1) I took responsibility for a full patient load during the last few weeks. I was responsible for doing a head-to-toe assessment, administering medications, and charting. I was responsible when contacting the necessary members of the interdisciplinary team, such as PT/OT, SW, the care home, the laboratory, or the MRP. I also spoke with family members in person and over the phone. I maintained patient confidentiality by not giving any identifying information over the phone, and stayed within my scope of practice, identifying to the family members that they would have to wait to speak to the physician to find out certain information. I also learned and performed nursing duties that were new to me, including the aftercare of a deceased patient. …show more content…
For example, one morning I saw first my patient on 5 L O2 via oximizer with a sudden decrease in SpO2 yesterday, second, I saw my patient with two episodes of hypoglycemia the previous day and severe pain, third, I saw my patient admitted a week ago with a GI bleed that had been treated and had maintained stable vital signs and labs for the past 4 days, and finally, I saw my patient that was due for discharge that day. I mainly used the ABC framework; however, as you can see above, I would look at the overall situation of the client, not only based off of the …show more content…
The patient allegedly lived in a dark, moldy, basement suit away from the city, and had a hoarding problem. The friend reported that the patient had no mode of transportation to and from dialysis and other appointments. There was no other documentation or acknowledge of this previously, therefore it was important that we ensure that the interdisciplinary team was aware of this so the necessary supports could be made for the patient as she was due to go home next week. 2,6) Throughout this practicum, I have helped maintain dignity for each of my patients, both medical and rehab patients. I informed them of the medications they were getting and informed them of the times of any procedures or tests that needed doing. I gave my patients privacy during personal care, and encouraged them to do as much as possible themselves. Often, I found patients had lost faith in their own ability to care for themselves. One palliative patient I had required an indwelling catheter insertion. Even though the patient was confused and only alert at times, I treated her with respect. I talked to her through the whole process, I exposed only what was necessary, and closed the door and
Before I deliver what I have to say and do, I would make sure it is for the benefit of my patients and families. It does not mean that I do the job alone but it is a collaborative team effort between me and team members and other disciplinary teams. I may be basing my decisions from the actual data but I do take into consideration the inputs and of others too. I see to it that we have the same understanding with common goal of protecting the safety of our clients. Lastly, I respect the feelings of others regardless we have disagreements on some matters.
It is my responsibility to have admission and continued reviews done promptly and accurately to determine whether the patient meets medical necessity for inpatient or outpatient status. I review all patients’ charts, especially those in an observation status. They are reviewed frequently and in real-time to ensure they are actively being managed and in the correct status. Observation patients are given priority in order to catch patients that may be discharged. Collaboration continues with the physicians and if there is a question about status, the chain of command listed above is followed.
In a hospital it should be someone’s main priority to make sure the patient knows what's happening to his or her
Talk about what went well in the scenario. I perform vitals sings and communicated effectively with Mr. Ahmed. I educated the patient in areas such as dehydration, fall risks, intake and ouptup measurements. In addition, I administer oral and intravenous medication to ensure proper drug
I wrapped Coban around the patient’s leg from her foot to her knee while making sure it did not touch the skin. Also, I talked with Megan about the influenza vaccine expressing concern about an observation I encountered while watching another medical assistant. Megan handled the matter in a professional way without mentioning my name. A patient came in for a cyst, and I was able to anticipate the provider’s needs by having the patient put on a gown; this made the cyst readily accessible to the provider (I asked the provider if he would like me to put her in gown ahead of
There are many moving pieces when patient care is involved: autonomy, the best interest of the patient, when to stop the care of a patient, and how to offer a patient a healing experience in the hospital. It would be my job as a physician to take all of these parts of a patient's care plan and balance them with facts, logic, and science. I believe that it is essential to make decisions regarding a life with both logic and compassion towards the patient. As a physician, I would take the knowledge I have acquired through experience, school, hospitals, and past events while taking the emotional situation of the patient and their family to make a correct and moral decision based on my best judgment and the patient's best
The patient is pleasant and has a very nice demeanor. The patient is clean and well-dressed, and still takes care of his hygiene. The patient denied pain when the wound was examined. Deficits: The patient does not have a wide support system. The patient lives alone for the most part.
The patient is a 53 year old male who presented to the ED via EMS intoxicated and reporting suicidal thoughts. The patient denies homicidal ideations and symptoms of psychosis. The patient endorses depressive symptoms including: tearfulness, isolation, and insomnia. During the time of the assessment the patient is awake, alert, cooperative, and clam. the patient reports that he had been drinking to 2 pints of alcohol earlier during the day.
I introduced myself to the patient and told the patient what I was going to do. I used Peplau’s theory to build up nurse-patient relationship. During my health history, I asked open ended questions to encourage the patient to talk and ask questions. I took into consideration the patient religious view, avoided stereotyping and pause at intervals. I had to consider the patient’s educational level and use words that can be understood.
The instructor also had me do an IV medication, I verified the doctor order to the MAR and I identified the patient by the ID band. I proceeded to spike the IV bag and the Antibiotic I was giving piggyback, this is my first time doing this and I enjoyed learning how to program and set the IV pump, plus giving an IV medication Over all this medication experience was and eye opener, of how important it is to always follow the six right of medication and never be over confident in giving a medication. It was also a learning experience on how to do a medication pass and why every student should do this prior to becoming a nurse and it is not only an experience but lessons that I will carry and take with me throughout my
During the first week of my clinical rotation I was assigned to the emergency room (ER). On the first day of the clinical I had the opportunity to insert a catheter and start and IV in a patient. I was successful in doing this procedure and I was able to insert a second catheter in another patient and I was able to draw blood from another patient. These were skill that I had not preformed up to this point.
I did my initial assessment on the patient and immediately called the doctor to come see the patient because his status was evidentially unstable from my perspective. The family was anxious and kept asking me questions as they didn't know what was happening. I decided to stay with the patient even
I would often bring the patients water or even just sit and talk with them. I have learned that even through the terrible times that these patients are experiencing, I was able to give them hope. The patients would often tell me a very exciting or interesting event that happened in their lives and to see them smiling through all of the pain was truly uprising to my soul. Through this specific service experience, I have acquired the vey special quality of
Make sure the patient has privacy when providing care. Ensure that their basic needs are met, including relieving pain or discomfort. Be a pair of listening ear to your patient. Ensure you understand his/her concerns by reassure with patient what they have just told you. Do not reassure patient again and again or too much in the conversation as your patient might think that you are not listening to what they are saying.
The nursing student, was able to tag along with a RN Tina/Jen and enjoyed the atmosphere of the home health care setting. In the two days of clinicals, the nursing student was able to observe many different roles the home health care nurse preformed