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Future career plans for nursing
Future career plans for nursing
Professionalism within nursing
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I was fortunate enough to have went into my patient's room to answer a call light prior to rounding. The patient had many questions and had a pain of 10 on the 0-10 scale. As I went to inform my primary nurse she was just about to go into the patient's room and was shocked to see that a student nurse was placed with this patient. She informed me that I had a, "difficult" patient. Because I was able to already go into the room and meet the patient for myself, what the nurse had said did not really have a large impact on my view of the patient. Then a few minutes later my instructor came and asked if i would like to be reassigned a new patient since she had also heard I had a "difficult" patient. I had compassion for my patient, respected her
concern with her pain and did not find her to be difficult but more so sensitive and worried . I let my instructor know that I enjoyed my patient and suggested it may be best for the patient to be reassigned to me the following day as we got along very well. I think it's best to always establish your own views first and to turn away from gossip and labelling. Don't let someone else make up a decision for you. Being in the hospital puts people in a very vulnerable situation and it can be frightening for them and as a nurse, we need to have an understanding and compassion for these people, not label them as "difficult". I do not believe my patient received the best quality of care because of the established label, pain is subjective and if the patient states they have a pain level of 10 it shouldn't be taken any less seriously because of a label.
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.
I have come to fully understand that in order to treat my patients in a way that is person centred, I have to treat each person as an individual and realise that every individual has different needs and different rights and preferences to me which may go against my morals and beliefs but I always have to maintain my professional boundaries and treat each individual with respect and dignity. If I was a nurse who witnessed a similar situation to Kat’s, where another healthcare professional was disregarding my patient or any patients views or requests I would go into the patient’s room and find out what the problem was. Then I would politely ask the healthcare professional to step outside of the room and I would gently remind them of the code of ethics ((Kozier, Erb's & Berman, 2010, p.97) and the Registered Nurses standards of practise (2016), and how every individual has the right to make their own independent decisions about their healthcare needs/goals based on their own values, morals and beliefs. I would further explain that the patients are our main priority and it is our responsibility as nurses’ to ensure that the patients are safe and are receiving the proper care. I would then explain to the patient what was happening and apologise to them about the situation, and I would rearrange and try to negotiate with the patient when the procedure could be performed. Then I would notify the Nurse Unit Manager on the ward to ensure that situations like this do not occur
Each child will probably have many different kind of health issue during his or her infancy or childhood. In addition, for some children these illnesses are mild, they come and go, and they do not have negative influence on their everyday life and development. On the other hand, for some children, there are some chronic illnesses that have a huge effect on their daily life during childhood. Indeed, a chronic health condition is a health issue that last more than 3 months, and it has a big effect on on a child’s daily life, activity, and development. As a result, it demands more hospitalizations, extensive medical care, emergency care, and/or home health care. According to Weiner, “Each year in the US, 6 million children ranging
As a nurse in the medical field for the past ten years, I have learned the differences in my scope of practice in providing care and facility policies. An experience I encountered, was a patient requiring a procedure that I hadn’t been trained on. This situation left me to figure out what I was legally able to do, questioning if I should speak up, and examining if by doing this if it would directly affect my job or having any lasting repercussions.
At the same time of this occurrence there were other things that went on pertaining to transference and counter transference. The Intern and I definitely had some type of strong transference and counter transference going on. There was a clash of personalities between the intern and me. We totally did not get along. I felt uneasy and that she did not want me there in the room with her. Why? I thought that maybe she felt challenged. I don’t know, but I felt I asked the patient questions that she forgot to ask. I also gave her my opinion about treatment principle, which I do not think she appreciated. With my previous interns, I was very much part of the intake and treatment process. The interns and I would ask questions. If one forgo...
She also had ovarian cancer, was on heparin, and was waiting for surgery to be scheduled. I displayed professionalism by not sharing personal patient information with anyone outside of her health care team. This patient was a nurse in her previous career, ands he was very educated on her disease process. I did take notes during my time with her, but all notes I wrote I shredded before leaving the floor for the day. There was also respect for my patient shown on my part by giving her rest time when she stated she was
My clinical week was emotional and physically draining this week. I enjoyed being the lead on Thursday because it gave me the opportunity to stop and observe. The nurses and the CNAs were very stressed out, and I clearly saw the effect on the patients. For instance, one of the CNAs asked me to help her with an occupied bed change. I was excited. However, she kept passing a bunch of comments of how hard nursing is and how she did not want to be old. I did not acknowledge any of her comments. Perhaps she thought she could express herself (as a result of her stress) in front the patient since the patient was non verbal and could not understand. I felt very bad. I was very uncomfortable and sad. For me, it doesn’t matter whether the patient
M.E., a 30ish female nurse, and J.P., a 50ish female nurse, have had a tense yet civil professional relationship for months. M.E. is a newer nurse and J.P. is a very seasoned nurse who had previously had a good working relationship until J.P. confronted M.E. in a patient’s room one day. M.E. was caring for a very critical patient who was on a ventilator, had an arterial-line, was on multiple medications to maintain a blood pressure, and had numerous other medical issues as well as the presence of a very concerned and involved family at bedside throughout the shift. M.E., being less experienced with some of the medications and treatments that her patient was receiving consulted J.P. (because she was more experienced as well as the supervisor on this shift) at different times throughout her shift to ask for advice and guidance in this patient’s care. J.P. had been short with M.E. and would not go to the ...
