Every Wednesday I was assigned a patient to attend to by a specific nurse who was also my supervisor in a hospital setting. My instructor ensured that this nurse followed my progress in respect to the way I was to handle the patient through written report. While taking care of the patient, I recorded various changes, he/she indicates towards recovery. I reported these changes to the nurse. While participating in this activity, I was expected to follow the strict guidelines by the instructor and nurse; as required by the rules and regulations, and code of conduct in nursing. The nurse I was assigned to seemed a little intimidating in terms of her strictness when dealing with a student. This made me strive to avoid mistakes by documenting on time, and restoring the confidence of the patient to my ability. My key issue is that sometimes, the nurse would go with me to the patient and this heightened my anxiety. This led to jeopardizing the client’s safety, in this event; I forgot to lower the patient’s bed back to the appropriate height. The issue was a very serious one because it is clearly stipulated in the nursing code of ethics that the nurse must always make the patient feel safe and ensure the patient’s safety by doing things like lowering and raising the bed height as is required. In my case, the bed height had been temporarily raised by the nurse and I was expected to lower it back to its original height. I therefore potentially and unconsciously compromised the safety and comfort of the patient by leaving the bed high. I constantly reported to her concerning the condition of the patient in close time intervals across the day. On this day, a patient of mine had an IV site concern. The nurse assigned me to make some adjustme... ... middle of paper ... ...es need to be taught awareness skills, and given enough training to sharpen, and maintain them .Instructors should be firm but fair. This means they should be ready to correct their student’s mistakes without necessarily coming off as overbearing and this was demonstrated by the nurse. Student nurses must interact more with their patients by listening and trying to understand them. Although the patient might not know what’s best for them, they may have an idea of what is going on and might help the nurses understand issues better. Everybody makes mistakes, but it is always good to learn from them. In professions like nursing which combines pressure and tight schedules, it is important for nurses to stay sharp at all times. However, focus is easy to maintain if we adopt a problem-solving mentality and a positive attitude (Tucker, 2000). Only then can we go far.
I really don't like doing this, but I believe this case warrant me to inform you about a minor incident that took place on saturday night at about 0430. Alvin requested my assistance at emergency department with a coding patient arriving via ems. However, upon the conclusion of the code, a Nurse named Olivia Wilson approached me with vnasty attitude (yelling) saying her patient was suppose to be CT scan long time ago. First of all, I wasn't aware of the CT scan, the only reason I was down there in the ED was to assist Alvin with the code, and Olivia just assumed that I was aware of the CT scan. When I was exiting with Mellissa (who came to join us toward the end of the code) the ED to continue my work work in the ICU, Olivia
The medical secretary, registered nurses, licensed practical nurses, and physicians communicated consistently and appropriately so that all staff could effectively complete the actions required of their respective roles. I noted the strong relationship between the nurses and the physicians. The nurses held a heavy influence on the physician’s decisions regarding a situation, because the nurses were the ones conveying pertinent information related to the patient’s status. Based on the information provided, the physician would make recommendations and provide guidance to the nurses. The physician’s directions were then carried out by the nurse, influencing the nurse’s plan of care for his/her
I enjoyed interacting with the patients, and my nurse. Karie, was amazing. She explained to me everything she did. The routine for each patient was very similar, and this repetition helped me anticipate what Karie needed and helped me feel fairly confident in assisting her with the new patients and their needs. On the other hand, I was extremely disappointed that I was not given the opportunity to administer an intravenous (IV) line. Karie was willing to allow me the opportunity after I watched her place an IV in three different patients, but her fourth patient was transported from a different hospital with peripherally inserted central catheter (PICC) line in place. It was beginning to get late in the day and the patients coming in was slowing down, so Karie told the nurses at the nursing station that I needed to practice IV’s, but no one had any to give. Although I was disappoint that the opportunity to insert an IV into a patient did not arise, I did gain much knowledge regarding the ODS unit. I am now familiar with the physical layout of the unit and what takes place with patients that go there. I know the role of the nurse. I was also given an opportunity to practice nursing diagnoses on a
According to provision 4 in lecture, the nurse is responsible and accountable for individual nursing practice. After the new RN observed the nurse who was having difficulty focusing, legally the supervisor nurse was not following provision 4. The nurse was not demonstrating correct actions that he/she was responsible for and was not being accountable for her actions. It is stated that “The recognition of accountability for actions is the cornerstone for a profession because of the implied social contract with the public” (Lachman, 2009, pg.57). The nurse was demonstrating actions that are unfit and could lead to potential harm. The nurse should be accountable for her own actions. The new RN was being responsible and looking out for patient safety when the supervisor nurse came impaired to work. Also, the supervisor nurse was not following provision 3. According to lecture, provision 3 states “The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient”. The code of ethics states “Nurses must protect the patient, the public and the profession from potential harm when practice appears to be impaired” (ANA, 2015, pg. 13). The new RN is protecting the patients and the profession when the supervisor nurse was came to work
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...
