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Reflection in clinical practice
Reflection about teamwork
Thesis for patient centered care
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Recommended: Reflection in clinical practice
Professional accountability/Attendance:
I introduced myself to the nurse responsible for the assigned patient after unit change of shift meeting. Patient report was received by the third shift nurse about patient condition and future care requirements. Meet with patient and family after report to be introduced and perform initial patient assessment.
Patient and family centered care:
Perform patient health and safety assessment while gathering information from patient and family about diagnosis. Read patient’s health electronic record in order to better understand patient symptoms as well as to perform a more knowledgeable patient care at the time of communicating and providing patient education about his treatment.
Teamwork and collaboration:
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Communicate constantly to the nurse responsible to the assigned Patient as well as other members of the health care system. Be able to have a positive team interaction and collaboration with classmates by assisted them at time of patient especial needs and requirements. Evidence base practice: See attached research document. Quality improvement: Incorporate hospital policies and protocols to improve patient care as hand wash before and after entering a patient room as well as PPE. Introduce and applied nursing skills as well as to identify patient needs while providing assessment and care of the patient. Be attentive to patient responses and reaction to be able to understand verbal and not verbal communication. Informatics: Use epic to achieve a better understanding of patient’s health, diagnosis and treatment while caring for a patient.
Used epic also to chart patient vital signs, assessments, input and output, safety and medications administration. Introduce informatics to improve and standardizes patients care.
Safety:
Introduce safety precautions at all times to improve patients health care. Assess patient’s environment like bed side rails, call lights within patient reach, allergic bands and arm bands before administrating medication plus incorporating the using the barcode scanning system and two ID identification.
Reflection:
My assigned patient was very easy to take care of and required very minimum attention and care due to the patient age, independency and constant family support. However, the patient was very collaborative at time of assessment and medication. The fact the patient was able to provide his own personal hygiene and was ready to be discharged made our interaction shorter; however, it is always nice to see patients feeling better and able to go home and try to continue with their own routines and family relationship. On the other hand the fact that my patient was getting discharge allow me to be a little more involve with other patients on the unit and assist my classmate with their patients. The fact that Friday was my last at Children’s Hospital make me think on how much I enjoyed the rotation and work with children, it has been definitely a great experience that make me considered pediatric as a possible place of work and a field that seems very tentative as a possible route to
follow.
Administrative staff and clinicians working at SA Health sites are able to access electronic patient information system and order tests, medications and review results from computers.
...to communicate with your patient in order for them to be updated with their family’s sickness. And also have compassion towards them. You are likely to see a lot of injuries and scenarios play out among patients that have been admitted to the hospital. There are many achievements in this field that you may accomplish. And priorities that you have to deal with. For instants your time you have to adjust your schedule.
Observe, record, and report to physician patient's condition, treatment provided, and reactions to drugs and treatment
Implementing technology in a clinical setting is not easy and cannot be successful without a well-organized system. It is important that healthcare providers understand the electronic medication administration record (eMAR) and its role in improving patient safety. One of the most significant aspects of healthcare is the safety of our patients. Medication errors account for 44,000-98,000 deaths per year, more deaths than those caused by highway accidents or breast cancer. Several health information technologies help to reduce the number of medication errors that occur. Once of these technologies is bar-code-assisted medication administration (BCMA). These systems are designed to ensure that the right drug is being administered via the right
Administration of medication is a vital part of the clinical nursing practice however in turn has great potential in producing medication errors (Athanasakis 2012). It has been reported that over 7,000 deaths have occur per year related to medications errors within the US (Flynn, Liang, Dickson, Xie, & Suh, 2012). A patient in the hospital may be exposed to at least one error a day that could have been prevented (Flynn, Liang, Dickson, Xie, & Suh, 2012). Working in a professional nursing practice setting, the primary goal is the nurse and staff places the patient first and provides the upmost quality care with significance on safety. There are several different types of technology that can be used to improve the medication process and will aid staff in reaching a higher level of care involving patient safety. One tool that can and should be utilized in preventing medication errors is barcode technology. The purpose of this paper is to demonstrate how implementing technology can aid patient safety during the medication administration process.
Support: In health and social care practice, an individual is given required privacy, given independence, allowed individuality. Besides these, every individual is given equal rights, support, attention and care and his friends and families also treated properly. In health and social care, individual from culture of wide variety to be served and for this reason, views and values from different cultures and communities are respected.
