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Cardiac catheterization quizlet
Cardiac catheterization quizlet
Cardiac catheterization quizlet
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This clinical week started out very interesting as I had a patient who had a cardiac catheterization procedure schedules. I had the opportunity to gain insight on pre-procedure nursing tasks and interventions as well as post –procedure. The patient had been admitted due to chest pain and an Echo test conducted showed aortic vulvar insufficiency. This led to the need of cardiac catheterization a procedure performed to visualize heart structure and blood vessels under a fluoroscopy to further asses this condition. Before the procedure the nurse called the interpreter on the IPad to interpret the patient teaching regarding the procedure including asking about allergies to iodine or seafood and encouraged questions from the patient. The nurse then
This time, I decided to be more talkative and ask more questions about the patients. My senior nurse showed me a patient who fell down a couple flight of stairs and due to his accident, he injured his brain severely to the point where he couldn’t speak anymore. She explained to me all the medications that he had to take and how she had to look up the patient’s lab report because the medications he takes might affect him in different ways. After she was done with looking up his lab reports, I watched her feed the patient for an hour and thirty minutes. During this time, I really felt bad for the patient because he was half-awake and half-asleep while eating. It saddened me how we had to disrupt his resting time to feed him before he could take his medication. After the patient was done eating, I watched the nurse give the patient Lovenox, which I learned was given to patients who are immobile in order to stop blood clotting. After giving him his medication, we had to transfer him off the bed and into a chair, which was my favorite part about this clinical observation. I got to physically help move him off his bed and into a chair. This took 3 nurses, including myself to move him and it made me realize how nursing really requires teamwork. I then got to help clean him up and after changing him, it was time to leave the hospital. This clinical observation made me really excited to be a nurse because I
I participated in project red with the Charge Nurse to promote quality improvement. The patient was going to be discharged from the hospital that day and was hospitalized previously for pulmonary pneumonia. I entered the room and introduced myself after I donned on my isolation precaution gear. I proceeded and entered with her instructions and computer on wheels. As I spoked with her she seemed like she was lost then I asked if she was understanding, she said “I prefer in Spanish”. I than continued to read the instructions about how to prevent pneumonia and how to treat it to her while translating them in Spanish. After, we spoke I made sure the charge nurse provided her Spanish written instructions. I than turned on the computer and started
It was a quiet and pleasant Saturday afternoon when I was doing my rotation at the surgical medical unit at Holy Cross Hospital. It’s time to get blood sugar levels from MM, a COPD patient. His BiPAP was scheduled to be removed before his discharge tomorrow. When I was checking the ID badge and gave brief explanation what I needed to do. The patient was relaxed, oriented and her monitor showed his SPO2 was 91, respiratory rate was 20. His grandchildren knocked the door and came in for a visit. I expected a good family time, however, the patient started constant breath-holding coughing and his SPO2 dropped to 76 quickly. With a pounding chest, the patient lost the consciousness. His grandchildren were scared and screaming,
I would like to describe my resent experience with the nurse. I visited the clinic to assess my health and immunity status. I needed to get referrals for blood tests and immunization. She invited me in. The nurse asked me for my preferred name to be addressed. She made sure that she and I were sitting at the same level. The nurse was making direct eye contact with me during whole conversation. She maintained my personal space. The nurse was actively involving me into communication. She was encouraging me to ask questions and was ready to provide needed information. She was making sure that I fully understood all nuances of the conversation when she realized that English was not my first language. She was avoiding the use of medical jargon to make the conversation easier to understand. The nurse was speaking in a soft, unhurried voice that expressed genuine interest. It was inviting for me to join the conversation. The nurse was very polite, respectful and caring. I obtained all necessary referrals for blood tests and immunization armed with all relevant information regarding it. This interaction made me feel impo...
My essay will include a discussion of communication, interpersonal skills used in the incident, and finally evidence-based practice. I will conclude by explaining what I have learned from the experience and how it will change my future actions. In accordance with the 2002 Nursing and Midwifery Council, the client details and placement setting has not been disclosed in order to maintain confidentiality. Critical incidents are snapshots of something that happens to a patient, their family, or nurse. It may be something positive, or it could be a situation where someone has suffered in some way (Rich & Parker 2001).
