Patient Admissions From Urgent Care And Pacu

The second resident was Ms. Sister; she was in room no. 226A. I had an opportunity to provide a lunch for Ms. Sister; she was very nice and friendly. She ate 45 % of her meal, but she enjoyed eating fruit, ice cream, and milk. Sometimes, she stopped eating; I assisted her getting her cold water or grabbing utensils on the table. I noticed that she always said “thank you” to me, and tried to talk something. I noticed that she was a smile and her face looked happy. I felt happy too. After finishing lunch, I brought her back to her room, and Dat used a full sling mechanical lift to move Ms. Sister back on her bed and changed completed continence brief. Ms. Sister watched her TV and took a nap later. Then, I checked the call right that it was right next to Ms. Sister before I left her room. My second day of clinical practical learned many things from residents, such as noticed personal food preference, gave the person time to eat, reminded residents to chew and swallow carefully, made a bed ( a closed

Terrell Pollard called the office at 5:11Pm to inform me that he was unloading a car when he was putting in neutral the chain gave away allowing the car to roll down his bed catching his hand and car door on a post. I ask him if he need the medical squad to come out he said no that it was hurting but that he didn’t need the medical squad to come out. Told him to sit in the truck and to relax that I would be there in a few minutes to help him.

One of the paramedics massaged Candee’s hands as she breathed. Once they had her calm I answered questions from one of the paramedic regarding the cause. I told them I was in contact with her husband providing updates and I asked if she was going to be taken to hospital. The paramedic stated they did not want to take her for an anxiety attack and asked me if her husband could come and pick her up. I called the husband and he stated 30 – 45 minutes ETA and I relayed that to the paramedics. They were ok with staying with her until her husband showed up. The paramedics and Candee walked to the conference room, a short distance down the hallway, to wait it out and I stayed closed by in the lunch room, across the hallway, to make myself available while providing privacy. After about 25 minutes one of the paramedics informed me that Candee requested to be taken to the hospital and that they have no choice but to take her when she makes a demand. The paramedic said that her husband could follow them there and that Candee was in communication with her husband on her cell phone. They were taking her to Kaiser Oakland as Candee was on the phone while they wheeled her out the

Upon arriving at Hays Medical Center, my classmates and I met on the third floor for preconference. I grabbed a computer and logged into my client’s chart to see if there were any new orders. I had no new orders. In conference, we were to give report on our patient. My client was a young male in for a bowel resection due to an obstruction. After giving report, I met up with my senior two, Brendell. We proceeded down to the acute floor. I found my client’s room and waited for report from my nurse. I went ahead and introduced myself to my patient and explained to him that I would be helping today, that if he needed anything he should hesitate to ask. I went forward with my bedside assessment, making sure to do everything

At the nurse station, she raised her voice and said:” We have a problem if you can pass your medications by 10pm. I want to make sure you chart early and there will be no overtime!” I told her I appreciated her help,

During week five, I was assigned to two patients (A and B), one of whom is a shared client (patient B) between me and a colleague. Strategically, my colleague and I planned out the first half of the shift, such that we would perform vital signs and head-to-toe assessments first, administer medications in

I was on my way out to lunch when she stepped in but from what I could hear on the other side of the curtain she was very nervous and scared about the blood draw. I left the lab confident that my colleague would do an exceptional job as always with making our patient feel at ease. As I returned from lunch, I could hear the same patient on the other side of the curtain telling our phlebotomist that she was extremely terrified of needles. My colleague had done everything that she could to make this an easier process for our patient, but even then she was not quite ready to start. My colleague and I knew that this is when our teamwork skills would come in handy, before I could settle back into the lab, I quickly jumped over to the other side of the curtain to help assist my colleague in comforting our nervous patient. The patient was almost in tears and breathing heavily as she held her ice pack against her chest and sat down reclined in our phleb chair. In attempt to distract her and make her feel more comfortable I turned our computer monitor to face her and offered to play a cute animals video for her on YouTube. She giggled but was more than happy to give it a shot; as we played the video, she asked me to grab her hand and talk to her. I sat there comforting her and letting her know that she was doing a great job rest assuring her that everything was going to be okay. As I held her hand and chatted

I have completed 174 hours between both clinical sites. I have completed my primary care hours and have one more day with my women’s health preceptor. The situation discussed below is an example of Joanne Duffy’s Quality Care Model. The Quality Care Model focuses on the importance of forming caring relationships among patients, their families and the healthcare team to improve patient outcomes. During my women’s health rotation, we had a 15 year old girl come to the office because she was having irregular menstrual cycles. I went into the exam room, while my preceptor stayed in his office reviewing charts. When I entered the room, the patient was sitting on the exam table, obviously nervous. She was looking down, shoulders slouched, fidgeting her hands, and swinging her feet. Her mom sat in the chair next to her. I introduced myself to the patient and her mom.

