When I arrived SB was in bed asleep. I woke SB up to give SB her medicine, SB received her 7 AM, 9 AM medication and eye drops. Around 10:10 Sheila informed me she was dizzy and needed to use the rest room. SB attempted to get up and to use her walker. SB made it to the hallway and was not able to walk anymore because her walker's back wheel was not working. I assisted SB to the bathroom. When leaving I had to catch SB a few times. I called the emergency line because Sheila was saying she was dizzy and her walker was not properly working. At 11:52 AM I was assisting SB out from the bathroom and I went back into the bathroom to clean up after her. While I was in the bathroom, I asked SB a few times if she was fine and needed any help. I heard
Mrs. Ard brought a wrongful death law suit against the hospital (Pozgar, 2014). The original verdict found in favor of Mrs. Ard, but the hospital appealed the court’s ruling (Pozgar, 2014). During the course of the appeal, an investigation of the records showed no documentation, by a nurse; of a visit to Mr. Ard during the time that Mrs. Ard stated she attempted to contact a nurse (Pozgar, 2014). The nurse on duty stated that she did check on Mr. Ard during that time; however, there were no notes in the patient’s chart to backup the claim that Mr. Ard had been checked on (Pozgar, 2014). One expert in nursing, Ms. Krebs, agreed that there was a failure in the treatment of Mr. Ard by the nurse on duty (Pozgar, 2014). ...
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 receptionist was on the phone for quite a long time before she could reach out to Ms. Patient. In the end, the receptionist just took Ms. Patient’s insurance without any clarification and made her wait for a while. Additionally, she was unable to focus on Ms. Patient and got distracted when another patient asked for indications. The receptionist clearly indicated unprofessionalism when she was unable to provide adequate information for the patient when she was disoriented. Also, the receptionist did not have any manners when she failed to excuse herself when another patient wanted to speak with her. Ms. Patient stated that she felt extremely vulnerable and lost when no one was able to help her understand what was going on. Therefore, the healthcare team in this case was unsuccessful in providing a caring and helpful environment for the
It is now mid-morning and school nurse still had not administered client’s medicine because nurse says she feels uncomfortable interacting with client. BMOD assured school nurse client’s inetreactions with her would be different going forward. After debriefing with the school nurse BMOD telephoned Mom during transit to Client’s class who comfirmed she had not given Client his medicine before school. Once BMOD arrived to Client’s classroom, BMOD observed client, who was unaware of BMOD’s presence, misbehaving. Once BMOD unlocked the classroom door, Client’s teacher said, “get em!” She then explained client was on his worst behavior today and had to be disciplined several times prior to class because client was hiding and playing in the hallway. She also stated that client would continue to disturb his peers as they tested and she would have to holler several times to to get client’s attention. BMOD observed client sitting at his desk with a smug look and an incomplete assignment as the teacher briefed BMOD on client’s behavior. BMOD requested for client to meet BMOD in the hallway to discuss his major inappropriate behavior. Clients’s unacceptable school behavior was a huge contrast to his progression in the
I was shadowing the charge nurse that day and she had two patients that was assigned to her besides her obligations as a charge nurse. One of the Doctor was there to check on a patient and remove the Jackson Pratt tube. The Doctor saw me and asked me to assist him. Before assisting the Doctor, the Charge Nurse asked me to contact one of the CNA to clean one of the rooms. When I called the CAN, she said she was busy but will get to it when she
As the EAI team was discussing Molly’s case, one of the ED Residents made a few telephone calls. Molly’s PCP reported that during her last visit about 2 weeks ago, Mollie was alert and able to respond to questions appropriately. He confirmed that Mollie’s daughter and son in law have experienced psychiatric problems, adding that the son in law has expressed anger regarding Mollie’s living arrangements. The home health care agency was contacted. The RN and aide both report they have never met the son in law and have had very limited contact with Mollie’s daughter. When contacted by telephone, the daughter provided no explanation for Mollie’s extensive bruises noted on admission to the hospital. The daughter stated that Mollie did not fall, but in fact lowered herself to the floor in an effort to draw
The nursing theories that are currently in place in the emergency room to promote professional growth and development are vital; however, there are other nursing theories that could be implemented to help improve professional growth and development. A theory that should be implemented to more effectively promote professional growth and development is Orem’s theory of self-care deficit. Orem’s theory is considered a “realistic reflection on nursing practice” (McEwen & Wills, 2014, p. 146). If the nurse is not taking care of him or herself, “stress [can] accumulate [and the] nurse can … become angry, exhausted, depressed, and sleepless” (Ruff & Hoffman, 2016, p. 8). By the nurse having these feelings he or she is not able to take care of him
My colleague and I received an emergency call to reports of a female on the ground. Once on scene an intoxicated male stated that his wife is under investigation for “passing out episodes”. She was lying supine on the kitchen floor and did not respond to A.V.P.U. I measured and inserted a nasopharyngeal airway which was initially accepted by my patient. She then regained consciousness and stated, “Oh it’s happened again has it?” I removed the airway and asked my colleague to complete base line observations and ECG which were all within the normal range. During history taking my patient stated that she did not wish to travel to hospital. However each time my patient stood up she collapsed and we would have to intervene to protect her safety and dignity, whilst also trying to ascertain what was going on. During the unresponsive episodes we returned the patient to the stretcher where she spontaneously recovered and refused hospital treatment. I completed my patient report form to reflect the patient's decision and highlighted my concerns. The patient’s intoxicated husband then carried his wife back into the house.
