Health Care Observation

Throughout the procedure, two of the four nurses knew exactly what needed to be done. By assessing the situation, one nurse presented a tracheostomy set while another nurse obtained an intensive care unit bed. At no point did either anesthetist or EMT worked as a team with the nursing staff. These actions displayed poor communication and a lack of team work and collaboration.

While the seriousness of a patient’s death should be investigated, the hospital failed to act promptly and investigate the supervisor’s or human resource (HR) department’s denial of reasonable accommodations or the previous errors made by the nurse. Therefore, the wrongful termination seems more likely to have been the case in this situation. The defense will show that rather than terminating her employment earlier the hospital waited until something catastrophic happened. The nurse took appropriate action discussing her health condition diagnosed by her physician that precludes her from working in the ER at full capacity with her supervisor. The nurse should have been given alternative assignments as appropriate or disability leave if no other alternative was available and should not have been terminated wrongfully after the incident (Pozgar,

The patient is a 12 year old female who presented to the ED with thoughts of self harm and cutting behaviors. The patient denies suicidal ideation, homicidal ideation, and symptoms of psychosis. The patient reports that she has been sad lately. Per- documentation the patient reports to peers at her school that she was trying to kill herself, which the school sent her to DayMark. Further, Daymak IVC the patient and requested further evaluation.

Nurses are undoubtedly one of the most trusted professionals worldwide. Patients, family members, and doctors entrust nurses to provide the utmost quality care to sick individuals. Top priorities of all nurses are advocacy for their patients: including advocating for their physical health, holistic welfare, and utmost importantly, their safety. Patient safety will always be the top priority when providing patient care. The nurse’s responsibility during every patient encounter is to ensure that each patient under her care, receives no harm. As a direct result of the previous statement, it is crucial that every nurse knows their rights to refuse unsafe patient assignments, the process to refuse unsafe patient assignments, and the legal or ethical ramifications that could present themselves if proper judgement is not used. By understanding these rules, nurses not only achieve the responsibility of advocating for patient safety but also safeguard their careers and license.

Consistent, open, honest, and transparent communication is invariably preferred, and would have best suited this situation, however, given the collective bargaining agreement requirements, this proved an impossibility. Furthermore, the rules governing the negotiation process and that planning occurred without the nurse’s knowledge indicated deception in their judgement. An already frustrated nursing staff became angry at what they perceived as a personal affront and severe injustice. Although the nurses’ could grasp the staffing insufficiencies, the severe changes required to remedy the unsafe staffing conditions evoked serious emotions and injured the trust between management and the nursing staff. Nevertheless, the medical center was obligated to follow the procedures dictated by the

As mentioned previously, at my last job I communicated with students, and parents. I oversaw the children’s safety. I had to keep an eye out for their well-being along with any equipment they may have borrowed. Moreover, I am bilingual. So, I am freely to communicate with fluent English-speaking students, and Spanish fluent students. Lastly, as mentioned I have experience with outreach so promoting any events thrown by RHA or the school or any important information students should know I would be able to communicate it with

We hope his letter finds you well. Per Christina's email sent on November 12, 2015, CARD's services are no longer a fit for Dillon, due to his health issues being a priority. Also, Dillon's scheduled activities will overlap with his therapy sessions; this means he is no longer available for CARD therapy. Cristina also mentioned not being able to attend clinics, due to not being able to take time off of work. Clinic attendance is a crucial aspect of a successful CARD therapy program; and by not attending clinics, Dillon's progress and CARD's clinical recommendations will be hindered. Angelica and I have tried to discuss accommodations with Cristina via phone and in person on November 12, 2015, and again on November 13, 2015, to help continue

The aim of this assignment is to portray knowledge and understanding of all aspects of Safety and Health while working as a nurse in a hospital environment. All employees must comply and familiarise themselves with legislation and acts. These acts include The Safety, Health and Welfare Act 2005 and The manual Handling Operations Regulations 1992. Employers must “ Ensure the safety, health and welfare at work of his or her employees, manage and conduct work activities in such a way as to ensure the safety, health and welfare at work of all employees, manage and conduct work activities in such a way as to prevent any improper conduct or behaviour likely to endanger employees, provide information, instruction, training and supervision,

