Monitoring
The appropriate selection of the specific physiologic parameters that should be monitored during the MRI procedure is vital for patient safety. They consist of MRI safe Pulse oximeter, Electrocardiograph and respiratory bellows or pneumatic capsules.
This physiologic parameter is measured using pulse oximetry, a monitoring technique that measures the oxygenation of tissue. Due to which oxygen saturated blood absorbs differing quantities of light compared with unsaturated blood, the amount of light that is immersed by the blood can be used to calculate the ratio of oxygenated hemoglobin to total hemoglobin and shown as the oxygen saturation. Moreover, the patient's heart rate may be calculated by taking the frequency that pulses occur as the blood travels through the vascular bed. Thus, this pulse oximeter can be used to determine oxygen saturation and pulse rate on a nonstop basis by taking measurement of the transmission of light through a vascular site such as the ear lobe, finger-tip, or toe. The used of fiber-optic technology have been established through this pulse oximeter to acquire and transmit the physiologic
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Monitoring the patient's electrocardiogram (ECG) in the MRI environment is mostly challenging because of the inherent distortion of the ECG waveform that happens using MR systems operating at high field strengths. The use of proper ECG electrodes for example those tested and estimated to be acceptable for patients is required to confirm patient safety and appropriate recording of the electrocardiogram in the MRI environment. Therefore, ECG electrodes have been specifically established for use during MRI procedures to protect the patient from possibly hazardous conditions. These ECG electrodes were also designed to reduce MRI-related
Clinical Supervision is the life wire of any health are professional. It is the on the job teaching that takes place between the supervisor and supervisee. It is a lifelong learning used for personal and professional development which is useful both in nursing education and clinical practice. Its benefit cannot be overemphasized as it is known to improve job satisfaction and prevention of stress /burnout. Supervision is important because it allows the novice to gain knowledge, skill and commitment.
Heart, the key organ of the circulatory system, supplies blood to body parts by rhythmic contraction (systole) and relaxation (diastole) – the heartbeat. Heart rate is the number of beats per minute (BPM) is an important vital signs measurement for cardiovascular health and human’s wellbeing. There are many methods to measure heart rate (or pulse). One simple method is to manually count the pulse by placing finger on Radial pulse (Wrist) or the Carotid pulse (neck). The need for the ceaseless observation of the heart rate motivates for the invention of heart rate monitors. Another essential factor is the Oxygen saturation (So2 or SpO2), the oxygen concentration in hemoglobin. As the name says, we need oxygen to survive. To achieve this, the technique Pulse oximetry is employed. Pulse oximetry produces a graph, called Plethysmogram.
The implementation of bedside shift reporting is crucial for quality of patient care and patient safety. According to an article found in the American Nurse, 2009 by Trossman, “Shift-change reports are as routine and as important to staff nurses as breathing”. Nurses have identified and averted a number of errors – including delivering wrong medications and continuing orders that were stopped – since the bedside report has been implemented” (p. 7). Lag time from when on coming nurses received report and actually saw their patient was reported to decrease with bedside shift reporting. Julie Truran, RN who is a charge and staff nurse on a pulmonary and infectious disease unit states “It’s improved patient safety
Percussion is carried out when the patient is sitting in a vertical or horizontal position. Although this technique is of limited value in cardiac assessment, it can be used to determine the borders of cardiac dullness.
• Your blood pressure, heart rate, breathing rate, and blood oxygen level will be monitored often until the medicines you were given have worn
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.
The purpose of the paper is to discuss the activities involved during the evaluation of a patient. Evaluation of a patient can be seen as the process of examining a patient critically. It comprises of gathering and analyzing data about a patient and the illness (Allan, 2012). The core reason is to make judgment about the disease one is suffering from. Such judgment will guarantee proper treatment and diagnosis. Typically, gathering of information from the patient is the role of nurses while making judgment and prescription is the doctor’s role (Jacques, 1988). In any case all practitioners are required to know how to evaluate a patient.
