How might the ANA code of ethics and the Nurse Practice Act help to guide Josepha? The legal and ethical issue that Josepha has to use is. He has to know how to discuss the issue he has with the higher or manager of the head nurse. It is good to communicate the issue you have with the managers instead of felling bad thing about them. As I read the “Team STEPPS makes strides for better communication”, some of the tools like; (SBARQ) is used in many organizations, especially during patient hand-offs.
With families I began to listen more carefully to their worries, concerns, and stories. These helped me to better understand my patients, and to know how to appropriately speak with both the patient and their family. This practicum experience also helped me to grow in several other servant leadership characteristics - empathy, awareness, and foresight. The ICU is a place of constant vigilance that requires me to constantly be aware of what can happen, and to pre-plan my actions appropriately. It is also a place of ethical dilemma.
This can be accomplished by giving all the attention to the speaker. Sharing observation can be done by voicing concern to the team about a problem. Providing information can be done to let staff know what is going on with the patient. Clarifying is a big communication piece when dealing with multiple trauma patients. This will help so the patient gets the right treat at the right time.
Sometimes, nurses have to overcome any barriers that lead the team from delaying to activate the team. In an effort to improve this, many institutions have set up regular rounds from an ICU liaison nurse to patients who are discharged from the ICU. This visit was done to provide education to staff nurses in areas of patient education and assessment. In some other institutions, nurses review Early Warning Signs frequently to anticipate activation of the team. The RRTs are also becoming more involved in end-of-life (EOL) events.
You have the feeling of your knees giving out due to a torn ligament. How to Apply First Aid to an Athlete with MCL Injury? If you’re an athlete, it is necessary for you to learn how to apply first aid to someone with an MCL injury. You can’t probably do this to yourself if you’re the one injured, but having this knowledge greatly helps if one of your teammates sustained this type of knee injury. For minor MCL injury, you can always follow the RICE method: R - Rest.
I communicated with the patient’s, my preceptor, other nurses, the PCT’s, PT, and the kitchen staff. When I was in the patient’s room I was sure to explain what I was doing, and answer any questions the patients had about their plan of care. I worked with my preceptor throughout the shift, asking questions, clarifying orders, clarifying medications, procedures and more. I communicated with other nurses by thoroughly receiving and handing off report. I communicated with the PCT’s that I would perform the vital signs for my patients and worked with the PCT when my patient needed labs to be sent down.
In the case study, I have observed that barriers to teaching and learning include a lack of knowledge about the disease itself. To make sure that I am able to give an appropriate intervention, I have observed the patient's situation properly. In teaching the patient, I have explained his situation thoroughly and the things he must do and avoid to his situation. I evaluated the patient's learning by asking him questions and observing if he has avoided activities that may worsen his situation. If in any case a future situation requires another teaching strategy, I would change my approach.
This could result in malpractice or lack of care standards on the part of the case manager. The case manager needs to talk to the physicians to ensure they are clearly communicating their patients' condition and that they are on board with the plan care all way to the discharge plan. (Hogue & Prudhomme, 2012) Another point is documentation on a patient. There is a saying in the medical field if you didn’t document it didn’t happen, make sure as a case manager, everything you do is fully documented in the patient record. Develop habits that are good, you always want to document on a client when everything is fresh.
He had a follow up appointment with in the Athletic Training Clinic, however the athletic training student, and Tim were a little upset with him because he came in not wearing the knee brace that was given to him. The patient said the brace was annoying, and it was hard for him to put the brace on under his jeans. Tim explained to me and the athletic training students that were in the clinic, that the patient’s injury was very serious, and that it was very important that he kept the brace on at all times. The brace was going to help his knee stay in place, so it was not moving around too much, and cause more damage to the patients’ injury. Tim tried to explain this to the patient; however, the patient still told him how uncomfortable the brace was for him.
There are many ways to discern this, but the most reliable is to visit your doctor and have him examine you. Symptoms of arthritis include pain in the joints that is usually accompanied by stiffness or swelling in or around the joint. If this persists past two weeks, then you definitely need to go see your physician. Other signs of arthritis can be more subtle. If you begin having difficulty performing your everyday tasks, you may need to start being concerned.
When I first joined the care home, on my first day at work, I was given my job description along with the induction book and folder to be completed within the 6 weeks before my first supervision with the line manager. In my job description, I have been explained what is expected by the company from me, and how to work alongside with the Care Quality Commission standards, and company policies and procedures. My responsibilities towards my job has been described and I had to shadow one of the staff on the floor to get more familiar with my work and to learn their ways and techniques of work and to adapt to their ways of working. During the induction period health and safety, food hygiene information, help and support, guidelines in regarding
“Ow! My knee! I think I need to go see a physical therapist.” This is an example of one of the many reasons people go to see a certified physical therapist. “Physical Therapists, sometimes called PTs, help injured or ill people improve their movement and manage their pain” (Bureau 1). They design plans that can be help patients recover from various injuries, also a PT must promote the health of their patients (United 1).
The information charted within the patient’s record is with them for the rest of their life and for this reason, it is critical that every bit of information charted is correct and truthful. Aside from this, SimChart has taught me to talk to with my patient as they are the physical beings behind the written information. While it is important for the charted information to accurate, it is also important to remember that all technology has malfunctions. While completing my SimChart, the system crashed on me multiple times. This was frustrating and discouraging as I felt like I was just trying to do my job and chart information on my “patient”.
I was given the privilege to shadow Kerry Pullman, RN on the Med Surge/Telemetry unit at Liberty Hospital. Kerry has been an RN for two years after four years as a certified nurse aid and 3 years as a licensed nurse. Kerry has been working on the med surge/ telemetry unit for almost a year after working in long term care, primary care, urgent care, orthopedics and surgery. When asked Kerry stated the hardest part of being a new nurse was “old nurses” she said that often the old nurses will “eat their young”. We started the day by getting report on Kerry’s patients from the previous shift then going over the patients charts to make sure we had all the information we needed for her patients to provide the best care possible.