Their was one occasion where I felt as though the team lack coherence and consistences was when Dr Jim Pham remarked to Dr Dean and Nurse Janet during their small encounter meeting, that he had seen that the Patient Ms Keys order had stated that she wanted 25 micrograms missing in prostate Inter-vaginally instead of 100 micrograms that patient Ms keys needed. Then Dr Dean returns the order by complementing Dr Jim that it was good catch from his part, alluding to the fact that he caught the mistake that they had made for Ms Keys order based on what the Patient Ms key chart
I will now discuss how I was thinking and feeling during this event. I had been working at the hospice for over a year and had looked after patients with MND before. I had an idea of how it can affect communicating with the patient. I was apprehensive about approaching Patient A as I didn’t know what difficulties I may find whilst trying to communicate with her. She was able to communicate very well using the pen and writing down, and using hand gestures. I learnt that by speaking clearly with easy to answer questions we were able to communicate with each other effectively. Afterwards I felt pleased that were able to determine the problem and find a solution for her, despite the communication barriers.
Nurse Ratched announce that there is a new arrival. McMurphy enters the ward and is
Meanwhile, elsewhere in Habersham County, Tom was feeling slightly nervous as he exited the staff lounge and entered the hustle and bustle of County Hospital’s ER to begin his first shift as an RN. The first few hours of his shift passed slowly as Tom mostly checked vital signs and listened to patients complain about various aches, pains, coughs, and sniffles. He realized that the attending physician, Dr. Greene, who was rather “old school” in general about how he interacted with nursing staff, wanted to start him out slowly. Tom knew, though, that the paramedics could bring in a trauma patient at any time.
taken the patient to the bathroom for a bowel movement. M.Z. asks you to help her, and, as you
I was able to check the patient in a systemic order and to make her feel comfortable around me allowing openness and honesty about medical conditions. I responded to the patient in a professional way as to not make her feel uncomfortable and to represent myself as a professional. The patient felt very comfortable with me during the interview, I had asked her upon completion if I was professional and if she felt comfortable. She said that I was very gentle in examining her and that she was very comfortable speaking to me. During the examination there were moment when the patient and I had light conversation, as I did not want the experience to feel cold and calculated. She showed me picture of her family and the books that she loves to
McMurphy: Tell me why. You gripe, you bitch for weeks on end about how you can’t stand this place, can’t stand the nurse or anything about her, and all the time you ain’t committed. I can understand it with some of those old guys on the ward. They’re nuts. But you, you’re not exactly the everyday man on the street, but you’re not nuts.
As I entered Mrs. Brown’s room I introduce myself, my role and the reason of being there and asked her how she would like me to address to her. Being supervised by the RN I asked for an informed consent prior to commencing a focused holistic assessment and then I asked what would be a good time for me to come back. I did recall from a handover that Mrs. Brown has a Clexane which
“Dr. McCoy! Patient Lawrence Exeter Junior is flat lining!” the nurse cried. Mr. McCoy and Lawrence Exeter Senior
At approximately 11:40 hours, SSS J.McCuaig and S/O G.Sond attended and joined the writer for the eviction. The patient came out of the room and was asking the clinical
As soon as McMurphy arrived at the ward he was awoken by the ever serious attitude of the nurse. He also noticed how poorly the patients were treated. “But the rest are even scared to open up and laugh. You know, that's the first thing that got me about this place, that
In this scenario the nurse is and can be faced with having to communicate with any given person on staff to ensure appropriate quality care. Being part of the interdisciplinary healthcare team and learning how to communicate effectively within this team and encourage others to do the same is one of the many vital responsibilities that a nurse must be able to handle well.
Writer called Constance to find out if she has heard from the Visiting Nurse Association (VNA). Constance said yes and that they scheduled to meet on the 9th of this month. Constance said she will be seeing her pain managing doctor on the 8th. Also Constance said Medicaid approved for her to use long term care. Care manager was glad to hear that. Constance promised to update care manager after the
P-The patient was strongly encourage to attend the Women's Group on 02/29/2016 and update this writer with any assistance until she is assigned with a
A few days after the appointment, Lucy pulls out her laptop to access the patient portal, which the nurse recommended her to use. The portal is a convenient tool for nurses to effectively communicate test results to patients. Lucy’s hand slightly shakes as she types in her login credentials and scrolls down to the STI testing result. Her eyes open wide as she reads the description on the screen, “Chlamydia: Positive.”
She called patients who were discharged from the hospital after surgery to follow-up with their recovery. She asked each of them about their pain control, if they have had a bowel movement, and if they were taking aspirin. Direction was given if there was concern in any of these categories or other questions that arose during the conversation. The information specific to the above categories was then documented in several locations where it is tracked for quality purposes. The idea is the patient is receiving accurate discharge instructions and medication reconciliation before leaving the hospital. Laura tracks this and follows up with staff and the physicians if there are