CNA Dorothy is a valuable asset to your facility she was willing to help at every turn without an attitude or frown on her face. Your CNAs or over worked and under staff, most RN’s refuse to help with patient care such as baths, feedings and patient waste(BM). One CNA should not be required to feed, bath, turn and clean patients alone without any assistance. (Especially ventilation patients this a job for two people.) I personal have witnessed several RN’s sit behind the desk when a patient is in need of assistance, they allow the medication and feeding alarms to sound 5-20 minutes.
It is now week two of interning back at this endoscopy center. I don’t consider this week two but just a continuation. I experienced myself violating HIPPA. I could not believe that I was very carless with a patient’s electronic health record. I was dealing with two different patients side by side when they were laying down after they had gotten their endoscopy procedure done.
Tuesday, March 29th, 2016: Montana State Hospital The day began with a care conference by an interdisciplinary team (psychologists, social worker, nurses, and psych techs). Every patient on the wing was discussed about their current situation, behavioral problems, or change in care plan. The nursing process seemed to be utilized when dealing with these problems. The problem was assessed by the entire team, the root cause was determined, a plan was established to implement, and then would be evaluated the next day. Following the care conference, we observed an intake of a new patient.
I consider myself among the lucky minority. My mother worked as a registered nurse in the Intensive Care Unit at the VA Hospital in Albany, NY. I saw her come home some mornings looking defeated because she could not be the one to save a man’s life. I also saw her come home most mornings, her face glowing, because of how many people she was able to help. Nurses see people during all aspects of life.
During my consultations, I had the choice of the “big” surgery, where they fix it all at once, or the multiple surgeries where the surgeon would fix one vertebrae every six months. I chose the first surgery because I got it all done at once and I would’ve been on homebound for the rest of my scholastic career. I’m glad I chose this surgery because of all of the people I met along the way and also I wouldn’t have experienced many things besides hospital visits. Before I knew it, it was the morning of my surgery. The surgeons had gotten new equipment that morning and were experiencing technical difficulties, making me even more nervous.
She was a wonderful nurse. I will never forget the time I had to go sit with a mental health patient in the emergency department, this patient was loud, confused and intrusive so we were stuck kind of in the back as to not disturb other patients in the ED. Thankfully, Debbie was working that day and never forgot I was sitting there on a one to one observation, she would come to check on me and made sure I was okay and the patient was okay. If I did need a minute to step away Debbie was the one that stayed with the patient, she didn’t find a tech or hesitate to sit with a patient; that was who she was, she was an amazing and kind person. I would be truly honored to receive a scholarship in Debbie Spencer’s memory and I would pay it back with kindness and compassion to every patient I encounter during my life as a
A day as a pediatrician starts off in the hospital making their daily schedule routine. Pediatrician start by checking sick children that are in the hospital. In a pediatrician 's office they examine newborn babies and sick children. Also pediatrician keeps track of all the patients information. Another job a pediatric doctor has is to be a consultant for nurses and family physicians.
The thing that through me off was the amount of stuff got done with our patients by other people. The CNA was always there to get vitals and take care of anything additional the patients needed. The resource nurse helped with our potential stroke patient. He went through the whole neuro assessment and after my nurse and I placed a catheter he was quickly sent off to interventional radiology to get a clot removed. The efficiency
I rounded daily with every department (ICU, MSU, PNU, L&D, BHU) and met every patient. I would receive report from each department Charge Nurse and CNS (who was also novice). I spot checked documentation in the Essentris computerized charting and randomly would check on drug administration. I was involved with disease and discharge management and followed up on all referral consults and processes. I would meet with every CNS quarterly and work on their clinical challenges and also what Process Improvement Projects they were currently working on.
There is so much information being passed it difficult to stay current. Majority of the time I read my emails and stay current from home. It’s the nurse’s responsibility to stay current. The nurse educator at my hospital is great. Each year we have skills training and at the end each person is given a topic and she verifies that we know how to find the information.