A. Working in the emergency room I encounter many patients who come in for psychiatric evaluation, wither it is due to suicidal thoughts or depression. Through the constant training that our hospital puts on, I have learned how to better deal with these types of patients who can be difficult at times. I have learned that something as simple as listening to a patient and just hearing them talk can help to de-escalate whatever situation that person may be in. I have also learned how to better assess these patients and help provide them with other resources that are needed, like depression related support groups or counseling.
B. During my time as a nurse in the emergency room, I have noticed an increase in overdose related cases.
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Working in the emergency department can be easily described as fast placed and at times hectic. Being aware of resource management and learning to prioritize patients are skills that are required to be learned quickly. Once a basic understanding and knowledge of these skills are acquired, nurses are able to build off of them and adapt them however they see fit. The best example of resource management and prioritizing would be working a cardiac arrest. During an arrest, things can become stressful and hectic for not only you but for your team if the situation is not dealt with appropriately. To best avoid this from happening, I will take lead role and start to delegate tasks out to members of my team. If I know I need certain resources I will task someone with the job of getting equipment or medications before they are needed. In regards to priorities, I know what things need to occur first (compressions, airway) before worrying about the smaller things (lab …show more content…
I am actively put in a leadership role in the emergency department, like most of the other nurses that I work with. Most recently I was placed in charge of a cardiac arrest. It was my job to delegate tasks to the other nurses and ER tech. Given my background in emergency medicine, I feel comfortable in this role and feel that I am able to lead the team effortlessly and smoothly through an event like this.
C. Between my nursing license and paramedic license, I am constantly taking classes to refresh myself on current knowledge or to learn something new. As of November 2015 I recertified as an ACLS provider, which required me to attend a two day course. This course consisted of new studies and teachings in cardiac medicine, as well as hands on training to review and go over new skills that are coming into medicine. During this course, I was also able to learn different skills from the other nurses as well as teach some of the skills that I have learned as a nurse/paramedic.
D. I consider myself to be a transformational type of leader. According to: . I feel that this description fits me well. If a leader leads through hard work, dedication and motivation, I think that it makes for a positive work environment. Every time I go to work, I help to motivate my fellow co-workers and hope to inspire some of them through the actions that I say and
Pham, J. C., Seth, T. N., Hilton, J., Khare, R. K., Smith, J. P., & Bernstein, S. L. (2011). Interventions to improve patient-centered care during times of emergency department crowding. Academic Emergency Medicine, 18(12), 1289-1294. doi:10.1111/j.1553-2712.2011.01224.x.
B. Physician assistants have training to care for eight out of ten people who visit
Emergency room nursing is a very rewarding job. Unlike other specialty nursing units in the emergency room the nurse never aware of what might walk in the door next. This can be scary and for the adrenaline junkie exciting. With the fact the nurse never know what might walk in the emergency room nurse needs to have a large knowledge base. This includes that of infection control.
...ram, I have also learned that it takes a combination of leadership styles and taking scenarios case by case to perform as an effective leader. My preferences would be a combination of transformational and transactional leadership. Since I work in processing, the transactional part of my leadership will have to be there, but I would strive to add leading with integrity, a shared vision, and being humble among staff members. I hold myself accountable just as I would with other team members. I understand that this approach will not always work, because situations will change and call for different types of leadership, but for the most part a combination of transactional and transformational leadership would be the most effective in the majority of situations at work.
In healthcare profession, leadership is defined as utilization of personal characteristics and experiences to communicate effectively with the patients suffering critical health problems for which there are no specific answers and to direct health care team in developing policies to solve these problems. The nurse leader establishes relationships to encourage others to set and accomplish clinical or administrative goals. An effective leader provides guidance, use moralities to direct the process, and develop self-confidence in others (Yoder-Wise, 2010).
Emergency room physicians are on the front lines in a crisis, caring for everyone from trauma victims to sick kids. An ability to think quickly and care for a wide variety of patients makes them valuable assets at every hospital. It also brings some perks. When sudden illness or acute injury strikes, patients turn to hospital emergency rooms for immediate medical assistance. An ER doctor, or emergency medicine specialist, is a physician who diagnoses and treats illnesses and injuries in a hospital emergency room or other urgent care setting. Emergency medicine is a financially rewarding career, and it also comes with the reward of saving lives. ER doctors require intensive training to know how to shoulder their intensive responsibilities.
I see myself developing into this type of leader by working to create valuable and positive change and empowering others to become leaders that also create valuable and positive change that they believe in. I will empower others to gain a sense of identity and self to the mission, be a role model that inspires others, challenge others to take ownership of their work, and provide understanding of the strengths and weaknesses of others. To be a transformational leader I will need to display the ability to communicate clearly, listen, collaborate, empower, build strong healthy relationships, and provide others with intellectual stimulation.
