Fisher Week Three Response to McConnelly Yvonne, your post was extremely intriguing to me as a community health department is not an environment I have had the privilege of experiencing. Interestingly, the utilization of computerized order entry does not prevent the prescriber from ordering an incorrect medication dose or the wrong drug (Lapane, Waring, Dube’, & Schneider, 2011). Do the facility employ process to assure nurses are checking the medication in order to avoid the administration of an incorrect drug or dosage? Distractions have been linked to medication errors, consequently, and the ability to care for a solitary patient at one time clearly minimizes the distractions and interruptions that a nurse may experience during medication
These experiences are just two of many that have influenced my decision to work in a similar environment upon my completion of medical school.
By creating this comprehensive list of the medication plan given to the patient, the hospital pharmacist can then send this information to the community pharmacist and make sure that the information is held up to date. This would allow for a smoother transition for the patient and it would allow the patient to be more informed of their medications. The pharmacist is “poised to play an important role in improving medication management during transitions of care and reducing readmission rates” so the pharmacist should play a more active role to help ensure the best therapy for the patient (7). The pharmacist should ultimately design an ideal system for Medication Reconciliation to help reduce medication errors and better inform patients on ADEs to prevent any unnecessary medical
I discovered the importance of empathy and understanding as the patients were very frightened and by listening to them, I found I was able to put their mind at ease and give them a more positive medical experience. I was able to speak to both the surgeon and anaesthetist and learnt the immense commitment involved however being able to improve lives was rewarding. I established that nurses play a soothing role for the patient in their whole journey and found their
The medical career camp gave me experiences I could have never imagined possible. Within just five days I observed three surgeries from the surgical floor, saw the inner workings of a neonatal intensive care and trauma units, learned about how to prepare hospitals for natural and manmade disasters, and practiced suturing on a two million dollar Da Vinci surgical robot. However, I think the most important thing that happened to me that week was the mentoring I received.
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 have seen the best and of course the not so stellar examples of how to do things. All of these experiences have impacted me and my abilities. I recall shortly after starting my first job as a paramedic asking a physician at the local emergency room about a medical condition that one of my patients had and that I was not familiar with. He politely smiled, said follow me, and walked over to the physician charting area. He reached up to a shelf of books that was above the desk and pulled down this large, intimidating book with a red and white cover, Tintinalli’s Emergency Medicine.
Staff work with the same residents day after day, and the CMs know what the residents take for medications every day. An intervention for preventing the medication error from happing again is implementing a better system in which the medications are administered. First, the medication administration record (MAR), could become computerized. This way it makes it difficult for the CM to sign off all the medications at once for the residents when setting them up. This would alert the nurse that all the residents were getting their medication at the same time, which is impossible.
I believe I did a great job and I was able to provide more therapeutic communication this time talking the resident through the procedure. 2. An area I would like to improve on is knowing common side effects of different classes of medications. I can always improve my knowledge of medications.
In those hospital visits I had become accustomed to the sights and smells of a doctor’s office that instead of reminding me of pain, comforted me. I knew from then on, that the medical field was where I was called to serve.
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.
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
Background: Describe a nursing situation you encountered this week. Today we attended clinical for second time. Our main focus was patient with COPD or any gas exchange difficulty. We assessed the patients with gas exchange problems.
The thing I did best today, was, communicating with my patient, and doing his physical assessment. My clinical rotation this quarter for Galen College of Nursing ,is at the VA medical center, in Louisville Ky. The VA medical center is a govt hospital for the veterans.
The perioperative experience involves the preoperative, intraoperative, and postoperative phase. I had the opportunity to closely observe the health care staff during the last two phases of the perioperative process. This experience allowed be to gain a better understanding of the role of nurses throughout these different phases. It was apparent that their day to day duties are different than registered nurses in other areas of the hospital. During the perioperative experience, I was able to observe the role of the registered nurses, the role of other staff members, the progression of the nursing diagnosis, and patient teaching.
