Catheterization Lab Report

The two ethical dilemmas that stick out to me in the case are patient autonomy, and distributive justice. Patient autonomy is the patient’s right to make decisions about their care, including whether to accept or decline treatment (Taylor, 2014). Because the patient did not fully understand the information relayed in the consent form or the procedure, her patient autonomy may have been violated. This also may mean the consent form may not be valid. A signed consent form from a patient affords the hospital with an assumed duty to care for that patient (as cited Taylor, 2014). And the patient has given the medical professional permission to provide treatment. Therefore, it is important that the patient fully understands and can communicate that understanding when consenting to

Johnson was not administering anesthesia to the patients and the chief of anesthesia also failed her facility because she did not keep in mind that this was a safety violation for patients and Dr. Johnson’s coworkers.

Not only did insufficient staffing contribute to the causes of this particular event, but human error also played a significant role. When Mr. B arrived at the ED, he was hyperventilating. His leg “appeared shortened.” He had edema in his calf, ecchymosis, limited ROM, and he rated his pain at a ten out of ten. Mr. B also had a history of prostate cancer, impaired glucose tolerance, elevated cholesterol and lipids, and chronic pain. He was admitted to the ED with a plan to relocate his hip. Dr. T ordered diazepam 5.0 mg to be administered through IVP and then just five minutes later ordered 2.0 mg hydromorphone to be administered because it appeared that the diazepam was not having the intended sedating effect. Again, just five minutes later, Dr. T was still not satisfied with the level of sedation and instructed the nurse to

I was at Hamad General Hospital shadowing medical professionals of different specialties to get an overall idea of what the medical career was like, I was at ED (Emergency Department) when suddenly and with no previous warning “Cardiac Arrest !,” yelled the nurse, in moments emergency specialists were standing above the 16 year old male patient head sorting out CPR, AED etc..; first shock was delivered, the second and third followed, but the teenager didn’t even blink, he lay lifelessly, few more attempts and the white blanket was pulled over him; I couldn’t believe my eyes, I had witnessed an in-hospital death for the first time; trembling and shaking, I walked out of Bay-1, with a completely new meaning of medicine.

A Foley catheter is a thin, sterile tube inserted into the bladder to drain urine ( ). There are many types of catheters such as a straight, indwelling, and condom catheters. A straight catheter is one that does not stay inside the person. It is removed immediately after urine is drained. An indwelling catheter is one that stays inside of the bladder for a period of time. And last, a condom catheter is one that has an attachment that fits onto the penis. This catheter is changed daily or as needed. For the purpose of this document, the care that is going to be performed will need to be performed on a patient/resident with an indwelling catheter.

The discharge criteria in the policy states the patient will be fully awake, vital signs stable, no nausea or vomiting, and the patient is able to void. All practitioners that provide moderate sedation must complete a training module prior to providing moderate sedation, this includes personnel assisting with the procedure. The first process failure was not meeting the required monitoring of the patient as mandated by the moderate sedation policy. In the absence of ECG or respiratory monitoring the sedation administered produced apnea then asystole without ED personnel being aware of acute changes in the patient’s condition. There is no explanation for why the patient was not on continuous ECG monitoring. Equipment was found to be in good working order.

One of the things that was surprising for me during my week doing the hours was while I was at the vaccination clinic at the hospital. I was about to leave but the nurse need it to see one more patient before taking me to the blood bank. It was an 18 year old patient getting his last shots in order to be able to turn in all his requirements to the collage of his choosing. I was talking to mom that was interested in nursing classes back in Chicago where she lives when the patient that was in front of us rolled his eyes and passed out and it looked like he was shaking too like about to start convulsing. It was total chaos I got super nervous not knowing where everything was the alcohol pads or ammonia to give to the patient and help him come

This consent has to be signed by the patient , the guardian or patient 's power of attorney . Severe reactions to the procedure leading to cardiopulmonary arrest / death are beyond the health care team 's capacity . As long as there were no mistakes when the procedure was done there will be no repercussions . Emergency apparatus and pharmaceuticals are available for any emergencies that may arise during the after the procedure

