Villa Proposal

When I arrive to the facility this morning I was informed that one of the patients had passed away during the night, which was quite sad. Today I was in the acute ward all day and was able to watch the RN perform an ECG on a man that was bought in via ambulance who was complaining of chest pain. I watched as she placed the ECG leads on different positions of the chest. The RN showed me what a normal heart rate should look like. I also went around the ward taking OBS and notice that one of the patient's O2 levels were very low at 73%, the RN then gave the patient some ventolin through a mask to increase oxygen levels and they rose to 95%. The RN also showed me the medication charts and how they are to be read. I went around with her watching

I also find myself frustrated with those who do not follow the polies and procedures of my hospital. As I stated before, I am a rule follower and get very uncomfortable if I am asked to perform a task that does not follow policy or see others not following policy. I find that the staff are the largest offenders of this were trained at other institutions or travel nurses. Travelers get very limited orientation and may have been trained elsewhere in a way that does not follow my institution’s policies, and I see some not looking up the policies of the hospital they are currently working at prior to performing tasks. I do not agree with this practice at all. I feel that policies and procedures are in place to protect the institution, its staff, the patients, and

Using the Patients Rights listed above the American Hospital Association identified what expectations patients have that should be met under the Patient’s Bill of Rights in the Patient Care Partnership. Patients should expect high

While most departments at Nightingale Community Hospital need to be reminded of the importance of verbal orders / read-backs, almost all have near-perfect compliance. There seems to be a severe disconnect with the ortho department, which is

I learned that as a nurse I must take the initiative to regulate my work environment and myself. As much as nurses are part of the larger healthcare team, they often function autonomously. I will need to keep my skills up to date and educate myself by reading current research articles and taking classes at work. I will need to be humble and open to constructive criticism from my fellow employees. I must do my best to be hard working, honest, and helpful both in the work place and my persona life. It’s irrational to think people can be completely honest in one area of their life, but not the rest. If I suffer from any sort of bias towards my patients for the choices

Treating others with respect and dignity can not only improve the interpersonal relationship between patient and provider, it can also lead to a better patient compliance with physicians orders. A patient who is resentful of perceived or real lack of respect by his or her health care provider is less likely to follow the physician’s instructions. Dignity plays an important role in the health care experience.

There are things that could have been done to solve the ethical issues in Mr. J’s scenario. First, the CNA needs to be educated on what to look for when it comes to pressure areas. A protocol should be in place in which a CNA notifies the nursing staff of any redness. In turn the nursing staff should then follow up with a care for the patient that requires turning every two hours. Second, a local Rabbi should be called in to educate staff on the Jewish culture and the changes in care a patient should need if they are Jewish. Teaching on Kosher diets would be one of the aspects of the education provided to all staff. Thirdly, all staff needs education about communication. Education about communication should be ongoing. Communication between staff is as important as communication between staff and patients and staff and family. The diet issue should have been brought up to management before so that the problem could have been prevented before Mr. J became a patient. The fact that it was not reported reflects a system change that needs to be made in the realm of communication. Lastly, there should be a protocol as to when restraints should be used. As discussed earlier in this paper, the patient would have benefited from a bed

If a patient or carer wants to complain I would see if I could deal with it personally. If I was unable to resolve the issue, I would advise them to call or email PALS the hospital complaints department.

You, as a staff member have to realize that each patient is an individual. Each patient has unique healthcare needs. There are

I am part of the West Houston Medical Center organization, and the hospital’s mission statement states: “We are a family of dedicated Healthcare professionals committed to providing exceptional healthcare and service by exceeding the expectations of every patient, every day” (West Houston Medical Center, 2016). For that reason, it remains essential for all team members that we are responsible for ethical patient treatment centered together with patient valued care when it comes to providing caring for our patients. The care which patients receive along with the hospital 's business operation plays a substantial part in which way the members of the surrounding neighborhoods view the organization. The principal goal of the hospital is “To be one of the best hospitals in the country based on quality and satisfaction indicators” (West Houston Medical Center, 2016). We hold values such as “Put patients first and foremost”, “Treat each other with respect and dignity” combined

Talking at me as if I am not a human being. I've been disrespected for too long." Before this writer could say anything else, the Clinical Director, Heather E. walked in to diffuse the situation. The Clinical Director explained to the patient about the clinic's policy and procedure as to why she cannot leave the building to smoke as she is conducting a 3 hour medical assessment due to her medication. The patient was in hysterical tear and share with the Clinical Director as to how things were in the past when patient were able to smoke for 5 minutes and come back to finish the assessment. The Clinical Director informed the patient that particular incident was not allowed and changes were made. Then the patient fuss about why she has to do the medical assessment, even though it was explained to her prior. The Clinical Director informed the patient that no one is forcing her to stay in the clinic and if she want to leave, she

I completed my seventh and eighth shift during the nights of !0/14 and 10/28. Both nights I had a fairly heavy patient load caring for four patients each night. The census on the unit was also relatively high. The first night I had a patient with septic shock, a man who was experiencing chest pain, blurred vision and periods of near syncope, a woman with CHF exacerbation and hypoxemia, and finally a woman with hematuria with a history of chronic kidney disease stage III. The second night I was assigned 59 year old man diagnosed with rapid A-fib with a history of COPD, CHF, and cardiomyopathy, a 52 year old woman with a lower GI bleed with anemia status post colonoscopy that day and had a history of breast cancer with left mastectomy, a 53 year old woman with sepsis and necrotizing fasciitis from her right buttox to her vulva, and 81 year old woman with fungal pneumonia and SIRS. On this shift I performed many actions like performing a wound dressing change on my patient with necrotizing fasciitis, performed hygiene care, administered medications, performed head to toe assessments, called the doctor regarding critical information, and assisted in range of motion exercises. In a lot of my interactions I continually saw how necessary forgiveness is in nursing. One interaction in particular was when I was cleaning out the wound on my patient’s buttox and vulva. The wound was so deep that it was excruciatingly painful. We premeditated her giving her a bolus of dilaudid and she

The resident is demanding Nurse Amanda to perform a job duty that Nurse Amanda does not merit as doable under professional nurse conduct. The resident strongly disagrees with Nurse Amanda stance; therefore, she makes demands in a rude manner. This sort of confrontation is unprofessional, rude and disrespectful. Also, Greg may not have been in a good cognitive condition to respond to the question being asked to him. The hospital should have clear guidelines on how to test for patient’s capacity to make informed decisions.

Being respectful and considerate to your patient is necessary for providing excellent patient care. It is also important to be respectful and considerate to your colleagues; arriving on time, being a team player, doing above the minimum as often as you can are all excellent ways to show this. It is essential to ensure that the workplace is an “environment in which all colleagues enjoy equal respect and where they can advance to their full potential.” (Professionalism initiative, 2012) If everyone treated their colleagues with respect, it would make the workplace very hospitable and help provide better patient care, which is the main purpose of nursing. An environment without respect can become hostile and impair the growth of your colleagues and yourself which can lead to giving substandard care to your patients and their families.

When dealing with a difficult patient I would put my judgmental and angry feelings aside and provide care to that patient just as I would a patient that was more pleasant.