It was good to hear that you had a beneficial time at your last clinical site. The rehab unit you described definitely had all the makings of a clinical microsystem. “A clinical microsystem can be defined as the combination of a small group of people who work together on a regular basis to provide care and the subpopulation of patients who receive that care” (Nelson, Batalden, & Godfrey, 2007, p. 233). Every microsystem has its ups and downs, but hopefully the good always outweighs the bad. The clinical site I attended also had a little trouble when explaining medication to patients. It really depended on the nurse because some did a fabulous job explaining meds and some completely forgot to. Luckily we both know that explaining medications
Some may argue that the quality of medical treatment and technology are the most important attributes to a successful recovery. Relman stayed at two hospital facilities during his recovery. The first was Massachusetts General Hospital, and the second was the Spaulding Rehabilitation Hospital in Cambridge. Both facilities belonged to the Partners Health System and, therefore, had similar technologies available. Relman mentions multiple times that his care at Spaulding, as opposed to Massachusetts General, was “sometimes excellent but often inadequate.” (Relman) He came to these conclusions based on how he was personally treated as a patient, rather than based on the quality of the treatments. At Spaulding, multiple physicians treated Relman. His main physician went on vacation so multiple associates stepped in to check up on him throughout his stay. None of these associates made him feel comfortable as a patient. They tended strictly to his dire needs and did not spend much time with him beyond primary...
It is important to evaluate which learning style your patients prefer in order for them to best understand what needs to be done for the maximum appropriate outcome. Licensed practical nurses are advocates and that’s someone who supports and supplies information to their patients. Advocacy often involves standing up in support of a patient and their rights. This is especially true when patients are not able to protect their own rights. When filling the role of counselor, Licensed Practical Nurses can help patients and families explore ideas and feelings towards healthcare and illness (8 Roles of the LPN). Some patients have a difficult time accepting a disease or its treatment options. As a practical nurse you consult with RN supervisors regarding patient care and assessments. In some settings LPN 's communicate directly to physicians. Communicating information to the proper people assists in increasing the effectiveness of care plans (Role). As practical nurses we are only one part of a patient care team. Other important members include RN 's, CNA 's, physicians, physical/occupational/speech therapists, dietitians, volunteers, and more (8 Roles of the LPN). With such a large team, every member has their own scope of
The environment at ATI was a family environment. Each client has a one hour scheduled appointment at the clinic. However, they will not work with the same physical therapist for the entire hour most of the time. Each physical therapist will pass on their client to another physical therapist or physical therapist aid whenever it was needed. This showed a family vibe because the clients got to work with multiple therapists in one session and each physical therapist has their own unique look and take on rehabilitation. Furthermore, this was an engaging and friendly environment for the employees at ATI because whenever there was help
When I was a new nurse, my preceptor taught me to treat each patient as I would treat my own grandmother. Once I had some experience under my belt, I began to treat each patient how I want to be treated. I also have learned that it is very important to treat all patients the same. I give prisoners, patients that don’t have insurance or any money and patients that have donated millions of dollars to our hospital the same quality care. Although, I am only with the patient for a short time, I attempt to learn as much as possible about my patient, which allows me to give them great
On October 12th 2016, I had the wonderful opportunity to tour Richmond General Hospital as part of the Bachelor of Science in Nursing program at Langara College. My clinical educator and group of eight peers were introduced to the many different disciplines associated with health care. The goal of this experience was to orientate nursing students to their future line of work. During this tour, we were introduced to various diagnostic-imaging techniques like X-rays, computed tomography (CT) scans, and magnetic resonance imaging (MRI). In addition, we got to explore the hospital pharmacy and learned how it operates. The group ended the tour by meeting with a staff member of the Richmond Hospital Foundation, who educated us on the value of generosity and fundraising in order to purchase essential medical equipment, improve patient care programs, and enhance the facility as a whole. This experience was educational and inspiring for me because it allowed me to critically think, as well as appreciate the teamwork that goes on in a hospital setting.
