Objective One During my clinical day three, I demonstrated entry-level competence in professional nursing practice in caring for patients with multiple and/or complex unmet human needs. I addressed safety needs, safety in medication administration, effective communication, and surveillance for my patients. First, I addressed safety needs my ensuring the appropriate safety measures were implemented for the patients. Some of the safety measures included, wearing non-skid socks, wearing a yellow armband which indicated fall risk, keeping the bed in lowest position, two side rails up, bed locked, and the call light within reach.
Veterans Affairs Nurse What a blessing it is to have the United States Department of Veterans Affairs (VA), Veterans Health Administration (VHA) providing multiple healthcare services to our heroes, our veterans! To be afforded the opportunity for our heroes to attend and be treated, at little to no cost, for a wide range of ailments from the common cold, to a mental health disability, or for the possibility of a healing surgery is a well-deserved and a wonderful privilege. One of the major demographics of care providers within the VHA is the registered nurse. There are over 51,000 registered nurses nationwide, with 60.7% of the total population of providers of healthcare, within the VA hospitals, VA outpatient clinics and VA Patient Care Medical Homes (VHA, Office of Nursing Services, 2012).
Electronic Health Records and Patient Confidentiality Technology has become an essential part of our everyday life therefore, it makes sense that doctors and hospitals get rid of the old fashioned paper charting and use technology to access patient records. Electronic health records (EHR) provide quick access to information, as doctors no longer have to wait for other providers to fax previous records to them. The accessibility of Electronic Health Records assist medical providers to make quick medical care decisions, by accessing previous care provided to patients including treatment and diagnosis. Quick access to information through EHR enables health care providers to treat patients faster as there is no need for records to be mailed or
Observations made demonstrated how patient experience within the department is affected by the environment in which patients are cared for including the cleanliness, the security and how well managed the department is; the interactions that occur involving compassion, being listened to and being treated with dignity and respect. The author has recognises that the environment can provide patients with a visualisation of the organisation values. The observations made have reaffirmed that patient experience is an equal element in achieving high quality care. The author acknowledges that the experience may have been different if the activity was undertaken at a different time e.g. not in the school holiday period or later in the morning which
The nursing informatics course has taught us the importance of the utilization of electronic charting system in the health care field. This system helps facilitate effective communication among clinicians in the health care field. However for that to happen, we must practice what this course has though us, which is good and proper nursing documentation. The electronic charting system allows multiple clinicians to have access to patient information in real time with the help of the internet, however for this information to be helpful we need to practice good and proper nursing charting.
Introduction: The goal of every nurse leader is to establish and sustain a healthy work environment for nursing staff. This must be a priority if nurses are to make their optimal contributions to caring for critical care patients and their families. The link between healthy work environments and patient safety, nurse retention and recruitment are well documented in the nursing literature. Nursing organizations like American Association of Critical Care (AACN) believe that all workplaces where nurses practice can be healthy if nurses and nurse leaders are determined to address not only the physical environment, but also the less tangible barriers to staff and patient safety; e.g. skilled and effective communication, collaboration among disciplines and effective decision making. Continuity of care, especially in the critical care environment is essential to overcoming the obstacles of missed communication opportunities, nurse dependence on a medical model for the plan of care, and multiple disciplines practicing in silos.
Nursing Shortage is a problem we all should be aware of. There are many factors that may lead to a nursing shortage, such as having stressful and unsafe working environments, and our nurses are being overworked. This is a problem we should be aware of because it is affecting the patient care. Nurses would not have enough time to stay with a patient if they have more patients to worry about. Nurses play a big role in our hospitals and communities, “Nurses play significant roles in hospitals, clinics and private practices.
These three problems are: lack of collaboration and teamwork, staff conflict, and lack of transparent performance appraisal procedures. All of these three broad problems need to be addressed simultaneously to ensure that the unit performs as Barbara expected. As we read in the case, there is a conflict between junior nurses, senior nurses, and PCA 's which lead to ineffective collaboration among them. Junior nurses feels like they don 't get positive feedback from senior nurses. However, senior nurses feel that many junior nurses and PCA 's are in competent and feel overwhelmed to support them.
Teamwork, communication and delegation in nursing are variables dependent on one another in order to be successful. This post is the first in a series on nursing delegation in which we will discuss the team nursing model, the RN 's role in delegation, and how effective communication fosters successful teamwork which leads to better outcomes for patients and employees. Detailed and timely communication among registered nurses (RNs) and other team members such as UAP, leads to improved quality measures and outcomes. In fact, studies have shown that negative outcomes were often linked to an error in communication.
Registered nurses are required to deliver wide-range nursing attention and treatment to all persons in a healthcare setup (American Nurses ' Association, 2000). Notably, they have to offer emergency care and guarantee the safe execution of treatment. It is mandatory for nurses to demonstrate a broad knowledge of the laws and regulations that are in line with their profession. Additionally,
In order to correctly identify the right patient this addressograph should contain the patients name, address, date of birth and unique identity umber. On administration of medication these details should be cross checked between the patients’ armband and their drug kardex. These details should also be checked with the patient on admission to ensure that they are correct. To further protect the patient, their allergy status should be clarified and documented on the kardex. If the patient is unable to verify this for themselves a family member, carer or General Practitioner may be able to provide this information.
Recently, time was spent observing and waiting at a doctor’s office. The practice is a small, one doctor general practice. Sign-ins are done on individual slips of paper, and left on the counter, then patients sit and wait until called. In the waiting room, the doctor tried to mitigate aggravation for those waiting by providing a television, a variety of recent magazines, and various medical brochures.
Having the opportunity to listen to patients during their interactions with physicians while shadowing in primary care practices was most profound to my journey of pursuing a career in medicine. Often the diagnosis and treatment of medical conditions are regarded as most important in providing successful care to patients. However, from my experience shadowing, it became apparent that the act of listening to patients is just as essential to the practice of clinical medicine. While shadowing, I was amazed of how often and to the extent patients would disclose their thoughts, feelings, and fears to their physician. I began to understand that to be a physician is much more than treating the body itself, but caring for all of its components— physically,
o Food intake: Document the patient’s food and liquid intake. o Observation of the sick: Observe the patient, and document the observation. o Bed and bedding: Keep the bed comfortable, dry and wrinkle free.
Hello Christine, I do agree with your post that observation is one way to assess a persons’ performances in the clinical settings. However, Oermann, Gaberson, and Shellenber (2015) pointed out that the observation should be more than one encounter to determine the student skills. The nurse educator observing the student over a period can make a judgment based on his or her observation. You are right that a significant limitation to observation may be the instructor biases and preconceived notions.
