Reflection On Preoperative Experience

The Hill v. Ohio County involves a wrongful death case in which the hospital refused to admit Juanita Monroe. She thought she was in labor. As a result, she delivered her child at home without medical attention and died shortly after giving birth. The plaintiff was Lorene Hill, administer of Monroe’s estate, against Ohio Country Hospital. The question arises whether there was a breach of duty by the hospital in accordance to the institution’s admission policy. The staff nurse followed all protocols defined by the hospital. When Monroe arrived at the hospital there was no apparent emergency. Moreover, the nurse went above and beyond to provide for her, she gave Monroe information where to get OB services and even offered an ambulance

The expertise of a Registered Nurse is defined by many areas. Specifically, every RN requires to have attention to detail because any mistake can be fatal. Additionally, being calm under pressure is another essential due to situations that are life/death. To elaborate, Registered Nurses need patience attributable to stressful circumstances. “Anesthesiologists and certified registered nurse anesthetists (CRNAs) must acquire the skills to recognize and manage a variety of acute intraoperative emergencies.” Nevertheless, these abilities become

A suitable career for my goals would be one that is rewarding. I would want my career to help people and be beneficial to the world. I would also like a career that is hands on and exciting. A CRNA career interests me because every day is different and this job is helping save lives and get patients through surgery comfortably and safely.

During my clinical day three, I demonstrated entry-level competence in professional nursing practice in caring for patients with multiple and/or complex unmet human needs. I addressed safety needs, safety in medication administration, effective communication, and surveillance for my patients. First, I addressed safety needs my ensuring the appropriate safety measures were implemented for the patients. Some of the safety measures included, wearing non-skid socks, wearing a yellow armband which indicated fall risk, keeping the bed in lowest position, two side rails up, bed locked, and the call light within reach.

When a patient is undergoing anesthesia, their life is not only in the hands of the surgeons, it is also in the hands of the nurse anesthetist.

Spending time in a paediatrics office highlighted the challenges in treating children and the traits needed to overcome them. I found that an amiable and spirited demeanour was essential to put the child at ease in a daunting environment. In addition, strong communication with the parents was key for a precise diagnosis as they acted as the child’s voice. I also observed in an operating room which was an insightful experience. This allowed me to work with the elderly where I witnessed the patient’s journey from pre-operative through to post-operative care. I discovered the importance of empathy and understanding as the patients were very frightened and by listening to them, I found I was able to put their mind at ease and give them a more positive medical experience. I was able to speak to both the surgeon and anaesthetist and learnt the immense commitment involved however being able to improve lives was rewarding. I established that nurses play a soothing role for the patient in their whole journey and found their

The American Nurses Association estimates that up to 80% of serious medical errors involve miscommunication between caregivers when patients are transferred or handed off during shift report (ANA 2012). In the nursing profession change of shifts require the successful transfer of information from nurse to nurse to prevent medical errors and adverse events (Sullivan, 2010). Research shows that when patients are included and engaged in their health care there is greater potential to lead to measurable improvements in safety and quality of care. The purpose of this paper is to report results of an organized review of the literature which studied bedside reporting in the hospital

Ms Anna Liza D. Fernandez demonstrates excellence in the execution and balancing of leadership and management roles in the perioperative unit. Maintains the highest personal performance standards and reflect the successful integration of the VISN Network plans and strategic priorities, VA Program Office programs, and the local Medical Center goals and core values. Her leadership was recognized not only in the local medical center but also with the VISN as she was awarded VISN8 FY14 Quarter Supervisor. Ms Fernandez assumes the role of Nurse Manager of the Operating Room, and has been providing coverage to other NMs of the Surgical Nursing Team, as well as assisting the Chief Nurse of Periopeartive in providing needed coverage in during

A root cause analysis is mandated by The Joint Commission (TJC) to be completed for every sentinel even. By doing this it allows healthcare providers to review contributing factors, establish a baseline and how to prevent future events from occurring. Root causes are identified factors within a process that can be restructured to decrease the risk of harm being repeated. (The Joint Commission, 2013) A sentinel event is defined by The Joint Commission as “unexpected occurrences involving death, or serious physical or psychological injury”. (The Joint Commission, 2013)

You have to get to know the patient before the surgery and you meet with them after the surgery has concluded. You get to know them so you know what type of anesthetic and how much of it to get the patient asleep and numb to the pain for the entire duration of the surgery. You have to be careful because this is also a very dangerous job because you could kill the patient if you administer too much drugs not to mention the fact that you could get sued for killing the patient and lose everything including your nursing license forever. Then you would never be able to be a surgeon or any related field again especially anesthesiologist you would be lucky to get a job at McDonald's because you killed someone. You will be lucky if your living in a box on the side of the road because you could get arrested and get sentenced to 10 to life for involuntary manslaughter. In general this is a very stressful and dangerous job with very high risks

Primarily, Caring Memorial Hospital will be held liable in this malpractice case under the premise of respondeat superior. “Under respondeat superior an employer is liable for the negligent act or omission of any employee acting within the course and scope of his employment” (Thornton, 2010, para. 2). The risk manager Susan Post, JD and the quality assurance director Amy Green were both aware of the potential for increased risk on the Oncology unit. They had been making observations several months prior to incident that related to deficiencies in staffing and safety standards. Per, ASCO and ONS (2012) new staff are required to demonstrate competency and receive comprehensive chemotherapy education. Jeffery Chambers, RN was

The nurse will have to monitor vital signs, laboratory values, intake and output, wound healing and the patient as a

In response to hospitals being under staffed with nurses, Theresa Brown argues that hospitals must have a sufficiently large nursing staff in her article “When No One Is on Call”. She effectively builds her argument by using personal anecdotes and statistics.

Certified registered nurse anesthetists (CRNAs) are compassionate and driven people tasked with performing a job that requires vigilance, mental acuity and dedication to improving the provision of health care. The decision to research this career is based on the growing need for affordable health care and the CRNAs’ dedication and continual ability to meet these demands. CRNAs demonstrate intelligence, indelible work ethic and an unsurpassed desire to advocate for the patients under their care. CRNAs provide ease and peace of mind throughout the perioperative period by including patients in the discussion and formulation of anesthetic plans. Intraoperatively, CRNAs are charged with the task of providing amnesia, sedation, immobility and analgesia

In this assignment, I will reflect on my two practical days in the ward. We were assigned to experience certain wards and had to complete a set of objectives. It was important to work hand in hand with the nursing students and qualified nurses in order to understand what the processes are regarding the patients outside of the Radiography department. I will explain how these patients’ needs will be met when they arrive in the Radiography department. Maslow’s Hierarchy of needs and the four principles of Ethics are also evident in this assignment.