Essay On Hvc Experience

On Wednesday 09/21/2016 at approximately 2056 hours, Security Officers Lourdes Garay and Supervisor Steven Evans were dispatched to ICU room #4112 for a (53B) Disorderly Baker Act Patient in Medical Unit. Upon arrival, Officers saw Nurse Cassandre Jermaine and Charge Nurse Cristina Sisneski attempting to calm down an irate Baker Act patient. The patient Adam Bargar (DOB: 02/05/77, FIN #86198457) was upset about not being able to make a phone call, he then ripped his IV out and attempting to leave the unit. I explained to him what a Baker Act patient is allowed to do and what limitations are obligatory. He was also explained to him that he was not allowed to leave his room until medically clear by his Physician. Security staff was asked to stand

On March 2, 2016 at approximately 2013 hours Security Officer Tom Mejia and Shift Supervisor Steven Evans responded to dispatched call for a 51D (Disorderly Patient in ED) to Emergency Room #42. It was reported that the patient was intoxicated and was attempting to leave. On arrival, E.D. Registered Nurse Camila Perez explained that the patient, Ms. Shayna Patkotak (FIN: #85305794) was indeed intoxicated and was wanting to leave but she was back in her room. Ms. Shayna was verbal about wanting to leave and smoke but the medical staff was able to get her to comply with them. Security stood by while the medical staff attended to her. We did not have to go hands on and there were no injuries to the staff during this incident. All cleared, nothing

On August 26, 2015 around 2335 hours, Security Supervisor Steven Evans, Security Officer Allan Topher, and I was dispatched to room 5104 in response to a non-Baker Act patient, Lillie M. Smith (FIN:84487321) who was arguing with medical staff. Upon arrival, we made contact with Nurse Julia, who stated that Mrs. Smith did not want to leave her room. She further stated that Mrs. Smith was going to be transported to room 510 bed #2. Security staff went inside the room and observed a very confused 86 years old patient who stated that she pays rent in the hospital and that the hospital is her house. Nurse Julia tried to convince her nicely to sit on the wheel chair in order to be transported to room 510. After several attempts from Nurse Julia,

According to FindLaw (2008), Ellen H. Finnerty, a registered nurse is requesting the Board of Nursing in Texas to set aside the judgment where she was disciplined for gross negligence and incompetence. The board’s decision came after an incident where Finnerty chose not to comply with a physician’s order to intubate a patient before said patient was transferred to the ICU. In August 2002, Finnerty was working at Huntington Memorial Hospital as a charge nurse. A nurse (A. Magi) that was caring for patient(J.C.) begin to display symptoms of respiratory distress, such as rapid and labored respirations of 40 and an oxygen saturation of only 70%. With the assistance of a respiratory therapist, the patient was suctioned and Nurse Magi received orders from the primary care physician for 100% oxygen via a nonrebreather mask with the oxygen saturation to be maintained above 94%, several different blood test, for the administration of a diuretic. After the orders were performed and the patient was continually monitored, there were no changes to the respiratory rate. Another call was placed to the PCP, there was an order given for the patient to be transferred to the ICU and stat intubation. These orders were relayed to Finnerty, who then assessed the patient, but did not disclose her findings with the medical staff. Lab results indicated that insuffient blood oxygenation and acidosis. The

A nurse attending stated “during the morning’s second surgery, he actually dozed off. The nurse took him aside and recommended that he take a break, but he refused and returned to the operation.” The nurse here was in fault in more ways than one. This nurse should never allowed the doctor return back to operate on the patient, he should have been removed from the operating room immediately. The nurse should have

Castillo kept acting in belligerent manner and stating that he was going to leave. I, Steven Evans then spoke to him about the fact that he appeared to be intoxicated and that he could not leave at this time. I reiterated to him that any attempts at leaving would not work and he could possibly end up being restrained by medical staff with Security assistance. The patient did not like what I said to him, so he threatened to leave and then proceeded to step out of his room. Security Officer Alonso and I asked him twice to go back to his bed, at which time he became unreceptive and refusing to go back to his room. Officer Alonso and I had to physically and forcefully direct him back to his bed. Once on the bed, he became physically aggressive and attempted to hit Officer Alonso. We instantly took control of the patient's arms and upper body while Security Officers Paz and Weiland controlled his legs as he kept screaming and fighting with us. Nurse Baptiste proceeded to contact the patient's Doctor Cleveland so that a sedative could be given to him. At 0020 hours Nurse Baptiste walked into the room to administer a sedative to Mr. Castillo. The patient fervently refused and Security had to physically hold the patient down during the

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During my first shift, the unit was busy and there was constant movement on the floor due to the high number of patients in the census. In addition, a rapid response was called on the unit, which contributed to the feeling that the floor was unusually active. At first I felt intimidated by the atmosphere that resembled chaos but I decided to jump in and do what I could to help. I figured, the more that was happening, the more opportunities there would be to learn; this was an accurate assumption.

