In studying Registered Nursing one will find that they have to be compassionate and want to care for others. Registered Nurses assist physicians with suffering patients of any medical condition. They help to decide the patient’s medicine, treatment, recovery, and educate the them and their families on post-medical treatment. They need to have bedside manner, and be able to prepare patients for surgery. Registered Nursing careers range anywhere from critical care, oncology, mental health, to an everyday school nurse.
“Peplau applies principles of human relations to problems that arise at all levels. Throughout the nurse-patient relationship, the nurse, and patient work together to become more knowledgeable in the care process” (Deane and Fain, 2016, p. 36). Peplau described nursing roles in seven different ways as a counselor, resource, teacher, counseling, surrogate, leader, and technical expert. As a home health nurse, my major nursing role was teacher focused on patient teaching. For example, educating patient who has high blood pressure about DASH diet which stands for Dietary Approaches to Stop Hypertension.
All participants (100%) completed the pre and immediate post EBP educational program questionnaire. Of the 27 nurses who attend the EBP educational program, a total of 16 (59%) completed all three questionnaires at the required collection points. The main age of the participants was 40 years (SD = 8.9; range 29–58) with an average experience level of 14.7 years (SD = 7.9; range 5–30). The majority (81.5%) had a bachelor as their highest degree earned.
This is a Workers Compensation matter referred over by Patrick Quinn. Charlene works as a Nurse in the NICU in the ICU and has been employed by the Hospital for approximately 23 years. On November 19, 2015 beginning at about 11:30pm Charlene was working her regular shift when an outside contractor was changing ceiling tiles in the hallways just over her work area. These tiles had been randomly falling due to leaks in the pipes above the tiles.
Current medications include Norco 5/325 mg 1 tablet daily and Zoloft 50 mg 1 tablet daily. It was noted that the IW has signed a treatment agreement for the prescription of controlled substances. Controlled Substance Utilization Review and Evaluation System (CURES) report checked on 11/29/16 was consistent with prescription history. Based on the medical report dated 01/13/17, the patient complains of pain to her right shoulder and low back.
The nurse practitioners on the Hematology/Oncology unit complete this certification through the Pediatric Nurse Practitioner Certification Board. The Pediatric Nurse Practitioner Certification Board (2015) requires annual renewal. This $270 certification is three hours long exam and consisting of 175 questions. The Pediatric Nurse Practitioner Certification Board website provides resources to prepare individuals for the exam.
Two highly noted programs are Culturally Competent Nursing Modules (CCNMS) and Culturally and Linguistically Appropriate Services (CLAS). The article “Why Is Cultural Competence Important in Nursing” states that in these programs the students “watch videos, listen to and read presentations, and take tests (leading to certificates and credit units) that help them improve their understanding of and show more respect for people from different cultures.” Afterwards they take examinations and are evaluated based on their educational and clinical experience.
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. One of the days I was there I helped an RN review psychology consults.
Education and support will need to be provided to the wife in a respectful manner. Patients and family may question their religious beliefs or a belief in God when a tragedy or serious illness is involved. In a study of women with ovarian cancer and coping by Christina Puchalski (2001), “93% of 108 women cited spiritual beliefs. In addition, 75% of these patients stated that religion had a significant place in their lives, and 49% said they had become more spiritual after their diagnosis”. It is at this time their faith may be tested and have an inherent need to understand “how their current situation
The nurses should know how to assess the patient and how to find out neurological abnormalities. The use of continuous assessment methods as a means of evaluating a student 's progress has been an integral part of basic nursing courses for some years now. In practice, this has often meant assessment of theoretical work in the form of essays, projects, and objective tests spread throughout the course. In the clinical areas, the assessment was usually based on specific skills tests, ward/unit reports and perhaps the one of the assessments in total patient care, managerial and teaching
Practice Dimension/ Ethics/ Resource Utilization: Ms. Cabral applies the nursing process to systems or processes at the unit/team/work group level to improve care. She is the primary nurse for five of our chronic dialysis patients promoting safe high quality care. She involves the patient and their families in monthly interdisciplinary care plan meetings to promote self-efficacy and quality of life. She continually evaluates the patient 's health status. The effectiveness of her patient 's plan of care is reevaluated on a regular basis and changes are made for continuous improvements.
As I researched what kind of careers would interests me, I discovered nursing brought these two worlds that I love together. My clinical experience is diverse. I had the opportunity to work in various well known hospitals in the greater Boston area. During my preceptorship at Beth Israel Deaconess Medical Center on the acute psychiatric unit, I managed up to 6 patients with a wide variety of psychiatric disorders along with managing their medical conditions.
Working a the Canyon Hills Manor can change from day to day but a normal day will start by waking up at 4:45 am and getting yourself ready and going to work and get there by 5:30 am. As they arrive they get reports from the night nurse, which there is only one head nurse at night. Then they continue their early morning by passing out meds to all of the patients. That takes about two hours. As their finishing its getting closer to breakfast time.
For my senior project I job shadowed a registered nurse on the Acute Rehab floor at Mercy General Hospital. My goals for senior project were to learn the basic skills a nurse needs to help a patient and to learn how to interact with different types of personalities. My mentor for my project was Michelle Whitten, she has been a nurse for two and a half years. Michelle has a B.S in nursing and a B.A in human development. She is certified in cardiopulmonary resuscitation CPR, Basic Life Support BLS, Advanced cardiac life support ACLS, Pediatric Advanced Life Support PALS, Cardiac Monitoring, MPR, and Certified Rehabilitation Registered Nurse CRRN.
The expected outcomes are standards against which nurse judges if goals have been met. Evaluation of client response to nursing care requires the use of evaluative measure simply as the reassessment of patient symptoms. Vital signs and auscultation of breath sounds. Observation of client skill performance and discussion of how they feel. Lab results such as chest x-ray to confirm whether pneumonia diagnosis is still present.