The Day With The Patients Of Regent Care

My second clinical day took place on September 24th, 2015 at Saint Barnabas Hospital in Livingston, New Jersey. My preceptor Maria Brilhante, MSN, RN, allowed me to observe the morning huddle that took place with all the nurse managers that are in the hospital. The purpose of this huddle was to keep the director of nursing informed about the census on each unit. I found this processed to be very uniformed and professional because the DON was engaged. The day went on with me attending meetings on how managers could implement plans to contain cost for the hospital. Maria did her daily rounds on her patients and her nursing staff. She has a folder that contains papers on how each nurse is progressing from the time they get off orientation. Her motto to the nurses is, “You are good at what you do, so when I coach don’t take offense. I am only trying to get you to be great”. This boost their confidence which I thought to be important.

This is Journal #9. My placement is at Weakley County Nursing and Rehabilitation Center in Dresden, Tennessee. The ninth day I attended my placement was on Tuesday, April 5, 2016. I volunteered from 10:00 am to 1:00 pm.

My work day began the night before my shift started, as I received an email from my supervisor and was pleased to see my favorite patients on my list. Anna was scheduled first on my itinerary. She had become a quadriplegic after a serious fall down a flight of steps. Next was Mr. William, who was dying of a brain tumor. This man had the best attitude towards life, and always kept me laughing. My last patient of the day was Mrs. Patsy. She was very dear to my heart, and I had grown very close to the family, because I had been seeing her for over six months. Every time I walked into Mrs. Patsy house, she wanted an update and recent pictures of my children. It is unusual to have everyone agree on the scheduled time, but this warm summer evening was the exception. Tomorrow’s schedule was looking great and I was ready to get some rest.

This helped me create a specialized plan of care for my patients and their families.

Upon receiving this assignment, our group sparked the idea of visiting a mental hospital here in the

This manual contains guidelines for training purposes intended for all CHI Franciscan Health care centers employees. The contents will give you helpful tools to deal with a wide variety of situations that may occur when dealing with patients and their families. With this handbook you will gain both the skills and knowledge needed to achieve a successful career in our company. Our main goal is to provide exceptional customer service to everyone who walks through our doors, both internal and external customers.

My level 1 fieldwork II was assigned at Charleston Area Medical Center – Medication Rehabilitation Inpatient Services in Charleston, West Virginia. It was an Inpatient Rehabilitation which provides Occupational Therapy, Physical Therapy and Speech Therapy services. My supervisor is a Certified Occupational Therapy Assistant for more than 3 years. My fieldwork started around 7:45am and ends at 4pm. My supervisor provides me with occupational profile of the patient, diagnosis and the treatment before interacting with the patients. They usually see 3 patients in a day for 90 mins therapy sessions.

The information contained in this report was gathered in a private nursing home over 2 weeks that for the sake of this essay, be called “facility x”

Florida Hospital was founded in Orlando by the Seventh Day Adventist church in 1908. It is part of a 46-hospital network, with 20 nursing homes and 25 health care agencies extending across 12 states that make up Adventist Health System (AHS). AHS is one of the nation’s largest hospital systems, and is a not-for-profit healthcare organization.

The Anatomy of Care (AOC) is an interactive game where the scenario is set at Metro Hospital, which has the best medical reputation in the area. Even with a prestigious reputation, it was evident that issues regarding facility, staff, organization and budget were affecting how the organization cared for patients, but more importantly, how patients were perceiving the organization. AOC allows the user to make decisions in the role of a hospital team member, choosing from a charge nurse (Janice), a transporter (Emilio), a doctor (Dr. Klinger), a desk clerk (Clara) or an environmental services technician (Kyung). No matter the role, every team member’s encounters had an effect on a patient’s or family member’s experience.

On a Wednesday afternoon, my partner and I were signed up to observe at the Wilmington Health Access for Teens (WHAT). We signed up to go in the afternoon hours so that we could get a sense of what the center was like during its busiest time, after school hours. After hearing several groups that went before us say that they hardly saw anyone come during the early afternoon hours, I was very thankful that we chose a time when a higher volume of patients would be in. This gave us a chance to truly grasp what exactly the clinic does and also gave us a chance to speak with some of the clinicians working there and get their insight. We also received a tour from one of the social workers and she was able to show

Action: Ms. Smalls (MHP), Mr. s Mrs. Gailliard (MHS) and Ms. Washington SAFY treatment director) discuss what is needed to secure the youth’s placement. MHS explain how she views the current per diem and the services provided. MHS explain her breakdown of services and the need for additional resources. Ms. Washington explain the progress of requesting a level increase, the reality of purpose of the per diem, and understand Clarence’s behaviors.

There are some areas that can benefit from updating systems, procedures, and additional training. One main concern that had been brought to the attention to the administration is on space utilization, including the need for additional space. There are currently two quiet rooms on the cottage for the adolescents that are designed to allow a patient to enter the room to take a personal timeout or staff directed timeout. The issue at this time is that the quiet rooms is being utilized by patients that requires a low stimulation environments. Meaning that this particular patient is currently not at a stage that allows the patient to safely live with peers. This situation takes away from patients being able to utilize quiet rooms on an as-needed basis. The administration has approved construction, the construction is currently ongoing, to add additional square footage to the cottage that will provide additional rooms that will be the low stimulation environments for patients to live

The credential professional I interviewed was Heather Romero who is a Patient Care Coordinator at Lovelace Hospital. I am very interested in holding a position as a Patient Care Coordinator after graduation. After interviewing this individual I am eager to pursue this as a career path and feel it would be a good fit for me in the future. I am also thinking of changing my major to Nursing because the degree I am pursing right now might not be a good fit for a Patient Care Coordinator. I have prepared ten questions that I wanted to ask Heather Romero about the healthcare field I was interested in.

I explained in details to Jude about parking , public transport ,lunch facilities and other daily requirement to facilitate an environment that is conducive for her learning(Quinn and Hughes,2007 ,p.29). At the end of orientation, I gave Jude an orientation package about the placement. This would enable her to learn about clinical issues which would ensure a good start and her understanding about the department (Rose and Best, 2005, p.55). I have chosen to do a comprehensive orientation, to make her confident and support her learning in practice (NMC, 2008).