Answer Key #1 The emergency room nurse is completing the admission assessment. Nancy is alert, but struggles to answer questions. When she attempts to talk, she slurs her speech and appears very frightened. What additional clinical manifestation does the nurse expect to find if her symptoms were caused by a stroke? A -- A carotid bruit #2 Due to Nancy's deteriorating condition she is referred to a neurologist.
Once tests start being ordered and the respiratory status changes, a respiratory therapist should be notified. The nurse should immediately take action with obtaining an airway, and provide adequate oxygenation until the respiratory therapist arrives. These four people would be the core group of people to take care of the patient’s immediate needs. An anesthesiologist may be needed if the patient warranted intubation, but an emergency room doctor should be able to do this without them. Of course in that scenario, a few other nurses should step in to help with the patient’s increasing needs.
Chochinov, 2007 (cited in Cornwell & Goodrich, 2009), states simply that compassion is ‘a deep awareness of the suffering of another coupled with the wish to relieve it.’ Pediatric patients and their families are highly sensitive to the compassionate nature of health care professionals and a successful therapeutic relationship with them depends on the sensitive, compassionate care offered by the nurse. This paper will discuss why communication, family centred care and compassion are necessary and important qualities for a nurse to possess when working with pediatric patients and specify some of the challenges a nurse may meet in providing these. Communicating with Babies and Children Nursing children and babies requires a highly skilled and sensitive approach to communication. The developmental age of the pediatric patient needs to be considered when determining the best ways to
Nurses need to review the disaster history of their community, as well as how past disasters have affected the community’s health care delivery system (Stanhope & Lancaster, 2008). It is important for nurses to understand and gain the competencies necessary to respond in times of disasters before disaster strikes. The preparedness competencies should focus on personal preparedness, understanding roles, becoming acquainted with the health department’s disaster plan and communication equipment appropriate for disaster situations (Stanhope & Lancaster, 2008). Disaster and mass casualty drills and exercises are extremely valuable components of preparedness that can give nurses and other personnel opportunities to improve plans. Nurses should also identify limits to their own knowledge/skill/authority and identify key resources for referring situations that exceed those limits.
Materials: The main goal is early removal of catheter; delegating role to the appropriate personnel (see Appendix C). 2. The measurement before and after implementation of the propose solution (see Appendix C), gathering data from hospital records as it related to incidence of CAUTI over three month, six month and one year-period. Methods: Meeting was head with the administrative personnel and nursing managers to help establish the guidelines for all employees working with patients and educating them on the important of preventing catheterization which leads to CAUTI. The concept of team building will be the central of the discussion of these nursing meetings and coordinate patient care with interdisciplinary action.
Response: I am currently working in a neuroscience intensive care unit and would like to explore how my facility could expedite the diagnosis and treatment for patients presenting with stroke-like symptoms. In our unit, it has been drilled into our heads that “time is brain,” but unfortunately the rest of the facility does not respond so promptly when there is a new onset of stroke symptoms. Today many facilities have already implemented “Rapid Response” or “Code Team” nurses to respond immediately when a patient develops cardiac or respiratory arrest. Using this concept of calling a “code” when a patient develops stroke symptoms expeditse the diagnosis and treatment which would allow patients to have the best possible prognosis following a stroke (Lu Daly, Orto, & Wood, 2009). My PICOT question: Does initiating a rapid response nurse when patient presents with stroke like symptoms allow for more timely treatment, within the first 30 minutes from the onset of symptoms, compared to having patients wait to be evaluated by a physician?
Initial Priorities At the beginning of his shift, Mr. Young identifies several problems that need attention. 1. Which client situation requires the most immediate intervention by the charge nurse? A) New onset ST segment elevation is observed on the telemetry monitor of a client admitted with angina. CORRECT This electrocardiogram (ECG) finding indicates ischemic changes which require immediate client assessment and management to prevent myocardial damage.
The role of the nurse in the GI lab is performing a thorough head-to-toe assessment, along with obtaining prior medical history, and making sure consent and all documentation is completed before the patient goes in for their procedure. The nurses’ role intra-procedure is documenting, assisting the physician, initiating the time-outs, and giving report to the next nurse of what occurred, post diagnosis, and any new orders to the next nurse. Post procedure, the nurses’ role is to assess the patient, perform vital sign every 10 minutes until stabilized, give discharge instructions and do patient teaching. Nursing care is different in the GI lab than on a med/surg floor because you’re with the patient for an hour before they go for their procedure, and then discharging them usually after 45 minutes post procedure. While a med/surg nurse is with their patient for 12 hours.
Explain the policies and procedures of the setting or service in response to accidents, incidents, emergencies and illness. In our setting all the accidents and illnesses are reported to the nurse whether small of big even near misses we report them to the nurse. When it is an accident, we send the child to the nurse and the nurse will fill in an accident report that will show details of the accident where it happened what time and who was present at that time. Then the nurse will also write details of the first aid given. The same procedure also happen when a child is ill we will take the child to the nurse sometime the nurse will administer Panadol after getting consent from the parents that’s is if the illness is minor and the parents
If a child has been admitted to hospital due to dehydration they are already in an extremely vulnerable position, they are at risk or deteriorating and suffer worsening health. At this stage it is the duty of the nurse to be an advocate for the patient (Choi, 2014). Copp (1986) stated that when a person becomes vulnerable they require assistance to represent themselves and their needs, it is the duty of the nurse to represent these vulnerable patients and act on their behalf ensuring their needs are met and with the nurses’ knowledge they can assist the patient and their family in becoming less vulnerable (Copp,1986). This is done by educating parents and care givers regarding prevention of dehydration and the signs to look out for, in order