It is with great interest that I submit this letter to be considered to be a member of the Clinical Observations course during the 2016-2017 school year. I am interested in taking this course because my ultimate goal is to become a physician. Through this course, I feel that I will gain knowledge that would otherwise be inaccessible to me, along with experiencing events that most high school and even college undergraduate students would not have access to. I have a passion for learning and health care, and I am sure this course would benefit me immensely.

Typical diagnoses on the unit include congestive heart failure (CHF), myocardial infarction (MI), arrhythmia, myocarditis, coronary artery disease along with medical history of diabetes and hypertension. The RNs who are working on this floor are often occupied with administering medications and providing basic nursing care to their assigned patients. In order to complete their nursing tasks efficiently, some of them develop their own “nursing shortcuts” in their practice to save time for other duties (Beaulieu & Freeman, 2009). However, these “nursing shortcuts” raise the question of whether or not nurses are practicing according to policies, guidelines, standards and literature that inform nursing practice. Not practicing in accordance with these sources can pose as a potential threat to patient safety (Halm & Gleaves, 2009; Odom- Forren, 2011). An example of such a nursing activity, as witnessed by the authors, is a nurse who obtained blood samples from a patient’s peripheral intravenous catheter on a cardiac inpatient floor.

Safety of the patients’ care is the identified issue, in reference to lack of communication. All disengaged patients should be accounted at all times. The staff responsible for the patient should be on alert about possible issues that may occur relating to that particular patient. For example if a nurse is taking care of a dementia patient that is a risk for elopement there should be procedures in place to prevent issues. The hospital needs to have procedures in place for checks and balances for each possible safety problems that may arise. The risk management will have to create written procedures for check off between staff. Tina’s mother instructed pre-op nurse to call her in the event that surgery was out sooner than expected. The pre-op nurse should have passed information to intraoperative nurse to call Tina’s mother. The follow up information should be documented in the patient’s chart.

I learned many new things at my clinical rotation in Bentaub hospital this fall semester. At Bentaub, I was exposed to a diverse group of individuals from the community. It is very important to emphasize that, although, there were many different types of diseases in the hospital; there is one particular disease that I would like to expand on and that is diabetes. Diabetes was very common in many of the patients that I had the opportunity to interact with and care for. One specific patient that I would like to talk about is a 48-year-old Hispanic male with a history of diabetes who previously was only taking metformin oral medication at home before coming to the hospital’s emergency room. When I first meet him in the unit, he was scared and

I agree with what you have stated in you post. The social work put his client first by respecting his client as an individual, and showing no type of judgment when listening to what his client was saying. He had consideration of respect, and his client’s needs. He was actively engaging with his client, by being alert, and focusing his attention to his client. We both do have different perspectives when observing the video, but the social worker did have some knowledge of his client’s native home. That is a positive aspect for the social worker, because he may have done some research, or is familiar with his client’s home. The way the social worker and the client engaged with each other showed good communication styles, because the client became

This weekend started off like every other weekend, but this time my preceptor decided to shake things up a little bit. She told me to move away from task oriented procedures and focus more on assessments. I was glad she decided to take this path because it allowed me to take more responsibility for my patients. This really took me out of my comfort zone, but as the shift progressed I slowly gain a little more confidence. Instead of waiting on orders for medications, urine samples, and IV starts I would go into the room with the clients and do a health history as well as head to toe assessment to try and figure out what was going on with them. We had a patient to come in with a dislocated ankle that needed to be put back in place. I was able

I observe the following during my clinical experience at the YMCA after school program, • teacher and teacher assistants interacting with students during free play and snack time. • students having social interaction with each other during activities. • Students receiving assistance from staff members.