Testing / Ethics / Resource Management

As the director, at the skilled nursing facility and rehabilitation center, her job is to help individuals, families, and loved ones cope with the recent diagnosis of the client being admitted. She is instrumental in the community by helping those who can no longer help themselves. She is a social worker but assumes the role of advocate by voicing concerns from the resident to other staff and family members. Her role is to help the client maintain autonomy and dignity throughout the process of relinquishing their independency.

They set up the instruments and equipment needed for the particular operation to be performed. They have to be able to anticipate what the surgeon will need and hand the instrument to him or her when required (Aims Education, 2015).

You are responsible for making sure the operating room is set up the way the surgeon likes and needs it to be. You are also responsible for making sure that all the tools, operating table, and every inch of the room is cleaned and sterilized. Surgical technicians are the ones who keep track of “lap pads” or laparotomy pads used during surgery to soak up excess fluid in the patient. So, everything must be accounted for before, during and after surgery. They are also the people who hand the surgeons the tools they call out. With all responsibility, you have to know how to think for yourself if something were to happen and the surgeon takes a second to think during a tricky or time consuming surgery. For example, if a lap pad were to go missing, the surgical technician will be the one who is asked about it, and needed to recall the location of pad. Or the surgical technician has to make sure enough tools are at hand in the operating room readily available in case the team happens to run out. The job is very simple. Clean and move the room according to surgery and surgeon, keep track of everything, and hand the right tools when called out quickly. Seems simple. Which is why there is more than one surgical technician in the operating room. Natalie explained that she is ready and looking forward to the high stress environment that comes along with the job.

During procedure nurse is usually passing instruments, making sure equipment is set up and ready to go, assisting with taking radiographs, taking care about patient’s escort during taking radiographs, making sure patient is comfortable and calm, processing x-rays, also working length have to be recorded in the patient notes either paper or digital or both

Currently, nurse’s use nursing diagnosis to help implement care plans for patients. These care plans help to determine possible interventions that can decrease the risk of complications. In order for the nurse in the following shift to continue the care plan there needs to be standard characteristics for the nursing diagnosis. Impaired skin integrity is a nursing diagnosis that is seen everyday in the health care field. To reduce discrepancies in assessment findings the nurses must be

Second, the nurse commences assessment with an evaluation of patient’s airway, breathing, and circulation for any signs of inadequate oxygenation and ventilation. One of the patients’ temperature was 102 F and the physician recommended pain medication (dilaudid) and it was administered instantly. The nurse gets vital signs and compare the result with intraoperative care. The nurse chart vital signs every 5 mins for the next 15mins, every 15mins for the next hour depending on the recovery state of the patient. I also noticed that for diabetic patients, the nurse checks for blood glucose and also compare result with intraoperative care unit result. Third, the nurse assess pain although the patients receive pain medication before surgery. Fourth, the nurse assess surgical site (dressings and drainage). Fifth, the nurse assess neurologic (level of consciousness, orientation, sensory & motor status, pupil size and reaction. Finally, the nurse assess gastrointestinal (nausea, vomiting, intake of

The preoperative phase begins when the patient is scheduled for surgery. The role of the perioperative nurse is to first determine any risks the patient may

The nurse must initially evaluate the patient’s charts for any bacterial precautions and fall risks. As the nurse walks into the patient’s room, the nurse begins by making sure the environment is clean and safe. The nurse would do this by gathering equipment, washing hands thoroughly, and wear gloves. The nurse is then to greet the patient, introducing self, then let them know exactly what you came to do. The nurse should first ask the patient for his or her name, birthdate, location of where the patient is currently at, and the reason as to what

Inspect and manage medical records to insure that the correct information is being used for the right patient.

Veteran advocacy requires nurses to have problem solving skills. This involves being able to identifying veteran’s health problems and addressing these problems by developing goals and strategies geared at addressing the problems. The advocate must also be able to develop an action plan geared at organizing the advocacy efforts and meeting the advocacy goals. He/ she should be able to develop a competing case before making a request. She must therefore be able to collaborate, negotiate, and compromise (Tomajan, 2012)

.-Evaluate the patient’s progress and change the plan of care to achieve the goal from admission until discharge.

The nurse is responsible for positioning the patient and should assess the patient throughout to see how well he is tolerating it. If the patient is on a heart monitor, the nurse should monitor vital signs and heart rate as the catheter is being put in for any fluctuations. Afterword’s, the nurse should assess for complications or adverse reactions like pneumothorax. Make the patient comfortable and listen to bilateral breath sounds. Obtain a stat XRAY to verify correct placement.

First everyone had to put on a mask, wear surgical head covers, proper scrubs, and shoe covers. Inside the operation room, the surgeon and scrub tech had to put on a sterile attire, which included sterile scrubs,gloves, and equipment because they were the first people to have contact with patient. The circulator or documenting nurse and anesthesiologist were around the sterile field (aseptic technique) without any contact with the patient whatsoever. As you would have guessed, the surgeon was the one who performed the surgery with the help of the scrub tech and monitored by the circulator nurse and anesthesiologist. The main duties of the circulator nurse was to document everything during the surgery from what medications used to how many sterile dressings were used, proving supplies to the surgeon and the scrub tech as needed,and making sure the room was prepare for the assigned surgery. This nurse also provides conform measurements for the patient while in the operation room. For instance, there was a patient who was too big for the operation bed, so the circulator nurse had to find additional supplies that would prevent the patient from sliding down the bed. Nurses always provide the finest education towards their line of duty but also take the time to teach those people who starting the nursing

describe the various roles of nurses within multiple settings such as the clinical nurse specialist,

Urgency of acute care varies depending on the situation but can range to anything from emergency surgeries, to injuries, chronic illnesses, and also for the recovery of those procedures. Majority of the patients in acute care settings are critically ill. Nursing responsibilities in acute care settings are vital to patient’s recovery due to the front line position nurses play as well as the wide variety of tasks carried out. Assessments are made during every encounter the nurse has with the patient along with monitoring the patient’s progress. Nurses are responsible for recognizing symptoms the patient may be experiencing due to illness or injury and whether they fall in the spectrum of normal reactions. Vital signs are measured routinely and can be indicators of the patient’s current status. When vitals are questioned diagnostic tests can be arranged to further assess possible comorbidities the patient may have. Care plans are made to plan interventions the health care team can take to help patients through challenges they face, both physical and mental. Nurses administer medications as well as first aid as needed. They are responsible for maintaining special equipment patients may require including monitors and ventilators are well.