I am employed as a flex-position RN at Fayette Medical Center, this position requires that I float, as needed and at any time during a shift, from acute care med-surg to the ICU and our emergency department (ED). However, when I started my nursing career, I was hired, oriented, and trained as a medical surgical nurse. Most often, this entails providing care for a middle age to elderly population and rarely have I ever taken care of adolescents, pediatrics, or infants. Med-surg is where I am most comfortable and what I enjoy. So, as I made the transition to the flex-position, I found myself in a very uncomfortable and unfamiliar territory. Let’s face it, the ED is scary place for a med-surg nurse. Med-surg patients are generally stable for …show more content…
The baby had been taken two weeks earlier into DHR custody and placed with a young couple that knew the mother. My co-worker and I immediately took the baby, put him on the bed, and unwrap him. He was breathing, but was limp, grey, and I noticed bruising around his head and under his eyes. Lifting his eyelids to assess his pupils, we found a large bleed in his right eye. He never flinched or made a sound when his IV was started. After notifying the doctor and calling respiratory, we started asking questions. Are you the parents, how long have you had him, what was happening when he quit breathing? We learn the couple had had him for two weeks, the “spots” on his face and head “just appeared” the day before, and they had not noticed the bleed in his eye. The doctor came in to assess and states “he looks a little dehydrated, how well does he eat?” The other nurse and I was like, what? We followed him out of the room and ask him if did not notice the bruising and color of the baby. He states, “If y'all are that concerned, send him to CT.” The CT results were critical: bilateral subdural hematoma and we immediately flew him out to a higher level of
I cannot attribute my desire of becoming a nurse to following the footsteps of a family member, nor caring for a sick family member as I was growing up. I am a first generation high school student, furthermore, a college graduate. I became a mother at the very young age of sixteen. Being so young and growing up without the care of my parents, it was always said I, too, would end up in a rough situation and not be able to care for my child being so young myself. I continued out my days and nights being a high school teen mom. I graduated from high school in three years by attending night school while I was pregnant; allowing me to finish school sooner and obtain a better job that would allow me to take care of my son.
I sincerely believe that I accomplished my goals this week. I realized that I served 14 patients by combining the ability of knowledge, my attitude for excellence that I have consistently defeat the odds to become the very best Nurse practitioner; I can become. This clinical experience brings forth many opportunities and achievements. The most important experience this week; I had the ability to identify as primary healthcare provider a high risk need for the patient to be transferred to the Hospital for further evaluation without delay; due to complaints of “leg cold from the knee down to the feet”, which my evaluation was based on evidence practice knowledge of compassion and skill with the autonomy to practice, diagnose, and treat patients
The reporter stated on 12/05/15 the victim was brought to the emergency room and diagnosed with pneumonia. According to the reporter, Braxtyn’s condition is serious but it’s unknown if it’s life threatening. Ms. Donaldson stated South Central is unable to provide Braxtyn with the care he needs so he’s being transported by ground to UMC in Jackson, MS. At this time er doctor’s have expressed concerns about his mother accompanying him to UMC. Per the reporter, Ms. Williams has not been compliant with the medical needs the child is having at this time. The reporter stated Braxtyn requires an oxygen mask but his mother refuses to keep the mask to his face. The reporter stated Essences continues to leave the room and Braxtyn unattended, she’s not
I am an Emergency Department nurse whose goal is to care for patients as a Family Nurse Practitioner. I have had the privilege of working in a fast pace setting with patients of all ages and I’ve been exposed to various medical illnesses. As an Emergency Department nurse, I feel these qualities have provided me with experiences that further my education and allow me to provide care to patients. Furthermore, I have gained valuable knowledge from recognizing and stabilizing critical patients to help with the care for uncomplicated medical conditions.
The reporting party (RP) stated the foster child arrived to the hospital via ambulance on 9/21/15 at 7PM due to seizure disorder. The foster parents were not present during the transport to the hospital. The RP was concern regarding no bedside presence from foster parents. The foster child was a drug baby resulting in seizure disorder and withdraws. The RP stated the foster child was placed in the home on 9/10/15. The foster mother delayed her arrival to the hospital due to being tired. The foster mother did arrive at 8:40PM and informed the RN at 9:34PM that she wanted to go home. According to the RP the foster mother stated she had no legal right to the child. The RP spoke with Dr. Suzette Mohammed with the FFA who stated it was the hospital's
The nursing field gives a person the opportunity to work with and care for elderly, sick, and injured patients. I want to join the registered nurse team because they take on multiple medical settings. Registered nurses are known as RNs. They are responsible for multiple things. Being a RN has a lot of responsibility. The topics I will be covering are: job description, specialties, trends, salary, benefits, and required trainings. These are essential things that a person needs to know before going into nursing school.
