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Role of nurses in emergency conditions
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During my time in the Critical Care Unit, I was able to observe Kylie, who is a RN. She has been working in the CCU for two years. Kylie became a RN by receiving associate's degree, and then later went back to school and received her BSN. Kylie started working as an RN before returning to school to receive her BSN. My day in the CCU was a pretty mellow day, not much was going on. There were only around 10 patients in the CCU while I was there, the CCU can hold up to 16 patients at one time. Most of the patients admitted to the CCU were elderly patients who had a hard time breathing. For the patients who had trouble breathing,the respiratory therapist would come to their rooms and would perform breathing exercises with them. There were two other
Nurses are required to protect and support their patients if they are to be an efficient patient advocate. Ethically questionable situations are quite common for nurses that conflict with their professionals and personal morals. At times, the patient necessitates the nurse to speak out for them demonstrating
I agree with you that the nurses violated provision 9 of the nursing code of ethics. Nurses have an obligation to themselves, their whole team and to the patients to express their values. Communication is key in a hospital, so everyone knows what is correct and what isn’t within the workplace. In order to have a productive, ethical, positive environment. These values that should be promoted affect everyone in the hospital, especially the patients, and can have a negative outcome if those values are not lived out. Nurses have to frequently communicate and reaffirm the values they are supposed follow frequently so when a difficult situation comes along that may challenge their beliefs they will remain strong and their values will not falter.
If the other RNs on the floor agreed that everyone would have to be helping the one RN who had a heavy workload or that the care aides would all be busy with only caring for the patients in the one RN’s care this would show that they believed that enabling others to act would involved spreading out the work more equally. A response from the nurse manager could involve her saying that she had not thought about how the heavy workload would affect the rest of the floor, and the other RNs. The outcome might have been the nurse manager asking one of the other RNs to switch one of their more stable patients for a less stable, and heavier workload
On May 20th, the patient, Mr. Ard, experienced nausea, shortness of breath, and pain while being treated in the hospital (Pozgar, 2014). The patient’s wife, Mrs. Ard, attempted many times to reach a nurse by pressing the nurse call button (Pozgar, 2014). Once the nurse finally responded, anti-nausea medication was administered (Pozgar, 2014). Mrs. Ard continued to monitor her husband’s situation, and felt as if the nausea and shortness of breath were getting worse (Pozgar, 2014). Mrs. Ard continued to ring the nurse call button for approximately 1.25 hours prior to a response from a nurse (Pozgar, 2014). A code was called, and Mr. Ard did not survive (Pozgar, 2014).
Nurse A seemed confident and calm while nurse B appeared tired. With the first patients, I noticed that both nurses were asking for first and last name and confirmed the information with the picture in the computer and the medication cup. After a few minutes, I turned my attention to nurse B because I noticed she did not ask a particular patient for his name. Instead, she relied on the name provided by a patient care technician. When she was about to give the medication to the patient, nurse A noticed that the patient on the computer screen was not the patient on the counter. She immediately told nurse B “ That is not Mr… girl ” and nurse B responded while laughing “ He looks exactly like …, I need to get some coffee ASAP”. The patient immediately realized what happened and told nurse B his name. After that, nurse B reached for the right cup and administered the medication to the patient. Even though a medication error was not committed and no harm was inflicted to the patient, by violating important QSEN competencies this incident could have caused a negative patient outcome.
