Outpatient care is the setting the I have the most experience in working in. However, I was still able to learn something new during the panel. I learned about the type of patients that I expect to see in this setting mostly is back pain, shoulder pain, and knee pain. In the next 5 years I see myself working in an outpatient setting. I do not think I will like fast pace evniroment of acute care. I;m also worried about the physical demands of a SNF . Outpaitent care requires the least amount of lifting , compared to toher physical therpay settings. The slower pace evniroment of outpatient care,is the type of evironemnt I enjoy working in the most based on previous experience. The shoulder have been my favorite joint to work on in the time
While doing my observations, at the outpatient and inpatient settings, I confirmed this is a career suited for my personality and abilities, where you get to teach patients how to recover and start from the beginning, and
Area I have selected for the field is Long-Term Acute Care Hospital (LTACH) specializing in pediatrics. Long-Term Acute Care Hospital, specializes in treatment for special needs such as patients with concurrent acute illnesses, recovering from acute illness due to multisystem failures, requires direct care by multiple specialists, ventilator services (weaning or decannulation), needing of daily physician visits or have complex respiratory-relevant diagnoses. Which in terms focuses on patients who have complex medical problems and the rehabilitation needs that one may require special or intensive treatment over an extended period of time. Patients who come to LTACH have been in an ICU or CCU at a hospital and now require specialized care (as
The purpose of this Reflective assignment is to demonstrate how the application of the Registered Nurses standards for practise (2016) can be used in reflective practise. The Registered Nurses standards of Practise (2016) states that RN’s should develop their practise through reflecting on experiences, knowledge, actions, their feelings and beliefs and recognise how these factors shape professional practise(RNSP, 1.2).Reflection allows individuals to look back on their day-to-day situations and how they made us react and feel; what we would change if we had the chance, to create a different outcome; and what we would do next time to enhance the way we conduct ourselves in a professional manner.
I have developed a newfound confidence in myself that kills and professional competency. My interactions with patients and assertiveness in myself and to carry out a professional discussion and interventions. enhanced not only his communicative skills but as well as immediate reporting, analytical skills and extensive knowledge of the internal and external workplace. Further, becoming involved with committees helped him understand policy and the external situation, as well as government, councils, and regulation, and the way in which to administer the protocols around the plant and people. I have developed a successful rapport with patients, staff and external personnel. I once carried this apprehension and nervousness in patient interactions,
Over the course of time that myself and the other members of my group spent at Medshare’s National Headquarters and Southeast Region Distribution Center, I gained a valuable experience and broadened my horizons with regards to the international medical aid that the non-profit Medshare provides around the world. The staff and crew that serve at Medshare’s Southeast Region Distribution Center, all have different backgrounds and stories as to how they originally connected to the organization. Some members of the crew included individuals who went to university and received undergraduate degrees in the disciplines of Pre-Med, International Business, and Human Services, while other older members of staff included doctors
Reinventing Healthcare-A Fred Friendly Seminar was produced in 2008. The film explores the current issues in health care at that time. This paper explores the issues that were addressed in the movie and compares them to the problems of health care today.
The theory used for this case study was effective, because it was able to get P to recognise that change need to occur so the support that she received would be effective. Reflecting on action the outcome of the assessment and intervention that was applied to P’s case I used supervision and to discuss concerns I had regarding this family with my PS. Supervision helped me establish my concerns and areas I required further support in application to theory in evidence based practice ‘blind self’.
