Reflection On Head-To-Toe Assessments

The CRNA has deeper understanding of disease processes, pharmacological treatment and technological interventions when caring for patients. Advance practice comes with a high level of responsibility; furthermore, increased autonomy is why I aspire to advance my nursing practice. I want to be the nurse that eases my patient’s way through what may be the most stressful time in their life. During my anesthesia shadowing experience I witnessed the complexity and compassionate care that the CRNA provided safely and efficiently. Most importantly I observed clear communication that was vital to all involved in the care of the patient’s unique needs. My shadowing experience fueled my drive to continue to pursuing CRNA School and extend my knowledge at the

I sincerely believe that I accomplished my goals this week. I realized that I served 14 patients by combining the ability of knowledge, my attitude for excellence that I have consistently defeat the odds to become the very best Nurse practitioner; I can become. This clinical experience brings forth many opportunities and achievements. The most important experience this week; I had the ability to identify as primary healthcare provider a high risk need for the patient to be transferred to the Hospital for further evaluation without delay; due to complaints of “leg cold from the knee down to the feet”, which my evaluation was based on evidence practice knowledge of compassion and skill with the autonomy to practice, diagnose, and treat patients

Hi Terry. Nice initial post and I enjoyed reading it. I learned to gather my data accurately and perform the head-to-toe assessment thoroughly. The data that we gather during assessment should be factual and complete to provide diagnostic reasoning, decisions, and proper treatments for patients (Jarvis, 2012). I definitely agree with you, the Shadow Health Assessment with Ms. Tina Jones was also my biggest moment from this course. She was surely challenging, but I would say it was worth it. The comprehensive assessment was difficult and I spent hours in order for me to complete the assignment. I enjoyed doing the assessments of each system. I learned the importance of documenting accurately, clearly, and concisely. In addition to that, the

This week I have fully grasp the work that goes into being an RN, case manager and what it entails to fully review a patients’ stay at the hospital in order to discharge them in the most effective and efficient way. I understand the need for these professionals in the healthcare field, not only in the hospital setting, but in skilled nursing facilities as well, one reason being is that I believe someone has to advocate and review the patients’ needs before they are sent home. Just like last week I was able to sit in on rounds and observe a great deal of the doctor and case manager dynamic and how important it is for both to know the patient as much possible. Sitting in rounds every morning makes me realize how hard it is to make decisions for another

The reliability of an assessment in a perfect situation should produce the same results if marked by another tutor or if that examiner unknowingly receives the same paper again. If different marks are given the assessment is consequently unreliable and proves that this assessment is subjective.

A common goal all healthcare providers share, is the desire to provide excellent patient care. The delivery of care is constantly changing in healthcare, however, the patient will continue to remain the focus of care. The success of nursing care thrives off the ability to fulfill patient needs and to maintain patient safety and satisfaction. When patients are admitted to the hospital, their need for an increase in their level of care and attention, due to the decline in their health status, and inability to preform normal daily activities of daily living. The loss of independence places the patient in a vulnerable state of mind, causing the individual to rely on members of the healthcare team to assist with basic self-care needs while in a stable and well-organized environment. A structured environment can be accomplished through the practice of hourly rounding on all patients.

As a future registered nurse, I also believe that attaining to the patient holistically, and paying attention to the patients needs is a very important task that needs to be done because this can help the patient recover at a much faster pace. I also believe in prioritizing my time in an orderly manner. Some patients will require a larger amount of time based on their diagnosis and health status. This is why I want to be the best healthcare worker. These ideas will contribute to positive patient outcomes that I want to bring every future patient that I treat. I admire what passion, and drive that Dr. Pershing has for treating, and caring of his patients. This is because he is very thorough and careful when treating each patient to make sure that they get the best possible treatment to get them better in a faster amount of time. But sometimes even people like me need to be reminded that as much as a person want to be with that around the clock. Other patient gets disregarded when it comes to their patient care and that is not a good thing (Wilkerson,

Over the past seven years as a clinical nurse on the McKeen Pavilion (the medical-surgical amenities unit at New York Presbyterian/Columbia Medical Center), I have committed to excelling in a clinical bedside capacity, as well as a member of the NYP community. This combination has allowed me to be a true advocate for my patients, their families, and my colleagues. The unit has afforded me a tremendous amount of hands on nursing experience, as

In the short story “Cast of Amontillado”, by Edgar Allan Poe, the author emphasizes through the use of irony the idea that revenge can consume an individual. In the text it states that the main character, Montresor, had a desire for revenge. During the night of Carnival, Montresor lures Fortunato into these catacombs by telling him about a certain wine. Fortunato, being a wine enthusiast, takes the bait ultimately leading to detrimental outcomes. Through the use of irony, the reader fully comprehends the evil intentions of Montresor.

For my interview, I spoke with one of the Nurse Practitioners (NP) that I interact with while working my shift at the hospital. I will call her Terri Smith because although I asked to use her quotes in my paper, I did not think to ask for permission to use her actual name. Where I work, many of our internal medicine physicians are hospitalists. During the night, they are covered by the umbrella of Quest Care. There are several NPs that work under the afore mentioned physicians and are there, on-call, when needed for their clinical expertise. It is nice, because even though I can’t develop much of a relationship with the doctors whose patients I work so hard to take care of, I get to have the opportunity to grow strong bonds with the NPs that I see almost every shift.

Furthermore it is important to prevent sexual problems by paying attention to the emotional reactions, such as anger, shame, and guilt feelings. The issue of sexuality needs to be addressed during both the acute and long-term rehabilitation processes. Cognitive intervention may help to overcome these feelings and may minimize the risk of chronic

Prior to the hourly rounding implementation, all the clinical staff (staff involved in patient care) will attend an hour workshop, which will cover the advantages and significance of hourly rounding to patient safety, reduction of falls, increase patient satisfaction, improved health outcomes, and financial impact to the organization. A video on how to do the hourly rounding properly and what behavior to avoid will be shown. After the workshop, the staff will do return demonstration, playing the role of the staff, while being checked off to ensure that the expectations during hourly rounding are met. This includes how to properly introduce oneself to the patients, informing the patients that the staff will be rounding every hour till 2200 then every two hours till 0600, to address their pain, possession, position, and potty needs. By performing return demonstrations, the validators (nurse managers, educators) will be able to ascertain that the staff understood and will

First of all, I recognized that I was dealing with humans, and not just dealing with a disease process and application of the nursing process in the aspect of restoring patient health. I was dealing with emotions, and families, and cultural beliefs that influenced individual’s aspects of care. I started to see that health did not just incorporate healing the disease, but also recognized the importance of making sure patient’s felt that their

Over the course of my volunteering I had many patient interactions and before escorting them out of the hospital I could see how the doctor affected their behavior. Many patients after being treated are still scared and unsure of what is happening, the doctors and nurses are very patient and encouraging this helps ease their worries. Even after I escort them out sometimes they still ask me what I

The aim of this ten minute reflection is to show my experience of how my mentor and I used the ABCDE approach when dealing with a patient with chest pain. The concept of this ten minute reflection is to outline the areas that I can develop on for my future placements. This ten minute reflection will show my emotional state and my knowledge that I applied in this situation. It will outline my learning and development when in my placement area and help me to decide if a better outcome could have been achieved if I performed differently. From my learning to date, by completing this ten minute reflection it has enabled me to critically analyse my own practice and compare this to what I would of done now upon completion of this module. This reflection has highlighted how much my skills, knowledge and performance has improved from last year. In accordance of the NMC (2008) a pseudonyms will be used in order to protect the patients’ identity.