Introduction In 1942 a report by William Beveridge formed the basis of the Labour governments welfare state, so that healthcare would be universally available and funded from taxation. Identifying what he considered the major problems being ‘five giants stalking the land’, want, ignorance, squalor disease and idleness (Naidoo, 2015). As a result, on July 5th 1948 saw the launch of the National Health Service (NHS) by the health secretary Aneurin Bevan at Park Hospital in Manchester. To provide health care for everyone from ‘cradle to grave’ based on three core principles: to meet the needs of everyone, free at the point of delivery, and based on clinical need, not the ability to pay (Naidoo 2015).
The nurse confirmed patient identification, asked subjective questions focusing on chief complaints, performed a focused assessment, obtained medication list, baseline vitals, and assessed the patient’s past medical history. She asked the patient questions such as previous hospitalization/surgery, metal implants, allergies, health history, sleep apnea, and alcohol/tobacco use. The nurse told the patient the doctor would be with her shortly. The nurse reported to the doctor regarding the patient and obtained orders for treatment from the doctor. The nurse then started an IV line and hung an IV solution bag of normal saline because the patient was experiencing abdominal pain. The nurse also administered pain medications and the patient was ready to be discharged. The nurse gave discharge instructions and made sure that the patient had a ride
Urgent care centers first opened in the United States in the early 1980s (http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/PDF%20N/PDF%20NoAppointmentNecessaryUrgentCareCenters.pdf no appointment needed). The inspiration behind establishing urgent care centers originated when entrepreneurial physicians identified a gap in the industry. As there was a shortage of primary care physicians who lacked flexibility and extended office hours patients were forced to turn to emergency rooms for non-emergency treatment. As a result, emergency rooms became crowded with low risk patients that did not need immediate care. Consequently, overcrowding resulted in long wait times, unsatisfied patients, misdiagnosis, and overworked emergency rooms physicians. Additionally, at least two domains of quality of care, safety and timeliness, are compromised by emergency room crowding (http://onlinelibrary.wiley.com/doi/10.1111/j.1553-2712.2008.00295.x/full). Ultimately, in order to remedy such overcrowding urgent care centers were established.
A. Working in the emergency room I encounter many patients who come in for psychiatric evaluation, wither it is due to suicidal thoughts or depression. Through the constant training that our hospital puts on, I have learned how to better deal with these types of patients who can be difficult at times.
A disaster is not a simple emergency. A disaster is that point when a human is suffering and has a devastating situation which they themselves need help from others to survive. Regardless if natural or human caused, a disaster causes a vast amount of issues in the community. In the simulation of “Disaster in Franklin County reveals that preparation is key and even with that more can be addressed. A community nurse remains an essential part of the team involved in a disaster including before, during, and after the event.
My overall learning experience during my preceptor shifts was amazing. The first day I walked into the Emergency Department for my shift, I was having anxiety through the roof and very nervous. I felt like I did not know anything and it was a completely new environment then I am use to. At this point I feel very comfortable in the environment and felt like I have gained the knowledge to be a competent nurse in practice. I owe a lot of the success I have had in the ED to my preceptor Sam. He was seriously great and very patient with me when I was trying to learn something. He really pushed me every day to be confident and comfortable taking care of patients on my own. I have gained a vast knowledge of skills, procedures, policies, documentation,
Emergency Medical Services are a system of emergency services committed to delivering emergency and immediate medical care outside of a hospital, transportation to definitive care, in attempt to establish a efficient system by which individuals do not try to transport themselves or administer non-professional medical care. The primary goal of most Emergency Medical Services is to offer treatment to those in demand of urgent medical care, with the objective of adequately treating the current conditions, or organizing for a prompt transportation of the person to a hospital or place of greater care.