Evaluation Of A Patient's Hand Got Swelled And Painful

When I arrive to the facility this morning I was informed that one of the patients had passed away during the night, which was quite sad. Today I was in the acute ward all day and was able to watch the RN perform an ECG on a man that was bought in via ambulance who was complaining of chest pain. I watched as she placed the ECG leads on different positions of the chest. The RN showed me what a normal heart rate should look like. I also went around the ward taking OBS and notice that one of the patient's O2 levels were very low at 73%, the RN then gave the patient some ventolin through a mask to increase oxygen levels and they rose to 95%. The RN also showed me the medication charts and how they are to be read. I went around with her watching

When I arrive to the Trauma ICU 4800 unit, all of the nurses were already being followed by other students. The nurse in charge had me follow several different nurses, so I was able to observed several different patient cases. The first patient had received a triple bypass open-heart surgery. The patient had received a creatinine blood test. The patient had a dialysis machine next to them, which was used to function as the kidneys since the patient’s kidneys were not functioning correctly. Also, the patient’s body temperature was lowered from having a taken cool liquids so the nurses were keeping him warm with a bair hugger, which was a machine that helped regulate the patient's’ body temperatures.

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

At Phlebotomy on Wheels we provide solutions to our clients' problems. We are experts with over 8 years of experience. Even though we were able to retrieve the blood on the first stick with this patient example,I am sure it would have benefited the agency and the patient before the patient was discharge,enabling the agency to know the patient levels and proceed according. We look forward to working with the team and increasing revenue,patient satisfaction and improving the work flow

Gloves snapping, needles pricking, and blood gushing are often thought of when it is time to have one’s blood tested for various reasons. With a patient’s anxiety already running high, the slightest mishap can have a serious aftermath. If the venipuncture was painful or left horrible bruises, the patient may think of the procedure negatively in the future. More importantly, it is the Phlebotomist’s responsibility to obtain quality blood specimens to produce the most accurate laboratory results. (Garza, 2010) The School of Allied Health states, “It is widely accepted that the quality of a laboratory test is only as good as the specimen that was obtained.” (Allied Health, 2014) For this reason, a Phlebotomist

When I was caring for my patient with increased intracranial pressure, I was highly stressed and distracted by the concerns of the family. The report seemed rushed and confusing to follow. During report a medical error was mentioned and the father overheard that Mannitol was not started on time. He was taking over myself and the other nurses to question our competency. The family was not trusting anyone providing care for the patient and I felt a tight knot in my stomach. I felt myself sweating as I attempted to explain the situation to the father left my

Five minutes into her walk, we heard screaming coming from down the hall, several nurses and I ran over and found the girl bleeding profusely from the incision site. One of the nurses helped her down to the floor as I applied pressure at the site without wearing any gloves. Another nurse cut the girls underwear to have better access to the incision site and to apply the sterile gauze directly over the bleeding site. While all this was happening a forth nurse brought a stretcher in which we transferred the patient back to her room. While in the room, we took her vital signs and continued to monitor her vitals every 15 minutes for the first hour. Next, we notified the physician immediately about the situation and he rushed to see her. Thinking back on this experience, I realize that I should have worn gloves before applying pressure in the wound. Evidence based literature recommends that healthcare providers utilize gloves when coming in contact with any bodily fluids (Chau, Thompson, Twinn, Lee, & Pang,

It started off as a typical day in the emergency department. A code that just finished in room 1, a broken arm in room 8, abdominal pain in room 10, and it was my turn to take a new patient in room 12. She was brought back from triage with stable vital signs and the only complaint of slurred speech that happened on and off. When Mrs. S came into the room, her and her husband stated that she was acting completely normal. She stated she felt fine and was embarrassed that she came to the emergency department. She stated that she was doing chores on the farm up until around noon. She states at that time she bent over and immediately felt dizzy and sick. She told her husband that she was going to go lay down due to the sudden onset. I continued with my assessment and her

My nurse had asked me to go get a blood glucose test on one of the patients she was assigned to. I had never met the patient or interacted with her before, so I was a little nervous before I even entered the room. I went in and introduced myself and told the patient exactly what I was going to do. Until that point everything was going smoothly and I had no issues with the situation. I proceeded to stick one of the patient’s fingers but, no blood was expelled. After waiting a little bit to see if any blood might finally show, I told the patient I may have to try another finger. She told me that was fine and she was very

