As you observed the professional/registered nurse’s role regarding family as the unit of care in this setting, what evidence can you describe related to family nursing care? According to Nurses and Families: a Guide to Family Assessment and Intervention, “The offering of information and opinions from health-care professionals is one of the most significant needs for families experiencing illness” (Wright and Leahey, p. 160). In the clinical experience that I observed, the family was very concerned about their mother who had just had an angiogram done. Their mother had to remain laying completely flat and not move too much and the family showed concerns about their mother needing to lie flat when she is hungry as well as the fact that she did …show more content…
When the angiogram was finished, the nurses in the cath lab inserted a straight catheter on the patient to empty her bladder immediately after the procedure, and then took it out right after. This follows evidence-based practice because the nurses were trying to avoid the development of an infection resulting from the patient having a catheter in place. The Joint Commission on national patient safety goals says that “The length of time that a catheter is in place contributes to infection” (). Because of this, that is why the nurse did not leave a catheter in the patient and why they did not insert a catheter later in the evening when the family had requested it.
Give some examples of dependent and independent nursing interventions you saw carried out in the department and/or how teamwork came into play. Describe how each team member communicated and collaborated
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There, I observed how the whole team worked together down there. I saw independent nursing interventions take place such as giving the patient a warm blanket when she was cold, hand washing, and applying the proper PPE. I also observed how the whole team worked together during the procedure. The health care team communicated efficiently by giving the doctor the information that he need when he needed it, and by the doctor communicating what he needed from the nurses and the technicians. The nurses in the observatory room helped with communication as well by properly documenting everything that was done during the procedure.
Describe a clinical situation in this setting that posed a communication challenge. This can be between client/nurse, nurse/nurse, nurse/physician, nurse/nurse anesthetist, nurse/ respiratory therapist, nurse/nursing assistant, etc. What was difficult? How was it handled? What were some effective communication techniques that were used or could have been
Nurses and physicians need to express themselves in a clear and precise manner, their message should rely on verification and collaborative problem solving. They need to displaying a calm and supportive demeanor under stress, maintenance of mutual respect, and authentic understanding of the unique role (Robinson, Gorman, Slimmer, Yudkowsky, 2010). Not everyone was born being able to express themselves in such a manner, therefore providing the necessary education and skills will help both nurses and physicians gain the confidence and competence they need to work
Today, I mainly collaborated with my nurse preceptor and the CNA. I was so excited and pleased to say that my preceptor allowed me to do almost every nursing task and he would assist me whenever needed. Adam and I worked together and efficiently by assisting one another in performing assessments. For example, I would perform vitals and respiratory exams while he performed the cardiovascular exams, then we would each chart our own findings. Also, I was able to prepare all of my clients’ medications and administer them independently; however, although I performed the three rights and six checks while passing medications I would still have him double check everything before administering them just to be safe, especially with medications that I was not familiar with.
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.
(2015) as it states that when the nurse looks at the family as a whole then the nurse will be able to assess the needs of the entire family, this in turn this will enable the nurse to implement a treatment plan that will not only impact the individual, but the entire family (p.4) empowering the nurse to treat with a holistic approach therefore, meeting the moral and ethical duty which is to include the family in the healthcare needs of the individual (Kaakinen et al., 2015, p.4). 3. Have you had an experience as a family member in which you were on the receiving end of family nursing care (care from a nurse or even another healthcare provider whose care went beyond just the primary individual to include the wellbeing of family members) for a family concern of some kind? This experience does not have to be illness related.
