S- Valley Baptist responded to a call of motor vehicle accident. The 24 year old male that had injuries on his body. The paramedic greeted us to the patient while they escorted him to the room. O- The nurses and I DCAP-TLS and expose him with sheers as i did my patient assessment.…
Required Uniform Assignment: Interdisciplinary Care Gary Grant Chamberlain College of Nursing NR340: Critical Care Nursing Required Uniform Assignment: Interdisciplinary Care Background information Demographics: 65-year-old black male; No known allergies; Full code status History of present illness: Patient presents to the Emergency Department with complaints of stroke like symptoms. Patient is visibly weak on the left side and slurred speech. Relevant past medical and surgical history: Patient has a history of hypertension and diabetes.…
Gained U.S clinical experience shadowing Dr. Narasimaiah in outpatient clinic. My role: • Observed and participated in evaluation and management of patients. • Analyzed and interpreted lab reports and diagnostic tests. • Discussed pathophysiology, management and prognosis of specific cases. • Assisted in counseling patients and follow up.…
- Planned, organized, and established priorities based on individual patient’s needs and scheduled activities and adjusted priorities and activities in response to unanticipated events. - Delivered care and provided care coordination for patients in an intensive care setting. - Initiated and coordinated interprofessional team assessments and plans of care including physical, spiritual and psychosocial needs of patients across the continuum of care. - Developed plans of care to achieve identified patient goals in an intensive care setting including planning for transitions within and from the hospital setting. - Communicated regularly with the interprofessional team members throughout the patient care experience.…
There are numerous paramedic specialist roles that are immensely beneficial to the community and even more so in rural areas. Specialist Roles provide and allow a for a wider range of scope of practices where patients can receive advanced care in difficult or life threatening situations. The most common specialist role that majority of paramedics aspire to become is an intensive care paramedic. An intensive care paramedic is an advanced clinical specialist of paramedicine and like every service will work with a variety of multidisciplinary teams supporting each other and achieving common goals that benefit the community. To advance from a fully qualified paramedic to an intensive care paramedic will involve an educational requirement where…
Throughout my time on the floor the patient experienced exacerbations, which dropped her oxygen saturation to below 80% at times. Despite the severity of her condition, the patient remained in high spirits and requested a full code status. This paient required assistance with activities of daily…
This will include continuous observation of clinical conditions and frequent measurements of standard indicators and outcomes. These RNs work with patients who have and are planning to have major procedures and therapies. RN’s in medical/surgical trauma units must be familiar with complex techniques, such as dysrhythmia recognition, ventilator management and hemodynamic monitoring. These RNs are responsible for planning, implementing, evaluating and documenting all aspects of patient care. This includes delegating appropriate tasks to assistant personnel and supervising their…
I do one daily to continue to improve as an expert clinician. In addition, I value the model of interprofessional practice. In my current clinical practice, the ICU team rounds twice a day at the bedside. The team consists of the bedside nurse, responding clinical (MD or NP), attending, pharmacist, and respiratory therapist.…
The second day was slightly easier, at first. Being able to focus care on one patient is a must in the ICU but it also helps create a close relationship with the patient and their family members. The rapport established between a patient and the ICU nurse is a unique one. I can now understand why many ICU nurses’ have a strong protective approach towards their patient ’s.…
My field supervisor was out sick today so I get to experience a new area of the hospital today, the ICU. It was so interesting to see how differently the ICU social worker, Lynne, works in comparison to Jamie. There is a lot less patient interaction since the ICU patients are in much worse conditions and a majority of them were not even conscious. Lynne’s case load seems much more complicated as she works with families and other agencies.…
For this paper I will define the seven principles of patient-clinician communication, how I apply each of these to my interactions with my patients, methods being used to improve interdisciplinary communication, the one that applies best to my area of practice and describe how I use it, the ethical principles that can be applied to issues in patient-clinician communication, and the importance of ethics in communication and how patient safety is influenced by good or bad team communication. Communication between patient and clinician is imperative for the best possible outcomes. Principles of Communication First I will define the seven principles of patient-clinician communication. The first concept is mutual respect, which is patient and…
We find a multitude of system communications breakdown and key knowledge issues but even more than that the seemingly insular attitude on the part of the nurses is a key dynamic behind the facts. First of all, Lewis Blackman was placed on a non-surgical ward. This is where it seems the nurses misunderstood his symptoms of pain, the meaning of dark circles, bloating, sweating, reduced temperature, and being extremely pale as problems related to routine post surgical issues. Furthermore, the staff failed to see the symptoms of an acute abdomen and react emergently. In addition, nurses neglected to arc up the mother’s concern to the attending physician.…
The objective of this essay is to discuss with reference to published literature “ICU diaries are frequently promoted as being beneficial for the patients’ psychological recovery from critical illness”. Intensive care unit (ICU) is an environment where often the most fragile patients are, and where they receive treatment. During their sometimes prolonged stay in ICU, patients often experience strong physical and psychological stress, including critical life threatening illness, terror, lack of privacy, noises, pain, sedation, sleep deprivation, delirium and the unnatural ICU environment (Ullman and all, 2014). These experiences impact on a patient’s recovery from critical illness and may result in both physical and psychological disorders (Ullman…
The level of supervision that is required in any given situation is dependent upon the complexity of the patient’s condition. Because of the changing nature of these complex situations, an RN should be immediately available to assess the patient and to co-ordinate direct and inspect the practice provided by the…
This week in clinical, me and another nursing student were assigned to go and visit the PACU. All patients are admitted to the PACU, Post-anesthesia care unit, following surgery. We visited the PACU in the first week of clinical, so I was familiar with the environment. When I first walked into the PACU it was empty, but the nurse told me just give it a few minutes it is going to get busy. I was assigned to be with a nurse for the day and observe how she takes care of patients after surgery is completed.…