For this week, I was at the hospital with Angie Tuesday and Wednesday; then Thursday I was at Clopton Clinic with Jana. Tuesday was very busy, we had 5 consults that day. 2 in the morning and 3 in the afternoon. I got to complete 4 out of the 5 consults on my own. I am beginning to be very comfortable completing consults now that I have been doing them for a few weeks. Prior to each consult, I research what I can about the patient before I meet with them. I find this helpful so I will not have to ask so many questions during our short interview time. After each of the consult meetings, I shortly briefed Angie on the patient’s situation so she could go in and introduce herself to them. After Angie meets with them separately, we debrief about what information we gathered to meet the needs of our patients. Once we discuss everything, I documented into the computer system a journal entry for the consult. This consists of a few short sentences that can benefit other staff members regarding the patient. On Tuesday, I also got to arrange Medicaid transportation for a patient from Missouri. Angie has allowed me to set up as many transportation arrangements as I can throughout the day. On Wednesday, we did not have any consults for the morning or afternoon. Angie and I got to meet with a few follow-up patients coming for their 2 week visit. Most of the patients do not have a need at the point of their follow-up appointment, it is a meeting with the doctor to see how
I interviewed my primary care physician Dr. Michelle Class, who is a pediatrician in the private practice of Lori McAuliffe, M.D., P.A. Dr. Class has worked in the field of pediatrics since completing Medical school at The University of Florida and a 3-year residency to become a board certified pediatrician. She offers primary care to children from birth till the age of twenty-one, and provides routine physicals to chart growth and development, well-visits, and professional consultation, diagnosis and treatment for chronic and temporary illness or other health issues. All efforts work toward preventing disease and injury amongst children, the primary goal of all pediatricians in the field of health care. The practice at which she works also allows doctors to utilize epidemiological resources and inform patients about current health trends regarding illness, current school, county regulations updates on health and vaccination deadlines, and basic understanding of childcare, hygiene, and nutrition practices for children and parents. I chose to interview Dr. Class because she is an excellent doctor, who I have been privileged to have over the years. She has personally given me her very best whenever my health was poor, as well as been a wonderful person who truly cares for her patients physical and mental wellbeing. Her passion and dedication to the craft of pediatric medicine are evident in the quality of care and service she
When she sees a patient for the first time she talks to them about the doctor’s report and asks specific questions about their injury or experiences leading up to the need for physical therapy. Megan explained how important it is to make the patient feel comfortable and keep a positive attitude towards the patient’s recovery. These consultations were the most interesting to sit in on because it allowed me to observe the therapist’s ability to take the patient’s information and create a diagnosis and treatment plan for the injury or pain described. Megan may have multiple patients at a time so she stressed the importance of keeping up with each patient and why the physical therapy techs are so helpful. Scheduling is another job of the therapists that is important in keeping the clinic running smoothly. There is also paperwork that has to be filled out for every patient after every visit about their
I was able to check the patient in a systemic order and to make her feel comfortable around me allowing openness and honesty about medical conditions. I responded to the patient in a professional way as to not make her feel uncomfortable and to represent myself as a professional. The patient felt very comfortable with me during the interview, I had asked her upon completion if I was professional and if she felt comfortable. She said that I was very gentle in examining her and that she was very comfortable speaking to me. During the examination there were moment when the patient and I had light conversation, as I did not want the experience to feel cold and calculated. She showed me picture of her family and the books that she loves to
As I entered Mrs. Brown’s room I introduce myself, my role and the reason of being there and asked her how she would like me to address to her. Being supervised by the RN I asked for an informed consent prior to commencing a focused holistic assessment and then I asked what would be a good time for me to come back. I did recall from a handover that Mrs. Brown has a Clexane which
All staff meets briefly to make everyone aware of how many patients are booked; how many appointments are confirmed; and how many appointments are available. Staff is also informed of who will be out, who will be late, and what things need to be done if time permits, so that priorities for the day may be established.” (Schuman, August 2015)
My field placement is at Highland Clarksburg Hospital. I work with an amazing woman named Amy, she is a case manager on the children’s unit. The basics of my field placement was to help providing quality behavioral health care services to children, adolescents, and adults in a caring environment (https://highlandhospitalwv.com/our-promise/). Highland Clarksburg Hospital is acute care hospital. So the patience can be there for a little bit depending on their insurance. Why the hospital is there is because there aren’t that many hospitals around to help children in need of behavioral health. History of Highland-Clarksburg Hospital dates back to February 1, 2010 when Clarksburg’s City Hall announcement was made UHC would donate the facility. The United Hospital Center built a new facility. They opened of the Children and Adolescent Unit in August 2013 and the reminder in January 1, 2014.
