For this assignment I decided I would first describe to you what a typical day on the Medical Surgical floor at Decatur County Hospital looks like. As I was observing our day I was able to see a variety of nursing models all incorporated into how we provide care for our patients. Each shift has a CNL (Clinical Nurse Lead) how will be the charge nurse for the day. This person makes the assignments and is the “go to person” for any questions or concerns on the unit. Staffing for the unit typically consist of one or two R.N’s depending on our census, one CNA and one Ward Clerk. While the nurses are in report, the CNA takes vital signs and makes sure people are ready for breakfast. When breakfast arrives she delivers and sets up the trays. If the nurses are done with report they help too. In general the CNA has certain tasks that …show more content…
• The eight characteristics for patients are:
1. Predictability-the patient expects certain events to occur during their sickness
2. Resiliency-how quickly and effectively the patent can return to his/her prior state
3. Stability-being able to maintain one’s self at the current level
4. Vulnerability-how susceptible the patient is to potential or actual stressors in their life
5. Complexity-how advanced is their illness and how many systems are affected
6. Participation in care-how active is the patient and family going to be in their treatment
7. Participation in decision making-how active in the patient and family going to be in decision making regarding treatment and care
8. Resource availability-how able is the patient family going to be in providing all the resources needed to care and provide for the patient during the illness.
• The eight characteristics for the nurse
setting and as the patient returns to their home and community. The goal by all involved is to move the patient towards
Nurses have a considerable amount of responsibility in any facility. They are responsible for administering medicines and treatments to there patient’s. While caring for there patients, nurses will make observations on patient’s health and then record there findings. As well as consulting with doctors and other healthcare professionals to plan proper individual patient care. They teach their patients how to manage their illnesses and explain to both the patient and the patients family how to continue treatment when returning home (Bureau of Labor Statistics, 2014-15). They also record p...
Describe and explain the different factors that influence its implementation and the characteristics of patients and families, individual team members and organisational characteristics at various levels-unit, hospital and system.
Also, the whole family needs to come to term with the health condition, make change in priorities and schedule, and keep the family. For example, it can be much more stressful for a young or a newly married couple because they may have more experience to overcome life's difficulties. As a result, as with individual maturation, family development can be delayed or even revert to a previous level of functioning (Hockenberry, p 762.) Therefore, health care providers need to apply family development theory while planning care for a child and family with chronic health condition. Indeed, family centered care should be a part of that intervention. Parents and family members have huge and comprehensive caregiving responsibilities for their chronically ill child at home or at hospital. Moreover, the main goal taking care of chronic ill child is to “minimize the progression of the disease and maximize the child’s physical, cognitive, psychological potential” (Hockenberry, p 763). Therefore, it is essential to family being part of the child care to give highest quality of care. On the other hand, we are as a part of the health care provider need to give attention to all
Nursing should focus on patient and family centered care, with nurses being the patient advocate for the care the patient receives. Patient and family centered care implies family participation. This type of care involves patients and their families in their health care treatments and decisions. I believe that it is important to incorporate this kind of care at Orange Regional Medical Center (ORMC) because it can ensure that we are meeting the patient’s physical, emotional, and spiritual needs through their hospitalization.
Who is going to care for our aging population when they are unable to care for themselves? A Certified Nursing Assistant, also referred to as a CNA will. A CNA has many responsibilities in the healthcare field. CNAs are the primary caregivers to residents in long-term care facilities and hospitals. CNAs help residents perform activities of daily living. A few examples of activities of daily living are feeding, bathing, dressing and toileting. With all the responsibilities CNAs have, their job can be stressful. The night shift for CNAs requires getting patients ready for supper and put to bed. Some people may think this is simple, but it is not. On average a CNA is responsible for twelve residents while toileting every resident, assessing their needs, and watching for the other residents call lights, CNAs need to have every resident to supper by six o’clock. Once all residents are at the table for supper, CNAs must give each resident their trays and then feed them. Once they are done feeding the residents, CNAs start taking residents to bed. While giving bedtime care CNAs toilet the resident, wash the resident, brush their teeth, put pajamas on them, and transfer them into bed. While giving night time care CNAs need to listen for the alarms of fall risk residents, answer call lights, and be patient with the resident they are giving care to. CNAs need to give quality care
In an interview with a staff nurse (S.N), the main problem within patient communication included lack of patient’s (and family) involvement/willingness in planning cares. The staff nurse emphasized how “Patients often feel overwhelmed and do not want to participate. But, it is important for patients to be involved in their care for better outcomes” (S.N., personal communication, February 5, 2014). The staff nurse’s statement is supported by Evans (2013) whom remarked “better-informed patients avoid unnecessary care and frustration”.
