Over two night shifts I had very similar assignments. Both nights my assignment had multiple patients requiring blood glucose checks, and one patient that required hourly checks with lab draws ever other hour. These simple tasks do not take much time, but the culmination of them all can be time consuming, so I needed some help getting those checks done one time. However, the first night I arrived to find that we did not have a clinical assistant (CA) helping the nursing staff.
In the past when I have cared for patients with these frequent checks and lab draws, I have broken up the responsibility between me and the CA, where each of us goes in ever other hour, the CA for the glucose checks, and me, the RN, for the hours that required the lab draw as well. The idea being that that patient is getting all the care needed, but both the CA and I have time between checks to attend to the other patients in our assignment. Without a CA the first night, I became aware that with the time commitment of all these tasks, I was unsure if I would be able to give my other patients the time and care they needed to keep them safe that night, much less have the time to respond to any critical changes in patient status if they occurred. As I assessed what could be done, I reached out to my Charge nurse to see what help she could give me in obtaining lab draws and glucose checks. As I did that, I also checked in with the other nurses at my pod to see if they could be extra resources to me
The nature of the work is very similar for the C.N.A. and L.P.N. A C.N.A. work includes performing routine tasks under the supervision of nursing staff. They answer call bells, deliver messages, serve meals, make beds, and help patients eat, dress, and bathe. Aides also provide skin care to patients, take pulse, temperature, respiration, and blood
The charge nurse can continue to search for an available CNA that could possibly float to the unit. There are several hospitals that do cross training with the CNA’s just in case they are asked to float to another department. The charge nurse can help several ways by helping Brandi with the CAN tasks until help comes, she could care for a patient of Brandi’s, ask if one of the CNA’s could stay an extra hour or so to help with the tasks that need to be completed by 8am. Also, look over any morning tasks that could potentially be moved to a later time. She can possibly redo the assignments on the unit to even out the work load between the nurses until help arrives. We are all a team working together to provide the best care possible, so team
Plasma insulin concentration was at its lowest during the fasting time period. Concentration was about 68 during that time.
Because you can control on the amount of time you spend doing physical activities and the intake of both caffeine and alcohol.
Pamela Williams is the Medical Necessity coder I shadowed on this day. Her responsibility as a medical necessity coder is to approve physician orders. When physicians order tests for their patients, Ms. Williams has to verify that CMS will pay for the specific test. In the event the order is rejected, she will contact the physicians. This could be the most difficult part of the job for her. Before she contacts the physicians, several steps would have to be taken. CMS requires a very high level of specificity when submitting orders. The majority of the time when providers are filling out order forms, they are not abiding by the strict guidelines CMS has. It is her job to help the providers reach the level of specificity
I arrived at clinical 0630 and picked up patient information the morning of. I reviewed all assigned diagnoses, medications, labs, and orders with my assigned students, and we discussed our plan for the day. We both took report from the patient's nurse and then Elizabeth presented at preconference. Kala shadowed the Nurse Lead and I helped Elizabeth with brief changes, pericare, and vital signs. I continued to check on both Elizabeth and Kala throughout the day. Last, lunch and then post-conferance.
Long working hours and a load of responsibilities required on a daily basis. Abduallhi is responsible for handling human resources that include clerical duties, finance, billing, management, scheduling, training, and hiring. Handles finances, calculates and issues patient bills. Assign schedules and tasks to employees, nurse visits, and follow-up. Communicating with each patient’s physician, requesting prior authorization of patient’s illness and injuries in order to understand the right plan of care required for the patient, employee verifications of licensing and certifications requirements like CPR are required to obtain. He also is responsible for all patient clinical records and privacy rights, following compliance policy rules and regulations (laws) of the city and state procedures required of the agency. He must also follow-up with Central Ohio Agency on Aging, Medicare, and Medicaid to keep patients up-to-date about their medical
A C.N.A. can work effectively as a member of the health care team by helping a patient or resident meet their basic human needs, for example, assisting with meals. Doing so will help the patient or resident meet other needs such as a small goal with more comfort and ease. In addition, a C.N.A. can work effectively by observing and reporting any changes in behavior or health conditions when providing for the patient's or resident's basic human needs.
The reasons could be a lack of motivation, avoidance of information or the ignorance about the health behavior (Virginia Tech Continuing & Professional Education, n.d.). In this initial stage, the patients are still in the hospital. It is the responsibility of the discharge nurse to emphasize the importance of maintaining the blood glucose (BG) levels within the normal range while educating the patient, to prevent the surgical site infections (SSIs). The nurse should stress the need to check the patient’s BG levels at least two to three times a day and document the results in the BG monitoring chart provided to the patient at
Calling ahead for appointments, tests and procedures to verify that accommodations for the patient’s disability are made prior to them arriving is helpful and ensures a smooth process for all involved. Arranging for an interpreter for a deaf patient, additional assistance for moving a patient to an exam table, or an exam table that has an adjustable height, assistance with audio taped instructions for a blind or visually impaired patient are all examples of the difference a care coordinator can make in providing high quality care for disabled patients. Care coordinators have the ability to improve patient care and reduce costs for patients and
-Interview patients for medical histories and chief complaints, measure vital signs, and review medication lists
Each facility has their specific way of scheduling and protocol for staffing; not every facility uses a model that has other nurses’ help decide the next shifts nursing assignment. Some places will have a separate person makes the assignments and determine which nurse will get which patients during each shift, this can lead to the issue of the person making the assignments not knowing specifics and the level of care needed for each individual patient. In some cases a nurse may only have a few patients and another nurse has double as many. The level of care each individual patient needs is a huge aspect to take into consideration, making pervious nurses
Monitoring Blood Glucose Levels Maintaining normal blood glucose levels greatly reduces the risk of experiencing complications due to diabetes. Whether an individual has Type 1 or Type 2 diabetes, regular use of a glucose monitor to determine blood sugar levels will help determine what adjustments to diet, oral medications, or insulin injections may be necessary to achieve good control. What's Glucose?
This paper will look at the performance of blood glucose level (BGL) tests which was carried out during the clinical intensive workshops. This paper will firstly explore and discuss the value and importance of personal reflection in nursing in a health care setting and how personal reflection is a key component in the learning processes of an individual and how it improves skills. Secondly, this paper will identify blood glucose levels and reflect on how I felt I performed this skill during the clinical intensive workshop. Thirdly, discussing how I feel I preformed this skill and how constructive feedback allowed for me to improve my skill to overall result in faster and more efficiently BGL’s. Lastly, this paper will explore how I believe I can improve future BGL’s through improving my speed and how to become faster, this is through becoming more prepared prior to starting a BGL.
The product is FAST Vaccine. This invention is based off of a Blood Glucose Meter or also known as a diabetic device. This invention is includes materials such as a container, a needle, springs, pipes, plastic safety covers, and electrical wires. This product solves the problem of safety and pain tolerance. Many people are afraid of needles and this product is useful because of a safe and faster way to get injections when you go to your medical physician. When the fast shot gets injected to your body, it doesn’t hurt because of the fastness of the shot. This is also useful because. Fast Vaccine works by pressing a button to inject a needle quickly into someone, to give them a shot with not as much pain by going faster than regular