stubbs, J. and Dickens, G. (2014).
There are three primary reasons for choosing to apply to Washburn’s School of Nursing. First, I was looking for a highly accredited nursing school with a strong reputation for learning. Although it was difficult finding a lot of rankings information about Washburn’s School of Nursing, I was able to uncover some information from Best-Nursing-Colleges.com which ranks Washburn’s School of Nursing 78th in the Midwest and in the top three locally. Second, my family and me have many friends who have received degrees or currently obtaining degrees from Washburn University and have very positive things to say about the University, faculty and overall learning experience.
Reflecting on the past seven weeks I have acquired countless knowledge, which I will use to further strengthen my profession as an Advanced Practice Nurse. The course allowed me to think beyond my current practice knowledge and acquired innovative ways to evaluate the situation at hand. The learning objective in program outcome four helps set standards that I will use to guide my clinical practice to meet various healthcare needs. Using the case studies has helped to further enhance my knowledge on disease physiological state, using differential diagnosis, disease manifestations, and clinical presentation. It has also taught me the skills on how to differentiate between similar diagnoses to properly identify the problem and treat the patients.
Medications that are given wrong can lead to serious side effects for the patient, and maybe even death. The nurse should be very careful to read everything before giving the medication to the patient, and should be very thorough when administering it to them. Nurses can make big mistakes by giving the wrong medication to the wrong patient, and this should be avoided at all costs. Careful medication administration should be implemented, so that patients have the best care
Levett-Jones and Fitzgerald (2005) demonstrate that transition program for nurses or midwives in Australia have three goals: development of confident and competent nurses or midwives, facilitation of professional adjustment, belonging and socialization and development of a commitment to career in nursing or midwifery. The predictors to a successful transition are clinically support, educational support and social support. Clinical support includes support practices, preceptors, clinical facilitators, nursing educators and full rotations. Educational support consists with comprehensive orientation, study day, professional development opportunity, education program and postgraduate education pathway. Also social support contains networking session,
I agree with you Walter. Nursing is a teamwork. In an acute hospital setting, an RN is assigned a set of patient to deliver care that means RN has full responsibility about these patients. In this case, RN who is the primary care nurse can complete her task by herself or delegate some of the task to the nursing assistant according to their scope of practice. The abilities to delegate, and supervise other healthcare workers is not an easy job.
Reflection on Medication Administration Description (Competency 3j) I have looked over my moral development regarding medicine administration and have noticed there is the need for improved and has been agreed with my mentor to write a piece of reflection to identify areas of concern Feelings One of the major concern is the pace of dispensing and the time spent used to open charts and allocate them is one of my weakness. Although I am learner I need to back up the pace of dispensing so that patient doesn 't feel my skills is dull or boring and waste of time. I Had developed that feeling of being extra careful to avoid drug error and that makes me feel slightly nervous more also being under the influence of supervision as well. Evaluation
I am assigned to 5T which is the oncology department, due to the nature of the unit itis easy to understand that most of the patients there are very sick and definitely report being in a lot of pain; therefore, one of the most routinely task for any nurse assigned to this unit is the administration of medication and especially pain medication. After being continuously working at the same unit for almost two weeks, I can definitely state that the unit focus on patient centered care which involves trying to keep patients comfortable and help them to reach a level to be discharge. The whole personnel ( nurses, PCA, pharmacist, doctors, physical therapy, etc) since to be very caring toward their patients and family members, a constant communication within the different departments is necessary to keep everyone update on patient
Long hours and shortage of personnel can lead to routines of practice, which can hinder the development of patient centered care in hospitals. Even when patient centered care is valued, the demands of caring for many patients at a time can restrict the professionals’ ability to provide physical and emotional support, and respect for their patients’ preferences (Kelly, 2007). Recommendations Patients ought to understand that nurses do everything to ensure their safety.
During the maternity clinical I had experienced patient teaching moment. However, there was a specific experience in which my assigned patient had just delivered her first child and waiting for teaching about car seat safety before her discharge. My assigned nurse was unavailable to do the teaching at that moment. In an Attempt to help with the patient teaching and discharge I gathered the required paperwork for my patient to read; so that when the nurse became available the patient would have already familiarized herself with some of the information. In doing this, I elicited to help of another nurse, which ended up being a mistake.
What does it take to be a registered nurse? What are the qualities you need to become a nurse? The nursing profession is as much about kindness and caring for the whole person as it is about medical and technical knowledge. When considering a career as a registered nurse the qualifications can appear to be never-ending, however, with dedication, determination, and support, these qualifications are easily met. But it is the numerous traits and skills that enable a person to become a successful registered nurse.
According to a confidential survey taken in 2002 of 12,000 students, 74 percent admitted to cheating on a test at least once in the last year. This is an appalling number. College students are in the mindset now, because so many people are doing it, that cheating is not wrong so they are doing it regularly. Are people even learning anything in college anymore, or are they just there to learn how to beat the system?
My teaching philosophy stems from my belief that the gauge of a teacher 's success is how effectively the teacher prepares students, not only for present courses, but for their future professional careers. As a Nurse, I am committed to the nursing profession and I chose nursing since; nurses have the chance to a life changing event to every patient. Nurses promote Health Education, Healing and Prevention of Illness, as well as performing end of life care through a dignified death. I chose to be a nurse because I wanted to contribute to humanity, to feel that the world was in some small way, better because I was a part of it.