An Emergency Response At The Hospital

I’m a valley girl, a Santa Maria Valley girl to be exact! Naturally, then, I chose to fulfill my shadowing requirements at Santa Maria’s newly built Marian Regional Medical Center. I needed to see for myself what human kindness, paired with a state-of-the-art hospital, offering advanced technologies, is truly all about. On Wednesday, October 6, 2016, I had the privilege of spending eight hours exploring six different modalities conducted within Marians Radiology department. It was an opportunity that I took full advantage of; a truly invaluable experience.

The nurse I chose to interview has been a family friend for a while, as she has worked closely with my mother for several years. She is the first nurse I met when I decided I was interested in going into the nursing field, and she is actually the person who encouraged me to apply to Truman State University’s nursing program. I was confident that she would be able to share her capacity of nursing knowledge and wisdom with me when I asked if I could interview her. I will expand on our interview which took place in her office at work throughout the next couple of pages, and to keep confidentiality, I will allude to her by her initials, J.W.

Working with the nurse who cared for my ailing grand-aunt, was a life changing experience. I would assist with bathing, grooming and toileting as well as reading to my aunt a couple of her favorite mystery novels. Evening though my grand-aunt 's condition was irreversible, I felt at peace because her nurse made sure she was comfortable and her needs were met. The compassion, empathy, work ethics and support the nurse provided for my family and grand-aunt during this difficult time resonated with me, the nurse inspired me in so many ways and even encouraged me to pursue a profession in nursing.

Conducting an interview with someone makes you see things in many different perspectives and in a new light. The person I interviewed saw nursing as a broader term that saw things in a different way even though she has just started. She knows that special people need to take roles in being a nurse. I interviewed my aunt, Ann Juknevicius. She is 30 years old and she has been a nurse for 2 years in Illinois now. Relatively she is a new nurse. One of the main reasons why I started the nursing program is because I look up to Annie a lot and she showed me so many different perspectives on how to look at people, different situations, and the way you handle things. I thought that it would be a great interview session to see if Annie’s expectations were the same as the nursing reality.

S (situation): Hi, my name Kelsey and I am a nurse in the emergency department. I am calling about Shannon O’Reilly’s most recent laboratory results.

This week’s case looks at the critical situation occurring at Riverview Regional Medical Center located in Etowah County, Alabama. The medical center, located near a strong competitor, is run by a veteran in the hospital management market, Mr Matt Hayes. Hayes is actively in the process of developing new ideas and revolutionary steps in an attempt to remain competitive in the market and regain profitability. The overall performance of Riverview Regional Medical Center appears to have decreased throughout multiple departments except outpatient surgical procedures, outpatient CT imagining, MRI imagining and inpatient MRI scans.

Beaufort Memorial Hospital, Beaufort, SC is no exception to this rule. With much of Beaufort County and the surrounding counties being rural and with a high poverty rate Beaufort Memorial experiences a high level of underinsured and indigent care. In 2012 the Medicaid

Prior to walking in, my expectations for what I was about to partake in and experience were all over the place. I didn’t know whether to expect the absolute worst types of situations going on such as people being rushed into medical rooms or the most basic situations such as patients waiting for a strep throat test. I did expect to see a wide range of patients in terms of race, class, age, and gender. Contrary to the patients, I didn’t expect to see a wide range of race, class, age, and gender within the staff. I expected to see mostly female nurses, and male doctors, majority being Caucasian and middle age. I didn’t expect there to be that much security or any type of possible crime that could go on within a medical facility. I expected the waiting area and facility to be very large, large enough to accommodate a lot of patients at once. Lastly, I expected that taking our field notes would be a challenge because writing notes down in front of patients would be awkward and during interviews it would be hard to conduct a good interview while writing the whole time.

For my mentor project, I chose to shadow Dr. Kristen James, D.O., a young emergency room Physician (approximately 33-34) who works in the E.R. at Tenova North Knoxville Medical Center. The length of all emergency room shifts are twelve hours—7:00 a.m. to 7:00 p.m., 7:00 p.m. to 7:00 a.m., or 11:00 a.m. to 11:00 p.m.— but for the sake of the well being of my mind and body, I only shadowed for a half of a shift (11:00 a.m. to 5:00 p.m.). I had previously shadowed my father in the same emergency room for a twelve hour shift and I knew that I definitely did not have the stamina to make it through another one with a clear mind or comfortable feet. During this essay, I will be tying in some useful comparisons between shadowing my father vs. shadowing

Any patient brought into the Emergency Department, is first signed in at ED receptionist desk and triaged by a triage nurse, prioritized and brought to patient room by a charged nurse either by wheelchair or stretcher or walking by the patient depending on patient’s illness. A nurse is assigned to the patient. Emergency Doctor comes in and if the patient illness is life threatening it is stabilized and the Doctor orders test such as blood work and x-ray if necessary to be conducted. Based on the test result the patient is either discharged or admitted. Certain times the emergency department is filled with a lot of patient that there is no place to sit and patients keep coming in and creating

I chose to interview Mrs. Banks for a number of reasons; she is my former sister-in-law and has a worked hard to become a nurse. Mrs. Banks dropped out of high school at the age of 16 years old and also had her first child. She went back to school and got her GED and she later went to Dawson Technical Institute of Kennedy-King College and graduated and received a certificate as a Licensed Practical Nurse. As a LPN she worked to compile patient health information, take vital signs, administered medication and monitored frequency and amounts, provided personal

Eileen mentions the settings of working in the “inpatient” and the “outpatient” area of her job. She describes the exhaustion that it brings to one’s body and mind. She also states that you have to have the compassion to pursue this career because you got to interact with the patients’, assist them by providing transportation within the facility or taking them out of bed. You have to be a fit person to do this job. In the environment Eileen works in requires all the personnel to be quick and to act upon any request that are needed right away. It could mean life or death for some patients. It is important to have a way to calm yourself during these stressful time and to be able to finish every

The next interviewee is a female who is forty-one years of age. Let us begin with her most pleasant and positive healthcare experience, which was with a Breast Oncologist, Dr. Howard Burstein at Dana Farber. The staff at Dana Farber goes over and beyond to make every one of their patients feel comfortable. The staff welcomes the patients in a cordial way and helps them with any given question or concern. The registration (front desk) provided her with a badge to wear after checking in for her appointment. This badge can locate your whereabouts for the staff. This is to a great degree accommodating and the staff informs the patient if the doctor they are seeing is running behind, this allows the patient to get a bite to eat at the cafeteria or even just walk around. She valued the convenience in which the bands and medical

Last year The Urgent Care Department faced a 2.4 million budget deficit. One of the main sources of premium time was RN overtime. In able to improve budget status, RN ratio was decreased by 1 FTE. RN Triage was supported instead by an LVN III for the evening and weekend shifts. Since LVN III scope of practice shares some similarities with RN scope of practice, some of the duties that were delegated to LVN III included: data collection for patients in the triage schedule, start IV’s, IV Hydration, draw blood, perform clinical procedures (EKG’s, Breathing Treatments, vital signs monitoring etc..) and assist with emergency room transfers. This idea was welcomed by our nursing team ( RN’s and LVN’s). The RN’s felt supported and the LVN’s

To this day, her practical, calm, and methodical approach to promoting and enabling wellness impress me in her personal life and the snippets I can gather from her professional experiences. However, despite her obvious skill and artfulness as a nurse, it was never her passion. So when I, announced that I would be applying into nursing programs, she was far from elated; I distinctly recall her saying “You will enjoy the studies;” but I think she worried I would not find the profession fulfilling.