However, I was assigned to be with the clinical manager and some of the nurses on the fifth floor. Effective management occurred when the CM took action when a family member was concerned about the patient's cardiac status. Resolution of the issue occurred when the CM got hold of the doctor in charged of that patient. The CM effectively delegated a task that needed a fast response to the CNA. The task was to help transfer a non-assigned patient to another room. An ineffective management and delegation occurred when the CM assigned a CNA and a nurse to three unstable patients, requiring higher acuities. With higher acuity patients, CNAs and nurses need to manage their time reasonable and under strict supervision by the CM. Therefore, when managing and delegating care to nurses, CNAs, and other staff members, make sure you follow the five rights of delegation and secure an equal number of patient acuity per licensed staff
The patient (James Laney), indicated he tossed a piece of paper and missed the trash can in his room. The employee (Johnnie Edmonds, RN), yelled at him in a harsh tone to pick it up. The patient indicated he was unable to walk to the trash can due to his infected diabetic foot ulcer, which was the reason why he threw the piece of paper and missed the trash can. The patients also indicated the nurse was confrontational in discussing his plan of care after the event. He informed the nurse, he did not want him to provide care for him during the remaining of the shift. The patient alleges he was dis-respected by the nurse, because he continued to come in his room and taunt him after being asked not to enter his room, and requested another
In this essay the author will rationalize the relevance of professional, ethical and legal regulations in the practice of nursing. The author will discuss and analyze the chosen scenario and critically review the action taken in the expense of the patient and the care workers. In addition, the author will also evaluates the strength and limitations of the scenario in a broader issue with reasonable judgement supported by theories and principles of ethical and legal standards.
As a result, she breached the standard 6 which states that “registered nurse should provide a safe, appropriate and responsive quality nursing practice” (NMBA, 2016). In line with this standard, nurses should use applicable procedures to identify and act efficiently to potential and actual risk such as unexpected changing patient’s condition (NMBA, 2016). Through early identification and response by the nurse, this will ensure that the patient’s condition is recognised and appropriate action is provided and escalated (Australian Commission on Safety and Quality in Health Care, 2011). Moreover, the nurse did not immediately escalate the patient’s deteriorating condition to the members of the health care team. Therefore, she also disregards the standard 4.3 stating that nurses should have work with the interdisciplinary health care team and to collaborate, communicate and discuss the patient’s status (NMBA,2016). The purpose of collaborating and communicating with the team is to provide a comprehensive plan of care for the patient and to facilitate early treatments needed by the patient (Cropley,
In the scenario provided, there were several key factors that could have resulted in a poor quality outcome for the patient. There were a number of tasks assigned to the Licensed Vocational Nurse (LVN), which required special training or competency. It was difficult to validate that the LVN had been deemed competent to perform the more specialized skills with the information available. Clarifying the LVN’s skill set and having full understanding of her training would have been critical for the RN in charge. Further, the LVN was simply not delivering the care that had been assigned. The RN needs to critically evaluate the situation. The LVN may have felt intimidated, lacked the skill, failed to understand the assignment, or any other variety of reasons. The point is the patient was not receiving the care needed and an intervention was required. “Delegation is both an art and a science. It includes cognitive, affective, and intuitive dimensions,” states Marjorie Barter (2002). All RN’s, regardless of assignment, should remember that “leaders do more than delegate, dictate, and direct. Leaders help others achieve their highest potential,” (American Nurses Association). The RN would have been remiss in not pursuing an answer to why the LVN appeared to be avoiding ce...
I was caring for a patient that was diagnosed with congestive heart failure. After receiving bedside report, I preceded to my patients charts for morning labs and such prior to beginning my patients assessments. Upon entering the room of said patient, I began my assessment and realized that the patient didn’t seem the same as a few minutes ago when receiving bedside report. When I asked how the patient felt, she explained that she wasn’t feeling well and felt a little nauseated. I just didn’t feel right with my patient’s condition so I called the rapid response team to assist with this patient. During the rapid response, I stayed with the patient the entire time to provide safety and emotional support. I administered medications as needed throughout the process. The patient was transferred to the intensive care unit for further observation. I charted what had happened and the outcome of the situation. It was through my knowledge, nursing judgement, and skill that I was able to process this situation through the nurse’s scope of
My third day at the hospital, I was in the orthopedic unit. Before receiving the report, my nurse got paper and put the patient’s name. I noticed the report was done at the patient’s bedside. The nurse, I shadowed, said the report was done at the bedside in case she noticed something in a patient’s room that needed explanation such as a device the patient uses. Also, the patient can confirm the details that the nurse is saying to the oncoming nurse. This gave the oncoming nurse the opportunity to ask questions as well as introduce herself to the patient. If the patient was asleep, the report was done outside of the patient’s room. The report consisted of the patient’s past medical history, the date of the last dressing change. They discussed any additional medication the patient received.
She told me that this particular client’s doctor was most likely going to be coming in and order that her catheter be removed and take her off the normal saline 0.9%. She said that she should be starting to get up and moving today. After I had introduced myself to my client and took her vitals I talked to her about her daily goals and what I would be doing today with my assessments. When I came back to my patient to do my head to toe assessment, I asked if she would like to move to the chair when we were done, she said she would try but she it was very painful to sit up because that put pressure on her incision line. I asked if she would like her pain medication that she didn’t want earlier, because I discussed that by the time I finished with my
I believe placing student nurses in the clinical setting is vital in becoming competent nurses. Every experience the student experiences during their placement has an educative nature therefore, it is important for the students to take some time to reflect on these experiences. A specific situation that stood out to me from my clinical experience was that; I didn’t realize I had ignored the patient’s pain until I was later asked by the nurse if the patient was in any pain.
I was fortunate enough to have went into my patient's room to answer a call light prior to rounding. The patient had many questions and had a pain of 10 on the 0-10 scale. As I went to inform my primary nurse she was just about to go into the patient's room and was shocked to see that a student nurse was placed with this patient. She informed me that I had a, "difficult" patient. Because I was able to already go into the room and meet the patient for myself, what the nurse had said did not really have a large impact on my view of the patient. Then a few minutes later my instructor came and asked if i would like to be reassigned a new patient since she had also heard I had a "difficult" patient. I had compassion for my patient, respected her