“Teach the patient and family the symptoms of infection that should be promptly reported to a primary medical caregiver” (Ackley & Ladwig, 2011, pg. 495). Electrolyte balance should be watch closely in a patient with acute renal failure. Urden, Stacy, and Lough, 2012 state: Electrolyte levels require frequent observation, especially in the critical phase of AKI. Potassium may quickly reach levels of 6.0 mEq/L or higher.
• Remember to transcribe as much needed information as you can over to the pre op checklist, as OR needs the charts the day before to have an anaesthetic review the chart. (You also may not be the one to do the interview if patients call back a day later.) • When on the phone and needing to leave a message, state, Hi, this is _______ I am calling from _____________Hospital, you have an appointment on (date), I need some additional information, and can you call me back at____________. (due to confidentiality we do not want to identify ourselves as the surgical unit, and we do not want to identify that the patient is having surgery) • Then go and check the lab book and pull any lab results and place them with the OR booking chart. Review the labs, and ensure any lab values that need follow up are faced or phoned to the surgeon.
The nurse has a responsibility to find out if Henry is a vulnerable adult and if so what makes him vulnerable and what makes people in general vulnerable, including concerns that could arise from being vulnerable for example abuse. Patients have rights, so the role of the nurse will be looked at in great depth which will include clinical skills, communication, decision making, teaching, caring and knowledge, and how to address the patients’ rights using some of these skills. Henrys autonomy will need to be promoted by the nurse along with confidentiality, the nurse will have to justify professional conduct and any interventions needed to support Henry and his daughter, this will include autonomy and advocacy. Henrys daughter is very keen to see her father have the operation even though there are major risks involved. Henry is not so convinced and as the procedure looms closer he asks his nurse to help him make a decision on whether or not to go ahead with the procedure.
Jerry also holds the title of Medical Assistant and a Licensed Practical Nurse (LPN). Jerry is alone in the office when he receives a call from a patient saying he needs to have a prescription refilled for Valium, an antidepressant medication called in to the pharmacy right because he will be leaving for the airport in thirty minutes. He also tells Jerry that Dr. Williams is a personal friend and he always gives him a small amount of Valium when he has to fly. Medical Training One of Jerry’s ethical questions or problems at hand is whether he can call the prescription in to be refilled. The answer to this is no.
Role of the student in a theatre/recovery setting: a reflective analysis The purpose of this paper is to reflectively discuss the issues raised in the scenario in appendix 1. Using Rolfe et al (2001) model of reflection to structure the paper In accordance with the NMC code of professional conduct (2005) all names and places have been changed in order to protect confidentiality. Firstly, one the main issues raised here is conflict between roles. The conflict arose when the student nurse was told by a qualified anaesthetist to carry out a task, then was told she was not allowed to carry out that task by her mentor. Carr (1992) argues that in health care, the primary sources of conflict fall in to disrepute about professional roles, goals and procedures.
Title: Reducing the numbers of medication errors by the nurses in health care system. Administration of medication is a key element of nursing care. Medications are an amazing discovery. They promote healing, reduce suffering and contribute to modern medical miracles. However, because thousands of new drugs have been developed recently, because the health care environment is increasingly complex, and because the patients are older and often sicker, there is increasing risk for medication errors in hospitals.
The reason for this window of time for the infection to develop is because hospitals try to have the duration of hospital stays decreased. Therefore, the symptoms of the infections aren’t discovered until after the patient has returned home. Hospital-acquired infections are also an indication of how well patient care and safety is at the hospital. The safety and quality of care for the patients should always be a hospital’s first priority. Hospital-acquired infections are preventable and preventing them is straightforward: a code of cleanliness.
This type of hernia, in which the bulge is constricted so that the blood supply to the area is cut off, constitutes a medical emergency that requires immediate surgery. Objectives GENERAL To obtain a broad understanding and learning about Strangulated Hernia through completing the necessary action and data for this case study. SPECIFIC Objectives To increase knowledge about Strangulated Hernia. To learn the probable cause, sign and symptoms of Strangulated Hernia. To improve knowledge about how to do the ideal nursing intervention for clients with Strangulated Hernia.
An ischemic stroke is a medical emergency and requires intervention right away. A neurological assessment is an important part of the patient’s plan of care (Hage, 2013). The NIH stroke scale can be used as soon as the patient presents in the ED. The assessment consists of 15 items and it is important to do the assessment in the correct order because as you move toward the end, the assessment gets more challenging. The first part evaluates the patient’s level of consciousness (Hage, 2013).
Emergency Room Physician A physician in the emergency room is described as someone who provides immediate recognition, evaluation, care, stabilization, and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. The physician has a very demanding job from the time they step into the emergency room to the time they step out. People’s lives are in their hands, the physician is required to make very imperative decisions because people’s well-beings are at stake. The physician is required to obtain many traits that will help them be a successful emergency room physician. There is a main “duty” an emergency room physician has to undertake.