Brione Garrett Single Day Surgery Clinical Ashley Tyler/ Mark Potvin Today I got the opportunity to go to the single day surgery clinic for a clinical rotation. I arrived at about six fifty to be a little early.
Therefore, Lactated Ringers is not an appropriate IV solution selection in this scenario. • F is incorrect because while patients over 70-years old are at risk for fluid overload, the nurse would assess the patient’s lungs, however assessment of the heart is not necessary. Moreover, the RN should measure vital signs and assess lung sounds before the transfusion, after the first 15 minutes and every 30 minutes to 1 hour, per agency policy, until 1 hour after the transfusion is completed (Silvestri, 2018). NCLEX Question #2 A nursing instructor is teaching a class of nursing students about acute hemolytic transfusion reactions.
As a leader within my fraternity, I've performed and practiced therapeutic communication without even being aware of it. This week I was able to active listen to patients, such as a patient who explained his glaucoma to us and how it was partially fixed, but a complication arose that needs to be assessed and stabilized. I also was able to sit down and talk with a patient before her bath to see what she wanted to wear. Asking open ended questions, active listening, being silent to give her time to respond, etc. enforced my therapeutic communication within the healthcare setting. A non-therapeutic bias I've come to realize is that instead of talking to the patient, I communicated to the nurse instead.
Preventing surgical site infections are a major concern for surgeons. Many surgeons require patients to wash with a skin antiseptic prior to surgery. A chlorhexidine wash is the antiseptic of choice for many surgeons. The patient is to wash with the chlorhexidine wash daily for three days.
Finally, some conclusion will be drawn as to summarize the assignment. There was an incidence happened when I about to start my 4th day of clinical posting duty, mostly I will get to know and check on my patients first with the updated patient’s information as usual after the report was taken. I go straight to my responsible cubicle. Check for every patient’s need. Suddenly, I heard a big noise from inside of the
 All the medications like, bronchodilators and steroid inhalers should be continued. The patients are asked to carry all the medication on the day of treatment. A physician advice or opinion to step up the treatment has to be considered before the start of the treatment, if patient is having acute exacerbations. LA with adrenaline can be used cautiously as these patients may also have corpulmonale features. Patients with COPD in acute emergency the oxygen supply should be judiciously used as the oxygen itself may suppress the respiratory center.
Preparing for a Tummy Tuck Your surgeon may ask you to quit smoking from at least two weeks before the surgical procedure until two weeks post surgery. You may also be asked to consume healthy, well-balanced meals as it facilitates the process of healing.
Description: The incidents occurred while carrying out certain intervention on my assigned client in the unit with my clinical instructor. It involves the removal of a foley catheter and an IV.tubing on my patient which was due according to the protocol of the hospital. Although my primary nurses wanted to carry out the procedure with me assisting her,my instructor suggest that I do it while she supervises me since it was my first time. I was quite excited to learn and acquire this new squill that I forgot to prepare adequately for it. Critical reflection:
Throughout clinical practice this semester I have been able to address difference in nursing care, work alongside other heath care workers. During one of my shifts there were many times during the day where the RN on my team challenged my skills. For example, I was hanging an IV line for a client and had labeled the tubing to ensure that it was changed every 24 hrs. The RN went on to challenge this as she felt it was unnecessary and I should have labeled it to be changed every 72 hrs. I explained that I had done it because the IV wasn’t being run all day.
I am currently a pharmacy technician in-training at Kroger Pharmacy, and plan to obtain my official technician license in December. I dispense medications, input patient 's information into the computer system, answer phone calls, maintain sanitation standards in the pharmacy, and help customers locate over the counter medications and supplies. Working at the pharmacy has taught me how to work efficiently in fast pace situations, how to prioritize what tasks neeed to be completed first, time management skills, and the names of
The doctor moved Justin to a private room and minimized the number of staff interacting with him. The doctor also had one of his psychiatric staffers spend time with him every day. With the improvements in his life, Justin made a remarkable improvement by not throwing food and smearing feces. He started to show some social stimulation. The doctor’s colleagues thought he was wasting hospital resources by asking for help with Justin; however, with the help of the therapist Justin was sitting in a chair and standing with assistance.
Tina, I see you have selected a primary or family care physician to follow up with. Having a family doctor is so important to assure that your wound is healing properly and also for your long-term health care management. Excellent job! Dr. Cade is located at Shadow Health Clinic and his office is in the next building just after the hospital entrance. Your appointment is this Friday at 10:30 a.m.
Issue: For many alcohol withdrawal patients, providers will order assessments using the Clinical Institute Withdrawal Assessment (CIWA). Since it is not ordered for all withdrawal patients, there is confusion at times among staff on how to use properly. Action: As the unit champion for CIWA, she collects data and performs chart audits on patients on the CIWA protocol. With the data she collects, she ensures proper documentation is completed and the bed alarm is on or a Patient Safety Aide is present. She updates staff on issues discovered during audits and informs them of changes to the CIWA protocol.
Recognizing, acknowledging, and understanding medication safety is important when administering medications. Understanding which medications are high-risk ones, being familiar with the medications being given, remembering the five most important rights when administering medications, communicating clearly, developing checking habits, and reporting the medication errors will lead to safe outcomes for the residents. However, errors do occur from a lack of experience, rushing, distractions, fatigue, doing too many things at once, not double checking, poor communication, and lack of team work. It is not only the staff that commit errors, but also the work environment that contributes to the medication error. Two examples are poor reporting systems