Monitoring
The appropriate selection of the specific physiologic parameters that should be monitored during the MRI procedure is vital for patient safety. They consist of MRI safe Pulse oximeter, Electrocardiograph and respiratory bellows or pneumatic capsules.
This physiologic parameter is measured using pulse oximetry, a monitoring technique that measures the oxygenation of tissue. Due to which oxygen saturated blood absorbs differing quantities of light compared with unsaturated blood, the amount of light that is immersed by the blood can be used to calculate the ratio of oxygenated hemoglobin to total hemoglobin and shown as the oxygen saturation. Moreover, the patient's heart rate may be calculated by taking the frequency that pulses occur as the blood travels through the vascular bed. Thus, this pulse oximeter can be used to determine oxygen saturation and pulse rate on a nonstop basis by taking measurement of the transmission of light through a vascular site such as the ear lobe, finger-tip, or toe. The used of fiber-optic technology have been established through this pulse oximeter to acquire and transmit the physiologic
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Monitoring the patient's electrocardiogram (ECG) in the MRI environment is mostly challenging because of the inherent distortion of the ECG waveform that happens using MR systems operating at high field strengths. The use of proper ECG electrodes for example those tested and estimated to be acceptable for patients is required to confirm patient safety and appropriate recording of the electrocardiogram in the MRI environment. Therefore, ECG electrodes have been specifically established for use during MRI procedures to protect the patient from possibly hazardous conditions. These ECG electrodes were also designed to reduce MRI-related
Clinical Supervision is the life wire of any health are professional. It is the on the job teaching that takes place between the supervisor and supervisee. It is a lifelong learning used for personal and professional development which is useful both in nursing education and clinical practice. Its benefit cannot be overemphasized as it is known to improve job satisfaction and prevention of stress /burnout. Supervision is important because it allows the novice to gain knowledge, skill and commitment.
The implementation of bedside shift reporting is crucial for quality of patient care and patient safety. According to an article found in the American Nurse, 2009 by Trossman, “Shift-change reports are as routine and as important to staff nurses as breathing”. Nurses have identified and averted a number of errors – including delivering wrong medications and continuing orders that were stopped – since the bedside report has been implemented” (p. 7). Lag time from when on coming nurses received report and actually saw their patient was reported to decrease with bedside shift reporting. Julie Truran, RN who is a charge and staff nurse on a pulmonary and infectious disease unit states “It’s improved patient safety
The ability to carry out and document a full respiratory and cardiovascular assessment is an essential skill. The severity of illness can be initially evaluated by inspection, palpation, percussion, and auscultation. During analysis, specific locations of symptoms can be identified using landmarks such as the midaxiallary, midclavicular, and, the midsternal line. Indicate anterior or posterior thorax, and use the midaxillary line location when applicable (Bickley & Szilagyi, 2013).
• Your blood pressure, heart rate, breathing rate, and blood oxygen level will be monitored often until the medicines you were given have worn
On November 17th, 2015 I had an observation clinical shadowing a Registered Nurse in Case Management. Case management is a side of nursing that is not brought up very often. We started off the shift in the nurse’s office. Morgan, the nurse, had a meeting to attend at 9:00am, so we stayed in her office to get organized for the day.
I chose a career as a medical assistant because of the rewards I knew I would experience on a daily basis. Seeing a patient smile because I have helped them understand, or just making them feel comfortable with their visit, is just one of the many perks of my job. Upon graduating from an accredited college such as The College of Health Care Professions (CHCP), I now work for one of the most reputable hospitals in my area. Within two short years of committed studies, I obtained my associate of applied science degree, and then went on to obtain my certification as a medical assistant. There is nothing I have found more fulfilling, strong, secure, or rewarding then choosing to become a medical assistant,
For the purposes of this quality improvement effort, the measures will be aimed at improving the wait time for a patient after the check in at a facility. Wait time is defined as time spent between checking in and the actual encounter. The encounter includes when the patient is seen by a medical professional. This will potentially increase patients’ satisfaction but could jeopardize patients that will come in with more critical conditions.
