Nursing is a valuable profession in which nurses provide care for individuals, families, and community groups. In order to be a successful nurse, a person has to be able to combine people skills like communication, compassion, commitment, and trust with an adequate amount of science and new technology knowledge. On the other hand, nurses are highly responsible for educating their patients about different medication, diseases, treatments, and healthy lifestyle choices to help clients maintain and improve their health and well-being. Nursing consists of a wide range of specialties and practices among which every nurse can choose depends on her/his interest and skills. Personally, I am really interested in working on the Coronary Care unit and eager to learn more about this specialty. Coronary care unit is a specialty department that provides care for patients with coronary artery diseases, heart failure, and life threatening dysrhythmias which requires continued monitoring of the patient’s condition. According to J. Edgar Caswell (1967), the first coronary care area in the United States opened at Bethany Hospital, Kansas City, Kans., in May 1962. By the beginning of summer 1962, the Heart Disease Control Program initiated major efforts toward establishing specialized coronary care units for patients with acute myocardial infarction. It was at that time that the name "coronary care unit" received its impetus as a specialized entity. (p. 1105). The invention of coronary care
As a graduate of the Doctor of Nursing Practice in a Family Nurse Practitioner specialty, I aim to challenge myself further in the field of nursing by providing efficient and effective care to individuals of all ages. In the role of Family Nurse Practitioner, I will be able to care for infants, adults, and elderly patients, and help them to manage acute and chronic illnesses. I will also focus on improving quality of life by offering preventative care options to patients. Furthermore, I would be able to provide more in depth care and establish rapport with patients and families to help them care for their own personal health through assessment, diagnosis, and treatment. Currently, as a Registered Nurse on a Cardiology Intermediate Care Unit,
Ornato, J. P., Sayre, M. R., & Syrett, J. I. (2014). Chest pain and acute coronary syndrome. Emergency Medical Services: Clinical Practice and Systems Oversight, 2 Volume Set, 120.
The following summary is an updated case study of a 47 year old male patient, Jim who was diagnosed with Coronary Artery Disease. The patient did receive information on what CAD is and was informed that test were needed to fully diagnose and be evaluated for underlying conditions (high blood pressure, high blood cholesterol levels, diabetes and blockage. I will discuss the type of test needed for this condition and tests for any underlying conditions that are related to this disease. The type of treatment needed to control and lower his risk factor. I will also give the patient information about complementary and alternative medicine so the patient will be well informed about different types of treatment. The patient will be informed about the prognosis of the disease, and the options that the patient has to succeed in the changes in his lifestyle that are needed.
Post hospital stay and admission of the cardiac patient post cardiac event will be provided education on cardiac rehabilitation programs. The length of cardiac rehabilitation programs differ according to the cardiac patient’s condition, cardiac health needs the patient requires and the cardiac event the patient has encountered. Cardiac rehabilitation programs are provided in an outpatient clinic or may also be implemented in the cardiac patients home. Cardiac rehabilitation in a patient’s home is inclusive of, telephone support, online Heart Education Assessment and Rehabilitation Toolkit (HEART), and home visits from services in the community, (Recommended Framework for Cardiac Rehabilitation, 2004). Cardiac rehabilitation programs require expertise from a range of professionals from the multidisciplinary team including, a cardiologist, a cardiac rehabilitation nurse, physician, dietician,
I believed that five years reasonable length of time to develop and sharpen my skills, and I would be an experienced competent nurse. According to the Benner’s Nursing Theory, competent is a nurse that has work in the same area for two to three years that understands the long-term goals to achieve great efficiency and organization(4). Therefore, I have worked in area of medical cardiology with medical diagnosis consisting chest pain, myocardial infarctions, atrial fibrillation, and heart failure for five years. One of the unit’s goal is to provide adequate education to heart failure patients to reduce readmission. I have worked with the Clinical Nurse Specialist to educate nursing staff on the Heart Failure Pathway created to ensure adequate,effective treatment and education is delivered to heart failure patients. Thereby, reducing the probability of readmissions. I served a Unit Council Chair to help educated staff ways to reduce falls on the unit, assist with audits to retrieve unit data on adherence to hospital policies to reduce catheter associated urinary tract infections and hospital acquired pressure injuries.This experience along with obtaining a certification in Cardiac-Vascular Nursing made me a competent nurse now transitioning to level of
The cardiology ward is an area were patients are experiencing heart and circulatory issues; it is a mixed sex bedded unit for patients diagnosed with acute and chronic cardiac conditions; the team liaise with the cardiac rehab
Nursing is an excellent career choice, where an individual acquires great gratitude while attending to others necessities. If someone is constantly trying to improve themselves and wanting to be challenged in life, “as nurses, we face tremendous challenges and often see and do things that are extraordinary” (Ulrich xix). By becoming a registered nurse the individual will make a difference. Nursing allows an individual to continuously be benefiting a fellow human being, not only with the patient but with their families as well, having the opportunity to becoming someone especial in the patient’s life. Nursing is a
Nursing is not just a collection of tasks. To provide safe and effective care to the clients, nurses must integrate knowledge, skills and attitudes to make sound judgement and decisions. This essay describes some of the essential knowledge, skills and attitudes of nursing and discusses why they are essential attributes of a competent nurse.
