Nursing Observation

There are errors and hazards in care that occurred in the Mr. B scenario. One error was the emergency room physician’s failure to recognize the signs and symptoms of deep vein thrombosis (DVT) that Mr. B was presenting. If not treated early, a DVT can become a pulmonary embolism, a fatal condition that Mr. B unfortunately developed. Another error in care that happened in the Mr. B scenario is the nurses’ failure to monitor Mr. B’s ECG and respirations. Early detection of critical ECG and respiratory changes could have initiated medical interventions that would have saved Mr. B’s life. One hazard is the emergency room nurses’ heavy patient load at the time of Mr. B’s sentinel event. Another hazard is having a licensed

During many years the role of school nurse was traditionally viewed as one where the nurse cared for students that were injured, applied bandages and gave out ice bags. Throughout the years the role of the school nurse has evolved into one of leadership and management along with many other duties including traditional roles as mentioned above. The services provided by a school nurse range from assessment and screening to coordinating care for regular students as well as students with special needs. School nursing requires experience and knowledge in school, public, community and emergency health to meet the many needs of school aged children and youth. The school nurse provides many services but the basic services provided include

Vital observations were carried out efficiently, they were recorded every 15 minutes and a cardiac monitor was attached to continuously monitor for any deterioration. As a student nurse I assisted by recording vital observations using NEWS and assessing consciousness by using the Glasgow coma scale to ensure there were no signs of brain trauma (Le Roux, Levine and Kofke, 2013). In line with the NMC, my mentor supervised and countersigned my observations (NMC, 2011b). I promoted good patient safety as deterioration would be recognised early and appropriate care provided. Throughout the treatment process I witnessed and provided person centred care. Nursing and medical staff continuously checked patient comfort and obtained consent for treatment being provided.

On Saturday 10/26/2016 at approximately 2328 hours, Security Officers Christopher Paz, Ariel Weiland, Omar Alonso along with Supervisor Steven Evans were dispatched to the EMS Off load Ramp for an incoming (51S) Patient Standby In E.D. Upon arrival at 2328 hours Security met with E.D. Charge Nurse Johnathan Bacal who stated that there was a combative male patient being transported by the Orange County Fire Department. At 2330 hours, the patient, Alan Castillo (DOB: 08/03/84; Fin #86501337) was brought by Orange County EMS (Engine #83) with an escort from Orange County Sheriff's Deputy. He had been combative on the way in and kept stating that he wanted to leave. He was rapidly taken to the Special Care Unit, E.D. room #38 but once inside the

My colleague and I received an emergency call to reports of a female on the ground. Once on scene an intoxicated male stated that his wife is under investigation for “passing out episodes”. She was lying supine on the kitchen floor and did not respond to A.V.P.U. I measured and inserted a nasopharyngeal airway which was initially accepted by my patient. She then regained consciousness and stated, “Oh it’s happened again has it?” I removed the airway and asked my colleague to complete base line observations and ECG which were all within the normal range. During history taking my patient stated that she did not wish to travel to hospital. However each time my patient stood up she collapsed and we would have to intervene to

The nurse was asked what was hurting and "she replied that she was having head pain and a server headache", the next question which was asked what time the incident happened, and "she replied to it that it had happened around 16:30 hours and has been sitting here to see if the pain would go away", the next question which was asked if she wanted to go to the hospital, "she replied that she wants to go", The EMS crew then told the nurse to get up and move over to the stretcher located along the side of her and,"she replied that she did not want to go by a stretcher and, but she would prefer to walk out to the

The day started off normally. I got to the station early at 0645 and started to talk to some of the guys working. There were a couple guys I just met that day. Then I started to get all my stuff ready for the day. I put all my gear on the ambulance and started on the daily checks for our rig. The daily checks consist of checking the lights and sirens, fluids, and making sure all our supplies are in the compartments and in the bags. As I started going through the monitor bag with the electrocardiogram (EKG), we get a call to a male in his 40’s unresponsive and not breathing. Everyone jumped into the rigs and we rushed off to the scene code three. We were en route to a residence to the south. When we arrived we looked for the address but it did not

I was at Hamad General Hospital shadowing medical professionals of different specialties to get an overall idea of what the medical career was like, I was at ED (Emergency Department) when suddenly and with no previous warning “Cardiac Arrest !,” yelled the nurse, in moments emergency specialists were standing above the 16 year old male patient head sorting out CPR, AED etc..; first shock was delivered, the second and third followed, but the teenager didn’t even blink, he lay lifelessly, few more attempts and the white blanket was pulled over him; I couldn’t believe my eyes, I had witnessed an in-hospital death for the first time; trembling and shaking, I walked out of Bay-1, with a completely new meaning of medicine.

