Summary Of Patient Observation

At Yale New Haven on the medicine floor SLA 4, the nurse manager identified the need of education on both the hyperglycemia and diabetic ketoacidosis protocols. The nurses and doctors were not aware of the steps outlined in the protocol that needed to be followed. There have been several incidents across the hospital of orders not being correctly prescribed by physicians and nurses following through with these incorrect orders, therefore seriously effecting patient outcomes. Specifically on SLA 4 there was a recent incidence of a patient coming off of an

We answered questions from his daughter as to why this was safe even though he was allergic to Erythromycin. Explained to daughter that it was a different drug class.

Approximately 12: 30, RN received patient 's blood sugar report that was 232 from Julao-co, Antonina, Nursing Assistant (NA). Patient had lunch approximately 1245. Due to lab system down and unable to receive the result on sunrise, RN called Antonina, Nursing Assistant (NA) again to confirm patient's blood sugar 232 before administering Humalog medication.

Diagnosis: The doctor performed a CBC and tested the chemistry of the sample. Sadie had a glucose concentration of 525 mg/dl, far outside of the normal range of 80-120 mg/dl. Sadie was diagnosed

Alison Krall was the speaker, she joined the clinical nutrition team at Ohio State in 2003. Her work mainly focuses on the medical and surgical ICU, Oncology including the Outpatient Radiation Clinic, and several other areas in Oncology. In 2015, she worked as a Lead Dietitian and Clinical Coordinator for the Human Nutrition Dietetic Internship program. One thing that I think I would like this job is to teach outpatient control their nutrients intake or do some instruction about the nutrients intake to them. One thing I think I would not like about this job is that you need to meet many patients in a day, and some times you don’t know the answer when patient ask you some specific questions. One thing that really surprise me is that the outpatient

On Saturday, May 14, 2016 at approximately 0031 hours, Security Officer Omar Alonso along with Supervisor Steven Evans were dispatched to the 1st floor East tower next to elevator Cart # B for a (53S) Patient Standby In Medical Unit. We arrived at 0033 hours and made contact with Patient Transporter Joel Velasco and Transporter Supervisor Robert Cherry who stated that the patient, Marybel Santiago (DOB: 02/16/1964; FIN: #85636515) had been screaming and yelling that someone was trying to kidnap her. The patient was being transferred from E.D. room #41 to room #208 bed 2 when suddenly she became irate, wanted to get out the stretcher and screaming she was being kidnap by people. Security spoke with patient and escorted her to her destination.

The psychiatric clinical rotation at Clinch Mountain House was a very prodigious experience. This facility is unique because of the role it plays in the community; it serves to provide daily recreation for the members of the community who suffer from mental illnesses. This facility focuses on providing essential social skills to this community and accomplishes this goal by providing social interaction, a structured schedule, and daily assignments for each member.

The flow chart also takes into consideration any weight loss and if the patient is acutely ill. Depending on the risk calculated (low, medium or high) there are steps to ensure what routine checks must be done or treatment that must commence, including collaborating with other professionals such as the hospital’s nutritional support team or a specialist dietician. The hospital in which the author worked under have also created an additional continuation sheet [see appendix 5] which enables the nurse or healthcare worker to document results accurately and in line with NMC (2009) record keeping standards.

The last visit I had with the patient on June 7th, I elected to start him on antihypertensive therapy. He was given a prescription for Zestoretic 10/12.5 mg one p.o. to take daily. He says that he did take one as recommended. That same day in the afternoon, he noted that he was short of breath in the afternoon. He says that he attributed it to the work that he was doing out in the yard and later that day, it seemed to resolve. A few days later, he had the same thing happen again. He eventually went on to see Dr. Lilly on June 25th. Please see that note for complete details. She did have him go through a series of testing, including laboratory studies, which were normal

After reading his chart, not only was he a type one diabetic, he had gone on a four-day meth binge and could not remember the last time he ate. Due to him not eating, he was experiencing an insulin shock. “Can you get the vital signs while I find the glucometer” Rachel asked as she rushed out the door. I poked at the monitor to find the screen I needed. Heart rate, blood oxygen saturation levels (SpO2), and blood pressure popped up.

A suggestion I would make to one of the clinicians I observed will be to focus her activities on things that are of interest of the client. During a session the child was not interest on at all on completing any of the task, the clinician didn't have any reinforces to work with child. The clinician showed the child the chart with the activities of the day and there was a sticker reward to which to child responded negatively. Besides that, they were sitting on a rug where the child had no control of his body, he started changing spots on the rug and lost the track of the activity in the moment. I would recommend the clinician to use a chair and a table to have more control of the child movement and a better reward for the child to make him work

As a volunteer at Casa Maria, a non-profit clinic for those that cannot afford healthcare, I learned how important it is for a physician to inform the patient about their health in a clear, understandable manner. When I was performing the Diabetes finger test on one of the patients, his test results came out as very troubling. I informed the nurse before he walked into the doctors - as the line was very long and we had the time to explain to him his diabetes test results that he seemed unaware of. We told him that the physician will prescribe him medicine to control his blood sugar levels, but that he must also change his diet in order to stay healthy. The patient was completely shocked and did not realized that his diet was of importance to

Today clinical was very good. I was with Ms. Betty, LPN. She is very caring and I like her relationship with her patients, always maintaining caring and professionalism each time we went to see a patient. Throughout the morning Ms. Betty administered ordered medications per patient’s doctor orders. I watched her gave several injections and she verified all the eight routes and use critical thinking. We also evaluate patient’s status after medication administration to make sure they are stable and check for any complications by using communication. She allowed me to do the vital signs and AcuCheck before administering certain drugs and other medications that had required blood pressure, apical pule, pulse and blood sugar check prior to administering

After observing my mother in at the emergency room where she works, I finally understand the difficulty of being a doctor. Doctors constantly having to take care of anyone who walks through the door on a stretcher. Doctors have to try their best to feel empathetic towards everyone, putting themselves in other people’s shoes and trying to understand their situation. Whether they are good or bad, it doesn’t matter, the main goal is to stabilize the patients and make sure they receive the help they need. For example, last night walked in a psychopath who had killed 3 people, who also stabbed himself in attempt at suicide. By some miraculous move by God he didn’t die, only required immediate medical attention. As I watched my mother operate

Sara recently wrote a letter to the hospital complaining about the administrative communication and the lack of attention from the endocrinologist (Dr. Harris). Sara 's individual concerns and issues with each department are as follows: