Symptoms And Treatment Of Patients From A Hospital

After I got the assignment, I met my nurse, introduced myself and took the report of the patient. I went in my patient room and introduced myself. I took patient vitals and documented it. With Professor Zentis I did physical assessment. Her fundus was firm and midline 2 fingers below the umbilicus. The patient had scent lochia rubra. Mrs. M has 6year old daughter and concerned that she is not sure the right positions to feed baby. She also had incision pain

The nurse had been in the nursing profession for fifteen years and working on the NICU Unit for five years. She was of Caucasian background and a single mother of two young children. She first met the patient when she was admitted with complication during the sixth month of her pregnancy. The nurse had extensive training and experience working in the paediatric unit of the hospital where she was employed. Caring for children is her passion since she lost her first child due to birth complications and raised her two children alone while putting herself through university.

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.

In the summer of 1969 Dr. Moore, a board-certified obstetrics and gynecology doctor, administered a spinal anesthetic to a patient (Showalter, 2017). However, Dr. Moore did not follow the typical

This assignment will reflect on the effectiveness of my clinical and interpersonal skills in relation to my position as a nurse in a busy critical care unit. It will primarily focus on one particular patient and the care they received by myself in their immediate post operative period. In accordance with the NMC’s code of professional conduct names will not be used to protect the patient’s confidentiality. NMC (2008).

* Personnel Issues: One of the key barriers to effective interaction for the pre-op nurses is that they are not getting any information from the registrar or the surgeon related to the patients unique circumstances. There is not a communication process in place for the pre-op nurse to actively communicate with the surgeon or his office regarding a patient’s care during their day of surgery. An additional factor in this situation was the pre-op nurse documented the mother’s contact information in her notepad, but not on the

Within this case study I am going to use two of the Chapelhow et al. (2005) enablers to discuss and reflect on the care of a patient I have been involved with on placement over a period of 5 weeks. ‘Enablers are the essential and underpinning skills that come together to provide expert professional practice’ (Chapelhow, C et al. 2005, p.2). These include; assessment, communication, documentation, risk, professional decision making and managing uncertainty. The enablers work together to provide a holistic approach to the care of patients in health care settings. I am going to focus on and discuss two of the enablers, linking them both together, which will be assessment and communication as I believe these two enablers can be related most to my patient.

On my second day of clinical experience this week I focused a lot on time management and documentation for a full patient load, and also on the admission and discharge process. After taking report on all three of our patients, I began my initial morning assessments. It was clear that our 8-year-old post-operative appendectomy was ready to be discharged. My priorities were assessing her incision sites and ensuring the presence of bowel sounds, as well as making sure she did not have a fever and was tolerating a general diet. After completing my assessment and documenting in the computer, we

2. What is the priority nursing diagnosis for Marie, who is experiencing residual effects of epidural anesthesia?

This experience opened my eyes to a field of nursing I hadn’t ever considered before. Concrete As soon as I walked in, I was greeted by a nurse who told me we were about to go into a c-section and that I needed to get gowned up. I was really surprised and really excited that I was going to get

Being a registered nurse over the last fourteen years, I have witnessed firsthand that the healthcare industry is constantly evolving. And with all the government budget deficits, many models of health care are built on cost containment and managed care. This has resulted in a lot of conflicts between healthcare providers, especially between CRNAs and anesthesiologists. Historically the delivery of anesthesia has predominately been by nurses rather than doctors. However this balance began to shift when the delivery of anesthesia became

I felt frustrated at times. Due to my past nursing experience I was used to dealing with emergency situations on a regular basis and I found it hard to sit back and let the other midwives decide what to do next. Even though my job of recording vital signs was important I sometimes felt that I could have done more to assist my colleagues. I also felt sad for Susan’s husband even though he was kept well informed throughout, it was a terrifying experience for him.

Learning about the potential complications of epidural reinforced my knowledge in being able to choose the right anaesthetic monitoring equipment. Knowing that Spinal and epidural anaesthesia can cause unpredictable and profound arterial hypotension necessitate the use of adequate monitoring like the; Pulse oximetry, ECG and Blood pressure cuff. This knowledge will help me to be able to select appropriate monitoring devices during epidural catheter insertion. Also it goes without saying that an epidural must be performed in a work area that is equipped for airway management and resuscitation.

Later that day we got to assess a patience that complain about pain on his left side. We gave him a full assessment relating to pain {location, duration, intensity, cause etc.}. We also observed an admission of a patient by one of the RN. At the end of it all I left the hospital with a better understanding about vital signs and pain assessment.

I was working as a scrub nurse during caesarean section. The surgeon whispered in my ear that this patient was carrying twins but one of them died intrauterine. She warned me that the demise twin might look horrible because it died at 19 weeks. Once patient entered the OR I noticed that she was very reserved to everything. I thought that she was just scared of the procedure. When the team sees that the patient is so stressed, we are trying to help the patient and are asking questions about the baby. Usually that relaxes mom and puts a smile on her face, knowing that she will be holding her newborn in a view min. This time this strategy didn’t work, but I also have noticed that they were only asking about one baby. Nobody mentioned anything about the demised twin. At that point I thought that this is what we are supposed to do. As the surgeon and the circulating nurse had more experience than me and they were silent about the death fetus, I just followed them too.