The crew on the ambulance was the first line of rescue. Once at the hospital, the emergency room nurse would take over her care. Along side of her should be an emergency room technician who can start an IV and draw blood. A physician should be the next person to step in and assess the situation. Once tests start being ordered and the respiratory status changes, a respiratory therapist should be notified.
Malcovich of this patient’s presentation early on in her visit allowed him to investigate the details of her health and psychiatric history. He was also able to check laboratory and test results and have complete access to up-to-the-minute patient care notes. This allowed him to begin contemplating patient management options. St. Theresa’s, unfortunately does not offer inpatient psychiatric services. Therefore, once medically cleared, we have to rely on inpatient psychiatric facilities or group homes like the one Dr. Primrose runs to ensure that these patients remain safe while, in this case, initiating prescriptions to manage medical and psychiatric issues and gathering resources that will be necessary for this patient to regain her independence.
By following the care plan the nurse was able to know that she needed a sugary drink with her and that the service user had taken her tablets before the trip began. A(v) The responsibilities of the staff for this type of situation, relies on the nurse. She/he should be the only one in charge of medication for the diabetic residents and should check their blood sugar levels throughout the day, all of this should also be
Reflective Essay to Discuss the Nursing Process and how it was Applied in the Clinical Area in which I was Placed INTRODUCTION This is a reflective essay to demonstrate the nursing process and how it was applied in The clinical area in which I was placed. Atkinson et al (1983, p2) describes “The nursing process is a system of planning the delivery of nursing care, consisting of four steps: Assessment, Planning, Implementation and Evaluation”. This is a client focused assignment; therefore I will choose a client whom I have participated in providing nursing care for. I will discuss the nursing process, how it was applied and the context in which it was done. I will use reflection to compare my findings to how literature states it should be done.
Assessment 2 Supply, Storage and Disposal of Medication. Question 1. Identify the purpose of a precription:- A prescription can be identified as legally authorised written instruction by a prescribing officer to a pharmacist to dispense medication. Question 2. Carla has received a delivery of medication from the pharmacy.
With unknowing certainty, Dr. Bearing agrees to the chemotherapy and begins her experimental chemotherapy. Dr. Kalekian has a group of physicians doing their fellowship with him. One of the physicians, Jason, is a former student of Dr. Bearing.
In this essay I shall discuss the clinical skill of the use and interpretation of the bladder scanner. I shall look at my rationale for this choice and I shall examine the evidence base that informs the delivery of this skill. I shall also discuss the implications for clinical practice and will provide some recommendations. Firstly - my rationale for choosing the skill of bladder scanning. My practice placement is with the district nurses based in a busy surgery in a suburban area.
The role of the nurse in the GI lab is performing a thorough head-to-toe assessment, along with obtaining prior medical history, and making sure consent and all documentation is completed before the patient goes in for their procedure. The nurses’ role intra-procedure is documenting, assisting the physician, initiating the time-outs, and giving report to the next nurse of what occurred, post diagnosis, and any new orders to the next nurse. Post procedure, the nurses’ role is to assess the patient, perform vital sign every 10 minutes until stabilized, give discharge instructions and do patient teaching. Nursing care is different in the GI lab than on a med/surg floor because you’re with the patient for an hour before they go for their procedure, and then discharging them usually after 45 minutes post procedure. While a med/surg nurse is with their patient for 12 hours.
Select one clinical skill in which you are developing competence in and reflect upon how you have achieved the necessary level of competence for this stage of the programme. The clinical skill that I have chosen to discuss and to reflect upon in this essay is the administration of Intramuscular (IM) Injections, and how competent I am at this stage of my nurse training program. This clinical skill, which is not only practiced in a general nursing area, is a technique which is used widely within the Mental Health branch of nursing. I have chosen this skill as within in my two clinical placements this was a method used not only for the administration of Depot Injections for antipsychotic drugs, which I was involved in giving, but also as a way of administrating various other types of drugs. As a student nurse the giving of an IM injection for the first time can be quite daunting, especially if they have never had the experience of a healthcare background.
He also informed her that he would follow the same orders given in previous cases of tonsillectomy performed in the hospital. The Head Nurse in the operating room in the morning of May 26th was one Lorenza Somera. Valentina Andaya and Consolacion Montinola were student nurses working in the operating room under Somera. Montinola was the sterilizing nurse and Dr. Armando Bartolome was the assistant surgeon. On the Day set for the operation, Dr. Favis arrived at the St. Pauls Hospital a little before 7:00 oclock in the morning.