Early recognition of deteriorating patients in the clinical setting has been connected with increasingly successful interventions and effectively improved health outcomes (Parham, 2012). The worsening physiology of a clinically deteriorating patient is strongly tied to an increase in hospital mortality (Mitchell et al., 2010), and thus the importance of identifying the patient decline is of paramount to effective nursing care. This essay will investigate this current nursing issue in the paediatric environment within NSW in an Australian context. It will examine the impact clinical deterioration identification and management has on the nursing profession, the paediatric patients and their families, primarily through the exploration of the ‘Between the flags’ program and DETECT junior. Further discussion regarding the legal and ethical principles surrounding clinical deterioration will follow together with an evaluation of best nursing practice as supported by the literature. Clinical deterioration is a state usually revealed as derangements in vital signs and characterised as being significant disturbances in physiology for over 24 hours (Mitchell et al., 2010). Often, deterioration in a paediatric patient is more difficult In comparison to an adult to identify as a result of children’s compensatory mechanisms, which may disguise indicators of clinical deterioration (O’Leary, Nash & Lewis, 2015). Also unlike adults, most arrests in children are a result of serious
Nurses worldwide are renown for their immense passion to care, and it is certainly not a profession embarked upon without serious consideration and commitment. Nursing in Australia is a highly regulated and regarded profession, offering enriching work environments with the latest technology at hand. In comparison, nursing in a developing country, such as Malawi, is extremely challenging. Malawi’s population of just over fifteen million people is amongst the poorest in the world and has the lowest number of nurses in the South African Developed Community (Maluwa, Andre, Ndebele & Chilemba, 2012). There are many factors compounding the severe nursing shortage in Milawi. The profession suffers from poor remuneration, and has been critically
The state of early childhood profession has rapidly been changing because of the current trends, policies and movements in the rapidly changing 21st century world. This report articulates the key issues of diversity of the early childhood settings, a number of models of early childhood education and care, diversity among people, the status of early childhood profession, the belief that the profession suits female than male, the poor status of the profession and less pay than other professions associate with the early childhood profession The study consisted of analysing the strengths and challenges of the early childhood profession. The study methods of analyses include the National Quality Framework, The National Quality Standards, Assessments
As a Registered Nurse is a crucial component to ensure that there is effective communication between the nurse and patient. As well as being respectful to the person’s dignity, culture, values, beliefs and rights. This is because everyone is different, and due to this it is important that I am being cautious to each person’s individual needs.
It was found that the nurses had insufficient recording of wound care and the staff were not monitoring the wounds consistently or keeping Mr Selir’s GP up to date on his condition. After this incident, the nursing home introduced new staff, systems and processes to improve the quality of care to residents. I felt frustrated and disturbed as coming from overseas, my family background has always taught us to respect and look after our elderly therefore back in our country we don’t believe in nursing homes. According to Nursing and Midwifery Board of Australia [NMBA] 2016, health professionals ought to provide safe, appropriate and responsive quality nursing practice.
The number one priority of the Registered Nurse should be to provide holistic, patient-centred, safe and evidence based care to every patient. Patients who are admitted into hospital or seek healthcare services externally through clinics or the community usually expect to receive the safest and the highest quality of care possible from that facility. Registered Nurses have a major responsibility to ensure that this is achieved. To help guide nurses and other healthcare workers in the right direction, the Nursing and Midwifery Board of Australia created and enforced the “Registered Nurse Standards for Practice”. These standards aim to assist healthcare practitioners in providing high quality and safe care to every client. The standards also aim to prevent any form of harm or negative consequence to the patient during and after their time in any healthcare facility. This paper will discuss the reportedly increasing issue of elder abuse, the responsibilities of the Registered Nurse and the associated Standards of Practice when faced with a patient or family that is experiencing this type of harm. The standards discussed in this paper will be Standards 2.5, 2.9 and 6.6.
