One week, my nurse and I had a patient who was delivering at 36 weeks. Because of this, she knew that the baby had to have blood glucose screening done. Instead of just trying to remember what the policy stated, my nurse went onto the Intranet and printed of the policy for Infant Blood Glucose Monitoring. She then clipped the policy to the infants chart so that, if the mom didn’t deliver, it would be there for the next nurse. Later on in our shift, the mom did deliver.
The report is given to the HIM Operations Manager Wendy Johnston. The report is updated weekly and every physician on it is contacted and offered help in clearing them up if needed. Sarah Walker occasionally makes visits to the physician’s offices if she feels the delinquency is contributed to user error. EPIC trainers are also available in situations like this but Sarah is more familiar with what is needed for the completion of the record. If a physician is on the delinquent list for ten weeks straight they must have a meeting with the hospital Board.
Blood tests are done daily as per routine. Clopidogrel, Aspirin and Daltaparin are collectively use routinely post-op to prevent blood clot formation. Derangements of clotting factors may result in bleeding and deficient fluid balance. Keep tabs on blood results such as WBC. An increase reading may elicit post-op infection.
Influenza season is here again so it is time for everybody to add getting a flu shot to their “to-do” list. It is recommended for everyone to get flu shot from ages 6 months and older (McCarthy 1). It is the obligation of healthcare works and their employers to promote influenza vaccinations to patients and is an annual requirement for the workers as well (Lynkowski 1). Winter season is time for healthcare workers to get in line, roll up their sleeves and consent to treatment for a flu shot. For the hospital, their goal is to get all employees vaccinated, especially those who have direct contact with patients which brings up a number of ethical issues arising from the attempts to implement mandatory flu shots (Dubov 2530).
The policy from UTMB notes all of these factors as procedures in their handbook. While the UTMB policy cites, “A fall risk assessment shall be completed by a Registered Nurse (RN) as part of the Nursing Admission Assessment on all inpatients within 24 hours of admission including patients in observation status.” (2012, p. 1). This policy also places the responsibility of fall prevention on all staff. It is noted in this policy that any healthcare professional should recognize the designated interventions identifying a patient as a fall risk and they are responsible to stay with the patient until another arrives to
The shadow health physical assessment and concept lab are very informative and helpful. I would definitely apply my learned knowledge on my daily assessment of my patients. I learned how to assess the heart and peripheral vascular system thoroughly. Lastly, this unit helped me understand the circulatory system better, and will help me improve my assessment skills. Jarvis, C. (2012), Physical Examination & Health Assessment (6th ed.)
Overcoming obstacles and improving myself through clinical experience, I learned of other essential qualities needed for success in the field. My greatest time of growth was during my junior residency in internal medicine. Working closely with physicians and developing a rapport with patients, I greatly enjoyed experiencing several areas of the field, from outpatient medicine to ICU to CCU. While the days were long and demanding, I left each night knowing that I had helped relieve my patients’ illness. That’s the reason I am only applying to Internal Medicine as my career; I am the type of person who has always had an acute awareness of other people’s suffering, which has led me to be an empathetic and caring physician.
Memorial Hermann is a leading edge medical institution I want to surround myself in and grow at. This experience will lead me towards the direction of working at a hospital, across the world in less developed countries, or even the army in the future. My goal upon graduating high school is to get the best experience I can that will prepare me for the future of becoming an OBGYN. Volunteering at Memorial Hermann will be an excellent opportunity to see how a typical day in a hospital would be. I 'm eager to learn many things such as patient care and basic procedures from the many wonderful mentors around me.
I chose to pursue the teaching field because of my experience training new nurses and C.N.A.’s at the nursing home I previously worked at. There were students that would come to observe and learn the procedures and skills needed to work in a nursing home. My bosses knew to send them to me because they saw the passion I had for teaching skills in the nursing field. So when I knew that I was going to have those students, I became overjoyed because I knew that as they learned, I was actually making a difference in their careers in the medical field. The passion for teaching began early for me in life.
Since Alexis took time out of her busy day to personally acknowledge the well being of a former patient, I was reassured about my interest in the healthcare field. I was given an opportunity to shadow a physical therapist 's daily routine, and tag along during strenuous cases. However, I witnessed how much a health profession can impact the personal lives of a patient in a positive way. To work in an environment that interacts with the community and promotes good health is something I aspire towards. I believe that Butler University will provide the necessary pathways for me to choose which healthcare profession I would like to be a part of.
Helping people has always came easily to me, whether it was calming down an upset child or taking care of my sick family members. I like to see the way a person’s face lights up when you do something to positively impact their life. Having the mentality to put other people’s needs before my own has greatly influenced my choice to achieve my RN degree. Because I want to further my education in nursing, transferring schools after my two years at Central Lakes College to get a Bachelor’s degree is an option I am considering. Another goal of mine is to become the first in my family to graduate college.
When new procedures were developed, the manager and director of the hemodialysis units started to educate the nursing staff and nephrologist. In with two days all staff had to be informed about the new changes. Educators explained the importance of a new protocols, and why we have to fallow new rules immediately. One of the new protocol was gain knowledge of patients Hepatitis B status before dialysis treatment and to document with date and time of blood work results. The manager made a new binder with a special sheet for nurses to log all information about new patients.
After consulting with both Dr. Symanski and Dr. Greenawald I was accepted on the spot to Alvernia University, and my hope was restored, I could really live out my dreams of being a nurse. Alvernia has provided me with so many opportunities to develop this desire. In each clinical, I was challenged and succeeded. My charisma with my patients as well as my empathy for them came naturally, and countless patients have thanked me for providing them with care and support. I feel that I did not fully realize that nursing was my calling until a few years ago.