Nursing Clinical Report

Nursing is a very rewarding field to work in, but it can also be very difficult. The field requires the nurse to be able to care not only for their patient, but also reassure the family of the patient that their loved one is going to be alright. This can be rewarding for the nurse when everything turns out good for the patient, but if things do not turn out as planned it can be difficult. I have felt drawn towards medical professions my entire life. I help my mother take care of both my father and grandmother. My grandmother suffers from Alzheimer’s as well as a debilitating lung disease. My father was in a motor vehicle accident that left him permanently disabled with a spinal cord injury when I was two years old. If it had not been for great nurses and doctors my father would not be here today. As I grew

The American Association of Colleges of Nursing has identified nine essentials that are incorporated into master’s nursing programs to help direct the practice of advanced practice nurses (APN’s). Essential II outlines how an APN can utilize organizational and systems leadership to promote safer and more cost effective care. By incorporating effective leadership skills, APN’s can help transform healthcare and make quality improvements for the patient, the institution, and the community. According to the American Association of College of Nursing (2011), an effective leader assumes and applies “the skills of communication, collaboration, negotiation, delegation, and coordination” (p. 11). APN’s must be able to establish and maintain a healthy

Nursing, as the largest health care profession in the United States, plays a tremendous role in health promotion and delivery of care. From the 2.7 million employed registered nurses to the current Deputy Surgeon General of the United States, nursing infiltrates all aspects of healthcare (Bureau of Statistics, 2015). Therefore, as a profession, nursing must understand the intricacies of the Patient Protection and Affordable Care Act (ACA) and within its framework develop strategies to “advance nursing, health, and healthcare through education, clinical practice and research,” (Young et al, 2017). This paper aims to review portions of the ACA as it pertains to nursing, and offer an example of nurse practitioner innovation in practice.

As our healthcare system continues to evolve with the passage and adoption of the Affordable Care Act (Obama Care), new laws and regulations related to medical services reimbursement is also developing. However, disparities continue to exist between medical providers and third-party practitioners such as Advanced Nurse Practitioners(ARNP), leading to a lack of autonomy or independent practice (Woo, & Robinson, 2016). According to (Hain, & Fleck, 2014), many Nurse Practitioners report that payer’s policies have a critical impact in the way they care for patients and negatively reduces their ability practice to their full extent of their clinical expertise and education.

D.D is a 16 yr old male who was in his usually state of health until he developed right-sided abdominal pain approximately 5 days prior to arriving at the hospital. His pain progressively worsened and spread throughout his abdomen. He also had nausea non-bloody, non-bilious vomiting, some diarrhea, as well as fevers, when pain did not improve he presented to ER. He was admitted and diagnosed with sepsis and perforated appendicitis. He had a laparoscopic appendectomy and a central venous catheter was placed. Following surgery he was then transferred to the med-surg floor. His parents are both Spanish speaking and at the bedside.

On 5-Aug-15, at approximately 1750 hours, the writer, SSO D.Eden and S/O R.Herath responded to an overhead for code white in Acute 2, room 212. Upon arrival the officers noticed that the patient was in Acute 3 and was being actively resistant. The clinical staffs from MHSU got physical control of the patient and requested the officers to set up a bed with five point restraints.

Research –method that focuses on finding answers for unknown or clarify about specific topics in nursing.

The American Nurses Association (ANA) is an organization to advance and protect the profession of nursing. Nurses across the country are standing together in order to remove barriers that are in place. Nurses want to better their lives and others by fixing nursing shortages, safety on the job, home health for Medicare patients, allowing nurses to work to their complete ability for veterans, and allowing a nurse 24/7 in the nursing home. The ANA is at the forefront of improving the quality of health care for all.

Due to delay in meeting with Mr. Reid, the adjuster approved submitting the report after our initial meeting.

The national league for nurses defines critical thinking in the nursing process as “a discipline specific, reflective reasoning process that guides a nurse in generating, implementing, and evaluating approaches for dealing with client care and professional concerns” (Kozier, 2008). This definition is imperative to help a nursing student learn how to think in terms of nursing care. Nursing students must achieve a comprehensive understanding of critical thinking in order to understand the nursing process. The purpose for this paper is for nursing students to learn how to use the nursing process, how to properly document their findings and assessments, and correctly implement APA formatting in a formal paper.

The North American Nursing Diagnosis Association uses Gordon’s Framework as a foundation for its nursing diagnosis (Edelman &Mandle 2014). Gordon’s framework consists of functional health patterns as defined by Endleman and Mandle (2014) is,” viewing the individual as a whole being using interrelated behavioral areas” (p. 150). There are eleven patterns used as a tool to collect information during assessments in order to create a plan for validation and communication among the nursing profession. It focuses on five areas; pattern, individual –environment, age –development, functional and lastly cultural. With the various detailed questions related to the health perception, is a method devised by Marjory Gordon to be used by nurses in the nursing process to provide a more comprehensive nursing assessment of the patient. Marjorie Gordon (1987) proposed functional health patterns as a guide for establishing a comprehensive nursing data base. These 11 categories make possible a systematic and standardized approach to data collection, and enable the nurse to determine the following aspects of health and human function:

I am responding to your advertisement for Registered Nurse –Position Number 707442 that appeared in jobs.wa.gov.au. As someone who can deliver nursing care that is specific to the needs of a patient, I feel I would be a good candidate for a Registered Nurse role. I possess excellent judgement, skill and training needed to respond quickly to the needs of the patients and requests of assistance from colleagues.

Assuming the leadership role during this project has been a very beneficial learning experience. It has helped me to grow as an individual and as a professional. According to the American Nurses Association (ANA), standard twelve focuses on leadership which is when, “the registered nurse demonstrates leadership in the professional practice setting and the profession” (ANA, 2010, p. 55). Within this standard there are competencies that define leadership. The three that I am choosing to focus on consist of developing communication, resolving conflict, commitment to lifelong learning, and treating colleagues with respect (ANA, 2010, p. 55). These three competencies relate closely to my growth and development that

Nowadays we rely heavily on technology from the coffee maker that brews our favorite coffee to smartphones and virtual reality augmentation. The healthcare industry has done the same thing, which is adapting to the evolving technological advancement. I think that information technology helps improve negatives outcomes that are associated with errors - be it life-threatening or not. Yoder-Wise (2015) stated that "information technology entails recording, processing, and using data and information for the purpose of delivering and documenting patient care" (p. 187). I agree with Yoder-Wise (2015) that it requires an accurate and faster processing when dealing with patient information to provide a timely patient care. With the use of eMAR, it

An understanding in nursing sensitive indicators in this case could have solved a couple problems that arrived during this patient’s stay. One of the issues was that the patient’s back was reddened due to restraints being placed and the patient not being turned properly to prevent pressure ulcers. If this would have been recognized when the restraints were applied, the patient would have been turned every two hours by placing a pillow under the sides of the patient so that he would not be on his back constantly. Due to him being confused, he may have been moving around a lot and pushed the pillows out, but there is also the case he should be getting rounded on hourly at the minimum. If this understanding would have been understood and the nurse knew what could have happened, she would have been turning the patient to ultimately decrease the hospital stay.