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The importance of communication skills in healthcare
The importance of communication skills in healthcare
The importance of communication skills in healthcare
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The first week of my clinical attachment was at the “1339-1346” ward of Ang Mo Kio – Thye Hua Kwan Community Hospital. On the fourth day of my first morning shift, all the staff nurses and all the student nurses were very busy with bathing all of the patients each ward. The clinical instructor (CI) came and told us that we would shower one of the patients from my ward after he had breakfast. Then, we also noticed that. On the first day, CI already taught us that we need to gather all the items carefully that are needed after bathing. But, when the staff nurse came and took the patient to shower, she forgot to bring draw sheet and urinal cream that is applied before wearing diaper for skin care. So, after showering, she needed to go and get …show more content…
I did not know that we can leave the patient in the shower room or like that. If not, I need to ask for one of the nurse to go and take them for me. At that time, the patient was also shouting. He doesn’t like to take shower. I was just standing and watching like a statue, we couldn’t help and do because we were not allowed to do without the one who could guide. When patient was shouting, she never expressed her angry feelings. She smiled at him and explained him politely with suitable reason. Later, she told me that she has been worked there about seven years and she got a lot of experiences. She also knew her mistake herself and taught me that when you are going to shower the patient, you need to gather and check all the needed items. I had learnt that point from her …show more content…
As IOM states that, the origin of patient safety problem is classified due to type (error), communication (failure between patient or patient proxy and practitioners, practitioner and non- medical staff or among practitioners), patient management (failure in tracking, wrong referral, or wrong use of resources), and clinical performance (before, during, and after intervention). According to this statement, the accident that was caused by nurse is under patient management. In my opinion, this case happened because she just wanted to finish her report in time. Why I considered this reason for this case because she told me that she has been seven years in this community hospital. And also, after that, she taught me not to be like her and said to me ‘you must check the items not only for this case but also for the other cases as a professional nurse’. So that, I really couldn’t blame on her continually. At that time, I also got shocked so I couldn’t help her to so and get the things. It can be because I was just a very new student nurse so I didn’t realize where things are placed
As the scenario unfolded, I noticed that Brandon was easy to work with, cooperative, and provided my partner and I with supportive feedback throughout the caring process including information as to how to position a patient’s leg to increase stability while they are side lying. Additionally, one physical aspect I noticed about Brandon was that he could not move his legs as a result of a spinal cord injury. Brandon’s injury prevented him from completing tasks independently, such as bathing much of his body. Therefore, my partner and I took the task of providing a proper and effective cleaning. The day before this scenario, I was able to practice bed baths on my classmates and learn the important do’s and do not’s regarding bathing. I believe
Nurses as part of regulated health care practitioners are responsible and accountable to abide by the standards, codes and guidelines of nursing practice (NMBA, 2016). The nurse in the case study has breached the standard 1.4 of the Registered nurse standards for practice. According to standard 1.4 the registered nurse should comply with "legislation, regulation, policies, guidelines and other standards or requirements relevant to the context of practice” when making decisions because this will be the foundation of the nurse in delivering high quality services (NMBA, 2016). The nurse in the scenario did not follow the hospital policy concerning “Between the Flags” or “red zone” and a doctor should be notified in this condition. Furthermore, the nurse failed to effectively respond to a deteriorating
Look back: During my third week clinical experience, I did both computer charting and paper charting (for maternal assessment) with nursing care plan. Besides charting, I reported my significant findings of the mother verbally to the primary nurse.
Safety is non-negotiable. Because of nurse leader's perspective on the causes of errors and their prevention, they are an indispensable part of a multidisciplinary team that finds innovative solutions to improve safety that ultimately benefits the patient.
The rate of errors and situations are seen as chances for improvement. A great degree of preventable adversative events and medical faults happen. They cause injury to patients and their loved ones. Events are possibly able to occur in all types of settings. Innovations and strategies have been created to identify hazards to progress patient and staff safety. Nurses are dominant to providing an atmosphere and values of safety. As an outcome, nurses are becoming safety leaders in the healthcare environment(Utrich&Kear,
It should have not taken the bad decision by a CNA to address the situation. If the patient would have suffered harm from this incident the charge nurse could have vicariously been liable. The charge nurse had duty to provide the standard of care that was considered reasonable in this situation. The lack of intervention by the charge nurse allowing the CNA to handle the situation on their own, improperly, could have led to negative consequence for the patient. This scenario could have been approached by first with identifying the patient was presumptuously a fall and flight risk. In the facility I work at these patients are identified with a yellow wrist band and yellow non-slip socks. A fall risk code is also hung on the outside of the patient’s room door. Splat mats, or cushion mats could be placed on the floor of the patient’s room. Two sides rails up on the bed at all times with the bed in the lowest position. Some of our beds have built in bed alarms or one can be applied externally to a patient’s bed. The patient’s room should be closest to the nurse’s station. I generally make every attempt for them to not be near any exit doors for the unit, or where they could wander into another unit. We have safety sitters within our hospital which can be taxing when a unit is are short staffed and have financial implications. Perhaps family would have been available and more than happy to sit with their family member for period of time. We even will place the patient in a wheelchair out at the nurse’s station for all staff to keep a close watch
Keeping patients safe is essential in today’s health care system, but patient safety events that violate that safety are increasing each year. It was only recently, that the focus on patient safety was reinforced by a report prepared by Institute of medicine (IOM) entitled ” To err is human, building a safer health system”(Wakefield & Iliffe,2002).This report found that approx-imately 44,000 to 98,000 deaths occur each year due to medical errors and that the majority was preventable. Deaths due to medical errors exceed deaths due to many other causes such as like HIV infections, breast cancer and even traffic accidents (Wakefield & Iliffe, 2002). After this IOM reports, President Clinton established quality interagency coordination task force with the help of government agencies. These government agencies are responsible for making health pol-icies regarding patient safety to which every HCO must follow (Schulman & Kim, 2000).