For the patient, unrestricted family presence facilitates opportunities for family members to support their loved ones by providing reassurance, and emotional and physical comfort 20,21 Patients report feeling a sense of security when family members are present, as their needs and desires are more likely to be accurately communicated to the healthcare team.20,21 In a qualitative focus group study (n=8) family members attested that they knew the patient more than anyone and were in the best position to provide accurate patient information, make decisions based on the patients needs and desires, and advocate for their loved ones.4 Furthermore, unrestricted family presences provides opportunities for nurses to learn about the patient, gather an in-depth and realistic history, and determine appropriate needs and care requirements, including post-hospitalization
In short time communicate with each team member. Have a conflict to make
Dr. Diane Meier states just as you wouldn 't send a young physician to do a surgical procedure without a lot of training and practice and supervision, having conversations with persons and their families about very complex medical decisions, in the context of a serious illness, is a procedure and it requires training and practice and supervision for doctors as well as nurses in palliative care. Dr. Diane Meier illuminates essential points and helpful advice when discussing illness and end of life concerns in a supportive setting of particular importance is step 6: Ask, Tell, Ask: Part II – “Tell” • Possible script: “I’m sorry to have to tell you Mrs. Jones, but your PET scan has shown a progression of ….” • Once bad news is delivered, STOP
As a family nurse, it is important to focus on the family as a whole and ensure each member is addressed. The nurse can collaborate with the family to formulate a plan for what are the most important issues to work on and create goals. The family nurse should always be aware and value the racial, ethnic, cultural, and socioeconomic differences of the family (Kaakinen, Coehlo, Steele, Tabacco, & Harmon Hanson, 2015). It is vital that the strong relationships with the church, extended family, and counselor be supported throughout the plan of care. The nurse could encourage A.L. to seek another primary care physician, specialist, or holistic practitioner who would address her emotional needs as well as her physical needs.
This is a personal statement for my application to the Family Nurse Practitioner Concentration in the Ball State School of Nursing. My personal statement provides details on my personal background and the unique impact that Family Nurse Practitioners have had on my life. I describe my undergraduate studies and how I firsthand gained interest as well as insight on the skills of a Family Nurse Practitioner. I go into detail about my aspiration to be a Family Nurse Practitioner to directly affect the patient care of a variety of patient populations. The personal statement connects qualities of my current practice as a Registered Nurse to the proficiencies of a Family Nurse Practitioner.
The event was very meaningful for me because this is something I will have to do for the rest of my nursing career and I want to be able to do it correctly. It was my first time so I was very nervous and made a mistake that could have put the patient in danger. This journey allowed me to reflect on my weaknesses in patient’s safety and improve myself to become a more competent nurse in the future.
Family theories have been used throughout the history of nursing to help guide patient care and provide the best patient outcomes. Certain theories may be more applicable to the specific patient encounter; however, each theory has benefits and drawbacks to their use. The purpose of this paper is to examine two selected theories, comparing their strengths and weaknesses. I will also discuss a theoretical family in relation to one theory, and how that theory can be best integrated into the care provided by an Advanced Practice Nurse (APN). Description of Theories
Expected Outcomes: The client will agree to follow medication therapy and to stay motivated throughout courses of psychotherapy. Nursing Interventions: 1. Maintain open communication, speak to the personality that is forward RATIONALE: encourage patient to verbalize thoughts, feelings, and concerns. 2.
The circulating nurse also initiated the time-out. During the time-out, the circulating nurse said the patient’s name, the surgery that the patient was getting, and the limb in which the surgery was being performed on. The other health care professionals agreed that it was the right patient, right site, and right procedure. Throughout the surgery the circulating nurse continued to ensure the safety of the patient by watching the surgical staff and making sure that the sterile field was not contaminated. This nurse’s role also included gathering materials for the surgeon, throwing away trash, and keeping the environment comfortable for the staff.
Suzanna, I can definitely relate to your experience. It is so important that the patient knows you are their advocate. Unfortunately, physicians and residents often get upset and frustrated with nursing staff for asking for additional help. It is critical that everyone set aside their pride or “ego” when patient care is concerned. I have a similar scenario.
Patient safety is the highest priority of the health care providers. This manifested as the doctors work night and day for the patients’ health and safety. To establish this important goal in the medical practice, coordination and teamwork should be followed thoroughly. Here I will specify the teamwork role in the surgical department that aim to reduce the medical errors. It is agreed universally that the best way to decrease the error occurs in the medical field is by the application of the best practice tools.