They must always maintain privacy and confidentiality in a nurse/child relationship. They should also differentiate between normal and abnormal physical findings and serve a child advocate. Nurses must also participate in activities to help manage the child’s pain and analyze any situations to anticipate pathophysiological problems and detect any changes in the status. Pediatric nurses may also administer medication while using an age- appropriate guidelines and determine the child’s needs related to pain management. One of the last general tasks is, that a nurse must evaluate a child for signs and symptoms of abuse and provide as much supportive care as possible to dying children.
I am very interested in a role that will allow me to utilize my educational training and caring and nursing skills in a way that will give the patients a chance to live happily and comfortable. I commenced University in 2013 and I am due to complete a bachelor of nursing degree through La Trobe University in November this year
The changes to both student health needs and healthcare during the 21st century have an impact on school nursing practice today. It was because of these changes that the “National Association of School Nurses (NASN) developed the visual and conceptual Framework that explains the key principles of school nursing and provides structure and focus to current evidence-based school nursing practice” (NASN, 2016, p.45). The ultimate goal of the framework for the 21st century “is to provide a resource to guide school nurses in their practice” in order “to help students be healthy, safe, and ready to learn” (NASN, 2016, p.45). The framework for the 21st century school nursing practice consist of
With the health care system changing so rapidly, it is important that nurses are autonomous. It is necessary, as patient advocates, that we understand the cause and effect of all entities involving our patients. Critical thinking and making the correct judgment call clinically is vital. A patient situation which comes to mind is an 86 year old female, weighing 50kg, Vital Signs: Blood Pressure: 80/50, Heart Rate: 102 (Sinus Tachycardia), Respirations:
negligently cared for and the hospital itself had a lack of basic essentials ( McDonald,L
Care within the hospital has become very complex and challenging as nurses are being faced with taking critical decisions associated with care of seriously
This paper will discuss a case study of Liam, a three-month-old boy who is transferred from the General Practitioner (GP) to paediatric ward with bronchiolitis. Initially, Liam’s chief health issues will be identified, following by nursing assessment and diagnoses of the child’s need. Focus will be made on the management of two major health problems: respiratory distress and dehydration, and summary and evaluation of the interventions with evidence of learning. Lastly, a conclusion of author’s self-evaluation will be present.
Nurses working within the neonatal unit require a particular set of skills to adequately fulfil their roles and responsibilities within this fragile setting. The role of a neonatal nurse is to provide intensive nursing care to an infant who has inherited complications at birth due to varied reasons (Tubs-Colley, Pickler, Younger, & Mark, 2015). These complications often manifest as undeveloped internal organs that make simple bodily functions such as breathing and regulating body temperature incredibly difficult. The neonatal nurse provides close monitoring and extremely individualized care per patient to stabilise and further develop these body systems artificially post-uterine (Drozdowicz & Dillard, 2014).
This then helps to emphasise the importance of vital signs in contemporary nursing practice as ‘better monitoring of patients implies better care’ for this reason it is the nurses responsibility to ensure accuracy of the data, interpret the vital signs findings and to report any abnormalities (Lynn, 2008 ; Kyriacos et al, 2011 p.3225). This also builds the nurses core skill set and offers the earliest information of a patient at risk of deterioration, which helps to prevent deaths or further health complications (Boulanger, 2009).
Urgency of acute care varies depending on the situation but can range to anything from emergency surgeries, to injuries, chronic illnesses, and also for the recovery of those procedures. Majority of the patients in acute care settings are critically ill. Nursing responsibilities in acute care settings are vital to patient’s recovery due to the front line position nurses play as well as the wide variety of tasks carried out. Assessments are made during every encounter the nurse has with the patient along with monitoring the patient’s progress. Nurses are responsible for recognizing symptoms the patient may be experiencing due to illness or injury and whether they fall in the spectrum of normal reactions. Vital signs are measured routinely and can be indicators of the patient’s current status. When vitals are questioned diagnostic tests can be arranged to further assess possible comorbidities the patient may have. Care plans are made to plan interventions the health care team can take to help patients through challenges they face, both physical and mental. Nurses administer medications as well as first aid as needed. They are responsible for maintaining special equipment patients may require including monitors and ventilators are well.