Diagnosis Of Vre And Pneumonia

Witnessing the patience, strength, and compassionate attributions that nurses convey within their care was remarkable. Having the opportunity to make a positive difference in the life of another human being was a very overwhelming and humbling experience for me. Therefore, these encounters set the foundation towards my pursuit of a nursing career.

Clinical day started slow, I was a bit anxious about waking my patient up that morning but I knew I had to go in. I woke him slowly and took his vitals and proceeded with my assessment. As I assessed my patient, his wife came in to his room and I introduced myself. During the morning I found out that my patient was being discharged. Before discharge, my patient was going to be fitted for a LifeVest.

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.

As we rushed into the ambulance with sirens wailing, I was filled with trepidation. When an individual is so attached to someone, they forget that it could all end. They expect more, thinking they have forever, but they never know when it might be the last time. I endured the one I love in a life threatening experience and this encouraged me to want to become a part of the medical field where I can instill hope in people when they need it the most. Witnessing my mother have a heart attack consequently helped me realize I want to assist people in emergency situations.

It is a warm summer evening at Grady Hospital. It is my first day as an emergency room volunteer. I’m nervous and eager, hoping to see something exciting. However, it is surreally quiet. Suddenly, there is word of an ambulance en route. Minutes later the paramedics burst into the trauma slot pushing a man on a stretcher. His head and face are covered with gauze that is soaked through with dark blood. It is a flurry of well-orchestrated movement as the attendings and residents start to resuscitate him. They pull back the bandages to reveal a deep gash that is bleeding profusely. With much effort his vital signs are stabilized and he begins to regain consciousness. Later, after the excitement had passed, I learned what brought him here. He is diabetic and couldn’t afford to properly manage his condition. He had fainted due to hypoglycemia and hit his head. He had almost lost his life because of the unfortunate financial realities of modern healthcare. In that moment, I came to appreciate the very real cost of disease and the incredible role physicians have in ameliorating it. This formative experience was the beginning of my path to medicine.

On September 28, when we went to Tripler Army Medical Center, I was placed in the Cardiac Ward. At that time, I was able to learn so many diagnosis dealing with the patients. The nurse had briefly explained what was going on with each individual patient and the type of treatments they are doing to help. She had also neatly clarified each medication she was giving them and told me exactly what it was used for. I was able to get an experience of hands on by taking a patient’s temperature. I had shadowed as she did so many things to make the patient feel comfortable and did everything to the best of her ability to make them happy. She had taught me how to record every piece of information about the patients on the computer by showing me what

My Story: Today, was an awesome, extremely busy clinical day; I absolutely loved it. I saw five total patients. The first patient that I saw was with Laura, this patient was diagnosed yesterday, 2/7, with cirrhosis of the liver and HEP C. The patient’s chart says he has a history of anxiety, however, the patient stated that his anxiety started when he was told in the ER on 1/25 that he could have cirrhosis of the liver (more information in part D and E). This patient was very interesting, and I was amazing by how much he was going through; I felt bad for him. I did vital signs and my part D and E with this patient, and built a therapeutic relationship with this individual. I completed my part D and E on my first patient, due to not knowing if other patients were going to cancel because of the snow, as well as I didn’t know what patients I could see because the NP, Tanya wasn’t in the office in the morning. At the end of the visit, the patient asked me if I would be coming back again. This made me feel good, because I knew listening and being there as support for this patient helped him. The rest of the day I followed the

It was a very busy night on M10, call bells ringing non-stop for pain medication, or toileting needs, IV pumps alarming, concerned family members coming to the nursing station, numerous patient admissions from urgent care and PACU. I received nursing handoff on all my patients from the day shift, gave handoff to my patient care technicians, and we had our nightly nursing huddle in the station. After hearing everyones concerns about their high risk patients, I wanted to get out on the floor as early as possible to complete my assessments, and administer my medications to leave time for the many uncertainties that my gut instinct warned me would occur. I was able to finish all my patient assessments, and pass my medications earlier than usual, and when this occurs, I always do my best to help my co-workers if they have fallen behind. I went around asking everyone if they needed assistance, and indeed one of my fellow RN’s needed help moving one of my former patients closer to the station, because she had been hypotensive. I greeted Ms. T and her face lit up like a Christmas tree, I asked her how she was feeling and the smile she had on her face immediately turned into a grimace. I assured her, that we would do our best to make her more comfortable once we settled into the new room.

