Diabetic Nursing Case Study

1051 Words3 Pages

1. What should be included in Sarah’s plan to orient the LPN to the medical-surgical unit? Sarah should first assess what type of tasks the LPN has experience doing, is comfortable doing, and her normal routine on the postpartum unit. She should explain to the LPN the normal routine or pace on the med-surg floor and determine if the LPN has any questions regarding the flow. Sarah and the LPN should both meet with the nursing assistant so they may become acquainted and encouraged to work as a team. This would also allow for Sarah to advise the LPN of what tasks the nursing assistant usually completes and assists her with. Sarah should then show the LPN around the floor, the rooms she will be assigned to, and where the medical and general …show more content…

Sarah should determine the LPN’s knowledge base regarding the current patient cases she is responsible in caring for. For instance, the LPN may have extensive knowledge regarding the care of the diabetic patient and may be able to provide patient education to them on her own. However, Sarah should still assess the LPN’s knowledge regarding the teaching and may be able to advise the LPN of specifics to educate on. Additionally, Sarah should still speak with the diabetic patient and assess their understanding of the teaching and serve as a resource for any questions the patient might …show more content…

Additionally, the LPN cannot push medications into a peripheral intravenous line if the patient “weighs less than 80 lbs, is prenatal, pediatric, or antepartum”, although given that the situation is on a general med-surg floor it is unlikely these patients would be under Sarah’s care at this time. (Rules and Regulations of Practical Nurses. 2015) Sarah can delegate the postoperative patients who need dressing changes and ambulating them to the LPN, but Sarah should assess the wounds for complications initially and serve as resource to the LPN if she has questions about the wounds. Additionally, she could help the nursing assistant with answering calls and serve as a reference for the nursing assistant to ask questions or help with tasks if Sarah is not available. With regards to supervision, the LPN would need continuous supervision given that the working relationship is new. (Cherry and Jacob, 2014) Sarah should be available and willing to answer any questions or address any concerns the LPN

Show More
Related

  • Comparison Certified Nursing Assistants versus Licensed Practical Nurses

    557 Words  | 2 Pages

    The nature of the work is very similar for the C.N.A. and L.P.N. A C.N.A. work includes performing routine tasks under the supervision of nursing staff. They answer call bells, deliver messages, serve meals, make beds, and help patients eat, dress, and bathe. Aides also provide skin care to patients, take pulse, temperature, respiration, and blood pressure and help patients get in and out of bed and walk. They also escort patients to operating rooms, exam rooms, keep patient rooms neat, set up equipment, or store and move supplies. Aides observe patient’s physical, mental, and emotional condition and report any change to the R.N. Likewise the L.P.N. provides basic bedside care. They take vital signs such as temperature, blood pressure, restorations, and pulse. They also treat bedsores, prepare and give injections and enemas, apply dressings, apply ice packs and insert catheters. L.P.N.’s observe patients and report adverse reactions to medications or treatments to the R.N. or the doctor. They help patients with bathing, dressing, and personal hygiene, and care for their emotional needs.

    Read More

  • Reflection Paper On Clinical Day

    717 Words  | 2 Pages

    Overall, I retain three goals for this clinical day: Safely and efficently administer medication, enhance my nursing/CNA skills, and determine how to implement infection control into a health care setting. This week reflects my assigned time to administer medication in a health care setting for the first time, with a resident who retains nearly twenty medications. I except this experience will be a great learning experience, but it will also subsist slightly stressful. With the assistance of my FOR, my goal is to administer all of my resident 's medications without complications. To ensure that medication safety, I will perform the six medication rights and three checks prior to administration. Along with medication administration, a goal

    Read More

  • Healthy People 2020 Case Study

    654 Words  | 2 Pages

    In addition to collaboration with other faculty members of the health department and the community, the nurse also has to be able to handle diverse populations with a wide variety of health concerns. Patients come into the health department for numerous reasons including, immunizations, birth control, annual physicals, STD testing, prenatal case management and vision hearing and dental screenings. She would start by taking the patients’ weight and blood pressure, while asking the patient focused assessment questions. The assessment questions would focus on why the patient came into the facility and in some cases, she would even talk to the patient on a more personal level. No matter what the problem may have been, my preceptor always had the ability to make the patient comfortable. Most patients have been coming to this health department for years now, so they really respect and trust the nurses working here. The nurse presented as the health educator and patient advocate, while promoting holistic health services. No matter what services the patients’ were in need of, education was always part of the process. In many ways the nurse was doing the job of a nurse practitioner, by prescribing birth control, performing Papanicolaou (pap) smears, and ordering diagnostic tests including STD testing. The nurse also performed duties in her management position, including, ordering supplies for the facility, balancing her budget for purchases, and hiring a new part time nurse. My preceptor, Jeannie, has taught me so many different things that I will take from this experience and apply to my own future nursing

    Read More

  • Examples Of Nursing Intervention In Diabetes

    721 Words  | 2 Pages

    With the current literature research diabetes a growing among patients across the world. There several ways nursing can educate their patients on this disease that is killing their patients day to day. Educating their patients on getting physically active, changing their diet, and not smoking our some

    Read More

  • Practical Nursing Essay

    1151 Words  | 3 Pages

    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

    Read More

  • Nursing Research: Diabetes and Self-management

    3278 Words  | 7 Pages

    My interest in this topic is a result of recent experiences with Diabetes Mellitus, Type 1 (DMI), especially with the following two instances: a young adult patient admitted at the hospital following a DKA episode during one of my nursing rotations and one of my instructors with type 1 diabetes. Also, my father was diagnosed with type 2 diabetes, this has increased my eagerness to study and explore more about the disease.

