Ms. B : Patient I Treated On My Last Day Of Placement

While at Trinity the supervisor gonna call the Activities that were witness today activities that were witness today consistent off the strategies to take me off then off short fast and I have reload a patient karenconsistent off the strategies to take me off then off short fast and I have reload a patients the morning started off within a report give in for all members of securitythe morning started off within a report give in for all this thing is and nurses. Aaron this meeting the unit supervisor very gave with some encouragement to the staff. During this meeting she also informed the nursing staff the clients that were at risk such as the ones with that are prone to bad all sirs the ones are high risk at Falls the ones on isolation precautions. At this meeting was also a clinical nurse educator. On a normal daily basis she is responsible for doing quality rounds and making

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

There was additional backup staff present (including a respiratory therapist) that could have been called upon for help, yet they never were. The charge nurse or nurse supervisor could have stepped in at this point to provide additional help. A lack of present nursing staff and support can lead to unfavorable patient outcomes, as is the case with Mr. B. Additionally, the staff on duty could have lacked training regarding protocols or their training could have been out of date.

So when my mentor Mary and I were preparing the trays we made sure that everything he wanted was on the trolley. As I was working under supervision of Mary and the Circulating nurse Mark, they were explaining to me about the importance of preparing the theatre according to each surgeon’s preferences. After all the necessary checking’s and preparations in the anaesthetic room done, Mr Dillon was brought into the theatre after he was given general anaesthesia and Mr Mann started the surgery. Everything was going well until Mr Mann started to fix the tibial implant. As per surgeon’s instructions we had it ready but unfortunately the ‘71’ size he had requested was a bit smaller and he asked for a ‘73’ size. But Mary told him that it is not available in the tray so she asked me to get it from the tray room. Mark left me to go on my own to the tray room and I could not find it. I was afraid to go back into theatre to tell the surgeon. When I finally went back and told, the surgeon that I could not find it, he started shouting. Mary stepped in and told me to go with Mark so I could see where it was kept. That made the surgeon to calm down. We ran back again and got it. Mary, Mark and I were so relieved. The time taken for such a small incident was almost 10 -15 minutes which was really stressful to the whole team and very dangerous to the patient. Luckily everything went

The situation happened during the author’s last day of orientation as a new medical-surgical nurse. The author was passing medications and administered aspirin to a patient as ordered. As the author approached the nurses’ station, she stopped in disbelief as the charge nurse started yelling at her, saying, “Why are you not checking your orders? Why did you give aspirin when there was an order for no anticoagulants? Do you know the patient is having a procedure tomorrow? New grads.” Several physicians and nurse practitioners, along with the author’s coworkers, witnessed

During my clinical competency placement, I was working on a surgical ward when a registered nurse on duty asked me to assist Mr. A with his shower. This incident happened on the fifth day of my clinical practice. He was a dementia patient and had undergone right knee total joint replacement. She also informed me that the patient did not like too many people in his room because of his dementia. When I went into his room, his wife was there with him. I talked to the patient about having a shower and getting dressed to look smart and he agreed to have a shower. The patient got out of the bed and walked to the bathroom and sat on the shower chair to have his shower. Then I asked his wife if I needs to stay with him to assist with shower, she said she can help him as she was taking care for him at home since he has been diagnosed with dementia. Therefore, I left the patient with his wife to help with his shower and told her to ring the bell if she needs any help. After some time I left the room, the wife rang the bell. As soon as I entered the room, I heard him shouting at his wife and she started crying and left the hospital. So I had to stay with him. He was very capable of washing himself and I just had to help him wash his back as he requested. After he had washed, I asked him if he was ready to get out of the bath, he started shouting at me.

I am a second year nursing student in my third week of the practicum placement on a surgical ward with my co-student and the morning shift registered nurses. We had just finished analysing the patients handover report (Levett-Jones & Bourgeois, 2015) and I had been assigned to work with the registered nurse. I was looking after Mrs. Brown (pseudonym) is 82 years old New Zealander was admitted to surgical ward on the 08/06/16 for multiple SCC removals from L) hand and L) foot with skin grafts.

