The emergency department has always drawn my interest due to unexpected injuries, and how many people walk through the doors. I don't know who will come in next, and have no way to prepare besides making sure the equipment is working. During my shadow experience, it was not at all busy, and I was able to follow the doctor to discharge one patient who tried to pass a bowel movement, and fainted, while driving. I also got to greet a tachycardic patient complaining of chest pain with the nurses, and later with the doctor. Although I was unable to witness many patient interactions with the doctor I shadowed, it allowed me to see the other side of his role. As a doctor, part of his role is to document everything, complete paperwork, and order tests for the patients. I spent Much of my shadowing visit was in the office sitting as the doctor documented and communicated to other healthcare members such as the pharmacists and nurses.
not long after my partner and I arrived …show more content…
One thing that surprised me is that the nurse, rather than the doctor, was with the patient who was experiencing chest pain, was short of breath, and had tachycardia. There were two nurses; one did the physical assessment as the other ran an EKG. I followed the nurse as he/she showed the results of the EKG to the doctor, and without having seen the patient, he ordered chest x-rays, and said that he would meet the patient after the x-ray. I was surprised at first that the doctor was ordering the x-ray without having seen the patient, but it also stressed how much doctors rely on the nurses for a detailed assessment, and rely on them to communicate any problem areas or concerns, whether noted by them or addressed by the patient or the patient’s family. this, in particular, made me realize how detailed that my initial assessment needs to be, and the subjective questions I need to
• No interventions for post sedation were implemented for oxygen and vital signs below the normal limits. • During conscious sedation respiratory therapy should have been notified and standing by, as well as evaluating the patient post sedation. They should have been notified of the low oxygen levels. • The LPN and the nurse did not notify the MD that the patient’s vital signs and oxygen were low. • The LPN reset alarms without notifying the nurse or the MD.
It was just a normal afternoon in the life of Kim Roemig, a Cardiology Nurse in Cedar Rapids, when one of her final patients of the day came in. Just as they were waiting to get his medicine, something didn’t feel right. Kim got this instinct that there was something wrong. This man had a heart attack just as the door closed to the Emergency Room, where she pushed him because she knew that something felt different. If it hadn’t have been for Kim, this man would not be with us right now.
For this vSim assignment, I had to repeat the scenario three times before obtaining 100% on it, since I had forgotten about a few important steps when assessing my patient, and in my second try, I had forgotten to check the patient 's electronic health record even though I had already fixed my previous mistakes in the assessment. Three of the most important things I had to do differently in this scenario were to ask the patient about allergies to maintain patient safety before administering any drugs ordered, use the incentive spirometry to improve breathing and educate her about it since she had a hard time breathing due to pain, and educate the patient about wound care at the end before discharging her. Performing the procedures I missed in
My experiences shadowing with several physicians have given me an insight to the difficult but yet rewarding career medicine has to offer. One of my shadowing experiences that stood out the most to me was when I shadowed at Emory University Hospital. As undergraduate student, I had the opportunity to shadow for a team of neuropathologist led by Dr. Brat. While shadowing for Dr. Brat, we received a patients tissue and the team of pathologist (including myself) determined that this patient had glioblastoma. We had so many patient cases to sign out that I didn’t think too much about the diagnosis.
Role Transition Assignment. What is a nurse leader? That is the first question that I am supposed to answer. And when I first look at this question one might assume you need to look up this definition in a dictionary or even google. But I believe the answer lies within each person who answers this question
It was a good day during the winter, and me and my friends all wanted to paintball. So we all got geared up and went to the field to get ready to play capture the flag. So I got on the blue team, and got into my sniper position. Which isn’t very far from my flag. So the first person I saw was about 100ft away.
Looking for a job in the near future is an important part of growing up and becoming apart of adulthood. The person that I job shadowed was Brandon Scaber who is the executive academic advisor. His job basically decides if students will be accepted, rejected or enter a helping program for Michigan State University fall semester. He begin to work for MSU for about 7 years although he received his degrees from Wayne State University and MSU in Student Affairs. A typical day for Brandon is doing the basic routine that everybody do, come to his office ( which is located in Downtown Detroit) and clock in, begin to look through is email from future students, present students and concerned parents about the tuition, programs and scholarships options.
How have things been lately? I’m sure things are a little different without me but I hope you’re doing well. I’m pleased to say that I’m going all right up until now, and I hope to stay healthy till the end of the war. What we were told about war was very untruthful.
I job shadowed Randy because I personally know him from his other profession of photography. He has taken my sports pictures and he took my brother's senior pictures. Also, I am going to Iowa Central for the Dental Hygiene Program so this is the career I am interested in doing in my future. While job shadowing Randy, some skills I helped with or observed were; cleaning tools, a patient who needs crown to restore a tooth where a cusp broke off the tooth, scraping of teeth, polishing of teeth, preparation for clients, technology (x -rays, scheduling appts.
For my Diverse Field Experience this semester, I spent fifteen hours at the Mclean County Juvenile Detention Center. This particular center was occupied by about 8-14 juveniles at a time, all depending on court dates and occupancy of other nearby detention centers. This center usually had 3 staff members working the shift every time I went, which was seven to nine on weekday afternoons. I was intrigued to go to at this time because I thought it would be the time of the day were the juveniles had no school work or other obligations to do while I was there. I wanted to see what they liked to do in the free time before bed, the only stipulation being mandatory snack time at eight pm.
Jeffery Chambers, RN worked a double shift the day before and was only able to get 6 hours of rest prior to returning to work which could have resulted in his fatigue. Also, Jeffery Chambers, RN unit was short staffed and he was managing several very sick patients. Per, The Institute of Medicine nurses that work greater than 12 hours in direct patient care, have an increased risk of patient errors (IOM, 2004). Carol Price LPN, by her own admission heard the infusion pump beeping several times and did not go in to check on the patient. Although she was not the primary nurse assigned to the patient, she was a nurse on the unit and therefore, had an established duty to care for Yolanda Pinnelas.
While I am there I answer phone calls, file papers, check patients in, and clean rooms. From this job I have gained better patience and interpersonal
My first activity was sitting in the bed board meeting. This takes place every morning with the Chief Nursing Officer (CNO), departments nurse managers, departments charge nurses, house supervisor, wound care nurse, Infectious Disease (ID) and social services. The purpose for this meetings is to address important information to plan the day. Some of the information that was mention was: How many patients are admitted at this time, open beds, pending discharges, foley telemetry, central lines, sitters, and inmates.
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,