A new Emergency Medical Technician (EMT) student is dispatched to her first emotionally memorable call. The first dispatch comes thorough as an unresponsive, 30-year-old female, but escalates to a cardiac arrest caused by a heroin overdose. When the crew of two EMTs and one paramedic arrives on scene, the new EMT stands in the doorway, staring at the patient. Her body was stiff from the rigor mortis, her arms and fingers curled in as though she was trying to get warm. Her skin was blue like she had been swimming in ice water for hours. On the day before Thanksgiving in 2016, this woman was found on her bathroom, dead too long to be saved by anyone. This is still the worst call I have ever been on and I will always remember every

My charge nurse informed me that my assignment was to care for an increased intracranial pressure new admission patient. The gentleman was in his early thirties and he came in thought the hospital emergency department after wrecking his motorcycle. This patient was immediately transferred up to my intensive care unit and had family present. I went into the room to get report and my patient’s father constantly interrupted the day shift nurse. He frantically asked what was happening, if there was any hope of survival, and if he should have his son’s care transferred to another hospital. This was all the overwhelming information that happened in the first five minutes of the first portion of my simulation. The second portion of my simulation was on advanced cardiac life support. Though completing the critical care simulation, I learned a major strength and weakness I have as a senior nursing student.

My scenario was about 87-year-old male it was in hospital recovering from an ankle fracture that has been repaired. He had sustained a fracture by tripping over rugs in is home. He was not weight bearing on his ankle yet. Shift report stated that he is alert and oriented times three. He has a daughter named Catherine who lives in Calgary. The task for you today is the nurse was to remove his foley catheter and to administer his anticoagulant. When entering the room, the client was clearly not alert and oriented. The first words out of his mouth were that he was in pain, and when I tried to assess his pain he held out his fully inflated catheter to me that he had ripped out. The client appeared to be suffering from delirium, which could be caused by a multitude of risk factors, including his age, the fact that he was catheterized, he had undergone surgery, and he had been hospitalized because of his surgery. The client was very panicked, was asking lots of questions, and was trying to get out of bed to go and care for his dogs.

His heart had stopped beating. It is hard to describe how I felt in that moment as I am still trying to process my emotions. I remember turning away from the table where the patient lay lifeless, and staring at the sink in the far corner. A single tear rolled down by flushed face. Suddenly, I felt as if my throat was closing in on itself. After a few deep breaths I turned around and began to focus only on the medical treatment being provided. The storm of emotions that was brewing inside of me was kept at bay for the moment. Instantly, I became infatuated with all of the medical procedures that were being performed, central lines, chest compressions, and intubation were all unfolding before my eyes. Watching a code is nothing like how it is portrayed in the movies. Everyone is extremely calm and precise in their actions. Seeing a human heart be shocked is something that I will never forget. When a heart is being shocked, the whole room stops. Time stops. Everyone has their eyes glued to the monitor hoping to see a rhythm appear. A rhythm didn’t appear. I will never forget his skin turning into a grey blue pallor. It is a color I will never forget, for this is the color of imminent death. Compressions begin again, and then it is my turn. I am still shocked that I was able to find the courage to hop up on the stool and deliver chest

|Physiological |2. mother has been observed |perineum secondary |during my shift, and |2. Instruct mother on the importance | |bathroom breaks, and |

As staff was quickly working to connect the patient to the monitor, obtain IV, EKG and labs the physician was assessing the patient. Shortly after we began our routine process of treatment for this patient he became unresponsive and pulse was lost. Since everyone was already in the room we were able to begin CPR immediately and obtain a pulse within 2 minutes. The gentleman was then rushed to the cath lab where they were able to perform interventions and open up the blocked arteries.