Reflection Qualities that make an effective nursing leader are the same qualities that many other nursing staff and general public possess. Such as, the ability to support and empower their team members, be well organized, remain consistent with their expectations, and be able to communicate with their team. Support and empower the team members An example of this quality is a Licensed Practical Nurse (LPN) on one of the units at Wascana Rehabilitation Center (WRC), where I had one of my clinical rotations. This nurse would ask each staff member if they had any concerns during their daily huddles. Particular case that was discussed for a few days was regarding a patient’s family member (distant) who would visit every Tuesday and steal patient’s
The nurse can be seen as the eyes and ears of the treatment team because he or she makes sure the treatment is running smoothly. The nurse takes a large role in communicating with the patient and family, so they understand the care they are receiving. Social workers mostly work on the coordination of care determined through the patient’s needs; nurses take part in this coordination as well. The doctor or psychiatrist prescribes or adjusts medications or treatment and works with the coordination of care. A nurse practitioner can sometimes be involved and has a similar role as the primary physician.
“Chiquita, I believe in you and you will do fabulous.” “Okay Ginny, you are right but it has been two and half years since I have demonstrated bed side nursing.” Ginny instructed to level the bed to be able to conduct a head to toe assessment. “What were the reasons you chose to become a Trauma Nurse?” Chiquita asks. Ginny replies “because I have compassion as well as advocate for the patients that come into the facility.” “I believe in giving each and every patient the fighting chance they deserve in order to survive.” “You will achieve GG” Chiquita continues to brace her smile. “is that why you decided to leave Riverside? So you could come over here to achieve your goal to become a Trauma nurse?” Ginny replied in an exciting tone “of course, do not get me wrong I enjoyed every moment at Riverside but I feel I could become a better nurse at Sentra, besides Sentra is the only level one trauma hospital in the region.” “I completely understand,” Chiquita responds.
This particular simulation involved multi-trauma victims and was a great opportunity to work with a team in a rural hospital. Some of the positive and negatives will be mentioned during this reflection. The Assessment process that was observed during simulation was the Primary Nurse assessing each patient upon arrival to the Emergency Room (ER). As more trauma patients arrived other nurses were observed with the same process. All available staff was trying to keep patients as calm as
As a leader within my fraternity, I've performed and practiced therapeutic communication without even being aware of it. This week I was able to active listen to patients, such as a patient who explained his glaucoma to us and how it was partially fixed, but a complication arose that needs to be assessed and stabilized. I also was able to sit down and talk with a patient before her bath to see what she wanted to wear. Asking open ended questions, active listening, being silent to give her time to respond, etc. enforced my therapeutic communication within the healthcare setting.
They checked her vitals and made sure she had a ride home and got her dressed and she was on her way. The next procedure I saw was a meniscus arthroscopy. The patient was brought into the operation room and set up by placing the affected knee onto what looked like a jack to keep it bent but up enough so that the doctor could work on it. His assistant was also there he would hold the tools that he would need. This procedure they used gas anesthesia given through an oxygen mask.
A pleasurable aspect volunteering at the United Hebrew Nursing and Rehabilitation facility was the opportunity to see the patients actively involved in meaningful therapeutic activities. In keeping the same schedule for several weeks it allowed me to briefly follow certain clients rehabilitation regimes. It enabled me to gain an understanding of the role of an Occupational Therapist in a skilled nursing facility (SNF) and rehabilitation setting. Therefore, I found it interesting seeing the strategies implemented in the sessions, such as, home hazard assessment and interventions before the patient is discharged. For instance, placing items on the floor and asking a high functioning patient how/if they could pick up the items if home alone.
Not only did I have hands on experience with patients but I also performed clerical duties such as scheduling appointments, recording demographic and insurance coverage information. At Piedmont Hospital I provided accurate education on procedures that were needed for new patients. Over the summer observing at Emory Hospital I accessed the effectiveness of therapy plan by observing patients’ reponses and observed patients during PT procedures to determine discomfort or pain. The last place that I completed my observation hours was at the Childrens Hospital of Atlanta in providing cold pack treatments and operated and maintained therapy equipment. Last but not least, I assisted the patients in administering active and passive therapeutic exercises.
The nurses and caregivers can attend to their medication One of the primary features of a residential care is that they provide 24/7 care for the patient. Each patient has an assigned caregiver who will be there to assist them all the time. If you need someone to remind the patient to take their medicines on time, eat their meals on time or even check their blood pressure, you can have all that in our residential care center. Considering all these factors, how, then would you know if your loved ones would really need our services in the residential care center? Below are some helpful checklists that you might want to ponder on: Do you think your senior loved ones can do better when they have long term care services?
Today our clinical group participated in the hospital’s wound prevalence day where we helped the wound nurse do head to toe skin assessment to the patients who are not/at risk for developing pressure ulcer and do HillRom/CALNOC study checking the quality of the bed mattresses. In the early morning, we spent our day first thing by reviewing as many charts as possible and filling out the forms needed for the study. Nurse Brittany, the wound nurse, assigned the participants into teams which included one nurse with at least two students to various units. My two other classmates and I were assigned with Samantha, RN to do the prevalence study at Med-Surge and ICU unit. Some of the tasks we did as a group comprised of: assessing the patient; checking the mattress’s condition; counting how many layers of linen the patient uses; checking heels if they are offloaded; noting if patient has secure foley catheter; marking the mattress “G17” for good and “B17” for bad; educating the patient and family on prevention
For over fifteen years I have enjoyed being an LPN. Working in nursing homes taught me to how to patience and how to use my knowledge to help my patients to the best of my ability. My time as an alcohol and drug rehabilitation nurse helped me to appreciate the courage it takes to admit to a problem, ask for help and the strength it takes to work to get better. Working in a hospital taught me to how to work in a fast paced setting while keeping my sanity intact.
Wendy, I agree with you that not only DIKW hierarchy is good for evidence-based practice but most importantly is communicating to our patients. As a nurse, we are not only providing safe care for our patients but educate them through our knowledge and wisdom that we learned from the information through the classes. We communicate with them to prevent further complication or simply help them to maintain good health. DIKW hierarchy definitely is not only for nursing practice but good for our daily lives. Every day we are learning something new either from our practices or simply watching the news.
She often refferred to a paper with the patients history of problems and she grabbed things they needed for tests for the patients well-being. She was helped by a nurse 's aid. If they needed answers they usually went to the doctors or went back to their patient information for more insight. A typical day for Cindy was woke up, checked on al her patients, took vitals and then prepared them for any tests or surgeries they needed for the day. Some things I thought was cool was the relationship she had with some of her patients.