The NICE guidelines explain a multifaceted approach for the clinical identification of gastroenteritis, the nurse would complete several clinical assessments, as part of a multidisciplinary team, simultaneously, whilst ensuring the rights of the child are up held in line with the NMC Code of Conduct (2015) which centres around dignity, privacy and confidentiality. Due to the onset of diarrhoea and vomiting assessment of hydration is paramount, “Assessment of hydration has three main elements: clinical assessment, review of fluid balance charts and review of blood chemistry.” (Scales and Pilsworth, 2008). Clinical assessment refers to a physical examination, this may include assessing the tongue and mouth for moisture, however “The first part of the physical assessment is to ask patients if they feel thirsty, as thirst is the first clinical indicator of dehydration.” (Epstein, Perkins, Cookson, de Bono, 2004). A fluid balance chart allows for documentation of the overall input and output of fluids, the importance of which is stressed in the NMC Code of Conduct (2015) “Keep clear and accurate records relevant to your practice.” The fluid balance chart takes into consideration all routes, for example an input may be via intravenous fluids or orally, an output may
I will identify strategies to manage group and team behaviors. I will also identify key definitions and theories of communication and relationship building pertaining to health care delivery. After addressing these numerous topics, I will end this paper with a conclusion. After reading the critical thinking exercise, it is clear that the problem lies within the home health care facility in which ventilator-dependent patients may be
These pain characteristics can be major complains of patients, they influences surgical outcomes, effect coping strategies and pain perception. Many patients have difficulties in defining which response is best for their pain situation. (Spine, 2006) To provide ideal patient care, nurses require applicable information, skilled abilities, and new approaches toward pain assessment to help with control. Assessment information based on all available indications of pain assessment prevents patients from suffering. It is a crucial element in delivering effective pain management.
In this paper, I will talk about the numerous ways medication errors can occur and how nurses have a great role preventing them, in order to keep all clients in the healthcare system safe. Reducing Medication Errors in Nursing Practice This article touched on the countless ways that medication errors can occur. Medication errors are one of the most common sources of accidental harm to clients (Cloete,
An article conducted on nurses showed that workplaces that consist of incivility in healthcare result in lack of satisfaction, high turnover rates, and adverse patient outcomes (Berry, 2016). The purpose of this article is to address and research the importance of nurse incivility, such as bullying in the workplace and its impact on its turnover rates. Also, this article will further address the strategies and solutions to decrease the high turnover rates in the healthcare setting. Research suggests that as new nurses begin their socialization into the profession that they are encouraged to accept incivility as a professional norm. In one study, results showed that workplace bullying behaviors (WPB) range from 27.3% to 31% for twice-weekly incidents for nurses and 21.3% for daily WPB for novice nurses (Berry, 2012).
The abilities to delegate, and supervise other healthcare workers is not an easy job. Delegation is one of the most complex nursing skill. It takes clinical judgment and practice. RNs are required to assess and evaluate the needs of the patient and then utilize the appropriate caregivers in order to achieve desired patient outcomes. For an example a post-op elderly patient is receiving IV antibiotic and PRN IV pain medicine.
Nurses fatigue is growing problem nurse face each day in the healthcare environment, and he can be caused by long hours, sleep deprivation, and possibly by accepting extra assignments can be dangerous for both nurses and patient. These inadequacies can result in major implications for the health and safety of registered nurses and can compromise patient care which can lead to fatalities. (American Nurses Association, 2014). In my experience, being fatigued from working much 12-hour shifts consecutively was very difficult as I felt extremely tired, resulting in lack of focus, missing important details during the handing over the process with impaired cognitive functioning. This I found was detrimental to the patients and myself as it impedes quality and has a deleterious effect on patient safety.
It increases the stress level, pain, financial burden and prolongs stay to the patient in hospital due to inflammation. Nurses are aimed to prevent the patient from complications, but here nurses are causing the complications and pain due to their ignorance and malpractice. According to Dychter, Gold, Carson, and Haller (2012) nurses should aware that the complications of intravenous cannula, which are done due to infusions can significantly affect health care costs. Complications of IV therapy are costly in terms of patient quality of life, morbidity, mortality, and treatment expense, specifically when there is a prolonged hospital
Similarly to a anesthesiologist assistant, I am also very interested in being a nurse anesthetists. Much like an anesthesiologist assistant, nurse anesthetist asses how a patient will respond to a specific type of anesthetic according to their health history and intensity of the surgery. They inform the patients about the risks involved due to allergies or complications such as overdoses. Inside the operation room, nurse anesthetists hold a great deal of responsibility in giving the patient the right amount of anesthetic. They are responsible for communicating to the patient and their family about the measures that need to be taken before, during and after the surgery.
All nurses are required to follow the guidelines of the scope of practice for their states board of nursing. Failure to do so can cause harm to a patient and potentially cause the facility, or specifically, the nurse to be sued for malpractice. This can cost the facility large amounts of money. It can also, potentially, cause the nurse a very large sum of money. This is the reason it is very important for all nurses to make sure that they are practicing safely and follow not only their facility policies, but the scope of practice set out by the state.
But when work environments are strained, safety and optimal care can be negatively impacted. Problems arise when work environments become strained due to situations where inadequate staff are available to provide patient care. For nurses to continue to maximize their contributions to society, their autonomy and dignity must be maintained in the work environment (ANA). The Nurses Bill of Rights states nurses have the right to practice in environments that allow them to act in accordance with professional standards and legally authorized scopes of practice (ANA). Despite the abundant research, safe and appropriate nurse staffing remains one of the toughest problems for hospitals to manage
Due to the nature of thromboembolism development, the risks of development have been present whenever an individual is injured or experienced decrease mobility. Today both nurses and physicians are educated on the significant risks of venous thromboembolisms and the extreme importance of their prevention. A large role of a registered nurse is to be a patient advocate. Nurses can play a vital role in venous thromboembolism prevention by adhering to written orders, policies and procedures, and asking a physician for a medicinal or physical prophylactic order if one is missing. It is the responsibility of the nurse to recognize the risk of venous thromboembolism development, educate patients on the importance of preventative measures, and obtain proper
“While working at a hospital as a Registered nurse, I was being bullied every day at work I became withdrawn, severely depressed, I would break down and cry every day after work. It was a nightmare,” explained Nurse Jackie. Horizontal bullying should not be neglected it is a life-threatening problem affecting the healthcare. Nurse to nurse bullying in the workplace can have an impact on new nurses, the treatment of the patients, and lack of job satisfaction. Imagine being a nurse and additionally feeling nervous about taking care of a challenging patient or meticulously achieving all of the medical records.