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).
Today, many Americans face the struggle of the daily hustle and bustle, and at times can experience this pressure to rush even in their medical appointments. Conversely, the introduction of “patient-centered care” has been pushed immensely, to ensure that patients and families feel they get the medical attention they are seeking and paying for. Unlike years past, patient centered care places the focus on the patient, as opposed to the physician.1 The Institute of Medicine (IOM) separates patient centered care into eight dimensions, including respect, emotional support, coordination of care, involvement of the family, physical comfort, continuity and transition and access to care.2
... Validation of continuous and noninvasive hemoglobin monitoring by pulse CO-oximetry in Japanese surgical patients. J Clin Monit. Comput. 2013;27(1):55-60.
The second thing we needed was direct contact to the skin of the patient or classmate. The stethoscope should not be place over the cloth instead under it right on top of the artery. The cuff size is important to determining the right measurements for the patient for instances trying to find the blood pressure of a child’s would work if you use an adult cuff. After everything is placed the manometer should be facing the technician ready to read. The technician then inflates the cuff to 160 mm hg. He then releases listening to the 1st Korotkoff sound (systolic pressure) and the middle (muffling) and the 5th phase (diastolic pressure) which is the disappearance of the sound. The hypothetical recording would be 128/92/86 mm Hg. At the end of the testing the technician uses the 1st and 5th phases to classify the person’s health according to the
Healthcare organizations monitor patient experiences in order to evaluate and improve the quality of care. As health care professionals we spend a lot of time with patients, and we have a major impact on patient experiences. To improve patient experiences of the quality of care, as health care professionals we need to know what factors within the nursing work environment are of influence. A lot of things affect patient experiences of the quality of nursing care. Last year on the nursing units we started doing the morning huddles, prior to getting bedside report as a team we are gathered around for the morning huddle. This huddle is basically done every day. Prior to the huddle our unit manager had mentioned he had read it in a journal the morning
There are 2 types of breathing, costal and diaphragmatic breathing (Berman, 2015). Costal refers to the intercostal and accessory muscles while diaphragmatic refers to breathing using your diaphragm (Berman, 2015).It is important to understand the two different types of breathing because it is vital in the assessment of the patient. For example, if a patient is suing their accessory muscles to aid in breathing then we can safely assume that they are having breathing problems and use a focused assessment of their respiration. Assessing respiration is fairly straightforward. The patient’s respiration rate can be affected by anxiety so a useful to avoid this is to check pulse first and after you have finished that, while still holding their pulse point, check their respiration rate. Inconspicuous assessment avoids the patient changing their breathing because they know they are being assessed which patients can sometimes do subconsciously. Through textbooks and practical classes I have learned what to be aware of while assessing a patient’s respiratory rate. For example; their normal breathing pattern, if and how their health problems are affecting their breathing, any medications that could affect their respiratory rate and also the rate, depth, rhythm and quality of their breathing (Berman, 2015). The only problem I found while assessing respiration rate was I thought it seemed a bit invasive looking at the
Also, smaller objects like hearing aids, watches, bobby pins, zippers, underwires, hairpins, and jewelry that have metallic threads or fasteners are known to be pulled off the patients carrying them. So, it is vital that they are removed before the MRI exam. There are other MR-Unsafe devices such as the many pacemakers, aneurysm clips, and cochlear implants. Several deaths have been reported in cases where patients with aneurysm clips and pacemakers have undergone the MRI scans without taking the right precautions.
The purpose of this reflection is for the second day of clinical and with continuation of same patient from the first week. Today, I entered the nursing home/rehabilitation institution with relax mood and with optimism. When I was walking from first floor to second floor, I observed the staff, most of them greeted us with a smile. When going back to first floor, as I walked closer to the nurse’s station, I panicked. At the moment, the nurse was starting the shift and it looked like we arrived at the same time, therefore it seemed she was moving with bit of hastiness.