| The message was to change into her robe, take off all jewelry and deodorant and have a seat in the patient waiting room. | What channel was used to send the message? | I (Reena) was used to send the message face to face with the patient. | What was the misunderstanding? | The misunderstanding was that the patient didn’t listen to me when I was telling her where to go and she had been walking around the Women’s center in her robe asking where she has to wait.
Clinical Development Day at Emergency Room As part of the N4123 clinical experience, I was in ER on 25th September 2013. The purpose of this paper is to increased my understanding of all health care services provided to clients and families, explore the roles of health care team in ER and to explore changes in health care practice in ER setting. I arrived at the unit on time at 7:30 am. I was assigned with one of the nurse working in ER. I came to know how the system works while people are seeking health care services from ER.
The following essay will discuss a clinical incident which may have had the potential to cause harm to a patient whilst being nursed post operatively. The focus will be to critically discuss drug errors, why they occur and consider the rationale behind intravenous (IV) fluid therapy, outlining the possible negative effects of fluid overload on a patient whilst considering the nurses role in respect of legal and professional issues surrounding the incident. To protect identities and comply with the Nursing and Midwifery Council (NMC) Code of Conduct (2008) all names will be changed. The model chosen for this reflection is the Gibbs (1988) Reflective Cycle which encompasses 6 stages of description, thoughts and feelings, evaluation, analysis, conclusion and action plan which will continuously improve my nursing skills by learning experiences and develop my self confidence when caring for others (Siviter 2008). Description The critical incident took place on a surgical ward whilst I was on placement.
Review the labs, and ensure any lab values that need follow up are faced or phoned to the surgeon. • Ensure any day of antibiotic orders have been faxed to pharmacy, take any actions you can for pre operative orders now. • Phone the patient, fill out any other information you can on the pre-op check list. Make sure you cover all the points on the telephone check list sheet, this way our patients will arrive with a ride home, and someone to stay with them post OR. • Once the Telephone screen is complete – on the upper left hand part of the chart write
Patient safety risk is heightened when the tubing of intravenous medicine aren’t labeled. I along with approval from management decided to study this topic B. Identify a specific, measurable indicator to address this problem. The measurable indicator I chose to address this problem is the percentage of IV tubing found labeled by random audit. This was done via survey walking through every patient room on the unit.
To determine financial responsibility the specialist needs to know what services are covered and are not covered under the patients plan. The patient is also explained that they will be billed whatever services the patient’s policy does not cover. Step 3 Check in patients –In step three the specialist will have the returning patient sign in, collect whatever necessary money from them co-payment or for an outstanding balance from a prior visit, copy or scan their current insurance card. Have the patient read and sign any new/important forms that pertain to the patient (authorizing any planned procedures and payments). Step 4 Check out patients – Even though the specialist is to give the patient all prescriptions, lab slip or referral paperwork they might need and set up a follow up appointment if necessary.
Healthy Outcomes for Psychiatric Patients Chamberlain School of Nursing RN Collaborative Healthcare NR 447 Tammy Nelson September 29, 2013 Healthy Outcomes for Psychiatric Patients Introduction The selected smart goals for Leadership Development and Organizational Planning are Medication Compliance for Psychiatric Patients and admittance to a Partial Hospital Program after hospital discharge for continued therapy on and outpatient basis. These SMART goals are very important for healthy outcomes of the patients diagnosed with Mental illness. Acquiring new coping skills and learning medication compliance is essential for good mental health. Goal 1: Leadership Development Peer Reviewed Article The leadership development topic of Patients being admitted to a Partial Hospital Program for continued therapy for improvement of mental health has been addressed by Brown, Julene. In the article titled Hospital Outpatient Facility Services.
I entered the building and used the alcohol hand gel and rubbed into my hands thoroughly and this again is to prevent cross infection and stops staff and visitors bringing in germs and infections into the home which can cause service users to be ill and also staff. I went into to the office and staff member were sitting ready to complete a handover. A handover is essential when working in Health and Social Care as it prepares the staff taking over the shift to be well informed of the service users and any changing needs that may have happened since their last shift. During the handover the phone rang and I got up to answer it and left the handover, a lot of staff had been off with a sickness bug and this made me feel anxious as I knew we would be short staffed. I did not hear the remaining part of the handover but wasn’t to concerned about this as I had missed handovers before to attend to the service users.
According to Meleis (2007) knowing includes knowledge based on observation, research findings (evidenced based), clinical manifestations and scientific approach. As a stroke nurse empirical knowing it’s very important in taking care of stroke patients. I determine patient’s neurological status by performing neuro checks frequently every 1-2 hrs as the patient’s condition might deteriorate the first 24hrs and perform swallow test to determine if the patient can swallow medications. Patient’s plan of care is based on assessment findings(vital signs, Glasgow coma score).If a patient is confused and very weak fall precaution is observed by activating the bed alarms, request for a PT/OT consult, if the patient does not pass the swallow test, a speech therapist is consulted. Sometimes patient’s neurological deficits get resolved after a few hours or days and that calls for change of treatment plan.
1 Research into Mental Health Nursing Mental Health nursing is the speciality of nursing that cares for people of all ages with mental illness or mental distress, such as Schizophrenia, bipolar disorder psychosis, depression or dementia. Nurses in this area receive more training in psychological therapies, building a therapeutic alliance, dealing with challenging behaviour and the administration of psychiatric medication (Wikipedia, 2012) The need for psychiatric mental health nursing has its roots near the end of the 19th century when it was believed that patients in mental hospitals should receive nursing care. Psychiatric mental health nursing has since come a long way, with psychiatric-mental health content incorporated into all diploma and baccalaureate nursing programs. As new needs for services developed in the health care arena, the role and function of the psychiatric-mental health nurse expanded, leading to advanced practice registered nurses in psychiatric-mental health nursing (APRN-PMH). Psychiatric-mental health nurses are a rich resource as providers of psychiatric-mental health services and patient care partners for the consumers of those services.