This article analyzes the problems that nurses’ face when they have to leave their typical work environment to float to another unit. While float nurses are a great help, the change that they have to deal with can be very stressful, especially when the nurse does not have much experience. The author explained that nurses that float to another units experience fretfulness, their productivity decreased considerably, and they have poor time management since they spend a considerable amount of their time trying to familiarize themselves with the new environment. This article is unique because it provides information that can help float nurses be more productive when floating to another unit. The author encouraged float nurses to be up to date with their skills, to know their limits, and to speak up when they do not feel safe accepting an assignment. Although this article went into depth in explaining how challenging floating to another unit can be, the author did not mention what nurses can do when they do not feel competent enough to be floated to another floor.
As a new graduate nurse, I am deeply passionate about starting my nursing career at Desert Regional Medical Center’s Emergency Department or Women and Infants’ Center. Prior to starting nursing school, I took an Emergency Medical Technician course where I had the opportunity to perform my clinical rotations in a Level I Trauma Center and assist in ambulance transports. My interest for working in a fast-paced environment and in unpredictable emergency medical scenarios motivated me to pursue my senior nursing preceptorship in the Emergency Department. During my preceptorship experience at Inland Valley Medical Center, Level II Trauma Center, I performed 120 hours of ED nursing care and safely treated trauma patients across the lifespan. I helped stabilize patients involved in motor vehicle collisions
Your choices will affect you throughout your life, whether it is a big or small decision. For example, it could be something simple like eating fast food for the third time this week or it could be important like going to an interview for a new job position. When you are young, you change your mind every chance you get. This might be why deciding what job you want for the rest of your life is difficult. Currently, 1. I want to be a RN, which is a registered nurse. Registered nurses do a lot to help their community and the people in it. With this job, I would be able to give back to the community by helping people. This makes me feel like I would be a better person.
As reported in several newspapers thru out the Los Angeles and San Bernardino County, in May 2002, a 19-month old patient in San Bernardino County was awarded $43.5 million dollars in the case of Brown vs. Community Hospital of San Bernardino. According to the claim, Eric (the infant) was 4-months old at the time of the accident. The infant was admitted to the hospital with an upper respiratory infection. In the hospital the infant was attached to respiratory monitors and the parents were at the bedside around the clock. After a few days in the hospital the infant was doing much better so the parents left the hospital for a few hours. When the parents left the infant was laying on his back with the monitors in place. During the time they
My lifetime goal is to become a Registered Nurse since I was 18 years old, but, unfortunately I did not have the opportunity to go college, but to go to a technical school and get a medical assistant degree. Since then, I worked in many different doctors’ office in Florida as a Medical Assistant until 2 years ago when I met my husband and moved to Maryland. Luckily, with my husband's support, I have been having the opportunity to go back to school and continue my education.
Going back to when I was a novice nurse, I was nervous, scared, afraid of making medication error, charting errors or fail to recognized patients worsening symptoms. These fears, made me vigilant, focused and kept me on my toes at all times. No matter which part of nursing I ended up as I grew up the from medical surgical nursing to stepdown unit nursing to intensive care nursing, I felt those fears in every step of my growth and they helped me be a better nurse for my pateints. Today, I am in the advanced practitioner program to become a nurse practitioner who is responsible for: interviewing, assessing, diagnosing, counseling and treating patients. To provide safe and quality healthcare, I am expected to have good critical thinking and decision making abilities (Maten-Speksnijder, Grypdonck, Pool, & Streumer, 2012). while I can recognize clinically deteriorating patients and recommend treatments, I am now responsible for providing treatments. I am now recognizing that facts about being not only responsible for the patient, but also to provide safe care that keeps the patient out of the hospital and out of the ICU. Knowing these facts, I am yet again, faced with the fears of my limited clinical practice knowledge as a practitioner. The amount of information that I have received and learned during this clinical rotation was both exciting and overwhelming at the same time, because I realized as a novice student nurse practitioner (NP), the limited depth of
I was always undecided regarding the career that I wanted to pursue. As I got older and looked at many choices in careers I realized that I wanted to have a career in the medical field. Being a nurse interests me because it requires the study of the human body along with other great opportunities that nurses have in this career. I want to become a nurse because I like being able to help those who are in need.
Ive always wanted a rewarding career that revolved around helping people. I want to pursue a career as a nurse practitioner. I am not sure on what specialty I want. So given a assignment in my Introduction Health Sciences class where I have to shadow a nurse practitioner, it gives me the opportunity to explore a specialty and see what it really is like in their typical work day. An advanced practice registered nurse, by the name of Mary Carlson at Parkland Medical Center was willing to let me shadow her for a day. Carlson graduated with her BSN from Boston College. She then pursued a graduate degree from Boston University. Her official title is, Nurse Practitioner, Emergency Medicine.
My nursing background is in women and children’s health care. As a clinician, I have practiced in acute and primary care settings. My professional interests include nursing genomics, nursing leadership, and new program development.