Interruptions As A Nurse

As a Registered Nurse is a crucial component to ensure that there is effective communication between the nurse and patient. As well as being respectful to the person’s dignity, culture, values, beliefs and rights. This is because everyone is different, and due to this it is important that I am being cautious to each person’s individual needs.

My job has double check for all iv medication that is given. There are no verbal orders the team must place the order while rounding or within 10 mins of the conversation. We encourage family and patient to ask questions. Doing the right thing even if it’s not your patients. In a case where a RN was applying cream to a sacral wound that had eschar. It was encouraged to do a wet to dry and call for consult with wound team. It is never easy to give advice to a coworker that is season; however, it is never easy to watch a person perish due to staffing errors. Huddles are great way to get information across without placing blame. Giving advice in a non-judgmental way to coworkers. Continues education and begin a resource are a few ways to ensure patient

It is no secret that communication is key when providing direct patient care in a skilled nursing facility. However, there is a noticeable lapse in the communication between the care team when providing care to the individual or groups of individuals. Two main parts of any care team are the registered nurse and the certified nursing assistant, as these are the two people whom have the most direct and impactful roles with residents in a skilled facility. The Registered Nurse and the Certified Nursing Assistant play similar roles in providing patient care, but have different roles in its entirety. The role of the Registered Nurse (RN) is defined as having the competency and skill to provide direct and indirect health care to individuals, their families, and communities around them. Services are also provided designed to give out medications, to promote comfort or healing, promote healing, and to also provide the dignity of their patients and patient’s families (American College of Rheumatology, 2015).

Prioritizing is also necessary tool for effective time management. Nurses have to prioritize tasks on their route and finish tasks from high to low priority order (Waterworth, 2003). In addition, nurses should be careful of some priority setting traps. The first trap is "whatever hits first" which means a nurse responds to tasks that happen first instead of thinking twice and then responding. The second trap is the "squeaky wheel", a patient who is able to gather the most attention from a nurse to hear his or her urgent request may not be the

Right time/schedule- attention must be given to the right time and schedule when administering medication because it is important to the well-being of the patient. Example of this would be, some medication can be take on a empty stomach and some cannot therefore, determining the time the patient has last eaten is important. At the time you are checking the time you can also be checking the expiration dates on the medication to be sure it is of quality strength.

The nurse supposed to be aware of time consuming techniques and avoid those in emergency cases. For example, techniques that takes a long time, such sitting next to the patient and listening to the patient’s concerns must be avoided in emergency situations, instead the nurse can make eye contact with the patient and reassure him or her that everything will be done for the patient. Therapeutic communication must be used for all patients regardless of their ethnicity, race, age, sex, and religion. All nurses must apply these techniques in practice for all their patients in the same manner. Mostly all therapeutic techniques are under nursing scope of practice due to the reason that they are done psychologically and there is no specific use of medications, physical tasks, or decision making involved. Therefore, all nurses can apply these techniques freely since they are all under the scope of practice. Nurses must be aware of external and internal regulations while using therapeutic communication techniques. Sometimes, the techniques take time to be done and nurses must make sure they will do all other tasks that the organization assigned to them on-time. Potential breakdowns in these areas can be the low amount of time to apply the techniques at bed-side or in emergency situation. Nurses have multiple patients and multiple tasks to perform at all times and applying

A common goal all healthcare providers share, is the desire to provide excellent patient care. The delivery of care is constantly changing in healthcare, however, the patient will continue to remain the focus of care. The success of nursing care thrives off the ability to fulfill patient needs and to maintain patient safety and satisfaction. When patients are admitted to the hospital, their need for an increase in their level of care and attention, due to the decline in their health status, and inability to preform normal daily activities of daily living. The loss of independence places the patient in a vulnerable state of mind, causing the individual to rely on members of the healthcare team to assist with basic self-care needs while in a stable and well-organized environment. A structured environment can be accomplished through the practice of hourly rounding on all patients.

Nursing tasks delegated should be considered routine care for a specific patient, pose little potential harm, performed with a predictable outcome, and administered according to the plan of care. There should be an assessment of nursing needs including the frequency of nursing care and, the stability of the patient (UT Admin Code R156-31b. Nurse Practice Act Rule, 2013).

Nurses on the Progressive Care Unit (PCU) experience many interruptions during patient care, including medication administration. These interruptions can affect proper and safe medication passage. The time taken to manage interruptions can be diverted back to the patients to assist in safe medication administration.

As nurses, we are charged with providing the best possible care to our patients, meeting their needs and working towards positive outcomes. Nurses work with all ages, races, disease processes, every medication from A-Z, independently or with a team. Nurses take orders from physicians face-to-face, over the phone, and in writing. It may be shorthand, misspelled, or pronounced like you have never heard, and you must clarify it with the physician, the pharmacy, the patient’s chart, and the drug book before you administer. Some patient’s curse us, some praise us; We cry with

The nurse on fifth surgical west stayed very busy throughout the day. When she comes on shift her day consists of beside report. Where they are at the patient’s bedside giving report. It is to ensure everything that is said is accurate and nothing is left out. How she prioritizes her day depends on the patient’s needs. It is difficult to know what will happen that day because patient’s can be discharged and admitted. The nurse prioritizes her patients by looking at the reason they are being treated. If everyone is doing ok then she goes by what medications are due. This is to reduce the risk of late medications. She also is aware of the patient’s pain level. She mentioned if the patient is in pain or uncomfortable then

Drug administration forms a major part of the clinical nurse’s role. Medicines are prescribed by the doctor and dispensed by the

Being the main practicing clinical drug specialist (Pharmacist) that is working specifically in my work environment. We offer a greater amount of secondary care services which have expanding request from the patients. There are demand from the job itself; for instance various multiple tasks and time management. The various assignments include that I take care of all the prescription medicines which involves showing a considerable measure of pharmaceutical aptitudes (critical thinking ability, communication skill, drug information skill, and abilities in giving pharmacotherapeutic choices). The time required to buy drugs, compounding and supply medicines/hospital materials to the vessels at the marine base at times conflicts with requests from

In the professional setting, knowing the patient through his or her diagnosis, name, history of present illness, laboratory results or reason for staying in the hospital only contributes to the manner of physical care of the patient. However, recognizing the patient 's spiritual needs such as emotional support, mental positivity, and intellectual understanding of his or her situation gives a better assessment, as well as a trusting relationship between the nurse and the patient, as per personal experience. In the ward, it is evident that most of the staff nurses spend their time doing documentations, preparing medications, following-up laboratory requests, as well as reading through the patients ' charts to affirm the physician 's order. Throughout the duration of our shifts as student nurses, I see that the most that the staff nurses get to be conversant with the patient is when certain procedures (such as feeding through nasogastric tube, taking

Urgency of acute care varies depending on the situation but can range to anything from emergency surgeries, to injuries, chronic illnesses, and also for the recovery of those procedures. Majority of the patients in acute care settings are critically ill. Nursing responsibilities in acute care settings are vital to patient’s recovery due to the front line position nurses play as well as the wide variety of tasks carried out. Assessments are made during every encounter the nurse has with the patient along with monitoring the patient’s progress. Nurses are responsible for recognizing symptoms the patient may be experiencing due to illness or injury and whether they fall in the spectrum of normal reactions. Vital signs are measured routinely and can be indicators of the patient’s current status. When vitals are questioned diagnostic tests can be arranged to further assess possible comorbidities the patient may have. Care plans are made to plan interventions the health care team can take to help patients through challenges they face, both physical and mental. Nurses administer medications as well as first aid as needed. They are responsible for maintaining special equipment patients may require including monitors and ventilators are well.