Critical Thinking: During the first scenario, the patient was a 39-year-old female admitted to a med-surg unit following an abdominal hysterectomy. She had no known allergies and had a Foley catheter in place. Also the physician’s orders included, sequential compression devices and pain medication. While receiving report about my patient, I was beginning to think, as a nurse what my priority would be when first entering the patient’s room, which would be performing an assessment, monitoring vitals, assessing pain and inspecting the surgical site and dressing for signs and symptoms of infection, and assessing for potential post-op complications such as respiratory and cardiac problems; however, that didn’t go as planned. I was too focused on being reactive and thinking about what I was going to do next instead of being proactive, that I forgot simple steps such as introducing myself to the patient. Moreover, in the second scenario, my colleagues and I were placed in the emergency department to care for a 34-year-old patient with complaints of difficulty breathing due to asthma. In this scenario, the physician’s order consisted of administering oxygen via nasal cannula as needed in addition to administering albuterol via the nebulizer. Once again, before entering the patient’s room, I knew my first priority was going to be to assess the patient’s respiratory status by auscultating breath sounds, examining the quality and rate of respirations, the shape and configuration of the

On February 16 upon entering a room to assist with a transfer, I quickly check in on my post operation patient who was previously stable, I noticed their health status had rapidly changed. Moreover, my patient was found sitting in a very ridged positon looking pale, sweating, appearing anxious and in distress with a clenched jaw and intensely vibrating left leg. At this time, I was currently with my instructor and we immediate began to assess and comfort the patient. Our assessment found an increased blood pressure and heart rate and the patient reported numbness and twitching in their left leg. Subsequently, the patient

Laboratory errors have a negative impact on the patient and the healthcare system. Errors result in wasted time, resources and supplies, decrease efficiency, and pose increased risk to the patient (Osborn, 2017). While there are three phases in the laboratory practice where lab errors can occur, pre-analytical, analytical, and post-analytical, the pre-analytical stage is where the majority of lab errors transpire (Hammerling, 2012). The pre-analytical phase is composed of many steps that occur both before and after the specimen reaches the laboratory (Kaushik & Green, 2014). The complexity to this phase contributes to the pre-analytical phase being the most error prone part of laboratory

Another day of my clinical placement 420 in orthopaedic unit began on July 4, 2015. I received my patient and started to research a patient history and medications. At 0700 a shift report started, I received information that my patient had fall at night shift without witnesses. By the policy of Providence Healthcare a patient who had fall without witnesses should be automatically monitored for head injury therefore, a Glasgow Coma Scale was initiated by previous nurse: every 15 minutes, then every hour, every two hours, and every 4 hours. This scale is to check and monitor level of consciousness which possibly may decline after head injury. At this day we had a student as a "nurse in charge", she volunteered to come with me to patient room and to supervise my work. For this particular patient close monitoring of vital signs and neurologic assessment required. I explained to the patient the purpose of frequent health assessment and started to work. Close patient monitoring in addition to all daily routine activities was challenging to me because I never had a patient with this diagnosis. Despite my explanation of the purpose of frequent assessments patient stated that "I am fine, do not feel any discomfort, there is no need for that". While assessing patient she keep asking a lot of questions such as why so many time why do I need to drink more than one mouthful of water with my tablets, what these tablets for, why do I need to wait few minutes after

During my clinical experience, I encountered an unforgettable situation which holds significance to me as a nursing student. My patient had an intracerebral hemorrhage, subarachnoid hemorrhage, as well as dementia. As a result of her conditions, she was a two- person assist. While researching my patient’s health conditions the night before clinical, I became concerned about how I was going to take care of my patient due to the anticipated immobility. When I first met my patient, I began to feel apprehensive because I realized that it was a patient who I had seen on the unit two weeks ago. This patient was groaning and crying at night, disturbing other patients who were trying to sleep. Due to her restlessness, the nurses moved the patient to the nursing station every night and then moved her back into her room in the morning. Looking at

So I kindly, asked the nurse if we are supposed to look under the patient to assess for any blood pooling under her. Because of this reminder, the nurse realized she forgotten this step and thanked me. We looked under the patient, and thankfully there was no blood pooled under her. Another example, of having an EVP mind, was when I watched a labor. I noticed that the residents kept putting their fingers in the patient’s vagina. In lecture, we learned that we want to limit the amount of times that we assess the patient’s cervix due to the risk for infection. Because I don’t know about deliveries, and how many times the doctor is supposed to assess the cervix; I didn’t say anything. I also didn’t feel comfortable, as this delivery team, offered for me to watch. I didn’t know these employees or patient from earlier. In the second half of the semester, I plan to speak up, if I see something that doesn’t seem right, regardless, of the employee’s title, and how long I’ve been working with