The patient is a 56 year old Bangladesh male came by ambulance due to sudden onset of shortness of breath at 3 o’clock in the morning when he woke up to go to the washroom. The patient also has chest pain, nausea and vomiting, fever and worsening orthopnea The patient is having dementia, hypertension and ESRF stage 4. However, patient reused HD and was under nephro clinic, but planned for palliative management. The patient had been admitted to the hospital due to the same presenting complaint for several times.…
Throughout the entire semester, I incorporated evidence based practice into my clinical days. Whether if I was performing a skill or if I was observing my nurse do a skill, I was thinking is this evidence based. I observed nurses use water instead of alcohol to clean an area on the skin before pricking a patient’s finger for a blood glucose check; this I knew was evidenced based. Some none evidence based thing that I observed were using 5/8inch needles when the nurse should have been using a 1inch length or not using two hands when assessing a patient’s fundus. I met my midterm goal of telling the nurse nicely that this is not what we learned in school.…
Being at the Phoenix Center today made me see how people’s attitude can affect a person. Patient’s in detox centers such as Phoenix have set schedules to abide by as part of their treatment plan. It is nesseccary for them to attend to these private and group meeting to help them stay on track. Many of them see these meeting as pointless and stupid but they are very beneficial to their progress. These patients are also grogy and tired as they are coming off of drugs and alcohol, and the medications they take also make them tired as well.…
1. When I started in college, I was unsure of what degree I wanted to get. One thing I know for sure is that I wanted to be in the medical field. I was choosing between ultrasound, radiology, nuclear med, and nursing. I tried thinking what are my possible chances of getting a job and chances of success in each place. I chose nursing which is a degree with a growing demand and greater opportunities.…
As a medical assistant, we will have to talk about certain topics that may make a patient feel uncomfortable. For example, when talking to a patient about their reproductive health history. It is our job to obtain pertinent information about our patients for the physician. When talking to our patients, we need to be kind and professional. It is important that we also inform our patients that we need them to speak truthfully and that anything they say will remain confidential due to HIPAA.…
According to the Scope of Practice Policy (2017) web page Advanced Practice Registered Nurse (APRN) are not recognized by Kansas policy as an autonomous primary care provider. Instead, Kansas similar to many other states, practice authority requires collaborative practice and a written protocol for a medical plan of care with a responsible physician. However, the physician does not have to be present under Kansas Regulation 60-11-101 for the APRN to deliver primary, secondary or tertiary care. Prescriptive authority for APRN requires a written protocol with a detailed medical plan for each classification of drug that may be prescribed by the APRN. In addition the APRN must register with the U.S. Drug Enforcement Administration and notify the State Board of Nursing with the name and address of the responsible physician under KS 60-11-104(a).…
Change in dietary habits and embracing sedentary modern lifestyle have increased the prevalence of obesity across the world. Approximately 41 million children under the age of 5 are underweight or obese (WHO, 2016). With 25 % Australian children being overweight or obese, obesity and overweight is health scare among all levels of population (AIHW, 2017). However, obesity is preventable as well as manageable, but requires earnest efforts based upon evidence based practice (EBP). EBP helps in making effective health care and management decisions to care individual patients using the best available scientific evidence.…
I currently work as a long-term care nurse manager. I oversee twenty-one nurses, forty plus certified nurses aids and sixty patients. The clinical dashboard at my place of employment has become useful to me as a leader in managing the plethora of data in my facility (p. 302). The dashboard quickly displays important data elements such as critical lab results, clinical alerts, pharmacy notifications and radiology alerts. Every morning I look at the dashboard to monitor my patient's data and evaluate their needs.…
Term Paper Proposal: Clinical Case Assessment Research Paper Introduction The character, Melvin Udall, from the film As Good As It Gets (1997), played by Jack Nicholson, will serve as the client for this case study. Previously, Melvin, a successful author, received a diagnosis of obsessive-compulsive disorder by his psychiatrist, Dr. Green.…
9:10pm This undersigned witnessed patient standing in the hallway facing the nursing station when he turned around his foot was rolled over by a peer in a wheelchair. Patient observed extending his hands in front of himself when he lowered himself to the floor landing on his hands and knees. His head did not touch the floor. The patient immediately stood up and positioned himself in the medication line.…
San Bernardino, the city a grew up in is a very underserved community. The majority of students in the community receive free lunch at school, including myself during high school. By working as a scribe in the emergency rooms in San Bernardino, I have been able to observe just how underserved this community is. The majority of patients we see have manageable diseases that can easily be controlled with medication, however, they come in to the ER with complications from not being able to receive their medications. For instance, one patient was brought into the ER after a syncope episode without head trauma.…
Test #2 Correction Question 2. Diagnosis Phase: When I first read the question, it reminded me of my multivariable calculus first class session where my professor used an example of a plane being landed in windy weather, to teach us a concept of vectors. Initially, I began to picture the scenario of a plane flying under consideration of wind being involved instead of looking at the numbers. Afterward, I drew the free body diagram of how the problem looked as using numbers and direction. Since the problem stated that the wind approached west of north, I merely drew a line going to the west of north direction within the given angle.…
Introduction When making clinical decisions, nurses need to consider many different aspects including clinical knowledge, clinical standards, experience and patient-centered decision making. It requires nurses to have a high level of critical thinking. Professional boundaries which acts as limits to maintain therapeutic relationship between professionals and clients can be regarded as a basis of clinical decision making. In the given scenario, Sam Mills is an RN who works with five general practitioners and two other RNs. Sam’s neighbor, Lee, came for redressing chronic wound one day.…
My first clinical experience was at St. Vincent hospital on a geriatric unit, when I was a second year nursing student. During my time there, nurses often approached me to provide small learning experiences and teach students how to be efficient. When a nurse on the unit asked for help with a bed bath for a patient with whom I was not familiar, I agreed. I wanted to get as much experience as I could. The nurse led me to the patient 's room right away.…
Nursing is a lifelong learning. To grow professionally in nursing I need to reflect and analyse on my clinical experiences. It will help me to improve my professional practice, gain more knowledge and skills, and increase my critical thinking abilities and confidence in dealing with difficult situations. To reflect on what I had learned during my past work experiences I will use Gibbs reflective cycle. It was my first week of work as an Operating Theatre (OT) nurse.…