Examples Of Clinical Judgment

This exemplified the need for patient’s autonomy, beneficence versus non-maleficence and truth telling. The nurse faced a barrier due to the physician hierarchical working style. Collaborating using a multi-disciplinary approach and communicating effectively in explaining the disease process could have better manage her symptoms and improve the quality of her remaining life. It is important that early detection and treatment options are discussed by the physicians in an honest and open manner. As patients performance status decline healthcare members should provide informed decisions regarding diagnosis, prognosis and

I will summarize each outcome for the Nursing Informatics specialty. For the intent of this paper I will use outcome and competency interchangeably. The first outcome means the ability to gather healthcare information across the continuum of care; combine and utilize the information gathered to develop a process. Finally execution of that process to evaluate its ability to improve the quality of the healthcare environment. Healthcare managers are constantly assessing patients and collecting information.

Paul did receive OxyContin for pain management, but it was from the hospital following his surgery. Warbritton said Kay has not had much, if any, dealings with Paul’s medical issues. He assumed that Kay would want to discuss Paul's medical issues in order to better understand what type of pain therapy was being used. Dr. Warbritton felt an open dialogue would circumvent a lot of inaccurate conclusions Kay has made about her brother’s care. The complainant said she took photos of medication prescribed by Dr. Warbritton, Attachment 1.

Imogene King covers the creation of collaborative goals that can be effectively used to reach quality competencies. This model requires nurses to collect data about the patient, and then verify the interpretation of the data with the patient. This insures that both sides agree from the beginning before goals are created. Each patient varies in their needs, and quality requires that nurses be proactive in implementing new and creative ways to provide access to healthcare that is cost efficient and safe for each patient (Thomas et al., 2011). King reaches this goal by including the patient in the creation of the goals.

(Thomas, 2017) As a result to the study, there were many distractions and interruptions such as huger, fatigue, the noise on the unit, and unsolved issues with other patients. (Thomas, 2017) The data provided showcased that the older the nurse, the more likely you were going to have a medication administration error and procedure failure. (Thomas, 2017) Nonetheless, there was no correlation between cognitive load in procedure failures and mediation administration errors due to a couple of justifications such as having no relationship or due to the lack of necessary power. (Thomas, 2017) Consequently, there should be programs that will incorporate a flawless care when an interruption arises, thus securing the patient from any medication errors and allowing an organizational system. (Thomas,

Virginia Henderson Theory used Today Virginia Henderson is one of many nursing theorists who changed the nursing profession. Henderson’s theory was considered a “needs” theory (Ahtisham& Jacoline, 2015). It was considered a needs theory because the primary focus was on the patient and the 14 fundamentals needs of the patient to aid in recovery. A nurse taking care of a patient with dementia will utilize Virginia Henderson’s theory in his or her practice by assessing the patient while making a connection with that patient, involving the patient and family to help maintain current health status, providing an environment that will provide safety and security, and using the 14 fundamental needs to guide the nursing process that is being

Nurse Practitioners (NP) are registered nurses who have undergone additional education and training to diagnose and treat patients with acute illnesses and chronic conditions. In addition, they recommend treatments, perform various procedures and prescribe medications. In the event they are unable to assist a patient or feel they need additional care, they make referrals to other medical professionals. NP Jobs many be found in physician offices, nursing homes, long term care centers, clinics and hospitals. A Family Nurse Practitioner fills a gap in the health care system, one seen in the shortage of doctors offering internal medicine and primary care, although those trained as a NP may work in other specialties.

All of these topics are essential for an individual reviewing the RN’s profile, because they give the interviewer a basic generalization of a possible candidate for their position. The interviewer can get a good grasp on how long an individual stays at a job, what specialty of nursing they’ve been in, where they went to school, years of experience and why they wanted to go into nursing in the first place. All these descriptions about an individual will lay down the foundation for an interviewer to get know the RN. Next, I would like to discuss the importance for clinical experience to be included in the portfolio. The Clinical experience essentially displays to an interviewer how well a RN documents, how they performed during clinical and how they took care of their patient.

A complete assessment is not necessarily carried out each time. A comprehensive assessment is part of a health screening examination. According to Zambas (2010), physical assessment is taking an educated, systematic look at all aspects of an individual’s health status utilizing knowledge, skills, and tools of health history and physical exam. Patient physical assessment is one of the most important nursing interventions. This is the moment a nurse would be able to identify all the negative issues, to collect the data (objective and subjective).

A nurse should know about the medications that they are giving to the patients and why they are giving them. Communication can be a big factor in medication errors. Miscommunication by the members of the healthcare team can lead to deadly consequences, so orders should be repeated back and verified (Anderson, 2010.) Sometimes

Furthermore, there is a vast need for additional research. There is a necessity to gain knowledge on risk factors and on ways to prevent suicide in order to aid nursing home residents (Bugeja et al., 2015, p. 811). The knowledge of preventing suicide in a nursing home can be helpful for residents as well as for social services. Suicide occurs in nursing homes partially fur to the lack of knowledge on depression. Current research depicts that physicians fail to recognize depression and tend to provide inaccurate treatment (Allgaier, Fejtkova, Hegerl, Kramer, & Mergl, 2009, p. 355).

It makes decisions based on complementary data that sourced from interviews of several representatives of the Standard Care (SC), Case Management (CM), and its IT departments. The CM department can gather information of all processes concerning the treatment, nursing, and after-treatment of the patients to perform better services for patients (Wulff et al., 2008). Concerning the new strategy implemented by RWTH Hospital, the margin between estimated bed time and actual bed time has been

“A medication error is basically a failure to comply with the hospital medication administration process policies.” What cause medication errors? “Medication errors can be caused by several factors. But the most common one is when the nurse does not scan the patient’s armband to verify his or her identity and administer the medication to the wrong patient.” What can nurses do to prevent this type of incident from

The given reason being nurses are not likely to report the errors and only when clinincal consequences arise are they discovered. The focus of the Dalmolin, Rotta, & Goldim, (2013) study was to evalualte the medication errors for the types, seriousness, and medication groups involved. The study was conducted at the Hospital de Clinicas de Porto Alegre(HCPA) between January 2010 and December 2011. The study was conducted using a retrospective and cross-sectional study process. The study used data on medication errors, that was submitted to the Group for Safe Use of Medications.

Therapeutic communication is mostly client focused and is towards patient’s “goal directed”. Therefore, it is essential for a nurse to review any relevant medical histories or clinical data regarding the client before an assessment and by talking to other caregivers’ information can be collected as a result of any arising or concerning