The mother asked the pre-op nurse how long the procedure would take, because she had to tend to another child and would need to leave for a short while. The nurse told her the procedure would take approximately an hour and forty five minutes, which included recovery. The mother handed the nurse her cell phone number and asked to be called if the surgery was shorter than predicted. The mother insisted that she was only gone for two and a half hours, and when she returned to pick up her child, the child had been discharged to the father thirty minutes prior. She became very agitated, and security was called for assistance.
It was my first placement on a rehabilitation and palliative care ward. I was working a late so before me and my mentor finished we had to handover the patient information to the nurses just coming on shift. In particular we had been caring for a patient with diabetes, we went through all of the
REFLECTION: Communication with Dementia Patient During my rotation in Care of Elderly on Sarratt Ward, WGH, we once had a patient with severe dementia. She came in with a chest infection and had been unwell for two weeks and therefore not mobilized during that period of time. Previously she was walking with supervision of one. She was living in a residential home and for her to be able to go back there she was expected to be able to walk again with minimum assistance of one. The nursing staff reported that her chest infection had resolved and she was now more alert.
Refection allows us to look at an experience and how it makes us feel and react, asking what is good and bad, and what can be learnt (Sellman & Snelling 2010). Gibb's reflective cycle (1988) allows a systematic and structured analysis and reflection of an event. On my second day of placement in Theatres, I was in the recovery room where a 3 year old boy was being recovered following surgery. The next patient admitted was a Polish lady, who I will call Joanna, in order to maintain confidentiality. She was admitted following an elective termination of pregnancy.
There was no on-going monitoring of nutritional needs, and no clear care planning towards this either. In may 2011, a lady whose mother stayed in Ipswich Hospital for a month two years ago, wasn't surprised by the CQC's critical report. She stated that she had raised concerns at the time of her mothers stay, saying that her mother was not fed properly, her glass of water was out of reach. Her mother was also given nappies to wear, rather than staff having to help her out of bed to use a commode. In November 2011, CQC released another report saying that improvements in using call bells, and help with meals had improved.
Along with previous scenario stated, let’s review another case: A phlebotomist from a contracted lab begins his daily rounds of blood collections for the day in a long term care facility. He enters room 201 to draw a 85-year-old woman who was admitted for atrial fibrillation. When he introduces himself and asks for consent to draw her blood, she shouts, "No!" and asks you to leave and not come back. The patient made it very clear that she did not want the phlebotomist to draw her blood (Finnegan, 2013).This same phlebotomist has drawn her for several days for a Prothrombin Time (PT) and Activated Thromboplastic Time (aPTT) without incident, so he reports this situation to the nurse.
Tina’s mother returned to pick her approximately 2 ½ hours later and found that Tina was discharged 30 minutes earlier. Tina’s mother was extremely distraught, security was called, and a “Code Pink” (hospital-wide child abduction alert) was activated. Local law enforcement was also contacted by hospital security. When the security officer interviewed the mother, she shared with him that she and Tina’s father were divorced and that she had full custody of Tina and her siblings. Tina was located within 30 minutes of her mother’s arrival, by local law enforcement, in the care of her father.
The parent of the child should always be present should anything happen and the parent needs to be contacted. The parent must take some of the blame in not calling the hospital once she was told the procedure would be only 45 minutes. She was gone for 2 ½ hours before she returned back to the hospital. The Doctor-Dr. Munoz stated that he has all the pertinent patient information but did not make sure that his office had communicated this information to the hospital admissions staff The Pre-OP Nurse-Ms. Doppke failed to properly document the mother’s cell phone number in the patient’s medical chart. Therefore, during the post-op care, the mother could have been reached and notified the procedure was finished.
Meet the Client: Grace Hicks Six-week-old Grace arrives in the emergency department by ambulance with her mother Wendy. The mother stated that the infant has had a 2-day history of cold symptoms. Today, the infant became limp, cyanotic, and was not breathing. The mother revived the infant by performing mouth-to-mouth resuscitation. An ambulance arrives and the emergency medical technician (EMT) stabilized Grace before transporting the infant to the Emergency Center.
Daphne had been written up and reported several times for having to leave the job to get to her kids for whatever reasons. Being recognized for the positive was something she lacked in her 17 years of licensure. Along with negative recognition and false accusations, Daphne began to feel unappreciated for her day to day work. To top all the disadvantages, Daphne lost the lead nursing position due to having to be out of work several times due to breast cancer