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Circumstance: Ms. Smalls (MHP), Mrs. Gailliard (MHS), Clarence and Ms. Elizabeth Strong (DSS Worker) schedule medical appointment with the MUSC Foster Care Clinic. Action: MHP called Tara Peevy, RN at the MUSC Foster Care Clinic after MHS explained leaving several messages. Ms. Strong explain emailing the referral form to the clinic. Machelle Green explain receieing the referral form, however unable to reach the DSS worker for additional infromaiton.
On 09/29/2015 at 3:18 PM SC received call from Marguerite Pa’s niece who reported that Pa has identified two girls Gabby and Yajaira he wants to be his aide but the agency told them his service were terminated. SC attempted to explain why the service was interrupted and next step; SC end call with Marguerite. SC then called Vital Support and briefly explained to receptionist and requested to speak with a manager. SC was transferred to Vitaliya at Vital Support Nurse manger. Vitaliya stated that the termination date is incorrect and service was provided to Pa beyond termination date and that SC need to change the dates so that they can receive payment.
She is very rude and disrespect. As you know due to the errors I have been working all day to correct the issue. As discussed with Donna I returned the paperwork to her for further verification. I stop in the office later this afternoon to check if there is more work to be done and Donna stated that she did not have the opportunity to view the information.
Chiricco asks client why the floor was wet and Ms. Footman became hostile saying that her kids were taking a shower and the tub over flood therefore it was water on the floor. CM reminded Ms. Footman that this situation happens before and that she is causing that the unit located under her unit has the bathroom ceiling damage. Ms. Chiricco told Ms. Footman that is considered property damage which is a violation of the DHS Client Code of Conduct. Ms. Footman became hostile and irate, screaming and cursing saying that she tire of bitches coming gin her unit and tell her what to do. Client slams her unit door as CM and Ms. Chricco left her unit, them them she was talking with someone on her cellphone, yelling saying that now “This bitch from DHS comes here to tell me about my unit but no one care about
D-The patient missed Orientation II and reports she was stuck in traffic. This writer informed the patient about calling the clinic to inform the facilitator that she was running late; howevfer, the patient reports that her boyfirend as her phone as why she was unable to call. The patient signed treatment contract due to the missed Orientation and also, non-compliance with UDS testing. The patient and this writer agreed to completed Orientation II on Thursdays whereas this writer completed Orientation I as it pertains to the policy and procedure of the clinic-importance of attending all scheduled appointment, i.e. medical and individual sessions, daily dosing, hold list, Breathalyer, notifying Nursing regards to prescription medication and patient 's to notify PCP about their
Giarmo to Randolph Hospital. Dr. Giarmo was called and asked what information she could share with TACT about patient. Dr. Giarmo reports that she had completed an assessment earlier during the day and left nursing staff her contacted information for for hospital staff to ask questions. Dr. Giarmo expressed Dr. Giarmo reports that the patient has experience the loss of her mother a year ago, the patient sister is name Donna and brother is David. After this information was given, Dr. Giarmo ask for my credentials, which were given, then reports that she did not agree with TACT assessing patient at this time, she refuses to share anymore information due to the fact she sign a release to Randolph Hospital and not TACT, and that TACT should not assess the patient because her condition is due to a medical problems.
Reflecting on the past seven weeks I have acquired countless knowledge, which I will use to further strengthen my profession as an Advanced Practice Nurse. The course allowed me to think beyond my current practice knowledge and acquired innovative ways to evaluate the situation at hand. The learning objective in program outcome four helps set standards that I will use to guide my clinical practice to meet various healthcare needs. Using the case studies has helped to further enhance my knowledge on disease physiological state, using differential diagnosis, disease manifestations, and clinical presentation. It has also taught me the skills on how to differentiate between similar diagnoses to properly identify the problem and treat the patients.
The professional nursing values I believe are things you can be taught and some you cannot. Nurses are special individuals who ultimately want to care for and help others as much as they can. I agree with all of these values and believe some I will need to work on myself such as competence, illness prevention and patient education. Others I believe I have based on my experience I have already had while caring for others. Some of the qualities I believe I have include: caring, compassion, dependability, empathy, focusing on the patient- defining quality of life, having a holistic patient centered care, kindness, openness to learning, respect for others their dignity and worth and sensitivity.
What is reflection? Reflection is described as the process individuals use for self-development in their future career. The process of reflection has been used for many years in professional health fields such as midwifery and nursing (Lillyman. S & Merrix. P, 2012). Florence nightingale pioneered the practice known as reflection-on-practice, this is a tool that is needed in developing improvement and knowledge to enable an individual to grow in their nursing profession.
Nurses are constantly in a position where they are challenged by encounters with people from different backgrounds. Within this reflection, explanations will be provided on the reasons for picking the papers and the content that has stimulated an emotional response. Furthermore, how it will enhance my nursing practice such as incorporating respect, reflection and awareness of self and the community when caring for Aboriginal and Torres Strait Islander people will be discussed.
Although reflection is an imperative foundation of nursing practice, it is only effective in promoting future clinical practice when the practitioner continually identifies their weaknesses and strengths to support their personal growth. They will also be required to develop this process during their practice to improve outcomes for service users (Johns, 2013). In accordance to the NMC revalidation process (2015) school nurses are required to provide a record of their knowledge and how it promotes their clinical practice. Clinical reflection is identified as a recognised educational tool for this process (Queens Nursing Institute, 2015). This evidence highlights the importance of the the student school nurse’s role in reflecting on this critical
My Sense of Purpose at Work Dela Gana, Karol Raneses June 24, 2015 Summary— my nursing career allows me to obtain essential qualities to what I believe is needed to be a successful nurse. I established important goals to remain on this path for success. It made me the person I am today. It is hard to just pick one memorable moment because it is the big and small daily happenings that make nursing such a rewarding profession. It is priceless profession.
Introduction This essay is a reflective piece of writing about the critical indecent of a medication error that occurred during my placement. It is a very concise piece of writing due to limited word count of 1500 words. Duke and Appleton (2000) did a literature review and devised a framework of critical reflection, which illustrates eight stages as compare to Gibbs’s (1998) reflective model that consist of six stages. I chose Gibbs reflective model not only it is easy to comprehend but also to illustrate a critical incident.
One of us quickly put on the blood pressure cuff, applied the SPO2 probe and connect the ECG lead to check on her vital sign. I also immediately do the physical checking to check for any bruises or cut. Another staff nurse went to inform the doctor in-charge regarding the incident, where I stayed near Madam Y to comfort and reassured her. I was relief knowing that all the vital sign was normal and she didn’t get any post trauma cut.
While working full- time as a technician, I attended college and quickly took all the needed courses to apply into a nursing program. I was attending college and had a full time job. Having both challenged and excited me, since I was one step closer to having my career; just as I promised my grandmother. I finally got accepted into nursing school, graduated, and became a Registered Nurse. Every single patient I cared for, I used my past experience with my family, and used that as my foundation for my bedside manner.