This is a case study of a student nurse whose performance in clinical is unsafe. According to Killam, Montgomery, Luhanga, Adamic, & Carter (2010), an unsafe student is defined as a student who performances in clinical place the client or staff in either physical or emotional jeopardy. From the case study from NetCE (2014), JC is a senior nursing student who chose the intensive care unit (ICU) to complete her university nursing program requirement of a 200 hour practicum. Within the first week of the 6 week practicum, JC’s preceptor reported to the ICU nurse manager that JC dresses inappropriately for work, has an arrogant attitude towards staff members, and is always discussing the amount of money...
The resident doctor had so much to learn, and in my opinion, he chose the wrong profession. Treating a human as an object that he can utilize for research purposes is despicable. I have not worked in a hospital, but if this is what goes on in real life, I want no parts of it. When I saw the nurse in numerous occasions advocate for the patient and her recommendations were not considered, it saddened me. As a nurse I am very passionate about what I do, and this type of working environment would affect me on a personal level, perhaps due to me being a new nurse and I still have a lot to learn. In watching this movie I would never want to mirror these doctors that showed no empathy, and poor choice of words, like when the doctor expressed to the patient he saw cancer as awesome. When speaking to my patients I will keep in mind to always use simple and easy to understand language and ensure that they are involved in their care. No matter how busy I am, I always take the time to get to know the person behind the diagnosis. I will continue to advocate for my patients, show compassion, and genuinely care for all my
My first patient that I started as student nurse on one of the long Rehab Center was a seventy two year old man who had Clostridium difficile (C.diff), Dementia, Hip replacement, and Obesity. Due to the above sickness he had many complications. I can still remember his face suffering from pain. Because of his lack of ambulation and incontinence, he had developed a very serious pressure ulcer under his sacral area. I went through to the room with my instructor and the instructor introduces me for the patient as his student nurse from Towson University and will taking care of him. However the patient was not happy and he becomes a challenging patient in my first experience day. But I may learned more from that challenging patient for my future experience.
It is essential for a nurse, or any medical professional, to not feel threatened so that way they are able to administer their best care possible. Every case and instance is different, no two patients or hospitals are the same. This is why individuals are stressing the act of becoming more personable with patients and the public because a treatment option that may be ideal and work perfectly for one case, may be extremely harmful for another. The goal of a nurse, or even the entire hospital/facility is to create a safe and welcoming environment in which they can provide essential care for each individual. Our intricate health system may be filled with varying degrees of controversy, but the public would be in dire situations without
I think I was so quick to any assumptions I had because the patient was on contact precautions: now I have never worked with a patient who was on any type of precautions other than standard precautions (but essentially everyone is on standard precautions) and looking back I believe I was more nervous and concerned about the precautions aspect that I allowed myself to make an assumption about my patient before I had really gotten to know them. After morning rounds and meeting with my head nurse, I got to talking and doing my assessment on my patient and I came to find out my patient is one of the nicest people I have ever talked to in a hospital setting. Looking back on the situation I am appalled I judged them so fast: that doesn’t even represent who I am as a person at all. This was definitely a learning moment for me personally and it caused me to learn something about myself, which in some instances can be just as important as learning a new skill or nursing
During the PM change of shift report, an RN calls in ill and the staffing office says she cannot be replaced. This leaves only one RN, Mrs. K. for 26 clients. Mrs. K. says, “If you do not get another RN for this unit, I am going to quit this job. I will not do it this shift, but I will not put up with this constant shortage of help. I don’t care if it is an RN, but I should have people with some skills to get the clients cared for. The reason everyone quits around here is because they are overworked, underpaid, and the hospital management does not give a damn. The place needs to be investigated.”
According to ANA personal is defined as (Cipriano, 2007, para. 6) “the relationship between nurse and patient”. It is very important to develop a mutual trust and interpersonal relationship with the patient you are caring for. Last while doing my capstone in nursing school I did my cliniclas on a telemetry unit. I was caring for an older man who was had hypertension and diabetes. When I first introduced myself, I could tell automatically he did not trust me because I was nursing student. When I was doing my morning assessment he made comments like “are you sure you know what you are doing” and “You should check with the real nurse”. I didn’t let his comments bother me because I knew by the end of the day I would gain his trust. As the day went on I thoroughly explained everything I was doing, any produces he had done, and all of the medications I gave him. When the cardiologist came in to see him he briefly explained to him that he was scheduled to have a medicine induced stress test. The doctor quickly rushed out of the room and I could tell my patient didn’t fully understand what the doctor said. I sat down next to him and started to explain the process and what would happen during the procedure. At the end of the day when we had our end of the day meeting with our professor she told me the man said that I would make a great nurse one day, and he was thankful for my care. It is important to build a nurse-patient relationship. The patient has