Nursing indicators such as education on unnecessary use of restraints and not repositioning the patient every two hours, are failures to deliver quality care. The staff increased the chances of Mr. J to develop pressure ulcers. Also the use of restraints increased the chances of Mr. J to develop a deep vein thrombosis or pneumonia from lack of mobility. All members of the healthcare team are responsible to provide the best care possible and be an advocate for the people they care for. (American Nurses Association, 2015).
In a letter entitled “Is Hospital Birth Better?,” which was posted on a midwife education center online, the writer firmly states, “Women are led to believe that they can have a wonderful home-like birth in hospital birthing suits with OBs, when the reality is that childbirth without intervention is virtually nonexistent unless a midwife is in attendance.” Although it is not necessarily their fault, obstetricians typically do not get to know their patients on a personal level; rather they see them simply as one of their many patients, and try to get through routine things quickly so he can move onto the next patient. While doctors are trustworthy for their medical knowledge, they do not know how to assist during natural birth. The Business of Being Born discusses this. They bring up the thought provoking fact that the peak times for cesarian sections are 4 p.m. and 10 p.m. The fact that they are so often finished with surgery right before dinner and bed underlines just how much doctors are accustomed to the convenience of the modern advances in medical technology.
This had obviously been very difficult time and I was aware that the birth of a new baby within the family may have come with mixed emotions. SCENARIO Prior to the visit I had received a telephone handover from the new Mother’s midwife, who had explained this had been an uneventful pregnancy and straight forward delivery. However her sister had very recently given birth, which had tragically resulted in the baby dying shortly afterwards. The midwife explained this had created anxieties about her new baby and that whilst she appeared to doing okay it was something to be mindful of. This highlights again the importance of collaborative working and effective handovers ( ).
I walked to my patient’s room and saw the patient breathing with accessory muscles and said she didn’t know what was wrong but didn’t feel well. I listened to her lungs and found she now had crackles in all lobes of the lungs. The nurse who answered her call light was her first year as a Registered Nurse. The nurse did not listen to her lungs had only taken vitals. One extra step during an assessment saved that patients life.
Cultural Immersion In order to get that feeling of being a minority, I decided to go visit a nursing home. It was an eye-opening experience because it made me see how different I was from them. There was definitely a difference between how I act around them and how they acted around myself. In the beginning, when I walked through the door I was nervous because I wasn't sure of how they were going to perceive me. I felt like I was the one being judged.
It can affect staffing ratios, quality of equipment and many other things we really don’t stop to think about. It affects what kind of patients we can treat and how long they can stay in the hospital. This affects nurses because we are the ones that have to explain to a patient why they are being discharged when they still have an infection and still need IV antibiotics to go home on but their insurance doesn’t cover for any homehealth agency to come and do infusions and we have to teach family with no medical experience how to do this. This can be very bothersome to some nurses and this is just one brief issue I am bringing up. Other political factors could be education and how we are in such a shortage of nursing but nursing school is so expensive and getting funding to send individuals to school and for the schools to have the funding to create competent nurses.
Theory in Professional Practice Critically ill patients are at high risk for becoming deconditioned and delirious. When I started working in intensive care, keeping your patient sedated and comfortable on the ventilator was the norm. However few years ago early mobility became the new norm. Intubated patients that were mobilized within twenty-four hours from admission were weaned off the ventilator sooner; and they never became delirious or deconditioned. Using fewer sedatives that promoted a normal circadian cycle prevented delirium.
Then only I understood that patient is running an event of SVT. Even though we were successful in reviving the patient, he had to be transferred to ICU for a day. This incident always reminds me that if I was trained to think critically and quickly on my feet as a BSN is trained, I could have avoided the Rapid Response Code event. Thus, I believe earning BSN would help me to think critically if such situation shall arise. As one can see, there are several differences in competencies for ADN and BSN nurse.
I also possessed a strong interest in making a difference in people's lives with my caring attitude and compassion, I can lift his or her mood a cheery chat. Therefore, out of the numerous fields that we discussed and explored at Medical Explorers, I decided that pursuing a career in nursing would fulfil my interests the best. I researched during my own time to learn more about the vocation, and one of the first aspects of nursing that I learned was that there is a dearth of nurses in the nation's hospitals, which reduces the optimal amount of time and attention the nurse can administer for each patient. Patients are able to receive the best care if the nurses are able to pay thorough attention to each and every patient. So, because of the shortage of nurses, nursing will provide me a plethora of chances to interact with patients in order to offer them my undivided attention and caring assistance.
A Look into Cross Contamination A Look into Cross Contamination Sandy Wood Nursing 316 Taylor Deeds October 11, 2011 I have not had the privilege of putting my hard earned ADN degree to good use in the nursing field yet. My area of practice is currently carrying mail; therefore, I would like to incorporate what I have witnessed in my clinicals and what I experience every day and discuss the health concerns of cross contamination. During my clinical rotations, I witnessed various levels of cleanliness. Some hospital staff did not utilize the practice of washing/sanitizing their hands before they entered and left the patients’ room. Most did not frequently wipe down the blood pressure cart even after leaving the room of a patient