Raising Public Awareness Of The Rapid Response Team

As an aspiring Neonatal Nurse Practitioner, I will graduate from UNCG with my BSN, work for a year as an RN, and eventually attend a graduate school to accomplish my ultimate goal of obtaining my DNP. As a neonatal nurse practitioner, it is imperative to exude compassion, while demonstrating critical thinking skills when faced with arduous circumstances. I understand that working with distressed families in the NICU will be a challenging task, both emotionally and physically. I am aware that it is my responsibility as a nurse to not only know how to provide physical care to my patient's, but to also attend to their emotional needs and the needs of their loved ones. Nurses are expected to be the liaison between families and doctors. So, in the

Another big role in a pediatric nurse’s job is telling the parents disturbing news when it is necessary. Telling the family any bad news is more of a process than anyone might think. The pediatric nurse responsible for this task must first think ahead, plan for the worse, and plan for the reaction of the family. The pediatric nurse must set time apart from their busy day to be able to spend it with the family of the patient. One is never sure how the family will react or how long it will take to explain all the details and answer all the family’s questions. , According to Crawford in his journal “It is also helpful in many cases to have a witness to what was actually said as sometimes, despite all the care and attention to detail, mixed messages can be conveyed” (Crawford 3). In the article, it also states that the pediatric nurse should give open and honest information to the family. The nurse should start the conversation off letting the family know that they are here to support and encourage. The nurse should be straight forward from there on out and should refrain from using elaborate or confusing words with the child’s family. The nurse should avoid not only confusing the family but also excuses, jargon, elaborate reasoning, and the temptation to speed through the bad news without making 100 percent positive the family understands what they are being told. When the nurse has properly told the family the bad news, he or she must

In the 25th week of her pregnancy, the mother was advised by the nurse to remain on bed rest to avoid further complications and potentially hurting her unborn baby. The mother continued to work from the hospital placing additional stress on the baby despite the nurse’s appeal that such stress can cause the baby harm. Attempts to stop premature delivery were made but failed, the mother asked the medical team not to take any extraordinary measure to save the baby. The premature baby lived but the mother showed little interest in his health and wellness. The nurse tried to the best of her ability to spark

Reading the book Josie’s Story, was an emotional but, powerful experience. I really enjoyed the perspective it gave. The intimate details in the story give the reader a feeling and an idea of what Sorrel King went through as well as the rest of her family. It is not just a story you can read and then not question aspects of your own care as a nurse, nor the healthcare system itself. One important phrase that resonates with me and I hope to never hear in my nursing practice is when King (2010) asserts “She died because you did not listen to me” (p. 65). The book details Sorrel King’s quest to improve healthcare by making it safer. It is an important book that gives insight and brings up the importance of patient safety, communication in healthcare, and the culture of healthcare. It also gives value and credence to the role

Clipboard and stethoscope in hand, I walked toward the double doors that flashed emergency in bright red letters above. It was my first clinical shift as an EMT student, and first day jitters flittered around in my stomach, I had no idea what to expect. However, I was not expecting to witness the fragility of life. About a half an hour into my shift the rapid response alarm blared through the emergency room. I turned to my preceptor and quizzically asked what this meant. “A rapid response is a patient who is in need of immediate medical care and intervention. As an EMT who is part of the rapid response team you will be expected to assist with vitals and chest compressions. Let’s head toward the recess room, and I’ll explain more there.” Eventually, we reached the recess room, and the rapid response team was already there preparing for the arrival of the patient. A nurse was on the phone with the firefighters that were bringing the patient in. Seconds later she announced “It’s a STEMI”. Then fright ran through my veins. A STEMI is medical jargon for a segment elevation on an EKG. In other words the patient’s coronary artery is completely occluded. The patient is suffering from a heart attack. Prior to this, I had never seen someone who was having a heart attack. However, the thing that terrified me the most was that I knew I would be expected to perform chest compressions. I had only ever performed chest compressions on a dummy.

The implementation of Rapid Response Teams is becoming a commonplace in U.S. During a patients become deteriorating RRT teams is called to the bedside to immediately assess and treat the patient. Early treatment can prevent the patient to transfer ICU, cardiac arrest. Our unit stepdown ICU always get chance to call RRT and save more life and treat in the bedside. When I took my break in nursing in 2006, it was not familiar for me, but when I came back after 10 years it is very helpful for me to save a patients life. Last week I called twice RRT for two different patients. First COPD patient with o2 saturation 85 we called RRT and pt was fluid overload. Treat with diuresis and nebulization pt condition improved. Second patient with SVT HR -140/HR.

