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Role of emergency nurse
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Emergency Assumptions What did the heroin addict say to the EMS crew? Nothing. His shallow breathing, constricted pupils, tongue discoloration, muscle spasms, low blood pressure, and disorientation prevented him from telling us he obviously overdosed. Whether I’m transporting elderly fall victims, responding to calls for a man having a seizure in a tree, or overdoses of any kind, my job requires me to make a lot of assumptions. I always try to get as much information as possible but sometimes as much as possible isn’t much. For the vast majority of my life, I have wanted to be in a medical profession. Excluding the time I wanted to be a pop star, emergency medicine has always captivated me. So much so that in my senior year of high school I obtained my AEMT certification and had planned on becoming a paramedic, later to become interesting in nursing. I worked with a company called Gold Cross in both Albert Lea and Rochester Minnesota. During the time when I was obtaining my AEMT I had to attend clinicals in Rochester. A clinical is pretty much training for what you will be doing on the job with a person called a preceptor. I …show more content…
Being newly 18 and despite knowing the information, I really hadn't had much hands-on practice. To my surprise, my preceptor turned to me and said “What do you do?”. I panicked. What do I do? It was a good possibility that this could be a life or death situation. I then had to rely on my assumptions and observations. I observed the man and quickly noticed needle marks up and down both arms, blue skin, small pupils, and respiratory distress. All signs of opioid overdose, I turned back to my preceptor and responded accordingly. She helped me administer .4 mg of naloxone; a drug that almost immediately reversed opioid overdose effects. The man immediately began to stabilize and started to come to. He was able to walk himself the ambulance when minutes before he was unconscious and
The documentary states that over 27,000 deaths a year are due to overdose from heroin and other opioids. According to the Center for Disease Control and Prevention in 2015 prescription pain relievers account for 20,101 overdose deaths, and 12,990 overdose deaths are related to heroin (Rudd et al., 2010-2015). The documentary’s investigation gives the history of how the heroin epidemic started, with a great focus on the hospice movement. We are presented with the idea that once someone is addicted to painkillers, the difficulty in obtaining the drug over a long period of time becomes too expensive and too difficult. This often leads people to use heroin. This idea is true as a 2014 survey found that 94% of respondents who were being treated for opioid addiction said they chose to use heroin because prescription opioids were “more expensive and harder to obtain (Cicero et al., 2014).” Four in five heroin users actually started out using prescription painkillers (Johns, 2013). This correlation between heroin and prescription painkiller use supports the idea presented in the documentary that “prescription opiates are heroin prep school.”
The treatment priorities of the registered nurse upon admission to the emergency department are as follows; within the first 10 minutes of Mr. Bronson’s arrival to the emergency department begin a 12 lead ECG. Assess Mr. Bronson’s vitals heart rate, blood pressure, respiratory rate, oxygen saturation, and administer oxygen 2-4 liters via nasal cannula (Sen, B., McNab, A., & Burdess, C., 2009, p. 19). Assess any pre hospital medications, and if he has done cocaine in the last 24 hours. At this time, the nurse should assess Mr. Bronson’s pain quality, location, duration, radiation, and intensity. Timing of onset of current episode that brought him to the emergency room, any precipitating factors, and what relieves his chest pain.
Growing up, I was never really sure what career would fit best for me. I didn’t know which direction I was going to take and I always ended up pushing it aside because truly, it scared me. Coming into high school, I ended up with multiple injuries – I sprained my left ankle twice and my right ankle once; I also ended up spraining my elbow. This all happened through cheerleading and lacrosse. I was continually going to the hospital and started to realize what my passion was – being in the medical field. My passion for being in the medical field grew even more when my brother married his girlfriend, Yuko. She happened to be a nurse, as well as my other brother who worked as a physical therapist. Though I didn’t know what field I necessarily wanted to go into, and I still am a little conflicted, I knew my heart was in the medical field. One that I’ve specifically looked into recently has been emergency room nurses.
I want to be a nurse, specifically a nurse practitioner. I have always been fascinated with the medical field and see a bright future in it for me. I have the opportunity of meeting new people every day with a variety of personalities. There is always something new to discover in this field. A nurse practitioner's job is to be able to diagnose and treat illnesses. They also prescribe medicine and run physical exams. I am highly interested in pursuing the career of a nurse practitioner because the healthcare field is always in need for medical professionals, it pays well, and I am helping people at the same time.
I definitely believe that this could be a potential call in the future as a police officer. Situation that could arise when dealing with these unfortunate issues are that bodies start to break down. Individuals passing out could be an example of a possible call. Knowing how to deal with this and how to get the resources to help individuals with this illness is important. Possible calls could be people passing out, stomach issues and maybe someone making the call to just try and get help for the person directly.