One of my clinic experiences can prove how important interprofessional communication is for optimal patient care. A new admission patient received on Friday in the afternoon on a heavy
Currently, through observations and clinical experience on Med/Surg at Cary Medical Center, medication is administered by the nurse. Nurses are responsible and accountable for administrating medications to patients. Patient medication education is conducted by the nurse. Medication education includes informing the patient the reason for the medication, when and how long to take the medication, drug interactions, and importance of checking with primary care provider prior to taking any over-the-counter or herbal products. If the nurse is unfamiliar with a certain medication, a drug book is available for the nurse to utilize and gain knowledge regarding the drug use, action, adverse reaction, and contraindications.
Administration of medicines is a key element of nursing care. Every day some 7000 doses of medication are administered in a typical NHS hospital (Audit Commission 2002). So throughout this essay I will be evaluating and highlighting the learning that took place whilst on placement at a day unit.
The chronic care model calls for an organizational change in the way individuals with illnesses are cared for, and the involvement of nurses, social workers and patients themselves. The challenge is moving in an effective way of improving quality from research carried out predominantly in health maintenance organizations to the mainstream of health care practice (Wielawski, 2006). Wagner’s explanation is to substitute the customary physician-centric office structure with one that supports clinical teamwork in association with the patient. The notion spreads outside the health care organization to collaborative associations in the community. Wagner et al. (2001) termed this approach the “chronic care model.” With this model, physicians, nurses, case managers, dieticians, and patient educators
More basic than MTM is counseling, and more basic than that is appropriate dispensing. The pharmacy patient information system tracks potential dangers to each patient in every prescription order, and if there is a safety issue or an error in the patient’s medication use, the system will inform either the pharmacy tech or myself, and I plan on paying attention to those warnings and assuring that everything is appropriate for every medication order before dispensing it to the patient. By doing this, I hope to avoid any serious medication errors and protect my patients and assure that they receive the best medication therapy possible. If I don’t properly use my pharmacy informatics resources, I am responsible for any patient harm that is caused by my negligence.
For the past five plus years I have held the position of Nurse Manager of an inpatient Medical and a Rehabilitation unit. Part of my duties include operational oversight of both departments. I have had the good fortune of working alongside of and reporting to some excellent role models and mentors in operation management. Most recently is my supervisor and the Chief Nursing Officer (CNO) for Sacred Heart Medical Center at University District, Ben Farber.
My clinical rotation in the acute care hospital has definitely been a great learning experience, it was a big transition for me having been working in a long-term care facilities for six years. There were three positive aspects about my performance that I will take away from this learning experience.
Because I loved volunteering with patients at Veteran 's Victory House, a nursing home where my mother is a CNA, I thought that becoming a clinical pharmacist in that type environment would be the best for me. The best part about being a pharmacist is how easily accessible they are to patients and how there is so much trust behind their expertise. I had never realized just how many patients rely on pharmacists for their expertise on dosage, timing, and interactions of the medications. Each question a patient has at CVS gives me the opportunity to learn something new and interesting about medication. I want to complete a Pharm.D. program so that I can be that trusted professional that patients seek out. Working in the pharmacy has given me experience, communication skills, basic knowledge of commonly prescribed medications, time management skills, as well as helped me further develop my ability to work well with
What is a SWOT analysis? This concept involves assisting businesses to identify their strengths, weaknesses, opportunities and threats. It is often used to analyze an organization and its environment. Businesses find the analysis useful in assisting them to improve their business, establish goals and objectives.
Standards of practice for LTCP have evolved over several decades in response to a complex set of Federal and state regulations governing the provision of prescription drugs in the LTC setting (CMS, 2014). The law that regulates the practice of pharmacy in nursing facilities are developed to safeguard the health and well being of nursing facility residents. This group of population have atypical care needs that would require alternative forms of medication or more intensive medication management. Federal law regulation mandates LTC facility in conjunction with LTCP to develop a system to decrease medication errors and adverse drug events; assure proper medication selection; monitor drug interactions; assess for over-medication, and under- medication; improve medication documentation (CMS, 2014). In order to be compliance with the federal law, it is imperative that the pharmacy and nursing facility work collaboratively to develop policy and procedure that meet the regulations.