As part of the nursing program, I had the opportunity to spend a day observing in an outpatient surgery unit. As I entered the unit, I noticed it had two hallways and in each one, there was a nursing desk. The patients originally arrived at the admission area downstairs and then escorted to the second floor where the unit was located. Once checked-in into the unit, they were placed in a room until the preoperative process was finished and the surgical team was ready. The role of the nurse was to assess the patient before and after the procedure, ensure that all information was correct and updated, and monitor for any complications. After meeting the nurse I was to observe today, we headed to the room where her patient was. She greeted the …show more content…
Once stabilized, then he would return to the unit until discharge. The nurse showed the spouse where the waiting room was and how to get to the cafeteria. The patient was having a cardioversion due to paroxysmal atrial fibrillation in an attempt to correct the abnormal heart rhythm. According to the Mayo Clinic website, cardioversion is a procedure that is done to restore a normal heart rhythm in patients who have arrhythmias. It is done by sending electric shocks to the heart through electrodes placed on the chest. No special preparation was needed prior to the …show more content…
It allowed me to have a better understanding of the pre and post-surgical procedures, including the admission questionnaire and the monitoring needed after the patient returns to the unit. One key question to ask was which medications did the patient take and at what time. This information is necessary to determine if there are any interactions or adverse effects that can compromise the procedure. Some medications may be held due to its side effects. For example, if a diabetic patient take his medication and doesn 't eat for many hours, the risk of hypoglycemia increases. In the elderly population, because of the decrease metabolism and excretion, some medications may need to be withheld days before. Therefore, a thorough assessment should be completed upon admission. Nurses need to be able to assess situations quickly and confidently and make the best care decision in each scenario. The opportunity for observing and participating in the nursing clinical allows for students to acquire the critical thinking skills necessary to become a competent and knowledgeable
Since the clinic is so fast paced, I did not have time to fully examine the ECG printout, but I was able to see that the patient was in atrial fibrillation. Because the clinic is extremely fast paced I was told to take initiative, so I started grabbing patient folders and rooming patients whenever an exam room was available. I was able to get a little more experience with the after visit summaries (AVS), but it still felt a little awkward. Also, I learned to really pay attention to what room number the patient is in because it is written down on the patient folder and then given to the provider.
Moreover, several studies have been conducted to examine the effects of low nurse staffing on patients hospitalization experiences, as well as its effect on nurse careers in the long run. A recent study by Frith, Anderson, Tseng, and Fong (2012) to explore the relationship between nurse staffing and medication errors, demonstrated that medication errors were higher in a cardiac care unit and non-cardiac care unit when staffing levels were lower. In addition, Frith et al. (2012) pointed out that medication errors increase by 18% for every 20% decrease in nurse staffing below the average due to failure to follow medication administration protocol As mentioned earlier, nurses perform the last and the most important step of medication administration. Thus, having adequate time to assess each patient efficiently and following the medication rights is critical to provide safe patient care and prevent errors.
Since my mom was a nurse, I frequently heard about the life inside a hospital, but I never paid attention until I went back to visit family in India. When I went back, I realized how simple things, such as
Having spent over two hundred hours in the operating rooms, clinics, and Emergency Department, I can guarantee my efficiency and professionalism in a clinical setting. I often found myself interacting with patients and their families and guiding them in the right direction or to the right staff throughout the hospital. This internship also contained an academic component, in which interns received rigorous training in medical terminology, anatomy, and a few surgical procedures from attending surgeons at UC Davis. I firmly believe that this internship provided me with the experience and background knowledge necessary to carry out the duties required of this
Nursing Diagnosis The following nursing diagnosis’ is based off of our families weaknesses and strengths. It is important for the family to know their strengths and problems to limit potential problems in the future like: conflicts between family members and family stability. The most important problem that K. S. faces is caregiver role strain. While S. S. is at work and going to school full-time, K. S. is busy taking care of the day care and their two daughters, M. S and A. S..
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.
When I arrived, I received a badge to be able to get through the building since it’s a locked unit, which means that you must have badge access to be able to get into the operating rooms or any areas that aren’t patient rooms. When I walked in the nurses were doing their daily huddle. That when they talk about how many surgeries they will have that day, and if they are missing any nurses or doctors. I got to meet all the nurses from both the post and pre-operative side. I had previously worked with a few of the nurses before at
As a pharmacist student, I am able to review the patient’s clinical notes and medications list to make sure that nothing “falls through the cracks. ” I can make sure that the medications are dosed correctly because often in the ICU patients are on antibiotics that need to renally dosed based on the patient’s renal function. After reviewing the patients information, I am able to make recommendations to the other healthcare professionals. In my future pharmacy practice, I think it is important for pharmacist to have an inter-professional collaboration with physician and nurse practitioners.
Under the management of other medical staff, nurses are usually the ones helping residents
According to Cross (2009), learning takes place not only within the formal environment, but it also happens in an informal environment such as the clinical environment of a hospital; as such the physical context of the clinical area is not primarily designed for the purpose of learning. In fact, a hospital ward has been constructed and organized to manage the sick; however, teaching and learning can occur within the ward environment, even though this in not its primary function. As a result, teaching in this environment requires adaptation and the ability to work with what is available rather than trying to produce the ideal environment. Additionally, Cross (2009), state that the primary function of teaching and learning in an informal environment position the teacher to be able to direct, enhance and sustain learning through the use of illustration. However, Sankaranarayanan and Sindhu (2012) state
Harris warned me of what kind of problems that was going on at the patient’s home before we arrived. The APS (Adult Protective Services) was called on the last patient due to the conditions the patient was living in. Harris only had three days to make a visit to the patient to actually see what is going on. Then, after the APS goes out to evaluate the situation, Harris had to go back to the patient and see what kind of help she can offer to the patient and the family.
Observing the response and actions of the patient can assist the nurse in
Summary statement of what will be accomplished and how the project can be applied Improving the knowledge of registered nurse in assessing patients with assaults will assist the nurses in the plan of care for such patients. Identifying such patients will facilitate staffing accordingly and may even require utilizing one on one staffing ratio for a potentially assaultive patient which will reduce any incidents of assault to either the nurses or other patients.
For my senior project, I observed surgeries and clinical visits at Oregon Urology Institute. I selected this area of study for my senior project because I have always had an interest in the practice of medicine. I wanted to learn why modern medicine is perceived widely as safe and reliable. Going into this project, I had some idea about what a surgical environment would be like. For the last two years, I have been volunteering in Mackenzie Willamette’s emergency department.