PMH Nurse

The General Duty of most Registered Nurses’ is to do whatever they can, in their power, to help every patient they come across on a daily basis in a comfortable, appropriate, manner. On the more specific end of a RNs’ duty, a Registered Nurse is expected to and responsible for: performing physical exams and health

My daily routine as a nurse would be to get patients medication to them make sure the patient's’ symptoms have not changed. If a patient is about to go into surgery, I would help get them prepared to go into the operating room. I would make sure to get the patient's’ vitals and to make sure they are feeling okay, or ask any garrulous questions like “did you feel sick over night?” or “were you in any pain or did anything change over night?”

A typical day consists of arriving at work at nine in the morning at the latest. First she will go to her computer, and look at the census of all the patients. She figures out if there are any new patients since she left the previous day and go over who came in the night before. Then she has to know whose social assessment needs to be done because they need to be done seventy-two hours within the patient’s admission. She usually will keep notes on her desk on what needs to be done. Most days, she calls homeless shelters because some patients have to go there after they are discharged. If she is not calling a homeless shelter, there is always another place or family to call for patients. She attends a team meeting every day at eleven in the morning to talk about their patients and the best way of handling their situations. She meets with her patients and will do their social assessment. They talk about how they feel about going home or going to a homeless shelter. Some days she does family sessions in addition. Everyone being discharged needs a psychologist and a therapist, so she must make sure that happens as well. She does not have a lot of control about what job she will be doing during the day. Overall,

Bedside reporting has the primary function of sharing patient information between nurses, as they change shifts. The nurse ending their shift would report all the changes that have occurred in the state of the patient and all measures which have been taken for the respective patient. This information would be transmitted to the nurse commencing her shift, who would then write and further transmit all patient information occurring during their shift, to the nurse coming to replace them.

Registered nurses have several duties and responsibilities that can range depending on the organization that they work for. Registered Nurse’s may be employed in physicians' offices, schools, hospitals, assisted living facilities, nursing homes, clinics, and even in prison settings. They are responsible to provide direct care to patients that are done under the order and supervision of a licensed health professional. The licensed healthcare professionals include physicians, nurse practitioners or physician's assistants. The daily actions of an RN may include receiving a patient assignment, assessment of each patient, administering medications, attending to patient needs, facilitating patient, assisting the physician with bedside procedures, monitoring laboratory results, and monitoring for any changes in condition. While on the job they might also encounter heavy lifting of patients, exposure to bodily fluids, and large amounts of time on feet. The amounts of hours they work depend on where they work. For example, hospital-based nurses mostly work a total of 3 twelve-hour shifts per week while a office-based nurse usually works 5 days a week for a total of 40 hours.

Due to the patient to nurse ratio on the floor, the floor RN would be more focused on the shift’s operations such as the administration of the medications, ensuring that the patient’s ADLs are taken care of, and collaborating with the inpatient care team when family had demands or questions. On the other hand, the APRN would look more closely on the bigger picture, the care provider would not only look into the patient’s daily needs but also the welfare of the family and the organization. The APRN may dig deeper into the signs and symptoms associated with the psychological or psychiatric aspects of the patient’s condition that can sometimes manifest as somatic or physical illness. For example, the patient might have been sleep deprived due to some emotional stress related to the upcoming court hearing. The APRN would explore on why the patient is having an issue with sleep deprivation, make the care plan, intervene appropriately, and then evaluate the outcome. The APRN could also refer the patient to a psychiatric or legal counseling and assist the patient and family members embrace wellness by establishing trusting care relationships, recognizing the clients’ needs but setting limitations, and reassuring them that the APRN would facilitate towards the resolution of their health care

Nurse practitioners work with other doctors to ensure that patients stay healthy or become healthier once again. Due to their training in clinical medicine, nurse practitioners are able to make diagnoses and treat patients for many different health problems (Family Nurse Practitioner (FNP), n.d.). Although nurse practitioners are not doctors, they are advanced registered nurses. The description of duties that are expected of a nurse practitioner are as followed: developing treatment plans for different conditions, educating patients on proper healthy habits, conduct exams, preform different tests and exams, caring for patients and helping prevent further sickness,

Some duties will be conducting physical exams, making urgent care visits, prescribing medications and providing preventative care to residents. Providing education to families and staff education, attending care plan meetings to ensure quality care is received is also a role of an NP. Adequate documentation for billing Medicare and Medicaid or private insurance for reimbursement of services provided, is an ongoing process for both the physician and facility for payment and an NP could make the process

I supervise the unit’s operations and oversees specific employees at the BHT II and BHPP II level. I am also part of a multi-disciplinary clinical team to provide recovery-based services for consumers in varying levels of crisis. Others include performing nursing assessment, developing a medical service plan and obtains and executes medication orders from psychiatric prescriber. As an RN supervisor, I oversees and maintains medication and medication records in accordance with Agency policies and State regulations. I also coordinates medical care with psychiatric prescriber and PCP. It is my responsibility to serve as a role model of professional behavior at all times.

The profession of nursing, similar to healthcare, is undergoing massive changes. The profession is becoming increasingly complex because patient care is steadily moving out of hospitals into primary and outpatient care settings. Since scores of years, the role of primary care registered nurses has evolved from bedside caregivers to specialized members of an interdisciplinary medical team. Accordingly, come up with a relevant resume

My clinical duties performed this shift involved practicing time management and reporting skills. That morning, I was responsible for getting a detailed hand off report of the three patients during our walking rounds. I then went on the computer charting system to acquaint myself with the three patients and get organized with my plan of care for the day. This also involved reviewing the laboratory results and active physician orders for all patients. For the active physician

-Interview patients for medical histories and chief complaints, measure vital signs, and review medication lists

Unlike the MA job duties, nurses’ roles and responsibilities are different from the MA. The nurse are responsible to do phone calls to and from patient, faculty, doctor and other staff members all day long. They help manage day-to-day operations of the health care clinic, maintain health records, documenting each patient contact and updating patient profiles, ensure confidentiality during visits and telephone contact, distribute non-prescription medication after appropriate assessment, encourage health maintenance and promotion through counseling and awareness activities and assure that patients understand instructions.

Patient satisfaction is a driving force in today’s health care system. Incorporating the patient in their care will help with the patients healing process as well as encouraging the patient to be more compliant with their prescribed care. Bedside reporting is a practice that some organizations have incorporated in their standards of care. The patients care does not stop when the nurse’s shift ends. Therefore, it is important for the patient’s information to be conveyed accurately to the oncoming nurse. Conducting shift reports at the bedside allows the oncoming nurse to both visualize and interact with the patient much sooner than if the nurse had received report in another manner. Furthermore, bedside reporting allows the patient to interact with both nurses; and allows them to see that their care is being properly managed. This type of reporting also allows the oncoming nurse to ask questions, as other methods of shift reporting limits the oncoming nurse from interacting and asking questions of the off going nurse. Patient satisfaction as well as accurate transfer of information and patient safety is a crucial part in providing quality patient care.

The nurse must initially evaluate the patient’s charts for any bacterial precautions and fall risks. As the nurse walks into the patient’s room, the nurse begins by making sure the environment is clean and safe. The nurse would do this by gathering equipment, washing hands thoroughly, and wear gloves. The nurse is then to greet the patient, introducing self, then let them know exactly what you came to do. The nurse should first ask the patient for his or her name, birthdate, location of where the patient is currently at, and the reason as to what