So now that he was unable to get IV access, he had to obtain an intraosseous infusion (IO). Upon insertion of the IO, you could hear the drill perforate through the tibia. Through the access, Narcan was administered. The advance support provider then took over to establish an advanced airway. He was asking for certain equipment and I can remember feeling my adrenaline pump through my veins, it was really a mix of
My time at Centennial Hills Hospital was filled with the natural challenges that hospitals constantly face. I am not the most calm person in stressful situations. Despite this, my position as a volunteer meant that I had to stay calm during situations such as a code pink, or an infant abduction. This code occurred twice while I was volunteering at the hospital. The first time it happened, I did not have an adult volunteer with me to describe my duty and I internally panicked.
During a clinical shift, I would be responsible for providing care to patients with malignant hematological diseases, completing pertinent assessments and teaching skills, such as how to care for the mouth when experiencing mucositis and how to avoid infections. Self-reflection on Professional Practice All nurses registered in the general and extended classes are required to complete their self-Assessment every year. Self-Assessment is a self-directed, two-part process that results in a learning plan (CNO self assessment 2018). Through the process of self-assessment, you identify your areas of strength and learning needs (CNO
And the worst thought, all nurses I am sure has thought, “will my patient die.” Every tangible and intangible repercussion of a code I not only thought about, but in detail played out each outcome in my head. And then the day finally came, “Medical alert, code blue, 3rd floor, Room#___,” I cannot tell you exactly the chain of events that followed but one thing I can say for certain is, I saw a whole other side of me I seized to know that existed until those
While participating in the “Deteriorating Patient” simulation, learning to complete a Situation, Background, Assessment, and Recommendation (SBAR) report while caring for a deteriorating patient was the most challenging task to complete. After receiving report and beginning the initial interaction with the patient, my confidence level was on a steady rise. Everything seemed to flow well and initiating conversation while building a rapport with the patient was also very easy to complete. Once the patient started to deteriorate, I found myself becoming unorganized and my thoughts were racing. Though I was managing the situation very well, I called for a charge nurse because I realized I needed help.
Next time I will be more direct and approach the residents rather than waiting for someone else to initiate an interaction or care activity. Action Plan I will continue to learn resident’s names and utilize therapeutic communication. It was clear the residents appreciated when I would remember his or her name and the room number. I will work on my organization skills and continue to write down my questions or concerns on my notepad.
Since “nurses are the hospital’s front line” and the nurses’ attention is sprawled out among eight other patients it is difficult for the nurse to give the best care and undivided attention for each of her patients. In addition, Brown includes another personal anecdote where there was a sufficient staff of nurses. Brown started a new job and suddenly heard her name being called “a patient getting a drug that can cause dangerous reactions was struggling to breathe. I hurried to her room, only to discover that I wasn’t needed. The other nurses from the floor were already there.”
It is harder to distinguish who the nurse is unless it is verbalized. It can also be seen how academics and more rigid protocol has changed nursing. Nurses need to remember that a compassionate and empathetic heart is the main cause for the patient’s appreciation of the nurse. Looking back to previous eras, today’s nurse can realize how there was much less distraction of paperwork and protocol resulting in more emphasis on the patient’s heart. This can be a lesson to not let distractions take away from the patient’s complete
This treatment by the nurse towards us gave us very little reason to worry about my health as she made the experience bearable. Attree (2001) described that commitment to providing patient-centered care and a change in individual, professional and organizational values is sufficient that will lead into providing a therapeutic nursing care (as cited in McCabe, 2004, p. 47). Few days later, I was scheduled for discharge and the same nurse came to my room asking if I was ready to get discharged. When I said yes, she started briefing me on what I had to do once I got home, and what I had to do for the next few days. She also asked me if I could walk to the hospital entrance or if I had wanted to get there by a wheelchair.
As three men roll out of the front seat of the EMT with sirens blaring, I know this one is a code red emergency, or in other words, life threatening. My protocol tells me to stand with the rest of the nurses as the men and women wheel in a pulley to the front entrance, but my experience tells me to take any precious seconds before they arrive to clean out an empty room as fast as possible. I do. The sounds of labored breathing and Velcro straps from the restraints ring in my ears as the man is settled into the bed. The sheets that I took little time in arranging are now stained with crimson blood and the backs of nurses and physicians now block my sight.
In summary, I learned how to establish a therapeutic relationship and identify the problems. I learned how to find resources and effective procedures in patient care. Taking care of multiple patients with a variety of illnesses is very difficult. In addition to knowledge and passion of caring, a nurse has to be a team player and a master of prioritizing and
The role of a rapid response team is to perform a quick, but thorough assessment on a deteriorating patient and provide intervention in a timely manner. The RRT can only do a timely intervention if the afferent team recognizes the need for activation. Therefore, it is important to educate the team with recognizing abnormal vitals or even altered mentation as a reason to activate the team. Many hospitals also have Early Warning Systems that identify any triggers to alert the team, and nurses should periodically review these to optimize patient outcomes. Sometimes, nurses have to overcome any barriers that lead the team from delaying to activate the team.
Ward based discharge nurse and I were placed in charge to orientate the ward nurses. Senior clerk to the other clerks. Registrar to medical officers and pharmacist to his or her colleges. We created an obtainable target which was to discharge patients by 1300Hrs. We then encouraged and convinced the staff it was possible to discharge patients by 1300Hrs.