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Roles & Responsibilities in nursing
Policies and procedures for a nurse
Patient Assessment
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Recommended: Roles & Responsibilities in nursing
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. …show more content…
The night shift nurse informed the oncoming nurse if the patient was scheduled for any tests or procedures. Also, if a patient was planned to be discharged. Based on the information from the report, the nurse prioritized her patients. She would see the patients that didn’t do well during the night. For instance, the nurse went to see the patient who had fever all night. During her nursing assessment, with this particular patient, she check to see if the patient was still running a fever as well as if the patient’s dressing had any sign of infection. During the nursing assessment, the nurse would introduce herself once again and would address the patient by their last name. Based on the information she received, she would assess the patient for any changes. Then, the nurse would give the patient’s medications. While looking at the patient’s chart, she would at out all the medication needed at that time. Then, she would scan the medication to document it into the chart. The nurse would ask the patient if he/she wanted to take their medicine with water or
In this assignment I am going to discuss the role of the Nurse and how
On November 17th, 2015 I had an observation clinical shadowing a Registered Nurse in Case Management. Case management is a side of nursing that is not brought up very often. We started off the shift in the nurse’s office. Morgan, the nurse, had a meeting to attend at 9:00am, so we stayed in her office to get organized for the day.
Nurses have a considerable amount of responsibility in any facility. They are responsible for administering medicines and treatments to there patient’s. While caring for there patients, nurses will make observations on patient’s health and then record there findings. As well as consulting with doctors and other healthcare professionals to plan proper individual patient care. They teach their patients how to manage their illnesses and explain to both the patient and the patients family how to continue treatment when returning home (Bureau of Labor Statistics, 2014-15). They also record p...
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
The end of shift handover nursing report is the time when the off going nurse hands over patient care to the oncoming nurse. During this process critical information about patient’s status and plan of care must be communicated properly. Conducting the shift-to-shift report at the bedside allows patients and families to become involved in their care. It also lets them participate in the sharing of information, which ensures that patient, family and team goals are identified and aligned. Bedside shift-to-shift nursing reports increases patients’ satisfaction, improves the nurse-patient relationship, decreases patient falls, discharge time occurs faster, strengthens teamwork, and leads to better nurse
My nurse preceptor was Raji. I really enjoyed her communication skills. She made sure to be in constant communication with not only the different healthcare teams, but also the families. Keeping the patients and their families informed really helped get them involved in their care. She had a kind nature and positive attitudes. She made sure to communicate pertinent details regarding the patient's status to the patient's doctors and nurse practitioners. I was really impressed by her effort to provide complete comfort and ease to her patients. I have had previous nurses (at other hospitals) that did not necessarily pay attention to these small patient centered care elements. These were assumed to be done by the clinical partner. However,
Before the procedure, the nurse assisted the physician with patient assessment. She prepared the patient by taking his vital signs, oxygen level and heart rhythm, before the physician examined the patient. The nurse ensured that the patient
Firstly, Nurses must develop the right communication tools when dealing with their patients. For example most nurses do bedside reporting, before they change their shift in the morning, therefore they would be relaying information to the other nurse about the patient they dealt with during the night. The nurse that is going off shift would give a report to the incoming nurse in the presence of the patient. He or she has to discuss the condition of the patient, medications and the procedures so the next nurse would be on the same level. Most nurses in the General Hospital do their reporting by the bedside of their patients.
Reporting is probably one of the most important steps in the care process because it can prevent most legal problems that can occur because you have witnesses and written statements to support your side of the argument. It is good practice to make sure to report and record everything that you do for the patient, even if it is only something small like repositioning because sometimes those are the most important things. Always remember to report any medication given and if there is any found in their room. Medication is always an issue because patients can get find ways to hide it and make it seem like they’ve taken it. We need to always make sure that they are taking it and that it is doing what it is suppose
It is often described that working in the nursing profession is chaotic (Ebright, 2010). However, no matter how chaotic it is, nurses have the responsibility of providing safe patient care. I could say that based from the scenario, the two concepts of complexity are time management and delegation. I have been on the night shift since I begin my nursing career and I have seen how chaotic a night shift can be. I understand that day shift is more stressful than the night shift because of the unexpected events that could happen. Aside from that, day shift staff has to deal with patients’ family, doctors, and other healthcare providers working with the patient. The nurse has to continually make decisions throughout the shift and determines what
Shift change is one of the challenging moments for continuity care of patient in the hospital. On shift and off shift nurses exchange vital information and duties during transition of care. In other words shift change report is also know as Nurse Knowledge Exchange (NKE), it is important in order to ensure efficiency, quality and safety of the patient. Nurses are responsible for delivering excellent care no matter what the circumstances. End of the shift nurses are exhausted and shift report usually occurs at nursing station or outside patient’s room. When it occurs away from the patient, it compromises the safety and quality of patient. Allowing patient involved in bedside report gives opportunity to hear what has occurred throughout the shift
Duty can at times mean working longer, taking double shifts calling for flexibility in a nurse. At work, a nurse expects to lift patients and other heavy objects. A nurse should practice healthy eating habits, exercise, and a lead an overall healthy lifestyle. The nurse in doing so will be in a position to withstand physical tension thus work for longer and efficiently. A nurse should have respect for people and rules governing professional conduct of a nurse. Respect will reduce cases of hostility between the nurse and people in the hospital (S...
I introduced myself to the nurse responsible for the assigned patient after unit change of shift meeting. Patient report was received by the third shift nurse about patient condition and future care requirements. Meet with patient and family after report to be introduced and perform initial patient assessment.
The nursing profession is constantly in a state of change becoming more complex over time. Registered nurses work to prevent disease, promote health and help patients cope. They develop and manage nursing care plans, instruct proper outpatient care, and help improve and maintain health within their community. They are educators of health governed by state laws. Registered nurses can work in many different settings which determine their daily job duties. Depending on their level of training a RN could work with geriatrics, in intensive care units, as an educator, as clinical study observers, a midwife, oncology, or palliative care. Hospital nurses make up the majority of the RN group. They work as staff nurses who carryout medical regimens and provide bedside care. Most registered nurses work in well-lighted comfortable facilities, work nights, weekends, and holidays, and spend a considerable amount of time on their feet. They have to be available at a moment’s notice. Nursing also has its hazards all employees of care facilities are at risk for infectious disease, radiation poisoning, back injuries, shocks from electrical equipment, and hazards posed by compressed gas. Nurses are the link between doctors and patients.
the duties of a nurse at one time or another by providing care for sick and injured