The key informant that I chose for my interview was Breanne Watson who is a registered nurse at Surry County Health and Nutrition Center in Dobson, NC. Watson explains that she has been a county health department nurse for five years and has worked in several different areas within the health department. Currently, Watson specializes in communicable diseases at the health department. Watson states that her job consist of providing services to individuals with communicable diseases, reporting the disease, planning treatment regimens for the individual, ordering medications and following up with the individual. In addition, Watson educates and counsels individuals on communicable diseases and takes part in the health team planning of the community
Third week into clinical. So far, things are slowly improving, however I do need to work on critical thinking and being less task oriented. I had my very own patient. The clinical objective was to be able to perform a successful health assessment on a patient and to identify factors in the environment that would impact patient care. Hopefully from there, my critical thinking skills will develop through experience and to fill my concept map thoroughly. On Tuesday, my patient was an older gentleman who came in with destruction of the liver due to medication. When caring for my patient, I made sure that he received everything that he wanted. I felt that I did well in that aspect for seeking good for the patient. I was told to get his good and make his bed. I don’t know why making his bed didn’t occur in the beginning. But, I learned that in the beginning, it’s important to make sure that the environment is clean, their bed is made, and ask if they needed a show. The important thing that I received from this is asking yourself what would you want the nurse to do if you were the patient. One thing I do realize is that my ability to work with patients and communicate with them with some baseline knowledge is good. With these, I am able to be more confident in my work. But, I do need to work on looking at the full picture when gathering information from the patient. I tend to overlook things but I will improve by realizing my failures.
My Story: Today, was an awesome, extremely busy clinical day; I absolutely loved it. I saw five total patients. The first patient that I saw was with Laura, this patient was diagnosed yesterday, 2/7, with cirrhosis of the liver and HEP C. The patient’s chart says he has a history of anxiety, however, the patient stated that his anxiety started when he was told in the ER on 1/25 that he could have cirrhosis of the liver (more information in part D and E). This patient was very interesting, and I was amazing by how much he was going through; I felt bad for him. I did vital signs and my part D and E with this patient, and built a therapeutic relationship with this individual. I completed my part D and E on my first patient, due to not knowing if other patients were going to cancel because of the snow, as well as I didn’t know what patients I could see because the NP, Tanya wasn’t in the office in the morning. At the end of the visit, the patient asked me if I would be coming back again. This made me feel good, because I knew listening and being there as support for this patient helped him. The rest of the day I followed the
I arrived at clinical 0630 and picked up patient information the morning of. I reviewed all assigned diagnoses, medications, labs, and orders with my assigned students, and we discussed our plan for the day. We both took report from the patient's nurse and then Elizabeth presented at preconference. Kala shadowed the Nurse Lead and I helped Elizabeth with brief changes, pericare, and vital signs. I continued to check on both Elizabeth and Kala throughout the day. Last, lunch and then post-conferance.
Healthcare changes occurring today along with shrinking budgets and reimbursement rates for hospitals has forced institution CEOs to do more with less. Changes and restructuring of various health facilities require nursing leaders with flexibility and adaptability. Nurse leaders must also consider budgetary constraints, cost effectiveness, patient safety, and quality care while maintaining focus on improved patient outcome. The responsibility of ensuring patients receive safe and high quality care belongs to every employee in the hospital, including support staff such as IV therapy. In this hospital, this led to the development of a nurse director position to oversee the
Mayo clinic is the first and largest non-profit highly integrated medical tertiary healthcare practice, research and educational group in the world. It is founded in Rochester, Minnesota United States 1889. It is employing more than 3,800 physicians and scientists and 50,900 allied health staff. Mayo clinic owns and operate more than 60 hospital and clinics. Its main hospital lies in Rochester. It has major campuses in Arizona and Florida. In addition, It operates many collages of medicine for instance Mayo Medical School, Mayo Graduate School, Mayo Clinic College of Medicine, Mayo school of health sciences and Mayo School of Graduate Medical Education.
When the patient first came in I think I did quite well as I welcomed
Today I had a great day at the clinic. For the morning section, I had Omar Lora as my patient. Last time when he came, I collected all my assessment data. Today I updated his medical history, dental history, vitals, and EIOE, then I completed filling out the gingival assessment, the treatment plan, and the SAOP. Finally, I was ready to have my assessment data checked. It went really well, and I learned ways to helped me be more efficient with my time management, for example, I did not know how to have my radiographs up in the other monitor while I was doing my assessments. It was a little time consuming having to open and minimized the window every time I needed to look at the radiographs. Also, I discovered that having a piece of paper out and taking
Pre-Interaction Phase: Before the interview with my patient, Mrs. K, I had a discussion with Mrs. Doyle who helped me to get medical and nursing history of Mrs. K. I reviewed the available data and discovered that my patient was admitted at about 6.00am on 07/28/2015. Although she was admitted to hospital the same day I interviewed her, her medical history (past and present) were already available electronically including her lab values and medication.