Paper On Emergency Room Caretakers

This study uses nurse staffing variables, patient outcome variables, and background variables. The nurse staffing variables will involve the number of nurses to skill mix and patient volume. Patient outcome variables will be categorized into infection control, patient safety, subjective and objective outcomes, and complications. The background variables are important to accurate correlation and may relate to both patient outcome and nurse staffing and will include organizational systems, nurse characteristics, patient characteristics, and organizational characteristics.

Research and psychological studies show that suicidal behavior stems from at least one or more mental disorders that are treatable. Individuals with suicidal behaviors often feel hopeless which contributes to these behaviors and can lead to suicide attempts or succession. Recognizing these behaviors can save someone’s life, being compassionate, empathetic, and proactive can greatly reduce an individual’s suicide behavior. The goal is to recognize these behaviors and get help for these individuals quickly.

For my mentor project, I chose to shadow Dr. Kristen James, D.O., a young emergency room Physician (approximately 33-34) who works in the E.R. at Tenova North Knoxville Medical Center. The length of all emergency room shifts are twelve hours—7:00 a.m. to 7:00 p.m., 7:00 p.m. to 7:00 a.m., or 11:00 a.m. to 11:00 p.m.— but for the sake of the well being of my mind and body, I only shadowed for a half of a shift (11:00 a.m. to 5:00 p.m.). I had previously shadowed my father in the same emergency room for a twelve hour shift and I knew that I definitely did not have the stamina to make it through another one with a clear mind or comfortable feet. During this essay, I will be tying in some useful comparisons between shadowing my father vs. shadowing

Once you arrive at the emergency room, you experience more waiting depending on your current condition. Some of these waits depend on: length of stay, time waiting for assessment, condition, waiting for inpatient bed, and lack of resources. Finally, when you’re ready to leave the emergency department waits can occur, like waiting for an inpatient bed or a ride home (CIHI, 2012). All of these reasons impact the growing wait times, with older adults becoming more frequent in emergency departments and the increasing population of older adults these wait times are going to continue to grow causing more harm than good, if older adults are unable to receive the appropriate care in a timely matter (Cooke, Oliver, & Burns, 2012).

The suicidal signs are easy to identify, and if you identify them early enough you could save a person’s live that could be in danger.

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The importance of staffing relating to patients and nurse is very critical as it secures the quality of healthcare services being provided. Quality care is a major focus for health care providers which is indicated by direct patient outcomes. It comprises effective principles that are safe, timely, patient centered, and efficient. One of the quality outcomes that determine the type of care provided to patients is nurse staffing. Nurses may fail to carry out their expected duties due to issues of low staff levels, inadequate time or lack of effective skills. This paper discusses how staffing affects both patients and nurse in the provision of quality care. Research studies show that there is a direct relationship between adequate nurse staffing and better patient outcomes (Buhlman, 2016).

I agree that the article by Kjolseth, Ekeberg and Steihaug (2010) shed light on the importance of dignity and autonomy, and how losing this can drive a person to commit the horrendous act of suicide. Many elderly face challenges like chronic physical or psychological pain; feelings of helplessness or hopelessness which when added with loss of autonomy and dignity can arouse enormous anxiety and possibly evolve into depression. Kjolseth et al., (2010) identified the fear of losing the ability to maintain independence, lack of communication and support from health care provider as key factors that causes the feeling of distrust towards health care professionals. This negativity towards health care intuitions such as nursing home reminds of incidents

A reason why various terminally ill patients ask a physician to help them commit suicide has been argued to be nothing more than melancholy. Patients suffering from a terminal illness might tend to be more negative towards ideas, hopeless about their situation, and depressed because they are dying. In an article written by Vicki Lachman, a clinical associate professor at Drexel University in Philadelphia, Pennsylvania, she states that the 2007 State Health Division report on Oregon’s Death with Dignity Act shows that, most commonly, the terminally ill patients who request physician-assisted suicide were decreasing in their ability to participate in activities that make life enjoyable, losing autonomy, and losing dignity (Lachman, 2010). Moreover,

My day in the E.R. was slow for the first hour and a half. We got our first patient at 7:57 am, and it went at a brisk pace for the rest of the day. The first patient came in with sinus tachycardia. She received one liter of NS 0.9% at a rate of 1L/hr. and two doses of IV diltiazem 10 mg each to cardiovert her, and it was successful. She was released home with instructions to follow up with her cardiologist. There were two patients with chest pain one patient received Nitro Sublingual tablets x3, and the other received Nitro Paste one inch on the left side of his chest. Troponin labs CMP, and CBC on both patients were within normal range. The urine culture on the patient who received the Nitro tabs had WBC in it. When I left the nurse was waiting for blood cultures and lactic acid labs to come back to try and pinpoint a reason for WBC in the urine the physician wanted to admit this patient to the

If you find yourself dealing with an unexpected injury or illness, then you may not be able to make an appointment with your doctor. The good news is that you can visit a urgent care Coral Gables to get the care that you need. The urgent care is made up of highly-qualified medical doctors, nurses and technicians who can treat a wide range of illnesses.

An aspect of aging that I have often grappled with is the increased incidence of dementia and Alzheimer’s disease that we have seen in the last 20 years. I remember vividly, as a psychiatric nurse that started my mental health in an inpatient geriatric facility, we often had patients that were admitted in our facility that either suffered from bipolar, schizophrenia and lastly older people that were depressed either due to loss of a spouse and were grieving.

After graduating from high school, I am striving to go to a four year university to pursue my dreams of becoming an operating room nurse. My preferred university is California State University, Sacramento for reasons that include family, maturing as an adult and getting the education the school provides for me to succeed in my career. Knowing that this school is a great distance from my hometown, my plans of going to my dream school aren't promised for me. That being, I will apply to other schools such as Csusb, Ucla, Csusd etc. I have already looked into which schools will provide the material I need to learn and receive to become a registered nurse and then an operating room nurse. Understanding that not only is my main choice far it is also

Looking for warning signs is the key here. Often times suicidal people will give warning signs, consciously or unconsciously, indicating that they need help and often hope that they will be rescued. The presence of warning signs does not mean that the person is indeed suicidal. The only way to know for sure is to ask them. In other cases, a suicidal person may not want to be rescued, and may avoid giving warning signs. Typical warning signs are: loss of interest in usual activities; loss of energy; talking, writing, or hinting about suicide; previous attempts; feelings of hopelessness and helplessness; sudden interest in life insurance; ‘clearing

Did you know that nearly 20% of people age 55 years or older experience some type of mental health concern? (Centers for Disease and Prevention & National Association of Chronic Disease Directors, 2008) Mental illnesses are very common among older adults and many times will go undiagnosed or will be misdiagnosed. This can happen because the signs of mental illnesses can be easily mistaken for the normal process of aging. Throughout this paper I will focus on the three most common types of mental illnesses among older adults, the facts of mental illnesses, how to recognize the symptoms, and properly treat/care for and older adult with a mental illness.