For take our kids to work day I got to spend the day with Laura’s mom, Elaine. Elaine is a pediatrician at the Children’s Hospital, she works in the ICU. The day started with watching medical and nursing students do stimulations. We were supposed to watch two, one with a baby and one with a child, but right at the end of the second one I fainted. I don’t really know why, I didn’t see anything that bothered me, I was well hydrated and I had a big breakfast that morning. Luckily I was spending take our kids to work day at the hospital, so when I woke up I was surrounded by nurses, doctors, medical and nursing student. I guess it was good practice for the medical students. After that Laura and I got to ask Elaine and a nurse our interview questions.

The Intermediate Level Care unit, an intensive care unit, is a unit that specializes in long term chronic illness, most of the patients were on ventilators and required large amount of resources. I was working the night shift and was the charge nurse due to call offs. It was only my third week in the unit, when I received an order for a terminal wean. The patient had a chronic illness and had been on a ventilator for the past six weeks and did not show any signs of improvement; in fact, every time the weaning process would begin, it would have to be discontinued due to the patient’s oxygen saturation levels dropping which in turn caused the patient to struggle to breath. I was okay with the order and knew the patient would be more comfortable with morphine infusing. The night was going well until I received a phone call from the patient’s family. Initially they decided to go home and asked to be contacted when the patient had passed. During the phone call, they inquired if they would be permitted to return to the hospital so that they could be with their father throughout the process. Up until this point, I had never been asked that question. I told them they were more than welcome to return to the hospital and sit beside their father until he passed. The order I had was to titrate the morphine to patients comfort level. The family arrived and very quietly sat in the room holding the

The patient could have became upset and could have lead to a greater ordeal. When the patient told me this I was uncomfortable because I did not except he was feeling this way and I have never been in a situation where someone was feeling untrusting of who was giving care. I was not prepared on how I would respond and I said the first thing that came to mind which can be interpreted as insensitive. As I was uncertain, I searched for help on a different perspective on the event and this opened up my thoughts and direction on how to interact with my patient and other similar scenarios in the future. A part of working together as a team of health professions is being able to ask for assistance when needed.(Sorrentino, S.A. & Remmert, LN. Will, MJ & Newmaster, R 2013,

Usually in the medical surgical floor, nurses must take care of 4 or 5 patients. That’s where Delegation and prioritization comes handy and becomes their best option. During my clinical rotation, I was assigned two patients each week to care for. Before caring for any patient, we must get a report from previous nurses in the patient’s room. For that reason, I decided to get said report from my buddy nurse to get my shift started. After receiving reports on my two patients, I immediately knew both patients were stable. I then decided to do a two minute assessment on both patients on their vital signs. After my assessment, I realized that one of my patient was in severe pain on a pain scale 8/10, on his neck radiating to lower back, on the scale

A 32 yo male presents in the Urgent Care via personal vehicle with lacerations to the left eye and right hand following an altercation. The patient is also complaining of chest pain, so a chest x-ray will be performed. The patient received sutures to the left eye and right hand and no abnormalities were detected from the x-ray.

At 9:00 p.m I arrive at the nursing facility I had been working at for the past month. I'm early, as usual, I go straight to the locker room to change. While there I am informed by the D.O.N that I have the dreaded room 213. The reason for the dread was an ongoing rumor about this patient. She was believed to be racist because she would refuse care from those of ethnic looks. I had been warned about this over and over again, however, I paid it no mine. And walked right into room 213 and started gathering the items I needed to give this woman her cares. As I approached the bed the woman looked me up and down and spit at me, she told me to stay away. I calmly asked her if she was refusing cares. She yelled at me to get out I did just that.

There is a strong need to obtain further evidence regarding refugee health needs, and to carry out policy evaluations on sector specific impacts. For example, policy makers must remain aware of the cost and benefit implications of utilizing emergency room and acute care staff to treat primary health care concerns and estimate patient demand accordingly. Given the complexity and inequity associated with IFHP, it has been suggested that creating a tailored social welfare policy and healthcare model suited to the characteristics of refugees may hold promise (Barnes, 2013). There has been a range of further suggested changes to regulations, including suggestions that fewer categories of migrants be delegated to simplify the system with respect