    Read More

  • Essay On Delegation In Nursing Delegation

    2097 Words  | 5 Pages

    The nurse needs to recognize the limitations of each staff member and learn what assignments are within the scope of their practice and what are tasks that need delegation. Delegation is defined as a complex process that requires clinical judgment and final accountability for patients’ care (Weydt, 2010). An assignment is defined as “giving someone else a task within his/her own practice and is base on job descriptions and policies” (NCSBN, 2005, p. 1). The Board of Registered Nursing (BRN) and the Board of Vocational nursing & Psychiatric Technicians (BVNPT) website, lists what duties the RN and the LVN can legally do and is within their scope of practice, this is called the ‘nurse practice act’. A nurse assistant personnel (NAP) or Unlicensed Assistive personnel (UAP) may perform different tasks depending on the state that they reside in, but most include tasks that are considered activities of daily living (ambulating, hygiene, grooming)(NCSBN, 2005). The LVN can perform tasks that the nursing assistant can do, as well as other tasks which include: medication administration (oral, subcutaneous, intramuscular), simple dressing changes, wound care, suctioning, catheter insertion, drawing blood from a patient, and starting an IV and intravenous fluids. IV and blood draws are dependent on the LVNs certification, competence, and

    Read More

  • Nursing Case Study

    1069 Words  | 3 Pages

    A- Value seeing health care situations “through patients’ eyes”. The patient that I have chosen for this discussion is an elderly woman. Her diagnosis was a fracture of the left femur, which happened as a resident in a long-term care facility. Comorbidities include Alzheimer's disease and type II diabetes. She was described by other staff as being mean, uncooperative, difficult, and lazy; little did they know that I was a nurse at the long-term care facility and have cared for this woman many times prior to this hospitalization.

    Read More

  • CNO Case Study

    1365 Words  | 3 Pages

    The CNO’s scope of practice statement is, “The practice of nursing is the promotion of health and the assessment of, the provision of, care for, and the treatment of, health conditions by supportive, preventive, therapeutic, palliative and rehabilitative means in order to attain or maintain optimal function” (College of Nurses of Ontario, 2015). The goal I set for myself is, to learn and understand the scope of practice of an RPN in order to be accountable for all my actions as a future nurse. The reason I feel I need further development in IV therapy is because, in my current clinical setting at the hospital, the majority of the patients I have cared for are on IV therapy. As a nursing student, we have just started learning about IV therapy. I will also use the CNO standards for medication when administering an IV solution because it is a medication and the 10 rights need to be applied (CNO, 2015).

    Read More

  • Critical Reflection on Dialogues

    1934 Words  | 4 Pages

    Whittemore R. (2000). Graduate student scholarship. Consequences of not "knowing the patient". Clinical Nurse Specialist. 14(2), 75-81.

    Read More

  • Nursing Teaching Plan

    876 Words  | 2 Pages

    Introduction A teaching plan is one of the most important steps in the nursing process. It is a vital tool used to achieve the best quality of patient care. A nurse should teach the patient what they need to know about their disease or disorder, diet, treatment, medication regimens, and self-care (Taylor, LeMone, Lillis, & Lynn, 2008). In this paper, I will explain teaching plan for diabetes patient with regular insulin injection, including the purpose of plan, outcomes, behavioral objectives, and teaching method.

    Read More

  • Nursing Essay: Patient Assessment

    2489 Words  | 5 Pages

    The key priority for nursing care with this patient is her learning disabilities and the potential communication barriers that may occur. The patient’s hypertension is well controlled with medication; for these reasons I will focus this assignment around communication barriers with people with learning disabilities, and the importance of good communication between the multi-disciplinary team within the unit. I will also explore any issues with consenting to the procedure, as it is imperative that the patient is fully aware of the procedure and understands the possible risks and complications. I introduced myself to the patient stating that I was a student nurse and gained verbal consent to carry on with the assessment, as a student nurse you must respect patients wishes at all times, if they do not wish for a student to carry out the assessment this must be respected, the patient wishes out way the need for the student to gain experience (NMC 2005).... ...

    Read More

  • Examples Of Teamwork In Nursing Work

    1264 Words  | 3 Pages

    Although those tasks are not done at the same time by each nurse who has a specific patient, it requires clear communication and making an effort for the benefit of other team members. For example, a hand off report is very important so that the continuation of care from nurse to nurse can transition smoothly with each shift. That means that each nurse should make an effort to gather all pertinent data about the patient’s status, orders or procedures to anticipate, and anything that will help the nurse coming on to provide good care without having to jump through hoops to figure out what was done and what should follow. The other way in which nurses help each other is by maintaining their documentation as clear and thorough as they can. Not only does it paint a picture of where the patient is at that moment, but it also provides a safety net for legal

    Read More

  • Bed Bathing Process

    1359 Words  | 3 Pages

    After the handover, I was asked by my mentor to attend to a patient who is bed ridden to have her personal care done with the assistance of one of the health care assistant staff. The patient was recently admitted to the ward and she looks sc...

    Read More

  • Reflective Journal - A Nurse's Duty in the Surgical Ward

    1036 Words  | 3 Pages

    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).

    Read More

More about Diabetic Nursing Case Study

Open Document