Working in long-term care can be overwhelming. Imagine you are a new graduate nurse putting your new found knowledge and skills to practice for the first time. Your orientation lasted three days which is standard for nurse home orientation compared to hospital orientation that last approximately six to eight weeks for new grads. The shift has just begun and already you have a new admit, new found pressure ulcer to assess, a possible medication reaction, several new orders to take off and eight patients to document on for varying reasons. Feelings of frustration and confusion take over as you are the only nurse on the unit along with a Certified Medication Technician (CMT) and three Certified Nursing Assistants (CNAs) taking care of 47 patients. Ideal nurse-to-patient ratio continues to be a national issue in both the hospital and long-term care setting (LTC). In the LTC setting there is no official nurse-to-patient ratio; there is a suggested staff-to-patient ratio. This issue not only affects the new licensed nurses but the seasoned nurse as well. Recently, there has been controversial debates as to whether heavy workloads are detrimental to patients. The federal, state, and local government regulates many aspects of healthcare. However, it is the physicians, nurses and other healthcare professional that provide care directly to patients. Consequently, does insufficient staffing, heavy workloads, and unsupportive work environment directly contribute to poor patient satisfaction, nurse burnout, high turnover and job dissatisfaction?
An intensive outpatient program is often recommended for treating drug and alcohol abuse. People in an intensive outpatient addiction treatment program will typically get individual and group services 10 to 12 hours per week. Studies have shown that intensive outpatient drug rehab is effective for treating addiction.
As a medical / surgical RN, I provided care for the elderly, the infirm, the mentally challenged, the young, and the psychologically disturbed. The wide variety of patients exposed me to the effects of life style choices, health care choices, and the resulting impacts to the patient as well as to the family of the patient. This experience has fully matured my view of the awesome responsibility that we, as health care professionals, have been charged with, and it has furthered my desire to obtain the skills necessary to provide more advanced care for my patients. In addition to exposure, maturity and experience, my career as a medical / surgical RN has also sharpened my critical thinking abilities and provided insight on observing signs and symptoms that a patient may be unware of. Furthermore, as a charge nurse I learned the importance of collaborating with other health care professionals in order to provide the highest level of care available. In summary, my career as an RN has provided valuable experience, maturity, exposure to impact and outcome, enhanced my critical thinking abilities, and improved my collaboration
When I was working as a bedside nurse in the Emergency Department, in one of my duties I was not satisfied with the treatment plan made by a resident doctor for XYZ patient. He entered intravenous KCL (potassium chloride) for the patient. The purpose of that medication and its dose for that patient was not clear to me. I assessed patient history and came to know that a middle aged patient came with the complaint of loose bowel movements, vomiting, and generalized weakness. His GCS (Glasgow comma scale) was 15/15, looked pale but was vitally stable. I exactly do not remember about his previous disease, social or family history but I do remember that he was there with his son. According to the care plan, I inserted intravenous cannula, took blood
My experience in mental health clinical was very different from any other clinical I had before. In a mental health clinical setting, I am not only treating client’s mental illnesses, I am also treating their medical problems such as COPD, diabetes, chronic renal failure, etc. Therefore, it is important to prepare for the unexpected events. In this mental health clinical, I learned that the importance of checking on my clients and making sure that they are doing fine by performing a quick head-to toes assessment at the beginning of my shift. I had also learned that client’s mental health illness had a huge impact on their current medical illness.
For the past five plus years I have held the position of Nurse Manager of an inpatient Medical and a Rehabilitation unit. Part of my duties include operational oversight of both departments. I have had the good fortune of working alongside of and reporting to some excellent role models and mentors in operation management. Most recently is my supervisor and the Chief Nursing Officer (CNO) for Sacred Heart Medical Center at University District, Ben Farber.
I am working as a staff nurse at one of the Integrated Management System (IMS) accredited hospital in Sarawak since 2014. I qualified as a Registered Nurse with a Diploma in Nursing in year 2007. My first year I have been working in a multi-disciplinary ward. We cover a range of specialties including minor and major surgeries. The health care team in my ward consists of 1 Unit Manager, 20 staff nurses and 15 care assistants.
Reflection is an essential component in the development of professional competencies and critical thinking skills in nursing practice. Reflection in the context of nursing, has been described as a way of exploring an experience in order to look for the prospect of other explanations and alternative methods to doing things. It is through reflection that one can evaluate and identify their strengths and weaknesses to encourage both personal and professional growth and development. In this paper, I will be discussing how student nurses learn and develop from reflection, the emotional response and self-awareness as a nurse, and the appropriate way to reflect as a nurse.