When someone loses their life and drug overdose is suspected, medical examiners and coroners launch investigations that sometimes take
Overdose related deaths have become more and more frequent in many areas. Reports from Ohio conclude that over the course of a year the morgues have seen the highest body count of overdosed caused deaths and 86% of the overdoses was caused by opioids (Wasser, 2017). On average in the year of 2016 the United States lost 115 Americans a day to the opioid epidemic. Due to the heightened amount of opioid induced deaths, investigations have concluded that the highest number of overdoses were caused by a new highly dangerous synthetic drug called Fentanyl. Fentanyl is a thousand times stronger than strait heroin and is far more deadly. Opioid users are unknowingly purchasing opioids on the streets that have contained traces of Fentanyl in them, which have led to the overdoses of many individuals (Branson,
Many therapists can increase the functional abilities of their patient’s lives, I aim to do more than just that. In the last two decades, the United States has experienced an explosion of opioid drug use and abuse. Along with assessing heart rate and blood pressure, pain has become the fifth vital sign used to evaluate a patient’s status in most every healthcare setting. There is now more of an emphasis to manage pain and in turn more and more opioids prescriptions have been written. The United States is currently immersed in an opioid crisis with no discrimination of its victims. Drug overdoses have since become the leading cause of death of Americans under 50 years of age, with two-thirds of those deaths from opioids. The stereotypical street drug user is no longer the norm but rather all socioeconomic levels are affected. There has been a surge of prevalence in middle aged women addicted to pain killers who often suffer in silence and are well equipped to hide their problem. Most everyone knows someone and has had their lives or family affected by drug
Growing up as an only child I made out pretty well. You almost can’t help but be spoiled by your parents in some way. And I must admit that I enjoyed it; my own room, T.V., computer, stereo, all the material possessions that I had. But there was one event in my life that would change the way that I looked at these things and realized that you can’t take these things for granted and that’s not what life is about.
A calm crisp breeze circled my body as I sat emerged in my thoughts, hopes, and memories. The rough bark on which I sat reminded me of the rough road many people have traveled, only to end with something no one in human form can contemplate.
More than 3 decades ago, America’s opioid epidemic began taking shape. Although based on good intentions and pharmaceutical propaganda, an upsurge in prescription narcotics for pain treatment is credited with the reemergence of the deadly illicit substance: heroin. According to the CDC (2018), more than 48,000 people died in 2016 (the last full statistical data year) from unintentional drug overdose, with more than 84% of these overdoses directly related to an opioid substance, making it the leading cause of accidental death, surpassing automobile accidents and even some forms of cancer. Even more alarming, heroin is killing our youth in unprecedented numbers.
Life wasn’t as assuring as it may seem today. While growing up, I made some decisions that wasn’t beneficial to my life. As years went by, still there wasn’t any progress besides working routinely at the same job for 3 years. I knew it was time for a change. When I completed my HiSET diploma, bought a car, and moved out my mother’s home, I became at ease with myself.
I was caring for a patient that was diagnosed with congestive heart failure. After receiving bedside report, I preceded to my patients charts for morning labs and such prior to beginning my patients assessments. Upon entering the room of said patient, I began my assessment and realized that the patient didn’t seem the same as a few minutes ago when receiving bedside report. When I asked how the patient felt, she explained that she wasn’t feeling well and felt a little nauseated. I just didn’t feel right with my patient’s condition so I called the rapid response team to assist with this patient. During the rapid response, I stayed with the patient the entire time to provide safety and emotional support. I administered medications as needed throughout the process. The patient was transferred to the intensive care unit for further observation. I charted what had happened and the outcome of the situation. It was through my knowledge, nursing judgement, and skill that I was able to process this situation through the nurse’s scope of
From a young age, I was drawn to the healthcare field, not because the amount of money doctors, nurses and other health professionals made, but because of the dedication and contentment I saw on their faces helping someone in need. Growing up everyone wanted to become a doctor or a nurse and as a little child being a doctor or a nurse was a profession many parents wanted their child to pursue as a career. Needless to say, I fell into that category because I had high hopes that one day I will become a nurse. However, that dream came to a halt.
From a young age, I was drawn to the healthcare field, not because of the amount of money doctors, nurses and other health professionals made, but because of the dedication and contentment I saw on their faces helping someone in need. Growing up everyone wanted to become a doctor or a nurse and as a little child being a doctor or a nurse was a profession many parents wanted their child to pursue as a career. Needless to say, I fell into that category because I wanted too. However, that dream came to a halt.