I chose nursing as my career and education path many years ago as a child. The core job duties and education have remained the same for the most part and always will. The daily job description for a registered nurse according to occ.outlookhandbook is to provide and coordinate patient care educate patients and the public about various health concerns, to provide advice and emotional support to patients and their family. According to labor and delivery nurse Julie Mills Smith a registered nurses job description is “direct patient care, charting, charting and more charting. You become a healing helper, a friend, a confidant, a support system and in some cases a source of physical hope.
According to Dr. Hoffman, patient-centered care involves providing the patient/ family an opportunity to participate in making decisions regarding their current and future healthcare needs. Next, incorporation of the patients preference and values in developing his or hers’s treatment plant is needed. We also need to maintain an ongoing two-way communication between the patient/ family members and the team to encourage the patient to ask questions about their care, and treatment. In fact, the information and educational materials related to their health needs and all hospital consent forms should be written in a language that a patient can comprehend at their level. Moreover, the patient’s condition and experience must be evaluated throughout their care and address any concerns or improvements that needs to be
She is the main carer for her husband, who is currently staying at a care home until Gladys is discharged from hospital. Gladys admitted to the nurse that she had been experiencing regular chest pains for some time; however, she had been self-administering aspirin to herself, rather than go to the doctor. As I observed, the nurse explained to Gladys that she should have gone to the doctor straight away rather than self-medicate and stated that Gladys would need an angiogram to confirm a diagnosis and assess any trauma sustained. She also gave Gladys a copy of The Eatwell Plate and stated that Gladys would need to lose weight in order to prevent the event from happening again,
I got to see several ways that nurses provide care for their patients. I observed ICU nurses care for their ill, elderly patients. I witnessed physical therapy nurses assist their patients to ambulate immediately post-surgery. I noticed how fast ER nurses work to triage their patients. I learned a lot from those nurses but could not decide which unit was meant for me.
Thank you for sharing your experiences, Dustin. Living in a rural area like Terrace when there will times when nurses care for family or friends which “requires caution, discussion of boundaries and the dual role with everyone affected and careful consideration of alternatives” (College of Registered Nurses of British Columbia, 2013). As a student nurse, there were hand full of times that I have to provide care to family members, friends, and former co-workers. In Nursing 330 extended practicum, a family member was admitted to acute care floor medical issues and along with deterioration of mental status between my two sets.
The nurses exchanged concerned looks. I would see those same eyes in my aunt when she visited me in the ICU, but the difference is that one look was worried for possible neck injury, and the latter was telling the news of my father’s death.
As a nurse working in the home healthcare industry there were many instances when I had to utilize my nursing critical skills. One day I was contacted by a clinical supervisor, who stated she was contacted by an LPN with a question regarding medication administration. She stated that the LPN informed that she was instructed by a parent to give a patient medications that did not have a physician’s order. I informed the clinical supervisor to refer to the Pa cod of RN scope of practice, where it states, A licensed registered nurse may administer a drug ordered for a patient in the dosage and manner prescribed. I also informed her that although the parent instructed her to give the medications to the child, it was not within her scope of practice
After gaining her approval I asked her to introduce the idea of helping me do an interview. The University of Pennsylvania Medicine is a teaching hospital so I was confident that was not an unreasonable request. Social work involves a lot of HIPPA laws. At times there is a conflict of interest when things involve family of anyone of familiarity.
Transplant nephrologists remark about the kidney statistics and the kidney patient postoperative care in the outpatient setting. The Director of Quality is a nurse and is present for questions that may arise dealing with CMS or UNOS
As this act was introduced in healthcare setting to help those vulnerable by supplying healthcare service in the community. This enables people to be in the community like home where they can live comfortably and make choice about the way they live and receive the care. In hospital setting, patient will be assessed on their needs and it will act upon decision made by the team. Health- Care Planning Teams are multidisciplinary working parties of officers set up in each District to analyse and assess the needs of the health services (Davies, 1991, p. 9).
I am responsible to the families by providing culturally sensitive care. Every family is unique in its own way, as a nurse I must respect what is important or meaningful to the family. Furthermore, I will try to identify the strengths of the family and beliefs of the family and will try to incorporate them into the plan of care. I will listen to their concerns attentively and in a non-judgemental way. I will also reflect on my personal beliefs and values.
The third stage of Erikson’s eight stages of development is Initiative vs. Guilt. Initiative vs. Guilt is the stage in which children really begin to explore about the “real world”. This stage usually occurs around the age of preschool. During this stage dramatic play becomes a big part of the child’s life; they began mimicking what they see adults do, they make up stories and play them out usually revolved around what they have seen. Another factor during this stage children start to learn male and female roles, you will see the girls playing with the babies and in the kitchen because they are mimicking what they see many other women do.