After 27 years of being a nurse she is well respected and knows what she’s doing. Kelly knows how to deal with the most devastating and gory situations and even the most rewarding and happy situations. After following her during the rainy night shift at the hospital I got to experience in first person what a true day, or should I say night, on the job is like. She was scheduled to help in the ER that night. A nurses shift is usually 9-12 hours consisting of two 15 minute breaks and one 30 minute break to eat. She is always on her feet, moving quickly and precisely. Having 3 patients to tend to she was constantly checking on them, moving back and forth, and providing for their many needs. Kelly deals with questionable odors, heart wrenching cries, bland food, below room temperature rooms and gaping wounds. It’s difficult to predict what smells, sounds and sights you 're going to have to deal with during the
Under the code of ethics for nurses this moral issue is also conflicting because you’re first and foremost obligation is to the patient. Now you also have your institution ethical code conduct that you also has to abide by. Provision 5. The nurse owes the same duties to self as to others, including the responsibility to preserve integrity and safety, to maintain competence, and to continue personal and professional growth (ANA, 2001, p.18). In this case the nurse owes it to herself in making the right moral decision to preserve integrity and safety of patient and
It’s vital as well for the nurse to spot and report any form of breachment in confidentiality or morally unjust actions. Being silent can be just as lethal as the one performing the
My initial response to the issues was only based on the hospital policies regarding the care of the patients within the hospital. However, when I was guided down the different paths and made to look through the different ethical lens, I found it tough to do so and seem to resort to my core values of autonomy and rationality. By putting the patients’ first, hospital policies, and then their loved ones in the first scenario, I determined that a compromise was necessary. Whereas in the second scenario, I feel as no agreement was needed just staff education (EthicsGame Simulation, 2016). In this particular case, Carlotta, the RN shift supervisor, needed further training to understand the hospital policy on who is or is not considered to be family (EthicsGame Simulation,
Caring is the biggest aspect in the nursing field. Aspiring nurses choose to become nurses because they want to care for people in ways that most professions cannot do. Without caring nursing would not be the field it is today. The culture of caring involves intervening programs that help to build caring behaviors among nurses. As nurses become stressed and become down on their life it has shown that caring for oneself before others is key in caring for patients. Lastly, throughout the years many theorists have proven that caring has come from many concepts and ideas that relate directly to ICU nursing.
The nursing discipline embodies a whole range of skills and abilities that are aimed at maximizing one’s wellness by minimizing harm. As one of the most trusted professions, we literally are some’s last hope and last chance to thrive in life; however, in some cases we may be the last person they see on earth. Many individuals dream of slipping away in a peaceful death, but many others leave this world abruptly at unexpected times. I feel that is a crucial part to pay attention to individuals during their most critical and even for some their last moments and that is why I have peaked an interest in the critical care field. It is hard to care for someone who many others have given up on and how critical care nurses go above and beyond the call
Their names are Amanda Miklus and Michelle Richardson. Amanda has an Associates degree in Nursing and is working on getting her Bachelor of Science in Nursing because hospitals now require nurses to have a Bachelor 's degree. Some duties Amanda performs as a nurse are “measurement of wounds, vital signs, patient education, assisting with debridement, case management and wound dressings” (personal communication, November 10, 2015). Her advice to future nurses is to get a Bachelor’s because going back to school because the degree requirements changed is not fun (A. Miklus, personal communication, November 10, 2015). In all reality, it makes sense, as people grow up they get married, have kids, buy a new car, pay off student debt, and buy a house. All those responsibilities combined with having to go back to school is not a fun road to take. Amanda also stresses people to think about nursing not as a paycheck, but as a service to other people because “ There are a lot of angry people we deal with. It’s a no thankyou type of job. You have to be okay with knowing you did everything you could do to make a difference and save a life. And you don 't always save the life and don 't always make a difference because patients can be stubborn. You can get bit, kicked, hit, thrown-up on,
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.
Although students were not allowed in the recovery unit, I was able to talk to one of the recovery nurses. I learned that a nurse’s duty of care includes monitoring the patient’s vital signs and level of consciousness, and maintaining airway patency. Assessing pain and the effectiveness of pain management is also necessary. Once patients are transferred to the surgical ward, the goal is to assist in the recovery process, as well as providing referral details and education on care required when the patient returns home (Hamlin, 2010).
After the handover, I was asked by my mentor to attend to a patient who is bed ridden to have her personal care done with the assistance of one of the health care assistant staff. The patient was recently admitted to the ward and she looks sc...