I oriented EMT Soper on 7/10/16. EMT Soper was on time and prepared for shift. EMT Soper showed a lot of initiative and ask many questions in the beginning of the shift, when there was downtime. EMT Soper and I went over some of his EMT Field Evaluation forms. We went over where the equipment is stored and how to apply equipment. I did not want to complete any more field evaluation forms until I saw EMT Soper work as a care giver. EMT Soper had 2 calls both utilizing ALS, one that was recalled enroute to the hospital due to proximity. EMT Soper was hesitant on the first call, but was easily corrected. He obtained accurate vitals during both calls. EMT Soper ask appropriate questions at times, but still needs to work and build on his patient
One of Dr. Burditt arguments was that he was technically not ‘under contract’ with DeTar hospital, even though the opposite is true. On-call physicians must be made to realize that they are representing the hospital, not their private practice, therefore the hospital can be jointly liable for their actions. The procedure of providing follow up care for patients with an EMC also seem to be an issue due to its non -existence or inadequate knowledge on the part the ED staff in general and On-call doctors in particular. I recommend that:
When I met my patient for this service project, I was unsure of how I should introduce myself and how I would explain my role relative to their care. My community health worker, Sherron, took all the pressure away from the situation; she had already established a relationship with my patient and I felt more like an invited member into a health care team rather than a new face with something to prove. Sherron had already taken steps to help my patient and I was an added benefit with pharmaceutical knowledge. I spent most of my time reviewing disease states and answering questions about drug therapy. My first interaction with the patient was the first primary care visit; I spent my time extracting medical information from the patient alongside the new physician. This first interaction lasted over an hour, there is no way the patient retained all the details discussed, however Sherron was keeping contact with the physician and was given copies of the patient’s medical record. Sherron kept in constant contact with the patient and was truly the best resource for information besides the patient
My patient was assigned to Ms. Capace under the management of Roberta Costanzo RN NP. Since becoming involved in my patient’s care, Alicia has gone above and beyond to communicate with the patient, myself and my office, the patient’s insurance company, the ER and hospital staff, outpatient treatment
The roles and responsibilities of an EMT is to be on time to the job and have a positive attitude when you come to work. EMTs work with different, that have very different attitudes and people sometimes aren’t that nice in the ambulance and sometimes, if not most of the time, can or are very rude so I have to be ready to deal with all types of people while I’m on the job. EMTs have to know what type of care to give the victim weather it is giving an IV or simply taking blood. They have to know all these things.
Like many facilities, nurses are utilizing judgment, and this means making a decision. Nurses are often placed in a so called “hot box” by RRT leads on justifying the call, so in turn, they become skidtish of calling or stretch themselves out on their own scope of practice. With the availability of RRTs, nurses and ancillary staff shouldn’t over analyze themselves or the situation, if there’s a concern, make the call, a life is potentially at
As a provider of care an AD nurse uses a systematic approach in all areas. Using the process of assessment, analysis, implementation, and evaluation the nurse is able to be consistent and efficient when providing care. As a provider of care the AD nurse must assess a patient’s health status, gather medical history, plan, coordinate, and implement care. The nurse will use continual assessment and evaluation in order to ensure the best outcome for the patient. The AD nurse must develop a therapeutic relationship with the patient in order to effectively treat and provide advocacy. During my clinical rotation I was able to implement many of these steps. I provided daily physical assessments, took vital signs, implemented hygiene care, fed patients, re-positioned patients and changed bed linens. During each shift I was respons...
There was inappropriate staffing in the Emergency Room which was a factor in the event. There was one registered nurse (RN) and one licensed practical nurse (LPN) on duty at the time of the incident. Additional staff was available and not called in. The Emergency Nurses Association holds the position there should be two registered nurses whose responsibility is to prov...
