Why Should Nurses Be Monitored Scholarly?

A pharmacist must check any medication that is administered to a patient. This is the

Confidentiality is critical for nursing professional to understand and undertake. If a nurse did not keep a

When I arrive to the Trauma ICU 4800 unit, all of the nurses were already being followed by other students. The nurse in charge had me follow several different nurses, so I was able to observed several different patient cases. The first patient had received a triple bypass open-heart surgery. The patient had received a creatinine blood test. The patient had a dialysis machine next to them, which was used to function as the kidneys since the patient’s kidneys were not functioning correctly. Also, the patient’s body temperature was lowered from having a taken cool liquids so the nurses were keeping him warm with a bair hugger, which was a machine that helped regulate the patient's’ body temperatures.

Answer) It is vital for the pharmacist to know the medications that a person is taking before taking a new medicine. The newly prescribed medication could interact with other medications that the patient is currently taking, therefore lessening the effect of the other drug that the person is taking. The newly prescribed medicine could also cause

Regardless of their area of work, nurses have the potential to be exposed to the intimate partner violence (IPV) continuum. Often noticed as the front line workers, nurses are in a position to observe and assess situations where IPV is suspected, and intervene should these issues arise. Nurses are obligated to provide safe, holistic, quality care to victims of IPV and implement resources such as counseling, community support as well as physical and emotional support; “nurses work with persons who have health-care needs or are receiving care to enable them to attain their highest possible level of health and well-being” (CNA, 2017). Nurses have the ability to be a catalyst for positive change for individuals in abusive situations. Victims

With change comes evolution. Most professions, specifically nurse anesthetist, as we know them today did not begin in the state they are in today. They grew through trial and error. Before revealing the history of this profession and most important, its leading pioneer, one must be familiar with the role of a nurse anesthetist. Nurse anesthetists, often confused with anesthesiologists, are nurses with baccalaureate degrees in nursing and master degrees in anesthesia who are responsible for administering anesthetics to patients preoperational. Contrary, anesthesiologists are physicians whose education requires a baccalaureate degree as well as medical schooling with special education in anesthesia. However, the anesthesia part of the education is very similar for both providers (KANA. 2011).

And at the center of the care. Medication that has been given to the individual has to also be reviews as it may have reached its time limit this means that they might become immune to it like some antibiotics people can become immune to so that this drug will not be affective. Checks have to be done to make sure that the medication is still effective and is working correctly and the patient isn’t suffering any side effects. If there are side effects occurring or the individual has become immune to their medication there will be investigations in to which alternative medication can be given to them that won’t react the same. Scans and x-rays may need to be repeated by the people that have put together the care strategy this is done so that if anything has changed that the individual Is getting care for or physic then this can be assessed again if they need this level of care and it can be changed, or on the other hand if the case has gotten worse and they symptoms are worsening then this also can be looked at and things can be done so that the individual is receiving the right care.

For my Clinical experience, I was referred to one of community clinics run by nurse practitioners - yes, NPs- in Suffolk County in Long Island by my coworker. It is called “Nightingale Preventative Care.” I am working in the ER and at first, I thought this clinic would be a type of urgent care office which is a similar setting to the ER. I was totally wrong. For the past two weeks, this place has surprised me many ways and I learned about what the community clinic is alike to its neighbors. Patients can be seen by NPs by the appointment. However, it is located inside of K-mart and has many walk-in patients as well. Many patients who come to visit for their check-up have no medical insurance. Every Wednesday, a representative from Fidelis Care insurance company comes and provides information about Medicaid and Medicare service the company has. I really like to sit down with patients and assess about their medical histories and family histories which I cannot do often in the ER. I had a patient who was Hepatitis A Ab, Total positive Abnormal first day I work at the clinic. He didn’t understand what the test result meant and neither did I. I printed out an article from National Library of Medicine and went over with him. Patient’s education in the ER rarely happens from nurses. I felt great to listen what patients tried to lose their weight or quit smoking. I like to continue on developing skills on patient’s education and preventative care measure for patients.

