The Cardiac Catheterization Lab is a highly specialized area of work, and therefore does require some specialized training for its nurses. Among the requirements include a background in intensive care nursing and having Advanced Cardiac Life Support certification. Some nurses were also Cardiovascular Nurse-Board Certified, and had X-ray training and licensure. Because it can be a very high intensity area, the VA does not accept new graduates to the Cath Lab. With its intensity, I inquired of several nurses what techniques they utilize to cope with traumatic events. Sara discussed how much she relies on her fellow coworkers in emergent events to step up and be willing to jump in and assist as needed. She also mentioned how each nurse attends a biweekly meeting with several other staff members to discuss any major successes or errors which have occurred. Sara explained this time as an excellent learning opportunity, as well as an outlet when each person on the team can share their thoughts.
The case that I have chosen to reflect on was a patient that was already staying on a ward within the hospital, the patient was rushed to the emergency theatre late at night from the ward with a suspected internal bleed, the cause and exact location of the bleed was unknown, the patient presented a complex case for the theatre staff as the patient 's condition was largely unpredictable along with the amount of blood loss that the patient could lose. My role within the theatre team was on the anaesthetic side, I was supported by my mentor who I feel I have learned a vast amount of
This paper examines a case study about the transfer of knowledge between preparedness and emergency response as conducted by Kerstin Erikkson of Lund, Sweden University. Erikkson (2009) conducted the case study by analyzing emergency response following Gudrun, a storm with hurricane force wind gusts that struck the South of Sweden in January 2005. This disaster caused significant damage to the region 's critical infrastructure, such as roadways, railways, telecommunications systems, and electrical power supply. The storm also resulted in power outages for roughly three-quarters of a
Before I started on the ward I believed that I could handle any situation presented to me as I have a very logical mind and can work my way around problems. What I was not prepared for was the closeness of contact with patients. I knew I would have to deal with this type of situation but I was not prepared for my reaction it felt very out of place for me I have never responded in such a way before or since. I 'm not sure why I acted the way I did I guess it was just lack of confidence and internal pressures to do well.
In every department an EMT works in it is guaranteed they will come face to face with a patient in need of medical attention. I am very happy with the class I chose for my senior project. In the EMT class, I have learned valuable knowledge that can save the life of a person in need some day. I know now after doing my first ride along with an ambulance and being able to attain 10 patient contacts has made me realize how much I love being in an ambulance and helping patients in need. On the first day of my ride along I worked an 8-hour shift and got absolutely no calls. I did not let that get to me because I knew in this profession there will be days where nobody will be able to sit down for a second and there will also be days where they will be sitting down all day. On my second day of ride alongs, I became the “black cloud”. We got 6 calls in a 12 hour period. My first patient contact had my heart racing a million beats per second. The adrenaline was insane and was something I had never felt before. We arrived on scene to a care facility that was severely dirty. Feces were everywhere and the patient was complaining of difficulty breathing. I did not expect to be able to actually work the patient the first run, but my EMT and Paramedic were extremely helpful with my hands-on learning experience. They allowed me to attain vital signs which included blood pressure, pulse rate, respiratory rate, pupils, blood
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
By this point the patient had stopped breathing, I had pressed the emergency buzzer and ran to phone outreach whilst one of the nurses on my ward had started CPR and a nurse from the ward next door had pushed down the crash trolley. During situations like this it is hard to always insure that the patient’s dignity says intake, there is a lot that happens quickly, with urgency and as well as a confined space, as a result an output is often prioritised over making sure that patient in covered for example. However, the patient is constantly being reassure and we were running him through what was happening to try and lessen his panic in an unsettling and terrifying experience.
| Lesson Outline: Allocated teacher-NExplaining legal requirements : Duty of care: A duty of care is implied when the person who is requiring your assistance is in your workplace. E.g. patient, co-worker or visitor. Consent of an unresponsive patient is assumed in an emergency situation. (Crouchman, 2009; Milne & Mellman-Jones, 2010).Cultural awareness/sensitivity: We need to mindful of varying cultures when assisting patients, as different cultures prefer to be unexposed which is necessary when defibrillation is required. Eg, Muslims (Hattersley & Keogh, 2009). Confidentiality: Following an emergency situation it is vital to refrain from speaking to others outside the workplace about the patient to ensure the patient’s privacy and dignity. Think about how you would feel if you where in the patient’s situation. (Maeder, Martin-Sanchez, Croll, & Ambrosoli, 2012)?Limitations: Remember that once you start you can’t stop until you’re physically unable to or help arrivesDebriefing: Participating in the debriefing process is vital due to the enormity of the situation, enabling the nurse to express
While working in the emergency department for my clinical this week I could see the staff members that help in the emergency department. There are RNs, EMTs that have different certifications like BLS or ALS, a nurse practitioner, and doctors. In the emergency department, they have staff members from different parts of the hospital to assess the patients. Radiology comes down to get X-rays on the patients for a closer look at their heart. The patients who come into the ER with shortness of air, chest pains, numbness in the extremities and dizziness with signs of fatigue are ordered an X-ray. The lab can come to draw the patient's blood or the nurse will draw up the patient's blood and then send it to the lab. More patients come in with chest pains or shortness of air while in the ER,
As an official I use a S.W.O.T analyses of our event, and communicate with the public and the media for a clear and transparent agenda that is safe and organized for the public.
People who have lost everything and potential risk going hungry while grieving would need their basic needs meet first. For someone who has a home one day and then has nothing would need to have a stable place to lay their head down and keep their family safe. A community who has suffered a huge loss will need support getting back on track which would take time. This could increase ones emotional reactivity because they do not know what they are going to do in the time begin about their basic need. When someone’s basic needs are not met then their emotional suffering like PTSD, anxiety and depression can last longer. Once a person basic needs are met then they are start to work on their mental health concerns. One article pointed out that we need to take in account a
The future of Emergency Managers (EM) will be greatly enhanced by seeing more and more people obtaining their bachelors degrees in this field. This is credited to more colleges offering the program, and seeing the need for it in todays ever changeling, and changing environment. Having a BA in EM could also include a chance for promotions, and higher salaries.
The emergency operations plan will assign specific city agencies within the jurisdiction orders and responsibilities they must take on during an emergency. Each of their tasks will be clearly explained and will be assigned to that specific department or agency so they will have the capability to perform them accordingly. As well as the type of assistance will be needed from the state, North Carolina, surrounding countries, federal government, and private entities. The emergency operations plan will include and prepare the cities agencies and departments that will be needed in an emergency crisis. Homeland Security, law enforcement agencies, the fire department, emergency medical services agencies, and hospitals will be the main agencies and departments on scene, each
As a health care professional, It is my responsibility to keep a very clean and safe facility at all times. The first step to making sure we are never in violation is making sure everyone is following the OSHA guidelines. Making sure to handle hazardous medical waste properly. I would also make sure my employees know what to do at all times in case of an emergency situation. During down time, I would have a requirement for every employee to just take a moment. To look around and see how they can improve the work environment.I would also make sure my patients are happy at all times.
Communication is widely regarded as one of the most essential elements in successfully managing an emergency situation. The dissemination of information, which is both timely as well as accurate, to the parties concerned goes a long way to lend a hand in ensuring that the recovery activities in an emergency situation, together with its management takes place effectively. For that reason, five critical assumptions are used to provide the basis of disaster management strategy.