Gibbs Reflective Journal

The General Duty of most Registered Nurses’ is to do whatever they can, in their power, to help every patient they come across on a daily basis in a comfortable, appropriate, manner. On the more specific end of a RNs’ duty, a Registered Nurse is expected to and responsible for: performing physical exams and health

My daily routine as a nurse would be to get patients medication to them make sure the patient's’ symptoms have not changed. If a patient is about to go into surgery, I would help get them prepared to go into the operating room. I would make sure to get the patient's’ vitals and to make sure they are feeling okay, or ask any garrulous questions like “did you feel sick over night?” or “were you in any pain or did anything change over night?”

3.2 Explain the effect of own role on service provision 3.3 Describe how own role links to the wider sector I make sure that individuals are provided with care by making sure they are clean, rested, fed and that they are supported in their intellectual, social and emotional needs. You communicate with other people to provide seamless care such as arranging and attending appointments or carrying out treatments.

We then load trolleys with the necessary paperwork and go from patient to patient, checking which paperwork needs replenishing and noting down what time physiological measurements etc. need doing and tidying the bed areas.

Assisting with daily activities such as, bathing,dressing,cleaning and sanitizing the areas the patient may be in. Other things that cnas do day to day for work, may include answering phone calls for the patient, taking their vitals, turning and repositioning bedridden patients,cleaning and, and providing and cleaning bed pans. As well as taking care of their patients, Certified Nursing Assistants (CNA) also help with putting their patients on their bed,examining for injury, and restocking rooms as well as changing the patient's

- Participate in nursing research and collaborating with the team members for new development. -Supervise complete client care on for patients as charge nurse. -.Assign the care to other nursing personnel while maintaining the accountability. .-Evaluate the patient’s progress and change the plan of care to achieve the goal from admission until discharge.

LPN’s carry out the orders of the physician, by administering medications and treatments to the patients assigned to them. LPN’s are often the voice of the doctor when it comes to patients care. LPN’s want to make sure to safe and effective care is rendered to all their patients. LPN’s often participate in readjusting a patient plan of care to benefit the patient’s outcome and their safety. LPN’s can delegate procedures to personal qualified to carry out those tasks. Some of these tasks may include items such as vital signs, glucose checks, back massages, bathing and ADL’s, activities and feeding of patients. CNA’s, play a very important role, in helping the nursing staff carry out their orders and duties every day the come to work.

CNA Salary Guide | Certified Nursing Assistant Salary Facts The main duties of a Certified Nurse Assistant are to take of the patients under supervision of Registered Nurses and Doctors. Assisting patients with daily chores like dressing, feeding, and monitoring activity are the main responsibilities. With so much time spent with the patients, CNAs often develop close relationships with many people.

1. Pulmonary Hospitalist & Associates (Back Office Medical Assistant) -Interview patients for medical histories and chief complaints, measure vital signs, and review medication lists -Accompany MD in exam room to document exam findings, diagnoses, and treatment plans -Perform spirometry and EKGs, process labs, & prep and assist with venipunctures, urinalysis, injections, and cosmetic

 Recorded, interpreted, and reported patient's responses with appropriate members of the interdisciplinary healthcare team.  Administered parental and po medications, fluid therapy, and blood products.  Scheduled on-call for an emergency, acute care dialysis treatments. 2/2005-10/2010 Fresenius Medical Center Cleveland, Ohio Staff/Charge Nurse  Delegated tasks, and monitoring all direct-patient staff, including LPNs and Dialysis Assistants, assessed care needs and developed

• Checked vital signs, administered medication as schedule, and reported accurate recording of patient weight while gathering collected routing specimens for the immediate supervisor.

A C.N.A. can work effectively as a member of the health care team by helping a patient or resident meet their basic human needs, for example, assisting with meals. Doing so will help the patient or resident meet other needs such as a small goal with more comfort and ease. In addition, a C.N.A. can work effectively by observing and reporting any changes in behavior or health conditions when providing for the patient's or resident's basic human needs.

The duties performed are transferring and transporting patients, answering patient call signals, signal lights, bells, or intercom systems to determine patient’s needs. Other duties are to turn or reposition bedridden patients, provide physical support to assist patients to perform daily activities. Also, review patient’s dietary restriction, food allergies, and preferences to ensure patient receives appropriate diet, measure and record food and liquid intake or urinary/fecal output so that we can report changes to the medical staff. Occupations that satisfy this relationship allow employees to provide service to others and work with co-workers in a friendly non-competitive environment. Occupations that satisfy this physical conditions offer job security and good working conditions. Nursing assistants work in nursing, residential care facilities and in hospitals. They are active and may need to help life or move patients.

The first and most important method would be, respecting the resident’s voice. As a nurse aide, I want to make sure that my residents are being heard. I want them to be able to come to me when they need help or have problems. I also want them to know that I am here for them.

The nurse must initially evaluate the patient’s charts for any bacterial precautions and fall risks. As the nurse walks into the patient’s room, the nurse begins by making sure the environment is clean and safe. The nurse would do this by gathering equipment, washing hands thoroughly, and wear gloves. The nurse is then to greet the patient, introducing self, then let them know exactly what you came to do. The nurse should first ask the patient for his or her name, birthdate, location of where the patient is currently at, and the reason as to what