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Nurse Role In Emergency Situations
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Imagine, you are a nurse in the middle of your shift when all of the sudden the alarm system sounds and over the intercom you hear “Doctor Quick Response Team Cardiac Unit”. You begin to feel flush, your heart is pounding and you become nervous, the questions start racing through your head “am I ready to respond, what am I going to do?” This reaction is completely normal, in fact in today’s health care setting the needs of health management services are increasing and more and more health care professionals are feeling the stress especially during medical emergencies. Therefore, it is important for hospitals and health care settings to have a policy in place to hold mock clinical simulations, for in times of emergency to allow for health care provider to practice and prepare to respond to medical emergencies in a rapid and organized fashion. …show more content…
As a nurse for the hospital a little over a year now, I feel this policy should be more than yearly. There should be classes each month that nurses and other health care professionals can sign up for when they feel they need to better their skills and or want the practice. The policy we currently have is due to the fact that each emergency code is different, every health care professional attending the emergency situation all hold different forms of nerves no matter how long they have been in the health care profession. Having a clinical policy that allows for mock clinical experiences to be practiced helps “the knowledge base of nursing to grown exponentially” (Curl, Smith, Chisholm, McGee, Das, (2016)), and as well “improve performance as well as increase confidence” (Herber & Heaser, (2016)) in health care
The Iowa model, developed by Titler in 1994, focuses on organization and collaboration incorporating conduct and use of research, along with other types of evidence (Titler et al, 2001). Since its origin in 1994, it has been continually referenced in nursing journal articles and extensively used in clinical research programs (LoBiondo-Wood and Haber, 2006). This model allows us to focus on knowledge and problem-focused triggers, leading staff to question current nursing practices and whether care can be improved through the use of current research findings (Titler, 2006). In using the Iowa model, there are seven steps to follow: (1) selection of a topic or problem for evidence-based practice, (2) forming a team, (3) Evidence retrieval, (4) Grading the Evidence, (5) Developing an EBP Standard, (6) Implement the EBP, and (7) Evaluation (Titler et al, 2001.
Bachelor of Science in Nursing (BSN) programs strive to prepare student nurses for the National Council Licensure Examination (NCLEX) that tests not only pure knowledge, but the reasoning and application of that knowledge. These programs provide student nurses with the necessary knowledge base and ability to apply knowledge in practice; especially since the introduction of Evidence-Based Practice (EBP) has been integrated into didactics. EBP, along with hours of clinical placement, benefits student nurses by arming them with the clinical judgment skills called for in the workplace. However, if student nurses accrue more focused clinical hours in their areas of specialty, they will be better prepared for the situations they will face in their careers in which simulation labs or nonspecific clinical settings fail to adequately prepare them. With more hours spent in specialty areas, student nurses will be able to establish higher degrees of mental preparedness and hands-on experience as well as understanding of the difficulties and demands of working as a nurse in a specific field as opposed to shifting between various focuses of nursing.
A team led by RN, should mentally prepare their patients to understand their responsibility towards good health. This can be done by showing them special documentaries during their stay in the hospital, in a common room where other patients can also join them in a group of six to twelve. After the session, patients should be given a short comments form with multiple choice answers (Appendix A). The purpose is to check their positivity towards the message conveyed through the documentary. At this time patient's vitals should be checked and recorded for the future
Clarification of the research question is at the end of the opening section and states that the study was “designed to evaluate the use of a quantitative instrument to measure caring in the nursing simulation environment.” This question is consistent with the problem statement of evaluating the correlation between caring and nursing simulations.
... simulations, which range from computer run screen simulations to physical simulations, are helping the medical trainees acquire high edge experiences from repetitive exercises of complex medical procedures. The skills and understanding derived from this kind of training is hopefully expected to improve the actual medical service delivery once the students graduate.
People are living longer and healthier lives now more than ever before. Much of this can be attributed to the advances in modern medicine over the past few decades. However, in healthcare, there is now a growing population of patients that are becoming sicker and more complex to care for. With the new generation of sick patients present in the hospitals, today’s nurses are stressed and fatigued more than ever before. Much of the stress and fatigue can be attributed to the nurse to patient ratio and the associated workload.
The nurse to patient ratio is unrealistic in many hospitals. In most cases it is almost impossible to give each patient the true amount of detailed care they really need. This is seen in most cases where there is one nurse assigned to 16 patients and each patient requires a different level of attention. Nurses are pressed for time, forcing them to cut corners, resulting in an increase in nosocomial infections and patient deaths. “The past decade has been a unsettled time for many US hospitals and practicing nu...
