Nursing indicators such as education on unnecessary use of restraints and not repositioning the patient every two hours, are failures to deliver quality care. The staff increased the chances of Mr. J to develop pressure ulcers. Also the use of restraints increased the chances of Mr. J to develop a deep vein thrombosis or pneumonia from lack of mobility. All members of the healthcare team are responsible to provide the best care possible and be an advocate for the people they care for. (American Nurses Association, 2015).
I told E.M. that I was collecting data in order to provide myself with the opportunity to identify my strengths and weaknesses, and integrate my interviewing and communication skills learned in semester one of Practical Nursing. Once again, I reminded E.M. about the confidentiality between us, and that she did not have to answer any questions that she did not feel comfortable with. I reassured E.M. that I was using initials only in my assignment, and that the only other person viewing this interview would be my Nursing Practice teacher. During this time, I demonstrated professionalism by arriving on time, well dressed, and had all materials prepared and ready for the interview. During the working phase of the
A Reflection on the Nurse Expertise Self-Report Scale Norma Jacquez HCS/350 October 17, 2013 A Reflection on the Nurse Expertise Self-Report Scale According to the results of the Nursing Expertise Self Report Scale, my responses represent an Expert level nurse. I have been a nurse now for a little over thirty years. I hold a position as a Clinical Care Coordinator or Charge Nurse at Eisenhower Medical Centers Neurological unit, in the care of the stroke patient. I try being open and teachable, because I know there are so many things I have yet to learn involving ‘ stroke’. To begin with I have learned that by knowing myself better and reflecting upon my own emotions and behaviors I will be better able to master my practice as a professional.
Using a laminated card and by displaying the Whooley questions discreetly I have implemented them at each clinic I have undertaken since. It is essential that the HV is both confident and competent in the delivery of the questions and committed to exploring any concerning outcomes fully. It has been suggested that many new mothers will not disclose feelings of low mood due to the perceptions a health professional may have if she does. Edhborg (2005) suggested women who are depressed after giving birth often struggle with tremendous guilt over their depression and believe that it means they are a bad mother, this inhibits their likelihood to disclose feelings of low mood to a practitioner. I have seen mothers react after presentation of the Whooley questions, with a sheepish “No” on occasion.
Hospice Organization Lisa Harris SS368 December 11, 2012 Douglas McCoy Hospice Organization I Interviewed After careful thought and consideration of all the organization that I could interview for this assignment and given what is going on in my personal life with my mom’s current health I chose to interview someone from Faith Hospice of Oklahoma. About the Interviewee I interviewed Charlene Killgore she is the Volunteer Coordinator of Faith Hospice of Oklahoma, she handles the Norman and Oklahoma City location. Due to time constraints for both of us we were not able to meet in person, so our conversation took place over the phone it really turned out to be a phone conversation where I asked the first question about what she
Jean to attend all medical appointments outlined by the physician | Date Established 10/4/1110/4/1110/4/11 | Projected Completion Date 1-2-12 1-2-12 1-2-12 | | Intervention/Action Counselor to make necessary referrals and follow-up during individual counseling sessions on a weekly basis. | Responsible Person(s) | 1. Counselor | Problem/Symptom: Jean neglects coping skills to help aid her in the caretaking of her husband | Long Term Goal: Jean to learn coping skills | Short Term Goals/Objectives: 1. Jean to learn coping skills, including problem solving and emotional regulation. This will be measured by her demonstrating these skills during therapy sessions 2.
In order to honor the requests, they must be submitted two weeks in advance. Carol references to nursing policies and hospital’s rules. She distributes a copy of this policy to all the nurses in presence. Carol informs the staff of the immediate counseling procedure and references the HR department’s role and function for this purpose. Carol also hands out the nurse’s job description adding that hiring of new nurse is always expensive and her preference to work with all
The patient’s death was particularly difficult for the ER staff to digest as they viewed their actions as an attempt to expedite care with uncomplicated dismissal. It was decided that a Plan-Do-Study-Act approach would be the most effective process improvement plan. The staff was amenable in part due to the fact that the patient’s death affected them emotionally and many verbalized they wanted to do everything possible to ensure this did not happen again. Plan – Applicable policies in this scenario will be reviewed and updated. These policies contain staffing, chain of command, procedural, delegation of duties, Code Blue and Rapid Response, triage and Biomedical facets.
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.
Case Study – Mr Leo Bonelli Lisa, a recently graduated Enrolled Nurse is a few minutes late for her evening shift at a busy hospital. The handover had commenced and was taking place in the corridor. Lisa joins the handover having missed some information. During handover, Lisa is told that one of her patients in her care, Mr Leo Bonelli, was admitted for cellulitis in his left leg and is receiving antibiotic treatment. His medical history includes GORD (gastro-osophageal reflux disease) and a CABG (coronary bypass grafting) in 2002.