Throughout my final ten weeks at my placement, I have grown and overcome so many obstacles. I have accomplished a wide range of skills since the beginning and have been improving on them as I gained experience. At my placement as a student nurse, I have gained a lot of confidence, skills, knowledge and experiences that have helped me act and work in a professional way. All the experiences I have had during the ten weeks of my student years have helped me in shaping me into a professional.
I believe placing student nurses in the clinical setting is vital in becoming competent nurses. Every experience the student experiences during their placement has an educative nature therefore, it is important for the students to take some time to reflect on these experiences. A specific situation that stood out to me from my clinical experience was that; I didn’t realize I had ignored the patient’s pain until I was later asked by the nurse if the patient was in any pain.
This week’s clinical experience has been unlike any other. I went onto the unit knowing that I needed to be more independent and found myself to be both scared and intimidated. However, having the patients I did made my first mother baby clinical an exciting experience. I was able to create connections between what I saw on the unit and the theory we learned in lectures. In addition, I was able to see tricks other nurses on the unit have when providing care, and where others went wrong. Being aware of this enabled me to see the areas of mother baby nursing I understood and areas I need to further research to become a better nurse.
Patient’s personal hygiene is a vital part of the nurse’s role. Young (1991) described cleanliness as a basic human right, not a luxury the need for the patient to physically cleansing and which would include skin, hair and nails.
On the second week of my placement, I was asked to bed-bath an 85 year male old patient in my bay, in the ward and get him ready for breakfast. This patient had, had a bowel surgery and as a result he had a stoma bag on. This patient was diagnosed with Inflammatory Bowel Disease (IBD) IN 2010, but his condition had grown worse over the years. IBD mainly refers to Ulcerative Colitis (UC) and Crohns disease (CD). However, this patient had Crohns disease. I was asked to bed-bath him by my mentor while she was observing me as she had taught me how to assist patients with their Activities of Daily Living (ADL) which are considered to be important.
Though the facility does not have whirlpool baths the nursing assistant should of notified prescriber of that issue due to patient’s already fragile condition, therefore physician could of provided alternatives or edited the current plan of care for the patient. Secondly the patient was unable to talk so extra precautions should have been taken in regards to the quality of this patients care, such as checking water temp before placing patient into it, this particular patient was unable to verbalize if the water was too hot/or too cold to nursing assistant so the assistant should of checked it by touch or by using a thermometer to check degree of water. There are always alternative options for patient’s that require extra care, and that is the healthcare providers’ duty when they are caring for patients. The failure of a healthcare worker to provide duty and/or mistreat the patient, and cause to cause harm to a patient makes the healthcare provider liable in a medical negligence
It was one of the hottest days in the summer last year. That's why I was not worried about being so thirsty early in the morning. On the other hand,my mother felt that there was something wrong with me going to the restroom back-and-forth constantly . My face was distracted and lifeless once my mother pointed out the issue with my bladder; I got scared for a second , and I felt something is not normal in my body. Remembering my body was so sluggish that day, I thought it could have been from the extra weight that I have recently gained. At the same time , my mom kept saying to play it safe, go to the doctor and get it checked out. There was no way that I thought I would be diabetic, though every single symptom I was having lead directly to diabetes itself. As a precautionary procedure , I called my Doctor and made an appointment for the next day
Safety is a primary concern in the health care environment, but there are still many preventable errors that occur. In fact, a study from ProPublica in 2013 found that between 210,000 and 440,000 patients each year suffer preventable harm in the hospital (Allen, 2013). Safety in the healthcare environment is not only keeping the patient safe, but also the employee. If a nurse does not follow procedure, they could bring harm to themselves, the patient, or both. Although it seems like such a simple topic with a simple solution, there are several components to what safety really entails. Health care professionals must always be cautious to prevent any mishaps to their patients, especially when using machines or lifting objects, as it has a higher