During my clinical rotation during my last semester of nursing school, I was able to work one on one with a BSN degree nurse named Judy in the ICU. Judy had three years of experience in the ICU setting. She had been a medical surgical nurse prior to her ICU transfer. The ICU at this hospital consisted of two associate degree level nurses and two BSN level nurses on my shift. I rotated three days in this particular ICU. I worked with Judy all three days of my rotation. I was excited about being placed with her for she seemed knowledgeable and skilled. We were given a male post trauma patient to work with all three days. This patient was a 30 year old male admitted for trauma related injuries and was considered unstable and was to be monitored in ICU. This patient had been involved in a motor vehicle accident and

In the Code of Ethics for Nurses provision 4 states “The nurse has authority, accountability, and responsibility for nursing practice; makes decisions; and takes action consistent with the obligation to promote health and to provide optimal care.” This was not done, there was no regard for human life. The patients in the hospital were treated as a burden. A meeting was held where the doctors agreed that

On august 13, 2016 I was assigned to follow one of the ICU Nurse. It was a very calm day. She had two patient one was more critical than the other. Both patients were on the ventilator because they had to be intubated the night before. The lady is obese and had gastric bypass surgery two years ago and suffering from severe sleep apnea, but the patient is non-compliance to the CPAP treatment. That was her second time being intubated. She was admitted for seizure monitoring because she was constantly having seizures the day before while she was at home. Due to the fact that she did not want to wear her CPAP machine while in the hospital, after pain medication was administered she was found unresponsive, that was the reason for her intubation the night before. Patient was on intermittent suctioning, she has sinus tachycardia . I had the opportunity to observe some of her daily care. The patient was on fentanyl but when the Dr. try to wean her out of the ventilator she stop breathing, therefore, the DR. discontinue the fentanyl temporarily in other to retest her later.

What I really cannot understand is the punishments given to patients for “misbehaving.” For instance, if Saks said anything too crazy, such as saying she could stab someone with her plastic fork, she would immediately be placed in restraints for long hours at a time. No one in the hospital seemed genuinely interested in treating her beyond pumping her system with drugs. The New Haven hospital was similar to “the Center” that Saks went to for her drug problem as a teenager: more time was devoted to having people just “get over it” rather than hearing a patient’s problem and addressing it. Furthermore, the rules on ethics and doctor-patient confidentiality seemed to be nonexistent at that facility. They contacted her parents against her earlier wishes and even essentially pulled her out of school. Although they may have believed they were acting in her best interest, ethically they should not have been able to disclose medical information of an adult to

My first observation in this particular field was at Druid City Hospital in Northport, AL. I learned a lot about the field of respiratory therapy and what respiratory therapists go through on a daily basis. A respiratory therapist by the name of Shyneice was my preceptor during my time spent there. In other words, she showed me the ropes. Not only did she inform me about non-invasive, invasive and diagnostic procedures, she also showed me how to perform some of these particular processes. I was also taught how to organize and store medicine correctly, give treatments, record a patient 's information, and how to use a ventilator properly. I was able to witness my preceptor treat patients in both the Intensive Care Unit and Progressive Care Unit. There were many different patients with various conditions. Throughout my experience at the hospital I was able to see my preceptor interact with her patients. She informed me on what to expect when working in a hospital and how to care for

When I arrived at booking this patient has bad tremors, is diaphoretic, and has increased vital signs, I medicated the patient and made sure the patient was given fluids. The officer states he was like this when the other nursed checked him. I checked the chart and on the sobbing sheet I see that this nurse had just checked this person 10 minutes ago and charted that patient had no signs and symptoms of withdrawal.

Several of the roles which I observed this morning were expected: the nurses took vitals for incoming patients, performed focused assessments, and were the main communicators between family, the patient, and the physician. I realized when the first patient came in around 10:00 am, the RN’s role in assessments, gathering blood work, and carrying out all the necessary steps to situate and stabilize the patient as soon as possible. It was incredible seeing the nurses work together, in sync, in those first moments when the patient was brought in. And though expected, I appreciated seeing just how much communication was held and information was gathered from the patient or family members by the nurse. Jessica asked the right questions from both parties, while still showing incredible empathy and not making the whole situation seem rushed and flustering. I understood this as another essential role of the nurse in the ED; he or she must maintain even in such a fast-paced environment empathy and focus in each interaction.