Nursing is about providing the best possible holistic care for the patient and family. At the same time there’s an imbalance of patient care regarding education and knowledge being provided by nurses. As a nurse I believe we all owe it to ourselves, the profession, and the patient to provide the best possible care. According to American Nurses Association (ANA) online article “Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations.” In order to better achieve the nursing ideals of the American Nurses Association we must improve patient care by requiring hospital nurses to become BSN nurses.
After completing my bachelor’s degree at Florida State University in the fall of 1997, I began my career at a small hospital in Largo, Florida. I started on a thirty eight bed cardiac/telemetry unit. I had the fortunate opportunity to orient with a seasoned nurse who loved her career in nursing. She was an enthusiastic preceptor that not only educated me on the tasks of nursing but inspired and introduced me to critical care and critical thinking. I spent the next three years at this hospital working in the Coronary Care Unit until deciding to become a travel nurse and see the country. I began travel nursing with my best friend and we worked in Florida, Washington D.C., New York and Denver. At all of these locations we worked in the intensive care unit. Each experience provided a different population and vast new experiences.
Facilities, performing coronary CTA, should develop and adhere to evidence based coronary CTA protocols for optimal, high quality, cost-effective, patient-centered care. A comprehensive review of the literature was performed using CINAHL, PubMed, MEDLINE, and Medscape search engines, and with the terms ?coronary CTA?, ?protocols?, ?guidelines?, ?radiation?, ?contrast?, ?beta-blockers?, and ?radiology nursing?.
What looked promising to me is the respect and dignity of the human beings irrespective of their creed and Nationality. I always enhance my knowledge through continuous learning as I believe in the quote “Education of a man is never completed unless he dies” (Lee, 1977). I completed Coronary care I, II and III and Critical care nursing certificate course in 2016 as I wanted to work in Critical Care. As a hardworking and ambitious individual, my aim is to advance my career, through the PHCNP profession which can give me more opportunities to work for the community. My long term goal is to be a leader in the profession and contribute significantly to the development of the nursing fraternity and to the
South Carolina Heart Center is an outpatient based facility. The patients in the facility only flow in one cycle, meaning there is not a difference in the inpatient documentation or emergency department documentation. Responding to emergency situations is also the same as the route of transfer, besides the physician making a referral for a patient to another facility for continuity of care.
In today’s society, the medical field is constantly thriving with technological improvements and the growth of educated individuals that contribute to the well-being of others. Nurses make up the largest majority of the industry, and with that, nursing is the fastest growing occupation. Nursing is a job that allows people to not only take care of the sick but also to experience, learn, and further their interests of the human body.
Nurses are known as the heart of health care. Being a nurse is a demanding job that requires commitment, but does not lack rewards. A fact stated by the American Association of Colleges of Nurses claims that “Nurses comprise the largest single component of hospital staff, are the primary providers of hospital patient care, and deliver most of the nation 's long-term care” (“Nursing Fact Sheet”). With many roles throughout the healthcare system as a whole, nurses are a large, very important role that interacts with every other part of the health care system. They have great qualities that not everyone has. They are highly compassionate, caring, professional, diligent and understanding individuals. A nurse experiences people at their worst and still care for patients in a way that no one else would. All these honest points prove that nurses are the most important members of the health care system because, nurses spend the most time with patients, nurses are the managers of patient care; they are teachers and are great with conflict resolution.