Today, April 15, 2017, I concluded my fifth week in my rotation at Norton Women’s and Children’s Hospital. I became more familiar with the role of a child life specialist at Norton Women’s and Children’s Hospital, as well as gained independence in patient interactions with great opportunities for debriefing and self-reflection. The patient interaction that I wish to highlight from today was a laceration repair with a 4-year-old male. I was asked by the NP to come and speak with the family, prepare the patient, and assess how I thought he would do throughout the procedure prior to the repair. When I entered the room I originally met the patient and his aunt—both of which were calm and collected. The patient displayed age appropriate fear …show more content…
The mother was tearful, anxious, and loud. As much as we try not to judge others, this mother was being slightly overdramatic and asking questions about concussions, head CT’s, surgery, etc. I was able to calmly reassure the mother and when I couldn’t answer her questions I was able to ask the NP and RN. During my preparation, the patient was appropriate and actively/readily engaged with the materials presented. He was probably the most engaged patient I have ever had during a preparation for “string bandaids,” as he asked if he could individually hold each material and play with them. However, the family made the preparation more difficult than normal. Each time I presented an age appropriate explanation the family would repeat what I said in their own terms—which wasn’t always correct. A few separate times when I presented materials the sister would exclaim “oh my gosh” or “ew,” which slightly frightened the patient and required my reassurance. For the actual procedure, the NP and I both agreed that it would be best if Mom stepped out because her heightened anxiety/fear could transfer to the patient, but wanted her to make that decision because she knows herself and her child best. The mother and sister stepped out
Annual Report. Children's Miracle Network Hospitals. Retrieved April 6, 2014, from
The patient, LL, is a twenty four year old female who was diagnosed with obsessive-compulsive disorder five years ago. Around the ago of eighteen, LL started to experience many symptoms of obsessive-compulsive disorder. She had just started her freshman year at a local college and moved into the dorms with a random roommate. LL was constantly washing her hands and grossed out by the germs, so she came to realize she had a phobia of germs. She would begin sweating and having major anxiety when people went to shake her hand or her roommate would touch her food or any of her things. LL started skipping class and isolating herself in her room in order to avoid contact with other people. When her grades dramatically declined,
...en who are there each week are incredibly inspirational, and they never seem to be discouraged, even though some of the patients have been there for five to six weeks in a row. I look forward to seeing their smiling faces each time I visit, yet I cannot help but hope they will not be there but will be at home the next time I visit. The children and youth I have met at Children’s Hospital have become dear friends, and they have taught me that leadership involves making the most of the talents we each have been given, and seeking excellece, not perfection.
My essay will include a discussion of communication, interpersonal skills used in the incident, and finally evidence-based practice. I will conclude by explaining what I have learned from the experience and how it will change my future actions. In accordance with the 2002 Nursing and Midwifery Council, the client details and placement setting has not been disclosed in order to maintain confidentiality. Critical incidents are snapshots of something that happens to a patient, their family, or nurse. It may be something positive, or it could be a situation where someone has suffered in some way (Rich & Parker 2001).
It seems the relationships that work are built on trust and responsibility. Without the trusting aspect of a relationship, the members are always going to wonder if the other is out to get them. They will always wonder if the other has their good intentions in their mind and heart. Without responsibility, the members are not able to work through problems. This is the ideal clinical relationship, one that is built on trust and responsibility. Without trust, the client is not going to open up to the counselor and allow them inside so they can start healing. The counselor is not going to self-disclose information in order for it to help the client. Within this relationship, it is 50/50; what you give is what I give. The relationship should be balanced in every aspect including talking to listening. The client should listen to the counselor and vice versa. They should listen and learn from each other. Every client is going to be different, and it is the counselor’s responsibility to learn something new with each client and take it with him or her onto the next one.
There are few jobs in today’s world that are essential to our society and being a nurse is one of them. Diane Marks Nurse Clinician of Pediatric Allergy at the Children’s Hospital in Winnipeg Manitoba granted me the privilege of sitting down to discuss her career . Through this interview I was able to gain perspective on how being a pediatric nurse encompasses more than what is written in the job description. It is more than just needles and antibiotics, but many times it means being a mother, a sister, a friend, a councillor, and many other roles in the patient’s life.