Seth Kahn’s (2011), article entitled, “Putting Ethnographic Writing in Context,” identifies ethnography as the study of “relationships, rituals, values, and habits that make people understand themselves as members of a group.” Ethnographers adopt a stance of observation, as well as participation to better understand the discourse among members within a particular group, or discourse community (Khan, 2011). This ethnographic research will “connect what community members know and do, with what they say and how they say it” (Devitt, Bawarshi, & Reiff, 2003). The purpose of this study is to explore how nurses, working in a cardiac catheterization laboratory, learn the ‘local knowledge’ necessary to communicate with a multidisciplinary discourse community successfully. To protect the identity of participants in this study, the name of the laboratory included in the study will be identified as the XYZ Cardiac Catheterization Laboratory.

The purpose of this journal is to reflect on my experience and skills gained during my clinical placement at Ben Taub Hospital. On my first clinical day, I was excited and nervous at the same time. My first placement was in the PREOP/PACU area. I was assigned to help a patient who had been in the PACU area going on 2 days. Normally, once the patient comes from surgery they are only in the PACU area for a short period of time before they are discharged home or given a bed in another area of the hospital. This particular patient still had not received an assignment for a bed. The physicians would make their rounds to come check on him daily. The patient was a 28-year-old Hispanic male, non-English speaking, he had a hemicolectomy. He had a NG tube, urinary Foley catheter, and a wound vac. My preceptor had just clocked in and she needed to check on the patient’s vitals and notes from the previous nurse. Once she introduced me to the patient and explained while I was there, she then asked me to check his vitals. (Vital signs indicate the body’s ability to regulate body temperature, maintain blood flow, and oxygenate body tissues. Vital signs are important indicators of a client’s overall health status (Hogan, 2014). I froze for a quick second. I have practiced taking vitals numerous of times and I knew I could do it correctly. I started with the temperature first, when I was quickly corrected on a major mistake I had made by my preceptor. I HAD FORGOT TO WASH MY HANDS and PUT

This Friday, September 29th, I had my second clinical observation experience in the Cardiac Cath Lab. I was there from 7:00 a.m. till noon, viewing the flow and duties of the nursing staff on the unit, learning about the procedures done on this specialized unit. Throughout most of the morning I followed Sara, an RN, who had been in the unit for eight years. It was an impressive experience that broadened my previously limited knowledge of the roles and experience of a Cath Lab nurse.

How You Felt About the Experience: Sad because I got to see behind doors how the catheterization is done and my mom has had several done in her live with her 2 open heart surgery to replace her mitral valve.

This Friday, September 15th, I had my clinical observation experience in the ED. I was there from 7:00 am till noon, viewing the flow and duties of the nursing staff on the unit, as well as practicing the skills I have thus learned in school. Throughout most of the morning, I followed Jessica, who had been a nurse in the ER for ten years. It was an insightful experience that broadened my previously limited knowledge of the roles and experience of an emergency nurse.

The issue concerning the patient, Jimmy relates to the idea of autonomy and beneficence. Autonomy means that all individuals are given the ability to make their own choices and to develop their own lives (Morrison & Furlong, 2013). Although, according to US law it is required to have informed consent before any invasive procedures. It is also important to know that there are a few exceptions. The term beneficence means “to do well.” It is the practice of doing the right and beneficial thing (Morrison & Furlong, 2013). Although Jimmy was unconscious, it was discussed amongst other physicians to amputate his arm due to any further health issues.

My supervisor, one of the head nurses, hurriedly pulled me to the corner of the bleach white hospital room and directed me to put on gloves, an eye mask, and a face mask. I felt as if I was preparing for war as I put on all of the required gear. The sound of expensive shoes click-clacked down the hallway indicating the arrival of two doctors who rushed into the room and shouted out orders to the staff while pulling the doors to the room shut along with the curtains. Two doctors, eight nurses, an intern, and a dying patient squeezed into the already claustrophobic ten by fifteen-foot room. The machine monitoring the patient’s vital signs continued to beep incessantly as my heart rate accelerated. Throughout my internship, I had never seen a patient in critical condition until that moment. I remembered my teacher’s advice if we were ever in a situation such as this: take a few deep breaths and sit down if you feel like you’re going to pass out. In that