Monday October 26th: Today at Moses Cone hospital, I was in the role of student nurse. I had two patients; one a returning patient, and the other a new patient. The nurse I was working with is someone I have never worked with before or even seen on the floor, but she seemed to be familiar with the unit. It was about 3-5-45 minutes into the shift before we received hand off report. After about 8 minutes of waiting to get report on the rest of her patients, my nurse went ahead and started to see patients.
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
There are some nurses who are not genuine and have a negative behavior such as those in the Bed Number Ten. “Within minutes, another nurse came in and said, All right, Sue, now let’s raise you up. I struggled to move then I remember. I just had a spinal tap. Don’t you get headaches if you get up? Oh, yes, she answered with alarm.
The nurses were caring and they worked diligently throughout her recuperation, they answered all my questions, easing anxieties and fears. The admiration and respect I felt for them came from their professional care of my mother. That moment
The nurses exchanged concerned looks. I would see those same eyes in my aunt when she visited me in the ICU, but the difference is that one look was worried for possible neck injury, and the latter was telling the news of my father’s death.
Chelissa Biegen-Szymanowski, Veracity, or truth telling, “engenders respect, open communication, trust, and shared responsibility. It is promoted in all professional codes of nursing ethics” (Burkhardt & Nathaniel, 2014, p. 73). In order to effectively illustrate veracity in the workplace, a nurse must openly communicate with their patient, deleting any barriers that exist. In the case study, Jackson assumed that her patient abused pain medication, which prompted her to offer a placebo in its place. Upholding the nursing ethics, I agree with you that the nurse obtains an obligation to speak the truth, when questioned on procedures, treatments, and diagnoses.
Moral Dilemma HOSPITAL: You started your first job at a large hospital. You are assigned a patient to treat who no one wants to work with because the patient always says “NO”. The Occupational Therapy team leader tells you that you need to treat the patient because the doctor is angry that the patient has not been receiving therapy. You are told that the patient’s nurse has called to complain to the therapy department about the fact that the patient has not been receiving therapy
Day two clinicals. This day went so much smoother. I had the same two patient as the day before and one got discharged and I got a new patient. I feel like my second day I had an amazing relationship with my one patient. I got her to eat a little more that day because I knew what to talk to her about. When people are happier they tend to eat more than being depressed. She really enjoyed my company. Since she had a stage 4 pressure ulcer, they got an air mattress bed. We had to move her out of her old bed onto this new bed. In which I was worried about because she was bed bound. We had more than enough people to help me accomplish this. I had about seven people help with this process. I am very grateful for all the help I receive for this. I got to help you mess with the
But the staff understood and Dr. Westwood got an ambulance and reached to ED. He presented with diaphoresis, motor dysfunction, paresthesia, nausea, and ascending paralysis from his leg to the upper body, arms, face and head. He became cyanotic and hyperventilating and it turned to be bradycardiac with a BP 90/50mmHg. After five hour long clinical treatment procedures were followed for tetrodotoxin poisoning, his vital signs were
Mr. A is admitted to the critical care unit post bowel resection, splenectomy, acute respiratory distress syndrome (ARDS) and patient-ventilator dyssynchrony (PVD). He is an eighteen-year-old African American man who is placed on an IV infusion of Norcuron and Ativan. The major outcomes expected for Mr. A would be for him to be able to wean of the ventilator, be hemodynamically stable, heal adequately, tolerate his diet, have adequate bowel elimination, and be able to adjust to his life with optimal functioning. The problems that are to be manage include, being on the ventilator, being sedated, having an elevated temperature, having a low hemoglobin, post surgical bowel resection, splenectomy, hypoxia and diet intolerance.
Justin is the registered nurse that has been given the handover for Kelly Malone’s postoperative care in the surgical unit. Kelly Malone is a 49 female patient who has had a septoplasty and a right ethmoidectomy. Justin is working with Kelly to identify Kelly’s needs in order for Kelly to be discharged from the hospital. Kelly’s postoperative observations were a temperature of 36.2 degrees celsius; heart rate of 68 beats per minute; respiratory rate of 18 breaths per minute, blood pressure of 111 systolic over 73 diastolic millimetres of mercury; oxygen saturation at 93 percent of room air and a self-rated pain score of two out of ten. Kelly has a history of ‘not being able to breathe well through her nose’ and a history of disturbed sleep.
The lady then looked at the paper and realized it was wrong and started to laugh and said “ I am so sorry I wrote the wrong one down.” I knew that if I didn 't notice the papers they would have done surgery on my right knee instead of the left knee. I was moved to another room where other people were surrounded by nurses getting prepared for surgery. The moment I was stationed in my room I was surrounded by different nurses. There was the anesthetic nurse, the head nurse, the assistant nurses and even the nurses that are in training.
Oddly enough, that same person walked through my door about thirty minutes later, or at least I thought it was him. I yelled at him. Full on screamed at him for giving me a medicine that nearly killed me. He looked flustered, but then recovered moments later.