I arrived to work well rested and ready to start the day. I had just returned after a two week long vacation. Because of the time off, I arrived to 7 East to find that the assortment of patients was not familiar at all. As I began getting reports on my patients, one in particular I started to feel a little anxious and stressed. At first glance I could tell I would be busy for the next twelve hours. Lynda was a 45 year old woman that was admitted almost a week ago after having an emergent tracheostomy placed. Lynda was newly diagnosed with laryngeal cancer with already having several other diagnoses including: seizure disorders, mild mental retardation, behavioral issues, and was legally

Logging why the medications are taken. Too often, medications are prescribed for a condition and the refills just keep on coming. Their condition may have been cured, a new medication may have been ordered, or another physician may have ordered a pill that conflicts with one that is already being taken. Senior care personnel can make sure the medication log reflects what is taken, why, and help check for duplications, contraindications, etc.

On a second thought I decided to tell my mentor what had happened. McCabe, (2004) has demonstrated the value of patient-centred communication in facilitating a positive nurse-patient relationship towards the delivery of quality nursing care so in that light my mentor suggested we meet with Trisha in private and discuss the incident. She admitted that she has never liked the size of the tablet and we offered to ask the doctor to prescribe her a dispersible alternative to which she readily agreed. I am pleased to now see her take her medication without anymore dislike for it because of its size. This means she no longer misses out on a vital part of her prescription. After the incident, my nurse- patient relationship with Trisha suffered as she struggled to trust me again.

They design the drug therapy protocol and indicate the appropriate dosage to use so that patients get the optimal outcome of the medication. Clinical assessments are vital to test the efficiency and the safety of an existing medication specifically through therapeutic drug monitoring. This practice is known to provide effective pharmacologic therapy though producing the maximum benefit of a drug which can remain longer period of time within the patients and have almost no toxicity that could cause harm to patients. This is why therapeutic drug monitoring in the field of pharmacy is essential enough to figure out an effective medication against a disease without any dangerous toxic actions involved to improve patients’ quality of life and hopefully find exceptional cures which is one of the pharmacists’

My initial reaction to this situation is to not advise them to write a prescription for their patient to give to the woman nor would I advise them to visit the woman either. If possible, I would say to that instead the patient could try to convince the woman to visit them or another doctor to examine if she actually needs the drugs for her condition. In this circumstance I consider both the physical, resident, and the woman as the primary decision makers with the patient as the stakeholder. My primary ethical question is whether it is morally permissible to write a prescription for someone who is not your patient and is it right to pay them a visit at their home.

In addition to the Nursing Code of Ethics, the National Council of State Boards of Nursing (NCSBN) states that one of the standards related to the RN scope of practice is that nurses evaluate the patient’s response to nursing care. They do this by evaluating: the patient’s response to interventions, the need for alternative interventions, the need to consult with other team members, and the need to revise the plan of care (NCSBN, 2012). When Ms. W saw that the patient was not compliant, she should have reevaluated her plan of care. Ms. W can delegate to the LVN, who is experienced in prenatal education, and would be able to explain the importance of finishing antibiotic therapy or performing tests that are essential for a healthy pregnancy. If Ms. W is too busy to educate, then she is responsible for finding someone

Hello Everyone! We are so close to the finish line, another week down and only 2 more to go! This week I spent my time observing in the cardiology department. The most excitement actually came from an emergency situation that arose with one of the nurse’s family members who was shadowing her for the day. The patient would suddenly become ill without any warning. His heart rate and blood pressure dropped drastically and his lips became pale. He was rushed to the stress lab to get vital signs but we had a hard time placing the leads on his chest due to hyperhidrosis. Surprisingly within minutes his color came back and he also became more responsive. As we continued monitoring him, his heart rate and blood pressure returned to normal. At one point