Once I started researching a career in nursing I realized that there were a lot more types of nurses then I had originally imagined. I have not decided on which field of nursing I would like to specialize in yet but I just imagine myself as a general nurse, working in a hospital setting. A Registered Nurse (RN) is not a doctor assistant; a RN gets to treat wounds, give IV’s and basically get to treat their own patients. Right now my main priority is to stay focused on taking all necessary steps to pursuing Nursing as a career.Gwendolyn Mink describes most Registered Nurses as working directly with the patients and their families. They are the families’ contact with the medical world, in the hospital and at the patients’ home.
Johns (1995) describes an aesthetic action as concerned with the practitioners response to a particular clinical situation. In this handover the nurse was trying to remember too much information and became confused until she took the time out this could be because she was tired or rushing. The only knowledge I had from a handover was observing this event. I recognised there was a lot of knowledge to be gained from this and so I decided to reflect on the event. In 1998 the NHS Executive claimed that pre-registration nursing programs are not equipping nurses with the knowledge and skills to deliver high quality care.
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.
Applying Roger's Theory of the Adoption of New Technology Systems Julie Lamb Walden University Transforming Nursing and Healthcare Through Technology NURS 6051N-14 April 13, 2014 Applying Roger's Theory of the Adoption of New Technology Systems “Successful implementation of new technology requires overcoming people’s natural resistance to change” (Wood, 2010, para. 2). Nurses are naturally resistant to change. Nurses develop routines to help mange their time. Without superb time management, a nurse’s job will never get done.
Teamwork can be a challenge because if you implicate the factors of teamwork ,with many different personality types and the issue of being a new nurse pulling everyone together there is trust issues, lack of communication because when you are new people are not really sure how to react around you. This then causes conflict with getting goals accomplished. So I had my staff give me different ideas of how to achieve teamwork and I put in my own feedback as well and here is a couple of things we had tried. We tried list of the residents that did not always work because what would happen
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.
The FNP expressed her frustration in Ms. R non-compliance with her treatment, and lack of support with future care. The Licensed Vocational Nurse (LVN) on staff is trained in conduct client education on labor and delivery, routine prenatal care, parenting, and infant care. She would be able to give the time needed to explain all of the details about the medication given. For example: What the medication is for, how it works, how long it will need to be taken, potential side effects, alternative medications if patient has adverse reaction and what are the consequences if the medication is stop prematurely. The risk factors associated with illnesses in the third trimester.
Negligence and malpractice are increasing within nursing fields even though nurses and students who will become nurses are educated about their legal and professional responsibilities and limitations. Negligence is a failure of fulfilling the responsibilities that the nurse has which results in malpractice. A nurse can be sued for malpractice when she fails to take care of the patient; it results in patient’s injury, however we should keep in mind that not every case ends with the injury, but still it is a malpractice. Many nurses are not fully committed to perform the skills they should, and they enter the profession only because of benefits. Malpractice can be increasing because of a severe shortage of trained nurses, and it happened because of a few factors: nurses are required to work longer shifts; they can lead to fatigue and increase the risk for an error; also short Nursing courses providing degrees with no sufficient time to train nurses results in malpractice.
I rarely call in sick. I am conscientious about supplies that are used, being careful not to contaminate or use more supplies than necessary. When patients are admitted to our unit, I start discharge planning and instructions as soon as possible in order to make the discharge from the unit as expedient as possible. Professional development: I am able to improve my personal performance at work by attending continuing education courses, attending hospital training classes and inservices, and maintaining nurse licensure that is always in good standing. I read professional nursing journals and visit nurse websites in my free time to keep up to date on new trends, treatments, and medications.
I observed my RN carefully and how she uses the machine. It’s stated that “Despite this, dignity is seldom defined and there are few guidelines that nurses may use in their practice to safeguard individual patients’ dignity.” (Ballie, L. 2007). And since this was my first time, I felt quite uncomfortable in assisting the task. I felt like a must push myself in doing the allocated tasks since it was my first time watching a patient being showered. I knew that if I was to become an RN one day, I must overcome this uncomfortably, and view it as a natural thing.