The individual will need to be encouraged to make decisions about the care they receive and the type of life they want to live and also ensure that their families are part of the decision making process.
As a medical / surgical RN, I provided care for the elderly, the infirm, the mentally challenged, the young, and the psychologically disturbed. The wide variety of patients exposed me to the effects of life style choices, health care choices, and the resulting impacts to the patient as well as to the family of the patient. This experience has fully matured my view of the awesome responsibility that we, as health care professionals, have been charged with, and it has furthered my desire to obtain the skills necessary to provide more advanced care for my patients. In addition to exposure, maturity and experience, my career as a medical / surgical RN has also sharpened my critical thinking abilities and provided insight on observing signs and symptoms that a patient may be unware of. Furthermore, as a charge nurse I learned the importance of collaborating with other health care professionals in order to provide the highest level of care available. In summary, my career as an RN has provided valuable experience, maturity, exposure to impact and outcome, enhanced my critical thinking abilities, and improved my collaboration
Case 1 -- You work in a busy multi-specialty clinic with a high patient volume. The physicians enter the type of code that will yield the greatest reimbursement. You suspect the codes are not accurate.
...the patient’s family more within the assessment after obtaining the patients consent, but my main aim in this case was to concentrate the assessment, solely on the patient, with little information from the family/loved ones. This is a vital skill to remember as patients family/loved ones can often feel unimportant and distant toward nursing staff, and no one knows the patient better than they do, and can tell you vital information. Therefore involvement of family/ carers or loved ones is sometimes crucial to patient’s further treatment and outcomes.
Jason, this is a good topic to research. As a nurse on a Medical/Surgical unit, the unit cares for
It involves health care transformation where by patient passively participating in their health care process to the best of their interest in order to live a quality and healthy life to their expectation. I value the healthcare process as a team work between patients and health care providers. The patient participation concept applies and provides me with a solid foundation towards my beliefs and values in my further practice as cardiothoracic surgery nurse practitioner. I will utilize the attributes to establish a good, trusting, respectful relationship with surgical patients by surrendering some power to patients by negotiating, sharing responsibility, and viewing patient equally. I will also share information and knowledge, provide education based on patients’ experiences, respect patients’ opinions, and expectations. Patient and the health care team will actively engage in intellectual and physical activities. Through this analysis, I am confident that the concept of patient participation will guide my future practice, it aligns with my health care beliefs and values. It provides benefit in the relationships between health care providers and the patient population. The patient participation concept has and will continue to set foundations and be the framework for the health care
I went to the operating room on March 23, 2016 for the Wilkes Community College Nursing Class of 2017 for observation. Another student and I were assigned to this unit from 7:30am-2:00pm. When we got their we changed into the operating room scrubs, placed a bonnet on our heads and placed booties over our shoes. I got to observe three different surgeries, two laparoscopic shoulder surgeries and one ankle surgery. While cleaning the surgical room for the next surgery, I got to communicate with the nurses and surgical team they explained the flow and equipment that was used in the operating room.
Although students were not allowed in the recovery unit, I was able to talk to one of the recovery nurses. I learned that a nurse’s duty of care includes monitoring the patient’s vital signs and level of consciousness, and maintaining airway patency. Assessing pain and the effectiveness of pain management is also necessary. Once patients are transferred to the surgical ward, the goal is to assist in the recovery process, as well as providing referral details and education on care required when the patient returns home (Hamlin, 2010).