They will notice changes in health, mobility, failure to take medication etc. Regular reviews with the individual and or family to assess whether their needs are being met. Inform the care-manager of any changes and update care-plan and risk assessment if needed and provide copies to others concerned. Regular supervisions and spot checks on the carers to ensure they are following policies and procedure and meeting the needs of the individual. As a carer I would observe, listen and report any concerns I have to my manager or supervisor.
How the ANA Code of Nursing Ethics would influence a final decision in each case study. With the patient with the hemorrhagic stroke, it is our responsibility to discuss with the patient’s family possible options in which they would feel comfortable taking. According to the Code of Nursing Ethics, “the nurse’s primary commitment is to the patient, whether an individual, family, group, or community” (ANA Code of Nursing Ethics). With the patient having no advanced directives, the decision is much harder to take. Ethics committees can be useful in this situation, because they can help explain the patient’s situation and provide possible answers to those hard questions.
The importance goes further to the core of the problem focusing on the nurse and evaluating what is needed to be done in order to educate this patient group. The research problem involves nurses who are not comfortable discussing end-of-life issues with their patients and is identified in the first few paragraphs of the article. This is a significant problem nurses and doctors can educate, manage and monitor for these chronic patients. The purpose is not clearly stated in the study, but is inferred within the abstract of the article as well. Patients and families dealing with potential end-of-life issues is a very common problem in health care today.
Part A:- 1. From an Enrolled Nurses perspective discuss the use of bed rails in the hospital and nursing home, in relation to restrained patients and safety. Consider the ANMC decision making framework for your response. The Enrolled Nurse is and has the capacity to utilize under the National Competency Standards for the Enrolled Nurse, decide the use of bed rails for safety of the patient and potential use for restraint and risk to patient, staff or others. However, under these policies, the EN must notify the Registered Nurse (RN) on duty and the RN will make the final decision.
Her first point of contact with the emergency department is triage (Farrell, 2005, p.2158). The emergency nurse then needs to determine the clinical urgency of the patient. The emergency nurse would do a primary survey maintaining vital signs and then continue to a secondary survey of the patient, to uncover any other serious threats. The nurse shall then prepare the patient for any diagnostic tests, contact family, make sure pain is under control, monitor and document their findings (Laskowski – Jones, 2006, p.54). A patient presenting with a head injury can pose a lot of complications and the nurse needs to assess and monitor the patient thoroughly.
W if she and I could schedule a private meeting to discuss Ms. R’s case? Tell her how I’ve notice how hard she has been working with Ms. R without a lot positive results. As nurse supervisor I would help her to recognized the value of delegation. The ANA defines delegation as “ Transfer of responsibility for performance of a task from one individual to another (1996). The Five Rights of Delegation include 1.The right task.
Nursing Sensitive Indicators Nurse sensitive indicators included in this case are Mr. J’s use of restraints, complications of pressure ulcers, and patient satisfaction. Had the nurse who was caring for Mr. J been aware about the risks of pressure ulcer development with the use of restraints, the beginning stage of a pressure ulcer could have been prevented. Better RN assessment of Mr. J’s restraints, repositioning Mr. J every two hours and a thorough skin assessment should be done at every shift. The NA should be instructed to notify RN if they see anything out of the ordinary with patients, such as the redness to the lower spine of Mr. J. The nursing staff assigned to Mr. J will need additional training about restraints as far as appropriate use of restraints and how to care for a patient who is restrained.
Nursing Documentation and Malpractice Law HCS/545 Health Law and Ethics May 31, 2010 Mary Nell Cummings Nursing Documentation and Malpractice Lawsuits Proper medical documentation can prevent liability issues and malpractice lawsuits. The focus on my paper will concentrate on nursing documentation and malpractice lawsuits. I presently work for a home health care agency. The entire staff throughout the company was recently informed of increased Medicare denials and possible lawsuits as results of inadequate documentations. A series of education training of documentation was implemented to help reduce episodes of Medicare payment denials and self-protection through adequate documentation.
Our history gives us a perspective in the traditions we have as nurses and a legacy to pass on to new nurses as they enter the profession. We learn what has influenced, motivated, and affected nurses in the past so that we can use that knowledge to influence our perspective in making changes that will benefit those who enter the profession in the future. Over the years I have observed a change in how we, as nurse and the medical profession, address pain. When I started nursing, you medicated the pain. To put it simply pain was pain – you medicated to relieve the pain.
UNIT 4223-301 OUTCOME 1 UNDERSTAND WHAT IS REQUIRED FOR COMPETENCE IN OWN WORK ROLE. +DUTIES AND RESPONSIBILITIES. My duties are to provide clinical and non clinical support to a multi professional team which can range from the care of a new mother and baby to the day to day running of the ward. I am responsible in undertaking direct care for patients and implementing this as to prepare the patient for going home safely with the knowledge they receive. I am responsible in making sure the care of the patient has been seen through to the end of their stay and to report any observations of the patient ,to the midwife in charge of that said shift and if anything needs reporting to act accordingly,ie frequent observations.