Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients. In addition, she is most frequently assigned any change of shift admissions.
Reflection on Interview with my senior Two weeks ago, my partner Xin Xin and I interviewed one senior nurse. Her name is Khin Myint Myat Oo, she is from Myanmar. We interviewed about her experiences when communicating with patients during her clinical attachment at the National University Hospital. She shared us what she did and how she overcome her challenges. She described the two difficulties: the first problem for her is caring for the stubborn patients.
In the essay, The Devil’s Bait by Leslie Jamison, Jamison emphasizes her paper about Morgellons Disease. Throughout her essay, Jamison introduces the urgency of the disease by going to a location that is known to have many people asking the doctors to believe them. The reason Morgellons Disease is an urgent topic that must be discussed is because many people feel like their voices are not being heard and ignored. Many have a disease whom they see as needing emergency treatment, however they are being told it is their brain playing tricks on them. The rhetor is compelled to speak about this issue for it gives those whom she interviewed a sense of voice and a call out to doctors to be more understanding of their patients.
There is a lot of technical and clinical information that the one will need as a nurse: critical thinking and communication skills, patient assessment skills, understanding disease management protocols and development of care plans (just to name a few), most of which is only obtainable through college or technical school and on the job experience. Respect for the patient, the patient’s support system, as well as, respect for yourself is another essential trait necessary to be a successful registered nurse. If patients are sick or worrying about what might be wrong with them, they are going to understandably be anxious or upset (and probably both). Part of practicing compassion as a nurse is recognizing situations like this – and so many more – and striving to help patients maintain their dignity through it all. This requires honest and straightforward communication.
A comparison chart that was posted on The Physician Assistant Life website, shows the time is the classroom, clinical hours, after high school education, residency, and degree after completion, recertification, and salary along with a few others listed. The chart has the information for a nurse, nurse practitioner, physician assistant, and physician. The time in classroom for nurse practitioner and physician assistant range from 500 to 1,000 hours whereas a physician is two years. A residency for a nurse practitioner and physician assistant is they either don’t have one or is optional and it is only one to two years long. Whereas a physician has a three to eight year residency.
Reflection on Medication Administration Description (Competency 3j) I have looked over my moral development regarding medicine administration and have noticed there is the need for improved and has been agreed with my mentor to write a piece of reflection to identify areas of concern Feelings One of the major concern is the pace of dispensing and the time spent used to open charts and allocate them is one of my weakness. Although I am learner I need to back up the pace of dispensing so that patient doesn 't feel my skills is dull or boring and waste of time. I Had developed that feeling of being extra careful to avoid drug error and that makes me feel slightly nervous more also being under the influence of supervision as well. Evaluation
15 The professional organization for NP’s is the American Association of Nurse Practitioners (Nurse Practitioner). Many employers of NP’s like to see that their prospective employers are members of this professional organization. 3 These employers include, hospitals, family or small clinics, nursing homes, home health agencies, and rehabilitation clinics. 6 Since NP’s provide most of the same services as a physician, they are very sought after in the medical field. An NP can be hired in a new position and immediately begin seeing patients.
The house supervisor and DON were standing by the nurses station, so Nurse A asked if one of them could do the admission, since she was still administering medications and treatments to the other residents. They agreed to help. At 1500, it was change of shift. Nurse A gave report to Nurse W, and relayed that there was a new admit and the admission was being done by the DON and house supervisor. A brief assessment on the new resident was done upon administering medications.
Facing the fight with a struggling will and a fading hope, some of these children were not going to win against the massive enemy they had been thrust into the ring with. I then began to think of the nurses that dedicated their days and nights to these vulnerable victims and how much power they held within their hands. In the most susceptible times of their lives, these patients are very malleable and nurses hold the tools to shape them, for worse or for better. Then I thought, why not me? Why not be one of the nurses who can help bring light and hope to those that can’t seem to find any?
A few factors that can affect the relationship between a nurse and a patient would be the tone of voice used, the way we phrase our sentences and avoiding the use of medical terms to make the patient understand better. Besides that, communicating with patient in terms of serving their daily needs is part of our noble job too. Although language can sometimes be a communication barrier when dealing with an elderly or a foreigner, nurses are expected to try other means and ways to converse to achieve a certain level of understanding, such as via sign and body language. Other than language barrier, communicating with patient daily is essential in order to build a good rapport and instilling a sense of trust. For example, when patient asks for a favour to be showered despite odd timings or during busy hours, nurses have to obey their needs and meet their expectations.
Most patients do not know what advance directs are, so we should clarify the information and make sure they are satisficed with their decisions. If the patient in the last minutes of surgery wants to change anything in the advance directs, we should give them a chance to change it. Even in preoperative phase, we want to teach the patient what will happen after surgery and things they should do like ambulation. As the nurse you should explain what the purpose of ambulation is to the patient. You should always teach and educate the patient about their well being.
However, I need to get assessments done and show difficult patients, who is in charge at the moment. I know in the case of Margret, it was her disease, not her truly personality. Leading me to conclude, when I have difficult patients and I am not present and get anxious; they will feel this negative energy and possibly react in a negative way; just as Margret did. Not only did these horses confirm that I need to improve on being assertive; they also helped me to find an interest in my future career. My love helping people learn things about themselves through reflection; this could be through therapy or class.
I am interested in your New Graduate Nurse Residency Program. I graduated with a Bachelor of Science Degree in Nursing from the University of Massachusetts Boston and recently obtained my MA RN license in August 2015. I choose to be an RN because I love learning about the anatomy and physiology of the human body and working with people. When I was a little girl, I would watch the Discovery Health channel instead of watching cartoons. In high school, I became interested in social justice work when I did a month long volunteer service trip to India.
To have a better understanding of nursing from a person who has been in the field longer, I interview Ms. Santa, Faulkner University’s school nurse. She is located in the school’s gym and is able to accommodate every Faulkner student, faculty, and staff. It was joy to interview her because unlike Alicia Burke, she only has an associates in nursing. Ms. Santa is from France and started out attending nursing school at Le Vinatier Colloque. However, she ended up obtaining her degree from Hayworth College in California.
All members must be educated on the different roles and functions of all positions. Tensions, misunderstandings, and conflicts caused by differences of opinions and interests can interfere with effective interdisciplinary communications (Lancaster et al., 2015). While this study was performed in a hospital setting, I wonder if the results would be the same in a clinic? It is not unusual for a physician or an APRN in a clinic to only have a UAP working with them. As patient loads are increasing and providers have less time to interact with the patient, it is essential to include all feedback from the UAP.