The second thing we needed was direct contact to the skin of the patient or classmate. The stethoscope should not be place over the cloth instead under it right on top of the artery. The cuff size is important to determining the right measurements for the patient for instances trying to find the blood pressure of a child’s would work if you use an adult cuff. After everything is placed the manometer should be facing the technician ready to read. The technician then inflates the cuff to 160 mm hg. He then releases listening to the 1st Korotkoff sound (systolic pressure) and the middle (muffling) and the 5th phase (diastolic pressure) which is the disappearance of the sound. The hypothetical recording would be 128/92/86 mm Hg. At the end of the testing the technician uses the 1st and 5th phases to classify the person’s health according to the
Today, many Americans face the struggle of the daily hustle and bustle, and at times can experience this pressure to rush even in their medical appointments. Conversely, the introduction of “patient-centered care” has been pushed immensely, to ensure that patients and families feel they get the medical attention they are seeking and paying for. Unlike years past, patient centered care places the focus on the patient, as opposed to the physician.1 The Institute of Medicine (IOM) separates patient centered care into eight dimensions, including respect, emotional support, coordination of care, involvement of the family, physical comfort, continuity and transition and access to care.2
I chose a career as a medical assistant because of the rewards I knew I would experience on a daily basis. Seeing a patient smile because I have helped them understand, or just making them feel comfortable with their visit, is just one of the many perks of my job. Upon graduating from an accredited college such as The College of Health Care Professions (CHCP), I now work for one of the most reputable hospitals in my area. Within two short years of committed studies, I obtained my associate of applied science degree, and then went on to obtain my certification as a medical assistant. There is nothing I have found more fulfilling, strong, secure, or rewarding then choosing to become a medical assistant,
... Validation of continuous and noninvasive hemoglobin monitoring by pulse CO-oximetry in Japanese surgical patients. J Clin Monit. Comput. 2013;27(1):55-60.
Healthcare organizations monitor patient experiences in order to evaluate and improve the quality of care. As health care professionals we spend a lot of time with patients, and we have a major impact on patient experiences. To improve patient experiences of the quality of care, as health care professionals we need to know what factors within the nursing work environment are of influence. A lot of things affect patient experiences of the quality of nursing care. Last year on the nursing units we started doing the morning huddles, prior to getting bedside report as a team we are gathered around for the morning huddle. This huddle is basically done every day. Prior to the huddle our unit manager had mentioned he had read it in a journal the morning
A HIT (Health Information technician) Is someone who deals with computers and stories Patient information and also share information to doctors and insurance companies. One of the main job is to keep all information on patients organized and up to date. Management is the best way to describe this profession being able to manage nurses to make sure the right data and coding on a patient is correct. One wrong information can make a lot of trouble for patients. The requirements for HIT is an associates degree or a certification.
This piece of work will be based on the pre-assessment process that patients go through on arrival to an endoscopy unit in which I was placed in during my second year studying Adult diploma Nursing. I will explore one patient’s holistic needs, identifying the priorities of care that the patient requires; I will then highlight a particular priority and give a rational behind this. During an admission I completed under the supervision of my mentor I was pre-assessing a 37 year old lady who had arrived to the unit for an upper gastrointestinal endoscopy. During the pre-assessment it was important that a holistic assessment is performed as every patient is an individual with unique care needs as the patient outline in this piece of work has learning disabilities it was imperative to identify any barriers with communication (Nursing standards 2006).
This reflection of vital signs will go into discussion about the strengths and weaknesses of each vital sign and the importance of each of them. Vital signs should be assessed many different times such as on admission to a health care facility, before and after something substantial has happened to the patient such as surgery and so forth (ref inter). I learned to assess blood pressure (BP), pulse (P), temperature (T) and respiration (R) and I will reflect and discuss which aspects were more difficult and ways to improve on them. While pulse, respiration and temperature were fairly easy to become skilled at, it was blood pressure which was a bit more difficult to understand.