As a patient service level advocate of eight years, I analyze any ethical issues and apply appropriate actions. Service-level advocate attempts to resolve patient issues, working in collaboration with the facility Patient Advocate to help identify opportunities for improvement. I respect the rights and privacy of patients and staff to protect their confidential information verbally, electronically, and print communications, while continuing to demonstrate leadership in identifying by responding to any ethical issues that may impact patient care. An incident occurred with one of the veterans, which caused the Root Cause Analysis committee to get involved. The veteran with kidney failure was told by the vascular surgeon not to use his “right arm” for any blood pressures, needle stick, or IV use, due to pending surgery for an arterial venous fistula (AVF) placement.…
Want to know how to bring a U.S. Marine to tears? Give him a Rocephin shot. As one Marine quipped, “it brings half the men to their knees, and the other half to tears.” Doing a Google search on the term “Rocephin” (aka the peanut butter shot), you’ll find the #1 concern of military recruits is receiving this required penicillin shot during boot camp. “It feels like acid going in” is a common description.…
1. Develops a therapeutic relationship with clients Therapeutic relationship is the special connection between the nurse and client that is based on trust, empathy, respect, and professional intimacy. On the afternoon shift the certified nursing assistant (CNA) reported to me that a client did not have dinner.…
Behavioral Interviews Questions 1. a. Question: Describe a time when you showed initiative and took the lead? b. STAR Answer: During one of my clinical experiences as a nursing student at a local hospital, I was doing bedside reporting with my nurse.…
“Heartless” Strength of American Nurses Have you ever thought about how hard it is to be a nurse? How emotionally difficult it is to have a patient die in your care? Nurses do more than most people realize, they have no time to mourn every patient's death because there is always someone else who is going to need their full attention. Some may say nurses are heartless, I know I did.…
This week in clinical, I was assigned a patient with a nasogastric tube. A NG tube is very painful for the patient if it is slightly moved, so I was a little nervous taking care of this patient. I walked into to the room and met with the patient and his wife. I began to ask him questions about his past medical history, his medications, and current state of being. I then took vital signs.…
oday, it is just a month my surgical procedure took place. The surgery was perfect. Emergencies after the procedure were handled effectively. The surgeon, Dr. Moreno, made an art work. The cardiologist, Dr. Quezada was accurate in all opinions and actions.…
Having experienced a difficult recovery from orthopedic surgery, I believe I will provide a valuable perspective of patient care to the doctor of physical therapy program at Eastern Washington University. Two weeks prior to my junior year of college, I had ACL reconstructive surgery in my left knee. Due to complications in surgery, my lateral meniscus remained torn in spite of the surgery. This exacerbated an already difficult and demanding recovery. Months into my recovery, I struggled with lingering issues of inflammation, pain, regaining range of motion, and a ‘catching’ in my knee.…
DESCRIBE HOW THE THINGS THAT ARE MOST IMPORTANT TO YOU IN YOUR RN ROLE HAVE PREPARED YOU FOR THE APRN ROLE? As a pre-operative and Post Anesthesia Care Unit registered nurse, I have worked with patients at a pivotal time in their lives. Patients experience a variety of emotions and have a multitude of challenges to overcome when they present for surgery. Working in the acute peri-operative setting has allowed me to developed the interpersonal skills to provide compassion for the patients, yet thoroughly, safely and expeditiously assist them through the surgical experience with a high level of care they deserve.…
As I was going to clinicals today, I felt less nervous and felt more calm than usual. I was on Med-surg today and I got to see several different things. I was able to feel and listen to a bruit. The patient was going through dialysis at that moment, so I got to see that as well.…
In order to be a cognitively competent professional, nurses must practice critical thinking and should follow various personal critical thinking indicators (CTIs) such as being honest, autonomous, open-minded, courageous, and health-oriented (Taylor, Lillia, Lynn, & LeMone, 2008, p. 206). As these CTIs suggest, being an independent thinker and avoiding groupthink in the nursing profession is extremely important; therefore, labeling patients or going by the popular opinion about a patient and his or her intentions is a dangerous practice. Without making autonomous assessments of each and every patient and just putting them in a group, nurses put that patient’s health at risk! That being said, “Millie’s Story” (Ironside, Diekelmann, & Hirschmann, 2005) is a perfect example of the importance…
For my assignment, I shadowed the emergency room on a weekend. I shadowed two nurses whom had different patients. As soon as I got there, patients already began to flood in. I wouldn’t say it was hectic, but my nurses definitely kept me busy observing them. The first patient to come in was an older female.…
When I took over the care of the patient the nurse already brought the patient in the bathroom and she was already sitting on a shower chair. I introduced myself to the patient and asked her if she needs my assistance. Behind my mind, I was assessing her if she was capable of doing it by herself and…
My First Broken Bone The time I broke my first bone, I was tumbling and the event affected me greatly. It had a major impact on the way I thought and my mindset when it comes to achieving my goals. Sometimes, things happen in life that bring us down and make us doubt ourselves, but no matter what happens, we should always keep striving to reach our goals. Which is what I had to do when I was going through a rough time in tumbling. On an afternoon in June of 2011, I attended my normal tumbling class at Full FX in Port Arthur, Texas.…
Insight to Shoulder Surgery Shoulder is the most flexible joint in the human body. It enables you to place and rotate your arm in various positions. However, its flexibility is exactly what makes shoulder prone to instability and injury. Age is another important factor that may cause problems to the shoulder. Such problems usually include disease, arthritis and other injuries.…