Personal Support Workers (Psw1)

This writer escorted the patient to Nursing Coordinator Kesley office as the Nursing Supervisor was not in her office. Upon entering Kesley office, Kesley was having a discussion with another nurse and this writer apologized for the intrusion. This writer addressed to the Nursing Coordinator that the patient is experiencing bedbeg and the patient is aware he will not be dose by the Nursing window, only curbside. It appeared that Nursing Coordinator was being abrasive towards the patient as she explained to the patient as to what is needed before the patient can reenter the clinic. The patient then became agitated and shouted at Kesley and says, " Kiss my Ass, " and then proceeded storm out into the lobby area.

This past week at the Crisis Center for South Suburbia was not as eventful as the past two weeks. The clients that were causing frequent verbal altercations have either exited on their own, exited involuntarily, or been given a written warning in which they are following the conditions of. I now have only one client on my caseload, since the other had voluntarily exited herself and her son. On Monday, 10/31/16, I was able to help the children in shelter celebrate Halloween. We set up trick or treating spots throughout the shelter and I also was able to handout treat bags that were donated to the shelter. The kids seemed to have some fun with the little celebration we were able to give to them. Also on that day, I worked my first evening shift. The evening definitely has a lot more activity since most clients are back from work or other commitments during the day. During this time, it was just myself and D working. In the midst of all the activity, we had a medical emergency that I was able to respond to. Tiffany* had been discharged from hospital with the understanding that she had a mild heart attack and would need to have a stent put in later. Upon arriving back from the shelter, something was just not right with her. Myself along with another client, observed her in the kitchen staring at the counter without moving for around five minutes. When she finally seemed to snap out of whatever was going on, she tried to walk away but was stumbling and almost

She immediately started to worry and stated “What excuse can I give you so you leave me alone?” I responded that we just needed to get ready for the day and we did not even need to call it therapy. Once she sat up she started hyperventilating. My supervisor was in the room at the time and said this was exactly what would happen the last time she stayed in the TCU. After 45 minutes, lots of encouragement, rest breaks and maximum assistance we finally got her dressed and situated in her recliner. While I was documenting the patient was talking to the nurse about how she did not want to have therapy anymore. The nurse responded to the patient and asked her why she was in the TCU if she did not want therapy. In the same week, this patient declined therapy all together and both physical therapy and occupational therapy had to discharge

Community services : Julie is a disability worker in a respite care facility for young people with a disability. she has recently started her job, Julie has been busy since starting the job and hasn't had a chance to learn about the organisation policy and procedures. One day she is the only staff member on duty at the house when there was a unpleasant altercation between two of the residents. Both of the young people involved have significant intellectual disability and difficulty in communicating their feelings. Julie makes a mental note to mention it to her supervisor when she's next in. Julie come's in the next day to find that the staff members on the next shift were not aware of the incident and organised for the two clients involved

My job as a casual support worker under the Alternative Solutions Day Services include encouraging and empowering participants in the program(s) to improve on their independence, leisure and group activities, social and community integration, and promoting appropriate social interaction. I, as a support worker, have to be attentive to the needs of the participants, and I'm always working part of a team of other fellow support workers providing care and support, providing instruction and guidance, maintaining a safe and sanitary environment for the

During my first day of clinical, I met with my clinical instructor and my classmates in the lobby around 2:15 p.m. The goal was to take a tour of the facility and get acquainted with the staff. The lobby was warm and inviting, with wood floors and comfortable furniture. It was also busy with clients being discharged or coming in for the initial intake. One client, in particular, was sitting behind me wearing handcuffs along with two police escorts. The client gave an impression of being stable while sitting there. It seemed as if he was coming from Baylor Hospital. Nurses from other facilities were there filling out paperwork and checking in their patients. Family members were also there picking up their loved ones. The clients were escorted by mental health technicians, to ensure the safety of the client. On many occasions, mental health technicians provide direct patient care under the supervision of a registered nurse. Their primary responsibilities include the provision of a safe and therapeutic milieu, crisis intervention and activities of daily living.

