One Nurse, One Shift Shifting Perspectives In the nonfiction book The Shift registered nurse, Theresa Brown starts her story with “I'm hiding under the covers: Im afraid. Afraid of that moment when the rock slips and all hell breaks loose. For me, it was the patient who started coughing up blood and within five minutes was dead, just like that.” This is Brown describing some of the struggles she encounters on a typical shift as a nurse.
I learned what is involved in the admission process and referring a patient to a facility that will provided the proper level of care. Overall, these situations have showed me how easy it would be to find myself in a situation due to fear of creating a crisis or fear of a particular populations. I have confidence in my abilities; however, I understand that mistakes happen and the best way to avoid ethical dilemma is to seek supervisions and make decisions that would benefit all
The lady then looked at the paper and realized it was wrong and started to laugh and said “ I am so sorry I wrote the wrong one down.” I knew that if I didn 't notice the papers they would have done surgery on my right knee instead of the left knee. I was moved to another room where other people were surrounded by nurses getting prepared for surgery. The moment I was stationed in my room I was surrounded by different nurses. There was the anesthetic nurse, the head nurse, the assistant nurses and even the nurses that are in training.
I had never felt so sick or so scared before. The nurses acted fast, administering an antidote to the Tylenol through an IV in my arm. As soon as my mom heard the news, she dropped everything and made the two-hour drive to the hospital, arriving after midnight. I felt ashamed that she had to see me in that state, and guilty for how much I must have worried her. I spent my first two days there hooked up to machines and too weak to stand up for longer than a couple minutes at a time, and she stayed by my side.
My fourth day at Agape hospice I was the administrative of the day. When I was asked to be the administrative of the day I was nervous again. I was nervous because I was in charge of the office in the front. By being in charge of the front,I had the opportunity to work at the front desk by answer phone calls, and help assist the staffs. I was afraid of things going wrong and thing did went wrong.
From the excitement of anticipating a healthy full term baby, to being thrown into a chaotic situation starting from giving birth to an asphyxiated infant requiring aggressive resuscitation in the delivery room, to later processing the possibility of losing the baby or bringing up a developmentally delayed child is the most stressful situation a parent will ever face. Thousands of infants die every year because they cannot establish a stable heart rate due to asphyxia soon after birth. Epinephrine is often used to help these infants stabilize their heart rate because it can be rapidly delivered through the tracheal tube early during resuscitation. However it can cause high blood pressure, rapid heart rate and lead to cardiac dysfunction. Newer vasopressor agents such as vasopressin are approved for use in adults during cardiopulmonary resuscitation (CPR) and have less side-effects compared to epinephrine.
Monday October 26th: Today at Moses Cone hospital, I was in the role of student nurse. I had two patients; one a returning patient, and the other a new patient. The nurse I was working with is someone I have never worked with before or even seen on the floor, but she seemed to be familiar with the unit. It was about 3-5-45 minutes into the shift before we received hand off report. After about 8 minutes of waiting to get report on the rest of her patients, my nurse went ahead and started to see patients.
My skills were immediately put to the test on my initial days of the job. I was terrified of my first 911-call on the ambulance. Would I know how to assess the patient? Would I miss a major sign? I was concerned my initial patient care giving skills would be insufficient to provide the patient care expected of a trained first responder.
The first day I stepped onto the floor, I felt overwhelmed and I questioned myself if I was meant for this line of work. I was assigned 14 patients. Soon after interacting with all my patients, my perspective and doubts changed. After leaving for college; I started my college days as a full time pre-nursing student. I continued to work as a CNA and
To maintain the continuous lab draws of the hospital, there needs to be two to three trained Phlebotomists on staff for the shift. On this day in particular, it was only myself and an untrained Phlebotomist, so I had to pick up all the slack of my new co-worker and double my speed. I was very stressed and having a horrible day altogether. I have loved being a Phlebotomist, but I have spent some of my worst and most stressful days being one as well. After this day I tried to learn to overlook some minor mistakes, because I Glodowski 3 know they are generally not the new persons’ intentions.
Overall, her expectation of the nursing carrier did not meet the reality of the practice. According to (Zerwekh and Garneau, 2015), most graduates feel as if they have failed and blame themselves for every mistake. The felling of reality shock is experience by almost all nursing students who are transitioning in to the nursing carrier. Once Jane understands this phase she can easily manage the transition periods.
This has taught me that I am sometimes too hard on myself. This experience has taught me, that I don’t give myself credit. I have learned a lot in nursing school, and in my medical career as a whole. In the future I will continue to prepare for clinical or work and jump right in and do what’s asked of me . If, I am unsure of something, I will just ask for
I was tired of not learning more than I thought I should be and didn't want to wait around anymore for knowledge to find me. I decided that I needed to take action and that's exactly what I did. I went to the ICU nurse that I had been shadowing that day and asked her if it would be possible to sit in on the surgery. I explained that it would be an incredible experience and I would do anything to be in that operating room. To my surprise she said that didn't she see why I shouldn't be able to.
For example, I had a patient who came to my facility with a broken hip. After I got my shift report and went through the patient’s chart, I found out he was actually a really difficult patient. He was constantly angry, dissatisfied with care and extremely difficult to deal with. The moment I entered the room, I was prepared physically and emotionally to give the best care possible to this patient. As always, the very first step of Nursing care begins when we enter the patient’s room for assessment.
In the meantime, while I was working as a certified nurse assistant, I triggered the call bell for assistance, but nobody came to my aide, therefore I decided to change the bed myself, on a fully dependent patient. Shortly thereafter, I realized an excruciating pain in my shoulder, I had torn my rotator cuff. This unfortunate event changed my entire career path, no nursing school for me. Nothing was going to prevent me from progressing my education, I may not have gone to nursing school, but I went back to business school. In this case, I was still trying to guarantee a better future, a better career, and one that I could do without being in constant
