Reflection – Handover During my time on placement so far I have encountered the handover of patients between nurses coming on and off duty every single day. The purpose of this essay is to reflect on this event. The purpose of reflection is to promote desirable pactise though the practitioners understanding and learning about his/her lived experiences (John 1995). I have decided to use the first handover that I saw being given for this reflection. It was my first placement on a rehabilitation and palliative care ward.
The patient is prescribed a 5-day course of Zithromax. The complaints addressed were very detailed. The examination revealed what was wrong with the patient and the decision was also detailed. I would code this scenario 99202. • Established patient on Lithium presents for routine blood work to monitor therapeutic levels and kidney function.
The determination to facilitate the veteran in the Lake City VAMC places the chart in a holding area. The pre-anesthesia nurse picks the chart up three days prior to the scheduled surgery. One it arrives back in her hands the chart moves through a verification phase and is reconciled with the surgery schedule for accuracy. On the scheduled day the veteran arrives he or she is taken into a preoperative area (ambulatory care) and readied for surgery. The operating room calls for the veteran the veteran is transferred via stretcher.
Via Christi Clinic includes more than 200 doctors practicing in more than 40 specialties in Sedgwick, Harvey and Butler counties ("Via Christi Clinic", 2015). They target their patients throughout their many clinics to use their immediate care locations when needed. Via Christi Clinic targets their existing patients to use their Immediate Care so they can save then time and money over using an ER, because minor illnesses are kept waiting at the ER to give priority to patients with life-threatening conditions. Co-pays are also less for Immediate Care and Via Christi Clinic Immediate Care offers online check-in at Wichita locations. In order to target consumers who do not see a primary care physician in the clinic, they advertise on television, radio, print ads and through social
Scenario 2: Administration of patient medications in the hospital setting Imagine you are a new graduate nurse working nights on a busy medical unit. You just received a new patient
Sometimes in most cases a particular family member is trained by nurses to provide hands on care, and to supervise the patient around the clock. Many patients in hospice have been discharge to either home or nursing home if the disease goes into remission meaning if the cancer(s) somehow have subsides. Hospice was not designed to end hope for the patient or their family but to make the expected/unexpected death as comfortable and peaceful as possible. Hospice is not only for the elderly and cancer patients but it is for the young, the chronically ill. Hospice has a huge impact on our health care system the life expectancy is increasing tremendously. This is statement released by a group of physicians who did a research study on hospice.
The accident occurred at the patient’s house. There was about 5 minutes’ LOC with continued lethargy per paramedics. CT of the head and neck revealed no abnormality. The patient is receiving oral antibiotics for pneumonia and AOM, and these were continued during the hospital stay. He will follow up with pediatrician.
Medicare Part A Mrs. Zwick has all three parts of Medicare. With part A Medicare will pay for the days she was in the hospital. She was admitted into the hospital and was there for five days. According to the official U.S. Government site for Medicare, “Medicare part A (Hospital Insurance) covers a semi private room, meals, general nursing and other services and supplies. This includes the care you get in an acute care hospital, a critical access hospital, inpatient rehabilitation facilities, long term care hospitals, inpatient care as part of a qualifying clinical research study and inpatient mental health care.” (2012) With Medicare A you can stay in the hospital up to 90 days for each benefit period.
CLINICAL OBSERVATION. I was observed on the ward today by .............. for one hour. During this time I performed a set of patient observations, tested a patient’s blood sugar levels and aided a patient change his clothes and sit in his chair. Regarding the patient observation, I firstly explained to the patient what I was going to do then proceeded to gain the patients consent by asking them if I could check their blood pressure, the patient verbally consented by answering “yes”. I confirmed the patient’s identity by asking them their name and date of birth.
I was admitted to a surgical intensive care unit in India when I was 15 years old for an inflamed appendix. I was so amused by the way the nurses took care of me and the other patients over there during my 3 days stay in that ICU and in my heart I decided I want to be a nurse. My brother went for nursing first in our home and all his explanations about nursing care, the surgeries, and case scenarios fascinated me to pursue my dream. I followed him and my younger sister followed me to become a nurse. The financial conditions of my home did not allow me to go for a bachelor’s degree at that time as it was very expensive as we all were in nursing school at the same time.