On the 7th of March in 2018, I attended the Community experience with the EMS team at Fire station of area one. This station is located at the northeastern corner of nine mile road. Upon arrival I introduce myself to the team. Every member of the team was presented in a professional manner that included: one’s skills, education, and the years of experience. During the meeting, several subjects were discussed such as: nursing student’s objective from this experience, Clarifying tasks and tactics, protocols and daily operations. All the tasks were executed with each member of the team with integrity, honesty and beneficence to the warren community. During the twelve hours shift, there
An Occupational Therapist has several responsibilities when it comes to taking care of their patient. Before they can do anything, they must review the patient’s history. They do this by asking the patient
I escorted her to a room, and helped her change into a gown. I understand that a 22-year old is capable of changing her own clothes, but I wanted to spend more time with her for further investigation. Auscultation of the lungs revealed bilateral clear and equal breath sounds, and heart tones were audible and regular. No peripheral edema was noted upon examination of her lower extremities, and she denied a history of similar symptoms or any medical issues in the past. Again, my nursing experience was challenged. Everything looked great, except this feeling remained that something was wrong. ER was busy that day, so I put in on order for a chest x-ray, and then told the doctor why she wanted to be seen. I told him that I ordered an x-ray, but something was not right about her skin color, not jaundiced, swallow, or cyanotic just not right, and I asked for basic lab work. The doctor felt lab work was not needed at that time, and I did not push the issue. I just thought to myself, “maybe he is right, and I have worked too many days in a row”. When the patient returned from the x-ray department, I met her at the room. I asked how
I believe that if you asked a group of people to list off issues regarding an emergency department then they would say long wait times throughout the process and being moved around to different areas of the emergency department. From what I have heard the long waits can be associated with waiting to get back to a room, waiting to see a nurse, waiting to see a doctor, waiting to go to radiology or lab, waiting on results, waiting to be discharged, or waiting to be admitted. All of these things in my opinion add up to one main problem, which is patient flow through an emergency department. In my opinion being able to have a controlled patient flow allows for improved wait times and decreased chaos for patients. So there are a few things
The environment that my interviewer tries to maintain is a positive, friendly, and at times disciplinary atmosphere. The usual time, after graduating college, for the RT program requires two years, learning about the equipment and education in chemistry, biology, etc. However, like all science departments, you never truly stop learning new techniques or refreshing your education since science is constantly evolving and expanding. Although this RT had received a bachelor’s of science degree and thus when it came time to take prerequisites, requirements prior to the career, their credits transferred over, thus only taking one year. At UCLA, since that is where my interviewer went to college, got hired immediately after finishing through internship at UCLA Medical hospital since they saw the person work as a student, and saw them in practice. There was (unsure if still to this day) no wait time to get into the program, unlike say a nurse, which was a two year wait. No one starts with a full-time job until they learn about the workspace by a senior respiratory therapist. Eventually the RT moved up to become now night-shift supervisor, who is instead of just a few, is responsible for all patients under the RT department, providing support, and distributing
At the same time of this occurrence there were other things that went on pertaining to transference and counter transference. The Intern and I definitely had some type of strong transference and counter transference going on. There was a clash of personalities between the intern and me. We totally did not get along. I felt uneasy and that she did not want me there in the room with her. Why? I thought that maybe she felt challenged. I don’t know, but I felt I asked the patient questions that she forgot to ask. I also gave her my opinion about treatment principle, which I do not think she appreciated. With my previous interns, I was very much part of the intake and treatment process. The interns and I would ask questions. If one forgo...
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...
I asked what the date was and where he was at. He wasn't able to tell me the date or the name of the facility he was at. But he knew the day of the week and what town, county, and state he was in. He was asked to remember three words and later repeat them back to me, but wasn't able to do so. His language skills were well, he was able to name a few items for me, repeat sentences, and follow directions. His highest education level was either 5th or 6th grade, which he couldn't remember. So it seemed to me as if his skills matched up to the level of education he said he had. According to his charts, the resident's diagnosis was atrial fibrillation, chronic renal insufficiency, myocardial infarction, hypertension, hyperlipidemia, and angina. I didn't see anything dealing with his mental status. He told me that the reason he was at the facility was because at home he was starting to become forgetful and didn't have anyone that could help him with his daily needs. But after talking to him, I truly seen how he would forget things so