Immediately life threatening A patient with chest pain, severe blood loss, MVA, sepsis. These types of patient are prompt to deteriorate, and their life could be at risk if not treated within 10 min of arrival in ED. (Basnet, Bhandari and Moore, 2012)

This essay will discuss the topic of communication, providing an overview of the topic in relation to professional practise within adult nursing and then about children’s nursing and why it is important. Further outlining how communication influences all the choices we make, and how we adapt these skills to meet the needs of the patient. The similarities between these two fields of nursing and the differences and what skills are required when applying this in clinical practise will be expanded on. Further to this, this essay will discuss

The progress of my project to develop a nurse driven sepsis screening tool and an algorithm for implementation on the intensive care unit (ICU) for early identification and prompt treatment of septic patients has progressed remarkably well. I have been productive in gathering current guidelines for sepsis with the aid of my preceptor who is a critical care nurse practitioner on the ICU. With his help, I have been able to assemble key pieces of research to create a sepsis screening tool, and a treatment algorithm with sepsis resuscitation bundles. Extensive research has been conducted to integrate evidence-based practice in my project. I have also spent time with the unit educator, critical care intensivists, and my colleagues in brainstorming and collecting ideas about my project.

The Dreams and the Dilemmas is a unique video that highlights the real life work and accomplishments of nurses, physicians, and social workers performing extraordinary acts of caring and humanity towards the couples and their premature twin sons. After watching this video, I released the importance of teamwork and good communication in the Neonatal Intensive Care Unit to the family. The physicians gave the couples options to choose from, even though they knew Travis was not going to make it with any of the opinions giving. And when the couples chose not to take off the life support, the physician respected that decision. He said in the video, “we will continue to do everything we doing to Travis”. They made

There are errors and hazards in care that occurred in the Mr. B scenario. One error was the emergency room physician’s failure to recognize the signs and symptoms of deep vein thrombosis (DVT) that Mr. B was presenting. If not treated early, a DVT can become a pulmonary embolism, a fatal condition that Mr. B unfortunately developed. Another error in care that happened in the Mr. B scenario is the nurses’ failure to monitor Mr. B’s ECG and respirations. Early detection of critical ECG and respiratory changes could have initiated medical interventions that would have saved Mr. B’s life. One hazard is the emergency room nurses’ heavy patient load at the time of Mr. B’s sentinel event. Another hazard is having a licensed

On arrival, Joe’s mother Catherine was distressed and throughout every stage of Joe’s care it was important Catherine was provided with clear information in order to empower her to make informed choices regarding Joe’s care (Glasper et al. 2010). Parental involvement was introduced after the Platt Report in 1959 which recommended that parents should be allowed to stay with their hospitalised child. The report has led to significant improvements in interactions between parents of hospitalised children and the staff who care for them (Priddis and Sheilds 2011). Sousa et al (2013) carried out a study that found communication between parents and children’s nurses is vital. Sousa et al (2013) found that almost all parents who participated in the questionnaire agreed it was a priority to get information on their child’s health condition. This indicates that is important for nurses to manage the child and family as a whole holistically (NMC 2015). Catherine

During the team formation, a number of challenges manifested. Firstly, it was the fact that there were nurses from other units. Hence, there were fears that they may not be well informed with procedures undertaken in our unit. However, this challenged was effectively addressed by assigning the nurses from other units a nurse from our unit to help her during the emergency period.

Effective responding involves the ability to carry out timely nursing responses and appropriate interventions to fluctuating patient and care environment circumstances (OHSU School of Nursing, 2015). In case management, the variables are constant and ever changing. Patient and care partner needs, the interdisciplinary team, payor sources, hospital and community resources, and care availability is all in constant flux. Healthcare reform and regulatory rules also have an impact on patient care and transitional care planning. A case manager must be aware and ready to alter the care plan based on the patient’s clinical response, social needs, personal goals and wishes.

Sue would have had even more difficulty if it had not been for the ongoing support from her family. This story illustrates how role of family in the critically ill patient is very important. A few health problems they encountered were lack of communication from doctors, nurses and physical therapists. Lack of bedside manners, knowledge of patient diagnosis. I can't imagine having the same experience as her. If I received this type of nursing care that Sue received I would not feel very good. Not only me if anyone were to receive this kind of treatment from healthcare professional none of them patient would have felt good about it. Thankfully I have never had this kind of experience nor my family had.