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

Few weeks later, due to inclement weather, my supervisor and two other nurses were unable to open the clinic. I have contacted my supervisor and asked if I should open the clinic until the patients who had an appointment for the day are seen or keep it closed. The supervisor stated if I can, I should open the clinic. As I was granted the permission to open the clinic, I went to work and opened at 8 am. With the help of two nursing students who were completing their clinical hours at our facility, I was able to see most of the patients without too many difficulties. Around 11 am, Ms. D showed up for work, since we were short staffed, I was glad to see her. As soon as Ms. D came through the staff door, she gave me the fingers and stated, “Screw you! You had to be the jackass to open the clinic when everyone else is in their bed!” Since I was not expecting such insult from my coworker, I was very shocked by her attitude, while the two nursing students, who helped me through the morning, also had an expression of disbelief on their face. Within a second, my shock turned into an anger and I was ready to insult her back. However, I did not know when one becomes extremely angry; sometimes you are unsure how you should react. The only thought that crossed my mind at that moment was that I must inform my supervisor about Ms. D’s inappropriate behaviors. I turned around from Ms. D without saying anything, and

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.

My thoughts on this subject are extremely personal and have been developing since my first shift with Meagan and continue to develop with every interaction I observe her in with other nurses and patients. To be honest, I was surprised a confrontation such as this one had not taken place much sooner. At the same time, I was shocked when it did happen. I think Meagan is often times abrasive without knowing it. She is an incredible nurse when it comes to taking care of the medical side of things. However, when it comes to the psychosocial and emotional side of things, I believe she has a difficult time relating to patients and having compassion for them. In addition, when she does not like or agree with someone, she does not try to hide it.

Compared to common clinical experience my exposure to clinical practice was different. Aside from the shadowing opportunities that I’ve pursued, the bulk of my clinical experience was as a volunteer at New Walk Medical Center in Norfolk, VA. There I volunteered under the direction of general practitioner, Dr. James Newby, and nurse practitioner, Mrs. Newby. Mrs. Newby drafted and published a system where health care professionals could monitoring and control the diabetes of their patients. This system of care was comprised of three portions done in group settings. The first was an informational session that explained what diabetes was to the patients the dynamics of diabetes, how to navigate through food labels, and choose the best foods in

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

It was my first week at the clinic. I did not know what I had signed up for in taking a position at the free clinic but I knew that I wanted to help society as much as I could. This was the place where I could make a difference. When Dwight walked into the clinic, I was not sure of what to expect. It is one thing to read something in a textbook but to experience it in its actuality is a completely different story. He comes in with cracked and blistered feet and three infected toenails. He somehow acquired sores on his wrists and under his arms and, claims that he has felt crazy and scared at times. After examining the patient, the doctor and I speak in the hallway about his neural symptoms being caused by a sexually transmitted disease. The doctor asks me what my thoughts are and I quickly scan my mental list of sexually transmitted diseases that I remember. One disease immediately comes to mind and that is syphilis.

Yet, I remained still. I did not wish to attract any attention for wiping my glasses. But! No matter my effort, I was scolded again this time for no good reason. It just so happened that this doctor requested a film so we x-rayed the part she wanted to see and printed it. The tech asked me if I could go get the film while he positioned the C-arm for more x-rays. I went for the film and on my return, another tech, who was going to lunch break, was there to leave a pager. As soon as I opened the door, I heard an annoying squeaky voice yelling at me, “there is too many of you; get out.” I was embarrassed and felt belittled for being just a student. I felt as though my presence bothered her. At the same time, I was fuming with anger for I had done nothing wrong but to bring the film she wanted it. I gave the film to the tech and walked out the room with the tech that was going on lunch break. I waited outside and about twenty minutes later the tech came out and I helped him take the C-arm and the monitor to its proper place for charging. Along the way, he told me not to take the doctor’s words personally, that this is how she treats not just students, but her staff as well. He apologized for not warning me in advance. Then, he started recounting stories when he felt belittled by ruthless doctors. He told me that there were times when he wanted to punch them, but he maintained his professionalism and

My first exposure to the field of medicine was through the role of a patient ambassador. It was my duty to walk to and fro among many hospital buildings and levels to transport patients. I was never alone in these micro journeys. I like to think of it as I was the one always accompanied by patients. These patients were either being transferred to a hospital bed or if in pristine health were being discharged. To save time the nurses would place a transport request fifteen minutes in advance. The flux of people entering and leaving the hospital changes dramatically from morning to evening. Since I volunteered in the evening, I was always early to pick up the patients from their rooms. It was an experience of its own to stand outside a patient’s room and watch them interact with the nurses for the last time. Over the course of six months, I was able to witness a wide variety of emotions during those interactions. Particularly, elder patients, who were living alone with occasional visits from their children, seemed to capture my interest.