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.
R/s on 03/27/16, Ms. Dupuis was brought into the ER unresponsive and covered in feces and urine. R/s on 04/08/16, Ms. Dupuis was locked in the home and covered in feces and urine. R/s home health agency reported that Ms. Dupuis is found soiled in feces and urine. ALLEGATIONS: R/s Lynn Dupuis recently had a stroke and is not able to take care of herself.
The child’s presenting history, physical symptoms, and laboratory findings should have indicated that appropriate, standard CT imaging of the abdomen, emergency surgical consultation and immediate hospitalization, due to his critical condition, were paramount. Due to the misdiagnosis of constipation, four hours after discharge, Roberto Carlos Llanas, Jr. was dead. “Had Roberto been properly diagnosed and treated when he first went to the ER at Children’s Medical Center, in all likelihood he could have been treated appropriately for internal trauma and lived to have a normal life. His life is gone, and that of his family has been destroyed,” Weisbrod said. “Roberto’s doctor and nurses simply were not thorough or paying attention to
Ivy Tech Community College School of Nursing NRSG 128 Practice Issues for the Practical Nurse Discussion Rubric Name: ___Jasmine Liubakka___________ Date: _________10-27-15_______________ Topic of Discussion: Should the impaired nurse be allowed to return to work? Position on Topic: (1) Points ________________ Yes, I feel that as long as the nurse participates in a program that includes requirements of regular attendance at support group meetings, personal and active involvement with a 12-step sponsor, and close contact with a case manager or monitor of an alternative program, she should be allowed to return to work.
First, it is important to define what it means to be an “Advanced Practice Nurse” in the state of Indiana before we can look at the stipulations set. It is defined as a registered nurse who is currently holding: knowledge acquired from a formal, and organized institution of learning, and additionally, clinical experience, or a stated board approved equivalent.
I was allowed to observe the nurses, see what they were charting on. Different nurses let me do different things, some nurses would give me symptoms and ask what I thought the next step should be. Some nurses let me take vital signs and help them assess a resident. I shadowed four different registered nurses and the Director of Nursing.
On Saturday, January 23, 2016 at approximately 1928 hours Security Officer Brandon Rodriguez was conducting a walk through E.D. the special care unit area when it was observed that E.D. Charge Nurse Jonathan Bacal and Patient Care Tech Tim Phillips were restraining patient Alan Burdick in ED room #39. The patient was combative and attempting to bite the medical staff due to being in a postictal state. Officer Rodriguez immediately responded and helped out nursing staff. He then notified dispatch and informed there would be no need for any additional officers. Officer Rodriguez assisted the medical staff in restraining the patient and after few minutes the patient calmed down and cooperated with medical treatment. Security Officer Rodriguez
This case study highlights the conflict that can arise between nurse practitioners (NP) and physicians due to lack of proper communication, poor physician attitude, and lack of respect. Clarin (2007) labels these items as barriers that inhibit effective collaborative care and ultimately hinders the goal of medical institutions. In this case study, the way that the physician treated the new NP encourages other physicians in the practice or staff members that it is acceptable to treat another provider in this manner. This poor behavior will continue the cycle of disrespect and distrust when we should be collaborating with one another in the healthcare field. Not to mention, creates an unhealthy work environment. A key component in effective
Clinical Scenario P.T. is a 25-year-old women who has been diagnosed with breast cancer with metastasis to her brain. She was recently readmitted to the hospital for pain management. She has two young daughters, who are 3 and 5. P.T. cannot care for herself, but is very aware that she will die. The nurse assists her in her daily needs: bedpan, flushing of implanted central venous access device (port), bathing, emotional support, vital signs, and pain management.
Question #6 In advanced practice nursing (APN), consultation has multiple definitions depending on the context and setting. Nurse practitioners (NPs) can be in consultation with a patient or the term can be interchangeable with referral and collaboration.1 The goal of consultation is to enhance patient care through the improvement of skills and building confidence to promote positive interprofessional relationships. Unlike referral and collaboration, the practitioner may not physically see the patient during consultation and the advice given is solely left up to the consultee and patient to accept or reject. In client-centered case consultation, the most common type of consultation, the APRN usually sees the patient in person to complete
When my clinical preceptor accepted the position of Operating Room (OR) Manager at Lakeland Hospital in St. Joe last year, there were 15 open Registered Nurse (RN) positions. It has been a continuous challenge to hire, train and maintain the nursing staff in the unit, especially with the six month training period that is required for this particular specialty. It has been a long process to fill these positions and although there are currently 19 RNs that work on the unit, there are still four open RN positions that remain vacant. This comes as a huge expense to the hospital as they are forced to use travel agency staff to fill these positions.
Excellent presentation .On the other hand, as you mention nurse practitioner (NP) play an important role in patient health screening and supervision, wellness, health education and counseling. Moreover, for the patient education most NP used written patient education materials in alternate formats for patient education, such as audiotapes, videotapes, and computer software rarely used (Cafiero, 2013).What do you consider is the connotation of the NP curriculum and continuing education ?
Social media is a tool which provides an opportunity to connect with other people to share the information as well as it can be used as a part of the health care delivery system (CNA, 2012). However, sound knowledge of risks associated with using social media in personal and professional life of nurses is very important (CNPS, 2012). Therefore, Mathew should be fully aware about the ethics and professional practice standards of nursing for sharing his life experiences on the Facebook account. It is very crucial to protect patients’ right to privacy and confidentiality all the time (Henderson & Dahnke, 2015). Not only this, Mathew as a Registered Practical Nurse should maintain professional boundaries, profession’s integrity and employer policies
On the hand a nurse practioner, can be described as an advanced registered nurse. This means that he or she holds a masters or doctoral degree in nursing and has acquired training on diagnosis and management of some of the most common medical conditions in health care. This training mostly involves various things that include the physical assessment, diagnosis, diagnostics, pharmacology, therapeutical treatment, emotional support and counseling to the patients especially those that have lost hope because they have critical illness or have accumulated hospital bills and they feel hopeless, referral that is referring the patients to other health providers as needed. and discharge procedures, case management practices and patients intake. This