Human factors are derived from construction and adapted to a system of development in health care by carefully examining the relationship between people, environment, and technology. The consideration of human factors acknowledges the capability or inability to perform a precise task while executing multiple functions at once. Human factors provide an organized method to prevent errors and create exceptional efficiency. Careful attention must be exercised in all levels of care such as the physical, social, and external environment. It is also vital to carefully consider the type of work completed and the quality of performance. Applying human factors to the structure of healthcare can help reduce risks and improve outcomes for patients. This includes physical, behavioral, and cognitive performance which is important to a successful health care system that can prevent errors. A well-designed health care system can anticipate errors before they occur and not after the mistake has been committed. A culture of safety in nursing demands strong leadership that pays attention to variations in workloads, preventing interruptions at work, promotes communication and courtesy for everyone involved. Implementing a structure of human factors will guide research and provide a better understanding of a nurse’s complicated work environment. Nurses today are face challenges that affect patient safety such as heavy workloads, distractions, multiple tasks, and inadequate staffing. Poor communication and failure to comply with proper protocols can also adversely affect patient safety. Understanding human factors can help nurses prevent errors and improve quality of care. In order to standardize care the crew resource management program was
Through this essential, I have been able to integrate biophysical, psychosocial, analytical, and organizational sciences into my area of practice as an educator. I learned to improve my advocacy and mentoring skills providing my students a non-judgmental learning environment. The clinical rotations often bring forth ethical dilemmas and through debriefing the students and this writer are able to advocate for the patient. Organizational and Systems Leadership for Quality Improvement and System Thinking are critical for improving quality patient outcome. The DNP program prepares the graduate to evaluate practice approaches based on scientific research findings. Because, I education student nurses; I have the responsibility to keep up with new best practices in healthcare, and transfer this knowledge to the students. Clinical Scholarship and Analytical methods for Evidence-based Practice, I have been able to develop a PIOCT question and review the literature of the value of simulation labs. However, my question may have to be reframed for there were few studies that demonstrate to the percentage of time spent in simulation versus transitional clinical rotation. Information system/technology and Patient Care Technology and patient Care Technology for the Improvement and Transformation of
...to communicate with your patient in order for them to be updated with their family’s sickness. And also have compassion towards them. You are likely to see a lot of injuries and scenarios play out among patients that have been admitted to the hospital. There are many achievements in this field that you may accomplish. And priorities that you have to deal with. For instants your time you have to adjust your schedule.
A Rapid Response Team (RRT) is a group of healthcare providers that are called upon when a patient is showing signs of rapid deterioration due to cardiac or respiratory problems. One of the concepts of a RRT is to provide the fastest response possible to an emergent situation, allowing any healthcare employee, being a patient care assistant, nurse, medical technician, or unit coordinator, to call a rapid response if a patient is suspected of going into cardiac arrest or any life-threating situation. By providing a RRT to a hospital, the risk of a serious adverse event is decreased. A serious adverse event is when there is a delay in medical care to a patient that increases risk of death or disability (Jones, 2011)
The third article reviews the use of simulation training in obstetrics to improve the competencies of health care providers. Method used was a systematic review of peer reviewed literature. Findings include that location of the skills laboratory had no effect on outcomes, rather training content and delivery determined success. Simulation trainers need to be knowledgeable, committed, and enthusiastic. Learning is improved when the practice of debriefing and feedback are used. The conclusion states obstetric skills laboratories can play a substantial role in increasing competency and confidence of staff via ‘skills and drills’ type training (Utz, Kana, & Broek, 2015).
In the best of days, we see minimal action, but in the craziest of times many things seem to compound and defeat our efforts. This paper is being presented to review the needs of updating our rapid response guidelines and rapid response teams. Being a front line nurse places ourselves in the most peculiar situations. We, as nurses, are the ones who notice and document changes in patient conditions. It is our keen sense of subtle changes that can enact and illicit responses from areas of higher levels of care. Understanding the purpose of initiating a rapid response creates a sense of reassurance in that there is always someone able and willing to help in declining circumstances.
Emergency Department Crowding and Patient Flow Emergency department (ED) crowding and inefficient patient flow is one of the primary issues affecting hospital around the word. The problem of overcrowding responds to many aspects, including internal and external factors, but one thing is clear, improving patient flow and minimize ED crowding is a top priority for healthcare organizations these days (Di Somma et al., 2015). Improving patient flow through the emergency department and hospital setting requires the need to identify the problem and propose the best strategy that should be deployed. Setting The phenomenon of ED crowding and patient flow occur in a setting where the demand for medical services exceed capacity and resources available.
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.