We arrived at Clearview at 2231 Hrs. and took the patient to room 14. I went back outside and began to put our unit back together when Supervisor Carlock approached me and in a very agitated voice said: “WHY DID YOU PULL OFF?” Surprised, I said “What are you talking about?” He said loudly, “I TOLD YOU TO STOP AND YOU DIDN’T!” I replied, “Jeff was telling me not to stop because we had a pulse back.” He said “I DON’T CARE WHAT JEFF SAID, I’M YOUR SUPERVISOR AND I TOLD YOU TO STOP!” I said “Dennis, I think you’re talking to the wrong person, you need to be talking to Jeff, I was doing what he told me to do.” He replied “WHO’S YOUR SUPERVISOR, WHO’S YOUR SUPERVISOR, I AM, NOT JEFF, YOU DO WHAT I SAY!” I said ”yes, you are the supervisor, but at that moment I was doing what the Paramedic in charge of patient care was telling me to do, and what I felt was best for the Pt., since we had a 41 Y/O patient who had a pulse.” He said “I DON’T CARE, YOU DO WHAT I SAY!

Interventional Radiology was running slow today during clinical. It first started off by the nurses explaining what the day was going to consist of. After that they explained, how to get everything ready to start the day. We did not start procedures until around 0845. First patient was in for a cat scan, an I.V. was placed. The first nurse was not the best person to explain a procedure, therefore I just watched as she did the I.V. The second procedure was another cat scan, and I.V. placed too. This nurse was more willing to explain as she did the procedure. However she did have a harder time doing the I.V. because she was not having blood return. Another nurse helped her but she also had trouble getting the I.V. placed. Later after that patient, another patient was in, but he was going to be taken to catheterization lab. I did not get a chance to go with him because another patient was going to have permanent catheter insertion. I got ready to see the permanent catheter insertion, and the nurse explain what they were going to do. However I did not get to see the whole procedure because in the middle of the procedure I felt dizzy, and dizzy. Finally I got to see a nephrostomy exchange tube. The patient it’s a regular patient that

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 the home health observation day, there were several opportunities to observe a variety of patients with varying levels of functioning ability, different illnesses, and different needs and levels of interaction with the nurse. The first patient seen was a seventy-three year old Caucasian female with an ulcer on her right heel. Several weeks prior, she had scratched her left leg and she also had several small wounds on her left leg. The orders were to clean and redress the ulcer. She has a history of end stage renal disease, pneumonia, weakness, diabetes, dialysis, and right hip fracture. Upon entering the home, the patient was found to be sitting in a wheel chair in the living room watching television with her husband close by her side. She greeted the nurse with a smile and began to update her on her current condition. Her heel was “hurting” and she rated her pain an 8 on a scale of 1 to 10. She also had some “swelling” that she could not “get to go away; because, she could not get up and walk. They need to fix my foot so that I can get up and get around.” She told the nurse that she had been to see the doctor “yesterday” and the doctor had given her a written order that she wanted her to see. The order was written for an evaluation for a soft pressure shoe fitting. The nurse read the order to

During a late shift on the ward, my mentor asked if I would stay with Mrs Smith whilst she gave out medication in order to ensure she wouldn’t be left on her own and fall. I introduced myself to Mrs Smith and sat with her in her room. It became apparent to me quite quickly that she was obviously very confused and she was not fully aware that she was in a hospital, as she repeatedly asked me where she was. On being told she was in hospital she would say no and shake her head. It wasn’t long before she asked me when her husband would be there to take her home, to which I replied

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

Anthony was assigned 3H08 to MRI. The patient was still receiving medications and needed to be off before heading down stairs. The nurse (Sara) asked Anthony if he could let dispatch know, if we can come back for the patient in 10 minutes when the medication was done. But he was giving her a hard time about calling dispatch. She also mentioned while speaking to Anthony, he was screaming at her. Anthony didn’t want to call dispatch to communication the situation, she called Brendan herself. (Brendan is going to email you on the miscommunication part). Sara would like to speak to you about Anthony behavior towards her. She did tell me she is in tomorrow if you wanted to contract her. Anthony does know about this situation and states he was not getting loud with her (He emailed you also will).

About 2:30 in the afternoon, M.E. was in her patient’s room and J.P. confronted her in front of the respiratory staff and students that were present about why she was/wasn’t doing certain things and what was making her so slow; J.P. caught M.E. off guard and was very abrasive, belittling and verbally abusive; M.E. felt attacked and embarrassed, especially since this behavior took place in front of colleagues. J.P. felt frustrated that M.E. was not more competent and efficient in her care and confronted her about it. After the confrontation, there were no words spoken between the two of them for days and even though months have passed, there is still an obvious tension and unresolved conflict between these two individuals. There is currently a noticeable effort being put forth by both women but the conflict they experienced is not yet fixed.