Today, many Americans face the struggle of the daily hustle and bustle, and at times can experience this pressure to rush even in their medical appointments. Conversely, the introduction of “patient-centered care” has been pushed immensely, to ensure that patients and families feel they get the medical attention they are seeking and paying for. Unlike years past, patient centered care places the focus on the patient, as opposed to the physician.1 The Institute of Medicine (IOM) separates patient centered care into eight dimensions, including respect, emotional support, coordination of care, involvement of the family, physical comfort, continuity and transition and access to care.2
Once the child develops a trusting relationship with the nurses, the stress and anxiety of all the procedures decreases and the child feels safer. Brenner, Drennan, Treacy, and Fealy (2014) stated that “to develop a trusting relationship with the child in hospital and the need for appropriate comfort measures during clinical procedures.” (p.1190) Even as an adult, surgery can be daunting and one needs someone trust worthy and the feeling of safe. Sezici et al (2016) specified that “play therapy eased the fear in children and helped them to be more cooperative in the treatment process and improved the doctor-patient relationship.” (p.166) Play therapy is the way to achieve that trustworthiness. By using play therapy, it can help the child connect to the nurse so the child can be open and communicate to the nurse the problems the child is going through. The nurse will know better how to treat the patient and provide better pain management with this
This clinical rotation I was assigned to the operating room, where they conduct obstetric surgical procedures. Since, I had been sent to observe in the operating room before, during the previous semester, I was more at ease. Especially, already knowing what the role of a nurse would be during the procedure. There were four operation scheduled for that day, three of which I was able to observed. Even though there must have been a thousand scenarios of what might possibly go wrong were playing through my head, everything went well with each procedure. There were two hysterectomy, one caesarian birth procedure, and one laparoscopic tubal ligation performed, all of which except the caesarian birth I observed. Thus, I was a bit disappointed having missed the process of birth. However, the experience of having to work with a nurse that was not only very accommodating, but very intent on making sure that I gain knowledge
You made several excellent points on how collaboration is vital in the patient’s care and how it can be difficult to collaborate with other disciplines. I agree with you that it is difficult to see not working with other disciplines. In the emergency room similar to in the unit that you work in, we are constantly collaborating with other disciplines to provide the patient with the highest quality of care possible. Providing the patient whether in the emergency room or on the cardiac step down unit that you currently work on with collaborative care will improve the patient’s outcome and in turn provide the patient with the highest quality of care (Bosch & Mansell, 2015). Collaboration between different disciplines will decrease the likelihood
The fourth step in Dr. William B. Ventres’ five stages of professional growth is to evaluate a personal capacity to look beyond all the challenges and complexities in today's medical environment and thrive rather than be hindered. As a girl, going into the medical field I have to go in knowing that I will not only experience all the stressors that my male counterparts face, but deal with additional stressors. When Mrs. Tammy Ballantyne, an oncology nurse at the Washington Hospital Cancer Center agreed to an interview, I wasn’t sure what I could learn from her that would be different from what I had already learned before. I was however, very much mistaken. Mrs. Ballantyne had a unique perspective on her relationship with patients and the medical field in general.
The purpose for my interview with physician, Dr. Hoylond Hong, was so that I can get a better understanding of Pain Management. I have seen a lot of physicians whom don’t want to deal with prescribing narcotic medications and I can see why with everything that is going on with overdosing and misuse of the medications. The process of scheduling was a bit difficult because the physician was on a tight schedule. We had to re-schedule a couple of times.
Exclusion criteria include : involved in a road traffic accident , Has a soft tissue injury located above the elbow .
The third observation site I visited was my professor, Dr. Saltarrelli’s private clinic Autumn Oaks. Her clinic is a relatively new clinic, but the area around the building is old. Her clients range from toddlers to adults. Some of her clients see her for either speech therapy or for audiology. The clinic is quite small; there was a small hallway with a trophy case displaying equipment used for hearing aids and some pictures. Along the hallway there was a designated therapy room, two offices, a restroom and a kitchen. The therapy room was quite small it contained one adult sized table with two chairs, a children’s table with two chairs, a set of hanging cabinets, and a huge storage cabinet filled with board games and other play equipment.
Luckily, I am very comfortable with patients, which made providing care very easy. I was not afraid to go into other patient’s rooms if they rang for help. I would try my best to help the patients; however, if I needed help I was not afraid to ask a fellow student or nurse on the staff. It is very important to be able to talk to patients and work as a team with fellow coworkers as it made the job easier. On the other hand, I need to go over mother and baby assessments to become more familiar with both. I was able to complete the assessments; I now need to do so in a timelier manner while ensuring I do not forget any key areas. Lastly, it is vital that I continue to go over patient teaching prior to clinical. Being comfortable with the patients made the teaching easier, though I need to become more familiar with all the material that needs to be taught.