Leadership role as of now is fairly proficient. I do not have all the opportunities as a nursing student on the floor to apply leadership on the floor often. It has been a little challenging since for right now, I am following and not leading. After the end of the baccalaureate program, I will be applying leadership to my place of work and will be an advance beginner. A year after the licensure, I am hoping to be proficient and competent on leadership nursing competency and still continue to build from there by influencing good behavior and taking charge and be a leader sharing acquisition/achievement goals.
According to Yoder-Wise (2015), a leader can be defined as, “an individual who works with others to develop a clear vision of the preferred future and to make that vision happen” (p 35). As employees, we often have our own ideal of a good leader, which may be influenced by experiences and perception of workplace norms. While one’s opinion of an effective leader may vary, there are several recognized leadership theories. The following will focus on the transformational leadership approach.
I now realize how important it is to be a good listener. I must listen carefully to each client to assess their needs and connect them to all available resources in the community. Before this class, it never occurred to me that patients have the right to play an active role of their healthcare and should be included in the recovery process. However, most importantly, I learned about dual relationships. The reason why I developed a passion for the Human Services field was my interaction with the amazing volunteers at my workplace.
I was able to witness how an actual therapy session would look. Observing the sessions allowed me to become more self-aware and determine what I should and should not physically be doing as a perspective counselor. The more knowledge I gained from the content and class, the more confident I became. Also, the more video sessions I recorded the more comfortable and confident I became. I greatly benefited from learning the different techniques and practices, then having the opportunity to apply what was learned. The hands on experience awarded me the chance to utilize the skills taught and critique myself. I gained an abundance of knowledge about confidentiality, attending skills, and self-awareness that I did not anticipate learning. I am now aware of what exact confidential matters should be presented to a client before beginning therapy. I am also more aware of cultural competence and my own biases. Lastly, I learned how to utilize proper attending behaviors such as visual eye contact, vocal qualities, verbal tracking, and body language during a therapy
For my clinical observation experience I went to the Emergency Department at JFK Medical Center. The first emergency nurse I was assigned to was responsible for six beds. When I first arrived the nurse explained to me that she prioritizes her care based on urgency and airway problem. Since the rest of her patients were stable, she went to perform a focused assessment on a new patient assigned to one of her beds. This patient came in because he had fallen in the bathroom. As soon as she was finished assessing this patient, she went to the
In today’s society, leadership is a common yet useful trait used in every aspect of life and how we use this trait depends on our role. What defines leadership is when someone has the capability to lead an organization or a group of people. There are many examples that display a great sense of leadership such being an educator in health, a parent to their child, or even a nurse. In the medical field, leadership is highly used among nurses, doctors, nurse managers, director of nursing, and even the vice president of patient care services. Among the many positions in the nursing field, one who is a nurse manager shows great leadership. The reason why nurse manager plays an important role in patient care is because it is known to be the most difficult position. As a nurse manager, one must deal with many patient care issues, relationships with medical staff, staff concerns, supplies, as well as maintaining work-life balance. Also, a nurse manager represents leadership by being accountable for the many responsibilities he or she holds. Furthermore, this position is a collaborative yet vital role because they provide the connection between nursing staff and higher level superiors, as well as giving direction and organization to accomplish tasks and goals. In addition, nurse managers provide nurse-patient ratios and the amount of workload nursing staff has. It is their responsibility to make sure that nursing staff is productive and well balanced between their work and personal lives.
My overall learning experience during my preceptor shifts was amazing. The first day I walked into the Emergency Department for my shift, I was having anxiety through the roof and very nervous. I felt like I did not know anything and it was a completely new environment then I am use to. At this point I feel very comfortable in the environment and felt like I have gained the knowledge to be a competent nurse in practice. I owe a lot of the success I have had in the ED to my preceptor Sam. He was seriously great and very patient with me when I was trying to learn something. He really pushed me every day to be confident and comfortable taking care of patients on my own. I have gained a vast knowledge of skills, procedures, policies, documentation,
Emergency Medical Services are a system of emergency services committed to delivering emergency and immediate medical care outside of a hospital, transportation to definitive care, in attempt to establish a efficient system by which individuals do not try to transport themselves or administer non-professional medical care. The primary goal of most Emergency Medical Services is to offer treatment to those in demand of urgent medical care, with the objective of adequately treating the current conditions, or organizing for a prompt transportation of the person to a hospital or place of greater care.