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.
They constantly assist doctors, but all in all, spend the most one-on-one time with these young patients and their families. Therefore, these nurses must have a caring and compassionate nature to physically and mentally assist their young patients. As a pediatric nurse, you do many things, including direct care, informing patient’s and their families about their different options, setting up specialized treatment plans, monitoring the condition of patient’s and much more. In this position, you will be working with children of all ages from infancy, to toddlers, and all the way up to adolescents. However, before you can do any of this, you must first complete a grueling, yet rewarding academic career.
Introduction A perioperative nurse is a nurse who is responsible of taking care of surgical patients prior to, during and after surgery. These tasks include attending to their physical, logistical and emotional problems. Perioperative nurses report on everything that transpires during their surgical care, including meticulous recording of vital signs, diagnostic tests and laboratory results, surgical dressings and drugs. In addition to all this, they are responsible for the overall assessment and any warnings about the change in status, which to the physician are crucial. The perioperative nurse is an integral part of a surgical team, and as such, the role it plays is crucial to the health and welfare of their patients.
As a nurse, you’ll regularly work one-on-one with patients, and proper communication in such situations means far more than just giving a dose of medicine or starting an IV. Nurses are responsible for talking to patients and helping them understand medical situations, which can be complex and quite scary to the person who 's going through such tribulations. Great nurses are clear communicators who truly listen to patient needs (and make sure to acknowledge that those patients ' concerns are being
As one of the nurse leader in my department, I use relationship-centered communication techniques in my workplace. I often give praises to the group members for effort and encouraging input. As nurses in the world are known with their most caring traits, they have built their own credit in the medial industry. But regardless of being valued, nurses still have to overcome several difficulties in their career such as long working hours, less compensation, and workplace violence. Helge (2001) stated that the trends in the
At the age of seven, I witnessed my mother being rushed to an operating room to undergo heart surgery. I didn’t know it at the time, but this incident would begin to set the stage for my path towards medical school. From then onward, I assisted both of my parents during their subsequent appointments and hospital visits and bridged the language barrier thanks to being trilingual. I also helped fill out paperwork, and most importantly, was there for continual emotional and physical support. Having to take on this role instilled the quality of compassion and empathy within me as I carefully observed the physician’s kind and professional treatment of their patients, including my parents.
Assessment is a fundamental component of any nurse’s role. However, from what I observed today it seems particularly vital to the PACU nurse. While they do provide interventions, the majority of PACU nurses’ time is spent assessing their patients and documenting their findings. Patients in the PACU have undergone the significant stressor of surgery under general anesthesia and they have the potential for very serious complications. It is up to the PACU nurse to observe if the patient is declining and act quickly and appropriately.
The nurse has to put all activities of the patient in an orderly and sequential list. All five steps of the nursing process, which is assessment, diagnosis, planning, implementing and evaluation occur simultaneously. The most vital competency in the nursing process is called QSEN (Quality and Safety Education for Nurses), whole process is strongly close. It improves a nurse who has knowledge to perform the critical skill and professional attitude, about the quality and safety of the health care system within their work. QSEN includes: 1) Patient-centered care – involve patient’s respect, dignity, privacy and compassion 2) Teamwork and collaboration – involve all healthcare system such as physician, nurse, therapist, dentist, pharmacist, social worker,
The side effects vary depending on the specific agents used in therapy, as well as the dose and the duration of treatment. Short term effects usually occur during the course of treatment and resolve within months of completion of therapy. Fatigue is experienced by all chemotherapy patients and will disrupt a person’s daily life on a continual basis. Nausea and vomiting is one of the most frequent and debilitating side effects of chemotherapy treatment. (Hesketh 2008) states patients report chemotherapy induced emesis as one of their biggest fears, but thankfully these symptoms now can be eased by anti-emetic drugs.
My Future as a Nurse Practitioner 1 Take a moment to imagine yourself in a hospital or a clinic. Have you ever wondered who is taking care of almost all of the patients in a medical facility, all at the same time? That person is a nurse practitioner, or an NP. Besides administering medication, treatments, diagnosing patients, and performing small outpatient surgeries, it is an NP’s job to treat all of their patients with love and care. Doing this makes their patients feel like family, so they will trust their NP to properly care for them.
They plan their day according to their patient on a piece of paper or in their brain. Throughout they day they are constantly charting and observing a machine of each patients heart rate and blood pressure. They do this every hour. They are in constant contact with doctors unlike the nursing home when its only if a patients is seriously injured. Also another big difference is if something is wrong with a patient at a nursing home they have to call the doctor at the hospital they have to use your brain and figure what the thing to do.
In reading Hood I find this paragraph to be interesting dealing with Informatics in a nurse daily life. The Average person today has access to more information online than a single person could possibly comprehend in a lifetime . Informatics science deals with the discovery of " Efficient collection , storage and retrieval of information " (Agnes , 2005, p 733) Informatics have become what every nurse use on a daily bases. The nurse is looking up Labs , Radiology Reports , Demographics , and communicating promptly to the Doctors . Without Informatics how many patient care would be delayed .
In our facility administration provide continuous training to leadership and staff in order to increase patient satisfaction, our motto is ”Communicate clearly and often", every interaction with patients is an opportunity to educate them. We start teaching and educating people from the day they come in, making sure they are prepared to take care of themselves at home. Another tool that we use to ensure effective communication is providing interpreters for patients who do not speak or understand English, this is crucial for information about medication and discharge instructions. Patient whiteboards were upgraded and are use to the fullest, they serve as a communication tool between hospital providers and as a mechanism to engage patients in their care, whiteboard use could improve teamwork communication as well as patient care and awareness of their care team, admission plans and duration of admission, and significantly improve patient overall satisfaction. The bedside nurse manages writing and updating the whiteboard each day using a templated board, the displayed information includes day and date, the names of the patient, bedside nurse, and primary and attending physician, family member 's phone number, diet, pain management and mobile numbers for Nurse, Charge Nurse and Nurse Assistant.
Two of the most important things I have learned today were how to speak to a patient in a calm and informative manner and what is expected from a preoperative nurse. One thing I learned is that we as nurses are allowed to reassure the patient information about the surgery once the surgeon has explained everything. If the patient still wants to talk to the surgeon, we should get the surgeon to come and talk directly with the patient. Another thing I learned is always ask about advance directs. Most patients do not know what advance directs are, so we should clarify the information and make sure they are satisficed with their decisions.
I was highly impressed by the overall teamwork in the emergency department. It has a sense of organized chaos that would have taken me some time to adjust to. My nurse and I ended up going through a large group of patient during the time I was there. The nurse has this uniformity to how she would get her tasks done. The thing that through me off was the amount of stuff got done with our patients by other people.