Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients. In addition, she is most frequently assigned any change of shift admissions.
Therefore, Lactated Ringers is not an appropriate IV solution selection in this scenario. • F is incorrect because while patients over 70-years old are at risk for fluid overload, the nurse would assess the patient’s lungs, however assessment of the heart is not necessary. Moreover, the RN should measure vital signs and assess lung sounds before the transfusion, after the first 15 minutes and every 30 minutes to 1 hour, per agency policy, until 1 hour after the transfusion is completed (Silvestri, 2018). NCLEX Question #2 A nursing instructor is teaching a class of nursing students about acute hemolytic transfusion reactions. Which of the following statements regarding indications of an acute hemolytic transfusion reaction made by the student nurse would indicate the need for further education.
A rare cause of Acute Respiratory Distress Syndrome (ARDS) - Mycoplasma pneumonia in a middle aged women Case History A 66-year-old female presented to the Emergency Department of Sri Jayewardenepura General hospital with generalized weakness, faintness, and progressive worsening of difficulty in breathing over a week prior to admission. She also had dry non-productive cough, general malaise with myalgia and a low grade fever. She had consulted a GP and treated with salbutamol and steroid inhalers on outpatient basis. However, since her symptoms became more and more troublesome, she was admitted to the hospital. She is a diagnosed patient with type 2 diabetes mellitus for last 10 years and was taking oral metformin for the control.
Racism in The Immortal Life of Henrietta Lacks Imagine your mother, sister, wife, or cousin was diagnosed with cervical cancer and you believed the doctors were doing everything in their power to help her. Only later you discovered her cells were used for research without consent and she was not properly informed of the risks of her treatment due to her race. This story happened and is told by Rebecca Skloot in The Immortal Life of Henrietta Lacks. Skloot use of narrative and her writing style enhances the understanding of the story. Henrietta Lacks was a young black woman who was diagnosed with cervical cancer at John Hopkins Hospital.
phrase) After they analyzed the x-rays, the hospital told my parents that there was nothing they could do, it was the worst broken arm they’d ever seen, and I needed to get surgery at John’s Hopkins. If I didn’t, one of my arms would be longer than the other for the rest of my life. My parents were shocked, and my mom got sick. They wheeled me out in a stretcher into the ambulance, and I remember it was raining, and I kept thinking I was going to fall. I was on a lot of pain medication, so I didn’t really know what was happening or where I was, and I kept drifting in and out of
The first year of medical school the student learns science subjects and clinical skills(Hill). Science classes are very important in the healthcare field. Clinical skills help prepare the student for residency. Mrs. Turvey said she “finished medical in 1977(Turvey).” She worked as a nurse for 41 years, 18 of those years she was an OB/GYN. Mrs. Turvey said that she “has her MSN or her Masters in Nursing(Turvey).” A MSN is almost as high as a doctor you can go.
This critical incident involved a first time mother who gave birth at pre temp- 35weeks. Baby stayed in hospital for two weeks before being discharged home. After about two days of being home, mother called her health visitor, the student‘s practice teacher to inform her that baby was having breathing difficulties. Health visitor advised Lilly take the baby to A&E straight away which she did. Baby stayed in hospital for a further 7days before being discharged.
These three problems are: lack of collaboration and teamwork, staff conflict, and lack of transparent performance appraisal procedures. All of these three broad problems need to be addressed simultaneously to ensure that the unit performs as Barbara expected. As we read in the case, there is a conflict between junior nurses, senior nurses, and PCA 's which lead to ineffective collaboration among them. Junior nurses feels like they don 't get positive feedback from senior nurses. However, senior nurses feel that many junior nurses and PCA 's are in competent and feel overwhelmed to support them.
From these studies, only 30 were linked to the context of bedside handover in clinical setting. In addition to this, this number of studies is further reduced because many of the studies were not available in full. It is noticed that of 20 studies only abstract were available due to which they were not used for providing literature in this study. Therefore, only 10 studies were considered as relevant and were selected in order to conduct this study effectively. Moreover, these studies were searched by making use of some appropriate keywords, which are highlighted in the next
The nursing faculty shortage has compounded the nursing shortage since there are not faculty to teach the students. According to Nardi and Gyurko (2013), over 75,000 applicants to nursing programs are denied acceptance due to lack of nursing faculty, clinical sites, and budget constraints. Factors that influenced the faculty shortage included: aging faculty, reduced qualified members in the hiring pool, poor salaries, lack of funding for full-time positions and job dissatisfaction. According to Allen (2008), the nursing shortage will continue to increase healthcare cost, increase the potential risk of harm or injury to patients and decrease access to
The situation was made aware to U.S Department of Health and Human Services, who has since then posted her case onto their “Wall of Shame.” All healthcare professionals, whether it is the receptionists all the way up to the owner of the hospital, are going to have heard about HIPAA at some point in their employment. The punishment is pretty hefty, so that is probably why there are only a couple of cases with violations of HIPAA resulting in criminal severities. The legalities of breaching PHI “to a third party carries a jail term of up to 10 years in addition to a maximum fine of $500,000 if the disclosure is made
It might sound weird but I had two lumps that grow really big inside of my skin which can hit my nervous tissue to cause extreme pain. For that reason, I had taking out lump surgery when I was 13 years old and 19 years old. The doctor told me that it easily makes if I got server stress. After I got surgery, my mom suggested me to have hobby which was playing flute. I played it since I was grade 7 and I always healed myself when I have group projects, final exam or something that does not work as what I want.
The nurses that are available are scheduled for extensive overtime, to the point that it is interfering with their family life. This also causes certain patients needs to not be met. There are excessively long waits to see the doctors. And even when patients are able to see the doctor, there is an overall reluctance to pay for important but costly services, such as MRIs and surgery. There is also a large problem with the distribution of medications.