In this scenario, that person would be Diana Smith, RN as she was the person to discover the incident. The report should include that the nursing supervisor and the physician was notified and whether any new orders were given. Also, the report would state that the patient’s assessment revealed that the IV was dislodged from the patient’s vein. Also, she should document whether or not there was pain, swelling, redness or induration at IV site. She would include a description of the type of care that she provided to the hand.
1. Education to nursing staff who cared for Ms. Gadner on shock symptoms 2. Review with nurse Gilbert identification and treatment of infiltrated IV 3. Educate nursing staff who cared for Ms. Gadner on importance of documentation and updating of physicians of patient’s current condition. 4.
Despite my young age of just 15, I had the opportunity to respond to any emergency and code in the hospital. I fell in love not only with the adrenaline rush but with the fact that I, a teenager, was experiencing in real life the events that I watched in medical-themed TV shows and movies. Because of my growing interest in the medical field, my mentor provided me with opportunities to observe the work of doctors and other medical professionals in almost every area of the hospital. Luckily, each experience in one area of the hospital lead to even greater opportunities in other areas, some of which few doctors receive. I observed several surgeries- including a gall bladder removal, an exploratory belly, and an open heart surgery-, small procedures in the Cath Lab, and the daily duties in the Radiology, Emergency, Nursing, Intensive Care, Physical Therapy, Pre-Operation, and Post- Operation Units.
I didn’t know how to respond. I wanted to ask what the hell a catheter even was but couldn’t find the courage to do so. I looked towards my mother pleading with eyes for her to explain the situation to me, I didn’t like feeling so lost. My mom must have got the message because she immediately took control and gave the doctor the go-ahead to do the procedure. Dr. Sarah sent in a group of nurses all dressed in the same colored scrubs with a gurney, strange tube like equipment, and they gave me a hospital gown to change into.
This week I had the opportunity to spend some time in both the OR and Endoscopy unit. Going into the practice days I was excited and optimistic about what I was going to take away from the experience, as I considered my possible future in working in the operative setting. However, by the second day of practice, I realized that I wasn’t overly excited about either of the units and that the expectations I had set out, didn’t quite match up like I had hoped. Even though I don’t feel as though nursing in either of the units is for me, I was able to take away new knowledge that I believe has enhanced my overall nursing practice.
Ethical situations, also known as moral situation occurs when a decision is made regarding what one believes to be right course of action. In relation to this particular topic my recent experience as follows: I have been working at Delray Medical Center for over twelve years as a nursing assistant. Where protocol and ethics have been observed. However I recently experience an unethical occurrence. I was taking care of a patient that was involved in a motor vehicle accident that left him with a tracheotomy.
Refection –on-Action and Clinical Learning: Describe three ways your nursing skill expanded during this experience. I believe my nursing skills expends every time I go to clinical, every time I have new patients, and every time I have new task to do. I get more experience during each clinical. I get more used to clinical system, and I to know the patient and how to assesse them. Name three things you would do differently if you encounter this kind of situation again.
I was able to hang IV solutions as boluses. I was able to administer po medications of HTN. I also administered IV pushes for pain and gastric acid prophylaxis. I was able to start 3 IVs. I was able to observe and help during a Trauma code, stab wound.
During my rotation in the emergency room, I experienced some things I already did plus few things that I did in skills lab but waited until clinicals. First, I did vital signs on several patients who came in and then every two hours. I was also able to put several patients on the cardiac monitor and be able to know which cable goes with which. I saw nurses put IVs on mostly all patients including teenagers and older adults. Last, I was able to insert an indwell catheter on patient who had a distended bladder.
I. Introduction Emergency medicine started in Japan in 1963, and the first, second, and third emergency medical system was developed in 1977 in order to cope with the increase of sudden illness and a shortage of hospitals that admit critically ill patients1). The system of emergency life-saving technicians was established in 1991, finding a new direction of prehospital care that provides initial treatment to emergency patients who are in a state of cardiopulmonary arrest or disturbance of consciousness2). Then, the knowledge and techniques of emergency nursing ranging from emergency skills to the nursing of mental aspects of patients in a crisis situations have developed, and the fostering of emergency nurses started in 1995 in order to put
The patient was discharged after three days with a clean, dry wound and full weight bearing ambulation as tolerated. Unfortunately, he was lost to follow-up and attempts to contact the patient were
Introduction In my assignment I have been asked to analyse and reflect on learning a clinical skill that I gained experience in, in the clinical skills laboratory. As a student of the BSc. Nursing (General) programme I have completed a module on, The Art and Science of Nursing. Throughout this module, we explored the historical advancement of nursing and how it has evolved since the time of Florence Nightingale.
I have been able to practice skills several times that I have not been previously able to perform such as the insertion of intravenous catheters, wound care, and end of life care. I have gained much insight into what a day in the life of an ICU nurse is like. I was able to take the full patient load by the end of my preceptorship, whereas in the beginning I was like a deer in the headlights, standing back afraid to touch anything. I am able to care for more complex patients, without becoming extremely overwhelmed. I have been able to successfully chart on my full patient assignment successfully, remembering all of the specific additional charting for special machines and specific time parameters.
I was able to create better therapeutic communication skills, pick up on the patient’s ticks, learn how to assess for triggers, etc. I will use this in the future because I will come in contact with patients who suffer from a mental illness on any floor I work on. They may not as serious as some of the patients I worked with on this clinical rotation, however, it is still important, as a nurse, to recognize and address mental health issues with patients. I also learned just how important self-care for nurses is. It doesn’t take long for nurses to begin to feel burnt out and lose passion in what they do.
During these past weeks at the Archbold ER, I had the opportunity to put into practice many of the content learned in class. This included but was not limited to the proper placement of a Foley catheter using sterile techniques, insertion of an NG tube, and assessment of patients. Even though I attempted to complete some of my initial goals for this internship, I noticed that I couldn’t complete a few of them due to lack of time and lack of experience in the field. Therefore, some of my goals that I’ll need to address during the following three weeks include improve my assessment skills, have better communication with my patients, and improve my questioning to get a better understanding of the cause that brought them in. One the most beneficial
