What is the most appropriate way for the oncoming RN to approach the situation?
First, the on-coming RN should gently remind the going off nurse that that the patient is still a patient in their care and any opinions should be kept to him/her selves. What if the patient or family member had heard the statement made by the nurse? It could make them feel like the off going nurse does not care and may neglect their loved one. According to the statement made by the off going nurse, the nurse was being judgmental about the patient and ethically that is not right. The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person (ANA, 2015). The statement made by the off going nurse could be
Joshua is a 31-year old who presents from CRU from UPC. He is ACOT for wanting to leave valley hospital against medical advice. He was admitted to Valley Hospital on voluntary basis for increased depression and anxiety. BHR have a hx of OD and hanging. He is allergic to vicodin. Upon admission, his vital signs were within normal limits. He is partially cooperative, he stated, "I just want to go to bed." He will benefit from meeting with the provider and discussing medication management.
This paper explores five articles that report the problem of shortage in staffing in hospitals across the United States and support travel nursing as the solution. Travel nursing is the quickest, most beneficial, and long lasting solution. A travel nurse is a registered nurse (RN) who is employed by an agency, has experience, and travels to hospitals across the country. Travel nurses are then hired by a hospital through the agency and contract for a selected amount of time to temporarily fill in for any staff. A contract usually lasts 6 to 13 weeks and covers any expenses during the travel. Travel nurses differ from other nurses for several reasons but mainly the hiring process and workload they have. This paper expands the knowledge of a hospital
It is very important for graduate nurses to fit in to a hospital as this gives them a chance to practice safely and effectively. For a New Graduate Nurse (NGN), fitting-in is about establishing secure and meaningful social bonds with ward staff (Rush, Adamack, Gordon, and Janke, 2014, p. 222). Fitting in, or the wish to fit in with ward staff is one of central piont of NGN transition experiences; it gives the NGN a feeling that they are a part of a social group with common goals, common experiences and a shared culture (Tingleff and Gildberg, 2014, p. 537). Success for the New Graduate Nurse would depend on how fast they establish friendly relationships and a sense of belonging. Hospitals understand the importance of NGN getting used to the
Pt is a 15 y/o biracial female that presented at NNBHC by her father with a dx of persistent depressive disorder with intermittent major depsressive episode, with current episode, severe; rule out PTSD, chronice; marijuana use disorder, mild; and parent child relational problems. Pt presents appropriately dress, pt eye contact was poor. Throughout the assessment the pt demonstrated intermittent of tearfulness. Pt expressed that she have been feeling worthless, helplessness, and hoplessness. Pt describe that since her mother died she has not seen any motivation for living. Pt states that she has been feeling suicidal for weeks, however lately it has became more intrusive. Pt states that she has a plan to either overdose
I am writing in response to your online job posting for the position of Travel Licensed Practical Nurse in Charlotte, NC for a 13-week contract. Primary care has been my focus since entering Nursing school and I will soon be graduating from my program. I am looking for a new opportunity that allows me to care for a diverse patient population.
R.O. is a 43-year-old female Latino patient who has been living at home alone since she got divorced three months ago. She does not have any living or available family in the United States. She is the oldest of three children. Her parents died of an accident when she was little. Two of her sisters live in Mexico. She has lost contact with her family in Mexico when she got married and move to the United States. She also has stopped communicating with her ex husband since they got divorced. Although she does not have any support from her family, she states that her church member has been very supportive. Moreover, R.O. states she was a homemaker until the divorce. Currently, she has been working as a dishwasher near her house.
The purpose of this study was to identify and describe the structures, processes, and perceptions of the outcomes of bedside handovers in nursing practice.
I was assigned the first scenario (Lydia) for this week's discussion. I contacted Deborah Funk via telephone. I explained the scenario to her and she explained to me why it is I am having such a difficult time answering this question after reviewing the Nurse Practice Act and the section that governs the scope of Practice for APRN's in Missouri. She explained that the Missouri State Board of Nursing and the Nurse Practice Act will be the least restrictive on the scope of practice for APRN's. The organizations and the institutions of employment along with the Joint Commission will be the most restrictive when it comes to the scope of practice for APRN's (D. Funk, personal communication, July 14, 2015). I was unable to find an age range
I have decided to reflect upon the first time I did a nursing handover. In accordance with the Nursing and Midwifery Council (2004) Code of professional conduct, confidentiality shall be maintained and the patient’s name is changed to protect indentity.
1. The nurse is asked to implement a new, complex, and invasive procedure and is concerned that this may violate the state’s nurse practice act.
The symbolic frame focuses on how humans make sense of the chaotic, ambiguous world in which they live (Bolman & Deal, 2013, p. 244). Plans have to be established and sought out by members of the organizations. In the case study the, Dean Creates a New Normal, the Clinical Nursing Office (CNO), was one of the office affected by the restructure. It was created to help internship, students during their final year in the Nursing program. Changes to restructure of the office made this impossible. According, to Bolman & Deal, (2013), Meyer and Rowan (1983a) argue that technical organizations plan in order to change, whereas institutionalized organizations plan instead of changing (p.288). The Dean decides to restructure the College’s support
CHIEF COMPLAINT: This is a post op note from a procedure performed July 21, 2015 by David Lin, MD.
Involvement versus distance with the nurse-patient relationship is one implication I would like to discuss. I would consider myself to be a “too involved” nurse. Benner (2001) states, “I hypothesized that being involved, these nurses were more fully able to draw on their own coping resources and the resources offered by the patient, family, and the situation” (p. 164). I also know and have worked with many nurses who are more of a “distanced” nurse. These nurses purposely keep a distant nurse-patient relationship. Benner (2001) states a, “distanced observer is less likely to notice subtle changes in patients” (p. 164). I also believe a distance nurse who does not take the time to know their patient is not always the best advocate for the patient.
The aim of this study is to provide a detailed account of the nursing care for a patient who is experiencing a breakdown in health. One aspect of their care will be discussed in relation to the nursing process. The model used to provide an individualised programme of care will be discussed and critically analysed.
I want to become a traveling nurse when I graduate and gain enough experience so in doing so I hope to gain the knowledge and learn about the fast pace environment or helping work with critically ill patients. I want to become more comfortable than I am now in working with critically ill patients and learn what to do next if something happens.