Receiving the news that the patient was able to go home today endured that the patients outcomes were met. He also received the type of leg bag he preferred (ankle bag) for his catheter since he was to go home with it. He was briefed on his discharge information given a list of the medication he was to take including a new antibiotic for his UTI, and a referral to urology
Interpersonal communication within the field of nursing is imperative in all areas to deliver a holistic positive outcome in patient care. Specifically, active listening, questioning with intent and reflective feedback ascertain an understanding of a patient’s health, illness, and healthcare. Active listening allows the patient to convey their concerns and presents the nurse with an understanding of the patient when implementing a personalised care plan. Questioning with intent builds an appreciation of the situation, and reflective feedback promotes improvements to enrich work ethics of the nursing cohort. Listening actively involves many different styles whereby information is gathered through verbal and non-verbal communication. Questioning
During the example I mentioned above, the patient was open about how she was not feeling well as the procedure continued. The nurse advocated for the patient and let the technologist know, so he could speed up the process. During this learning experience, I tried to put myself in the client’s shoes. A CT scan is an invasive process for a client. When you are on the other end as a health care professional, you may get used to many people coming in for this procedure that you become desensitized to the process. This experience made me think about being more self-aware and to treat every client differently. In addition, I gained valuable nursing communication skills that I can use in practice one
Before my shift started, I did my research about my new client for week three clinical. I thought I was well prepared for the clinical, I knew the client’s mental and medical conditions but I was more focused on the client’s mental health issues and not the medical illnesses. When the nurse informed me that client W was experiencing shortness of breath due to his COPD, I was a bit shock because I was not expecting that to happen.
In order for me to calm the resident I felt that objective information had assisted the resident to calm down. The use of the nursing process and critical thinking assisted me to inform the resident about the incident and the diagnosis from a general practitioner as per their file. Positive aspects which have emerged from this experience was my ability to remain calm and think quickly to obtain data about the pain. An improvement could be for the RN to slow down and take the time to speak clearly and slowly for the resident to understand information. I feel that the incident was a great learning experience to practice my nursing process and critical thinking. I do feel that I need to keep practicing these skills to ensure effective response to future
Overall today was extremely busy. There was a total of 21 patients seeking therapy. For each patient that was seen throughout the day, I prepared hot packs and ice packs and monitored them throughout each exercise session. Aside from supervising patients, I was able to start my Needs assessment with patients. I selected 8 patients based on their age and frequency of visit, in order to gather accurate and efficient information overtime. I was able to interview patients during their 8 minutes hot pack session, and then I introduced myself and stated the purpose of this study/intervention. Each patient was very engaged and responded to each question appropriately. I did not hand out brochures on this day because I felt it would be beneficial to
The nurse will then install a IV access into the client for the medications during the procedure. Once the client is in the procedure room, the physician will go over their condition, reason for the scope, review the risks and answer any concerns. From there on, the client with administered a sedative and fentanyl. It was interesting to what the nursing move along with the physician, as if they had this whole routine set out for each direction the physician took. I enjoyed the educational part, as the physicians and nurses included me by explaining each part as they went along. It was beneficial as a lot of the information I gained linked to the stuff we are learning in Patho (and soon to be tested on). A question was raised as to the conversations that were had during the procedures. They discussed their weekend, other jobs, how bad their week is going…ect. Now I understand that the client is
Luckily, I am very comfortable with patients, which made providing care very easy. I was not afraid to go into other patient’s rooms if they rang for help. I would try my best to help the patients; however, if I needed help I was not afraid to ask a fellow student or nurse on the staff. It is very important to be able to talk to patients and work as a team with fellow coworkers as it made the job easier. On the other hand, I need to go over mother and baby assessments to become more familiar with both. I was able to complete the assessments; I now need to do so in a timelier manner while ensuring I do not forget any key areas. Lastly, it is vital that I continue to go over patient teaching prior to clinical. Being comfortable with the patients made the teaching easier, though I need to become more familiar with all the material that needs to be taught.
This week I was at the ED. My experience at the ED was nice, I wish there had been more things to do with the nurse I was assigned. We started off with assessing of all the patients she was assigned. I documented on my assessment for each patient and reported feedback to the nurse. I also performed medication administration and reviewed it with the patients. I communicated with the patient’s well, showed professionalism by intruding myself, and explaining to them that I was going to perform a focus assessment on them. Some clinical practice and prevention utilized were hand hygiene and proper standard precautions. Also I attempted two IV and failed both times. We did towards the end had to restrain a patient because she was being combative
I went to the operating room on March 23, 2016 for the Wilkes Community College Nursing Class of 2017 for observation. Another student and I were assigned to this unit from 7:30am-2:00pm. When we got their we changed into the operating room scrubs, placed a bonnet on our heads and placed booties over our shoes. I got to observe three different surgeries, two laparoscopic shoulder surgeries and one ankle surgery. While cleaning the surgical room for the next surgery, I got to communicate with the nurses and surgical team they explained the flow and equipment that was used in the operating room.