1. What can you do to console or reassure this patient? The first thing I will do in this situation is take the visitor aside and explain to him that this is not the right time to be talking about this subject. I will obviously stop the treatment and give time to my patient to process the incident and express his/her feelings if he/she wants to
As part of my clinical experience at St. Joseph unit, I had an opportunity to work with my classmate, Kingly and Dat. Dat was a very kind and efficient nursing assistant and I felt fortunate to have had the chance to work with and learn from him. Our
Home health care has become an increasingly acceptable and popular form of health care provided to patients for acute, chronic, and terminal illnesses. Home health continues to rise in demand for a variety of reasons. Home health is a cost effective method of providing patients with the care
Using Gibbs’ (1998) model of reflection, updated by Bulman (2012), reflect on a challenging experience from your practice and analyse the strategies used to manage it. 3276 Words The purpose of this essay is to reflect on a challenging situation I experienced during clinical practice as a student nurse. The essay will
She was handling a critical patient with heart disease. During her duty time she discovers there is some changing in the cardiac monitor that shows that patient’s heart rate is dropping. She starts to assess that patient by checking all the cable which is connected to the patient to make sure everything going right. In the same time she asked for help from her colleagues to call the doctor. With in a few second she found that all cable connected properly but the patient has cardiac arrest and doctor arrived at the same time and they start to give the patient cardiac massage. When they finish the resuscitation, patient recovered from this problem. In this situation she saved the time and checked the patient again while the message reached to her doctor. As result of this, she saved patient’s life. This is because she uses her critical thinking criteria and she manages her time, she does her right decision and she makes good assessment and communication with other health care provider.
During my clinical rotation during my last semester of nursing school, I was able to work one on one with a BSN degree nurse named Judy in the ICU. Judy had three years of experience in the ICU setting. She had been a medical surgical nurse prior to her ICU transfer. The ICU at this hospital consisted of two associate degree level nurses and two BSN level nurses on my shift. I rotated three days in this particular ICU. I worked with Judy all three days of my rotation. I was excited about being placed with her for she seemed knowledgeable and skilled. We were given a male post trauma patient to work with all three days. This patient was a 30 year old male admitted for trauma related injuries and was considered unstable and was to be monitored in ICU. This patient had been involved in a motor vehicle accident and
Look Back Another day of my clinical placement 420 in orthopaedic unit began on July 4, 2015. I received my patient and started to research a patient history and medications. At 0700 a shift report started, I received information that my
During my first week of fieldwork I observed a patient in the therapy gym. She was working with physical therapy and the therapist was trying to get her to stand and take a few steps. Even with consistent encouragement from the therapist, her anxiety got the best of her and she refused to walk. That same week she got put on my supervisor’s caseload. Before, we went in to see the patient, my supervisor me told that she had a feeling that we would get denied. Once we entered the room the patient was lying in bed, she had empty soda cans, empty wrappers, and half eaten food in her room. She was very friendly to my supervisor and was more than happy to chat with her. However, once we mentioned therapy the patient’s anxiety increased and she gave every excuse to not attend therapy. Even with education from my supervisor why she should attend therapy, she refused.
On august 13, 2016 I was assigned to follow one of the ICU Nurse. It was a very calm day. She had two patient one was more critical than the other. Both patients were on the ventilator because they had to be intubated the night before.
Clinical Context and Experience I had my first two night shift this week on Sunday 9/13 and Wednesday 9/16. I am on 7 West at Sharp Memorial Hospital and the unit is PCU unit with tele monitoring. The unit had a high census this week, but proper staffing and no
Fifth Surgical West The nurse on fifth surgical west stayed very busy throughout the day. When she comes on shift her day consists of beside report. Where they are at the patient’s bedside giving report. It is to ensure everything that is said is accurate and nothing is left out. How she prioritizes her day depends on the patient’s needs. It is difficult to know what will happen that day because patient’s can be discharged and admitted. The nurse prioritizes her patients by looking at the reason they are being treated. If everyone is doing ok then she goes by what medications are due. This is to reduce the risk of late medications. She also is aware of the patient’s pain level. She mentioned if the patient is in pain or uncomfortable then
On October 22nd, I attended a meeting with Ms. Dewald. In this meeting, it was composed of managers from the emergency room, med-surgical, medicine, and psychiatric unit. The focus of this meeting was a patient who came to the emergency room, got admitted to the medical floor because of his symptoms. Once in the medical floor the patient got very aggressive, and was a threat to himself and the staff. One doctor happened to recognize the patient, this doctor knew that the patient had psychiatric problems so he informed the other doctors and the staff who did not know about his psychiatric problems. This was the reason the patient got so aggressive was because he did not take his psychiatric medications. In the meeting they tried to come up
I choice to use the Seven Step Model of a Decision-Making Model for Resolving Ethical Issues in order to define what is ethical in this case study. 1. Gather the Facts Joanna is an experienced nurse taking care of Mrs. Kelly, who was Joanna’s patient many times in the past for her
- Patients should not be eating their snacks in the dayroom. We have bug infestations, and it’s not sanitary. Please have the patients in the dining room before handing out snacks. - The TV needs to go off and 2200, and we should be as quiet as possible. Our patients are trying
Patient voices his first major concern as being a room transfer. My patient felt like his roommate was vulgar and disruptive. He felt like he would be more comfortable and relaxed in another room. This concern was addressed, but the there wasn't a room open at this time for my