I enjoyed interacting with the patients, and my nurse. Karie, was amazing. She explained to me everything she did. The routine for each patient was very similar, and this repetition helped me anticipate what Karie needed and helped me feel fairly confident in assisting her with the new patients and their needs. On the other hand, I was extremely disappointed that I was not given the opportunity to administer an intravenous (IV) line. Karie was willing to allow me the opportunity after I watched her place an IV in three different patients, but her fourth patient was transported from a different hospital with peripherally inserted central catheter (PICC) line in place. It was beginning to get late in the day and the patients coming in was slowing down, so Karie told the nurses at the nursing station that I needed to practice IV’s, but no one had any to give. Although I was disappoint that the opportunity to insert an IV into a patient did not arise, I did gain much knowledge regarding the ODS unit. I am now familiar with the physical layout of the unit and what takes place with patients that go there. I know the role of the nurse. I was also given an opportunity to practice nursing diagnoses on a
This piece of work will be based on the pre-assessment process that patients go through on arrival to an endoscopy unit in which I was placed in during my second year studying Adult diploma Nursing. I will explore one patient’s holistic needs, identifying the priorities of care that the patient requires; I will then highlight a particular priority and give a rational behind this. During an admission I completed under the supervision of my mentor I was pre-assessing a 37 year old lady who had arrived to the unit for an upper gastrointestinal endoscopy. During the pre-assessment it was important that a holistic assessment is performed as every patient is an individual with unique care needs as the patient outline in this piece of work has learning disabilities it was imperative to identify any barriers with communication (Nursing standards 2006).
Interactions between patient and staff involve gathering information from checkups, maintaining a relationship, and guiding the patient in the road to recovery. These three functions are inexplicably intertwined. For example, a patient who is uncomfortable with his or her physician may not disclose information efficiently which raises difficulties when establishing the most effective way to treat a disease. Effective care between a physician and staff ensures that a patient will feel secure and respected, and thus willing to disclose feelings and personal information that can be utilized in treatment. Organization of these staff members and their accessibility and courtesy level provide structure in the complex environment common to hospitals. Doctors, nurses, residents, aides, receptionists, and other staff members interact with each other daily in order to support the hosp...
This past week was my third full week on the medical/surgical floors, which means that I was semi-independent and will continue to be until my fifth week. Four west is still my primary unit, and it also contains some PICU rooms. The unit is increasingly becoming the heart failure rooms, as we are the only full-time telemetry monitoring unit. I have been able to continue to build rapport and establish therapeutic relationships with one chronic patient, but unfortunately for me (but fortunately for her), our other long-term patient was discharged. As happy as I am to see her healing, it is difficult to continue to create/facilitate therapeutic activities on our unit, which has such a high turnover rate. As I’ve stated before, staff on this unit
Firstly using advanced technology allows easier access to patient records like electronic medical records which continue to evolve as a result of advanced technology. It implementation allowed accurate and complete health records of patient including all diagnostic test and treatment history for instance blood tests, drug dosage history and radiological test which stored electronically in an accessible database. It improves several aspects of current health care systems which increase the ability to better co-ordinate the care given. Moreover it access helped to diagnose patient’s health problem more readily, lessens medical errors and provides safer care. According to Menachemi and Collum (2011) computerization helps to reduces errors and staff do not need to get clarification from the illegible written orders which can ultimately results in effectiveness of care. However this is an open database which can potentially allow health care professionals to get access to patient’s information. The ethical...
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
If rewards have to serve developmental goals then the person receiving the reward should know which accomplishments are being complimented. Hence, role clarity as well as accountability is very important. [8] Performance appraisal enhances role clarity and accountability in the organisation.
Health care has always been an interesting topic all over the world. Voltaire once said, “The art of medicine consists of amusing the patient while nature cures the disease.” It may seem like health care that nothing gets accomplished in different health care systems, but ultimately many trying to cures diseases and improve health care systems.
Even though I didn’t know how it would affect my care to the patient when the family is staying with the patient around the clock, I realize by having the family member presence actually caused me to be more alert of my actions. Since this is the first time I deal with patient’s family around the clock, I learned by asking them questions and through communication, I get to know detail information about the patient even though the patient is under sedation. During the shift hands off report, the day shift nurse inform the night shift nurse that she forgot to change the wound dressing on one of the patient; the night shift nurse realized that she didn’t see the chart clearly. This incident makes me understand the importance to look at the patient’s chart carefully to make sure that everything is done correctly prior to shift change hands off. As a professional nurse, our job is to make sure the patient receive the best care they could during their stay; and at the same time, we needed to have a good communication skill to communicate with our patient, their families, and our health care team