He looked at me and said thank you doctor. I was volunteering for Give kids a smile at Toto dental when Carlos, walked inside the room that I had set up for him with his mom. As soon as he saw the anesthetic syringe on the table, his first tear broke free and the rest followed in an unbroken stream, he was squeezing his mom’s hand and he was looking at me in fear. I leaned down and started a conversation with him in hopes of making him laugh and comfortable. He stopped crying and smiled wide with his cheeky red face. Can I put you on the chair? I asked. He smiled and said: Only if you would hold my hand and stay right here with me. He was squeezing my hands with all of his powers when the doctor said: we are done, you did a great job Carlos. Without hesitation he looked at me and said thank you doctor and proceeded to give me a hug.

It was 2am in early August of intern year and I was awakened by a call from a nurse. My 80-year-old patient with pneumonia was hypotensive and saturating in the 80s. I immediately jumped out of bed and started heading in their direction while frantically trying to find my senior’s number on my phone. As I reached the patient’s room I felt lost and intimidated; he was already on supplemental oxygen, what else could I do? The room quickly became busy as more and more people showed up to help.

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

Each year, over 750,000 are documented with mortality rate as high as 50% (Angus, Linde-Zwirble, Lidicker, Clermont & Pinsky, 2001). It is the 10th leading cause of death in United States. Globally, it is responsible for significantly higher number of deaths than aids, breast cancer and prostate cancer combined. Results from the National Hospital Discharge Survey in 2008 showed patients admitted with sepsis had a greater length of stay and a mortality rate eight times greater than patients admitted with other diagnoses (Hall, Williams, DeFrances, & Golosinskiy, 2011).

This Friday was a very eventful and exciting day at the Cardiac Catheterization Lab. When I first arrived at the office I asked my mentor, Maria, if there were any procedures that I could watch. After two phone calls, there was one surgery that had just begun that I could sit in and watch. When I went to the control room, I had looked through the glass and I had noticed that there were at least six or seven people in the surgery room. After about five minutes watching the surgery and the screen that projected the heart, the tech guy that I met a few weeks ago comes into the control room, says hi, and tells me that this is a good case for me to watch because it is a different surgery than the ones I have previously seen. In this case, the patient

So here I am with a good routine, everything seems to be flowing nicely and the one thing which I dreaded happened, a code blue. Now in the healthcare field this is referred to as a patient emergency. A code blue can range anywhere from a patient being unresponsive to having respiratory distress. Unfortunately, it turned out to be my patient and my skills were put to the test. I can remember it as if it was yesterday. My patient was unresponsive in bed with no pulse. As you can imagine I was a bundle of nerves but I knew it was my responsibility to do everything within my scope of practice to save my patient’s life. I zipped into action. I yelled for the crash cart, I started pumping on his chest performing CPR, while my fellow colleagues administered the AED. Needles to say, he pulled through. Knowing that I was a part of saving his life makes it all worth the stress of being a nurse.

During my first semester student clinical rotation, I was introduced to patient, 76 year old AB who was being treated at an assisted living facility. She was a wonderful patient and someone I immediately connected with. AB had been medically diagnosed with COPD and displayed all the classic physical signs of the disease such as wheezing, deliberate breathing, severe shortness of breath and nutritional deficit. She was my first patient as a student nurse and the first person I was able to complete a health assessment and nursing care plan for. I recognized early on that AB was special and someone who would be a great person to communicate with. With the initial assessment she was a little scared, but