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Professionalism within nursing
Professionalism within nursing
Professionalism within nursing
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This week’s clinical experiences was exciting and at the same time with disappointment and struggle feelings. The exciting part was the fact that I continues to learn new skills and get to overserved the dialysis procedures in the DaVita dialysis center. In the hospital unit, I get to hang my first IV solution and piggy bag; and that where my disappointment comes in, I did not do a good job as I should have because of my lack of practice in the skill lab. However, this also leads to my mixed feeling of the situation. First of all, this IV administration was taught to us at the beginning of our nursing program, and I was not able to apply this skill through any of my previous clinical setting compared to some of my classmate which their instructor …show more content…
Even though all nurse and health care professionals should treat their patients with caring, nonjudgmental, and professionally, but some staff are not doing what they supposed to do. A skill that I performed this week was very simple yet very important to my patient: provide caring to my patient without any judgement. Every time in the health care setting, I always provide good patient cares to my patients, but this time is little different. My patient was admitted to the hospital due to stab wound, he has a history to substance abuse: drug seeking behavior, alcohol, and a meth abuser. During the hands off report, my RN told me that this patient probably is very needed for pain meds because of his history and he probably will be very agitate because his substance abuse behavior. She kind of hinted that I don’t need to pay much attention to the patient. I appreciated my RN worn me with these information, but for me personally, I just wanted to take care my patient the way I have with all the other patients. As usual, I asked my patient about his pain, did he have any discomfort; little do I know, this simple care makes a big impact on my patient. At the end of my shift, he was tearing up in front of me and my RN and said “thank you very much for treating me a human being and not a person coming in for pain meds. The people in the emergency room give me the impression that I am looking for pain meds due …show more content…
Tolerance is needing increasing amounts of a substance to receive the desired result or finding that using the same amount over time results in a much-diminished effect. Nursing students should know that some prescribed medications might have the same effect, such as some antianxiety medications, analgesics, and beta-blockers”. (p 415). This knowledge allows me to understand that my patient must develop tolerance to pain medication according to his medical history; therefore, he will need a higher dose and more frequency to pain meds in order for him to achieve a lower pain level. By understand my patient is tolerance to pain medication, I am not judging my patient when they keep asking for pain medication or thinking that they just wanted the pain medication to relieve their
I agree with you that the nurses violated provision 9 of the nursing code of ethics. Nurses have an obligation to themselves, their whole team and to the patients to express their values. Communication is key in a hospital, so everyone knows what is correct and what isn’t within the workplace. In order to have a productive, ethical, positive environment. These values that should be promoted affect everyone in the hospital, especially the patients, and can have a negative outcome if those values are not lived out. Nurses have to frequently communicate and reaffirm the values they are supposed follow frequently so when a difficult situation comes along that may challenge their beliefs they will remain strong and their values will not falter.
Nurses are central to patient care and patient safety in hospitals. Their ability to speak up and be heard greatly impacts their own work satisfaction and patient outcomes. Open communication should have been encouraged within the healthcare team caring for Tyrell. Open communication cultures lead to better patient care, improved outcomes, and better staff satisfaction (Okuyama, 2014). Promoting autonomy for all members of the healthcare team, including the patient and his parents, may have caused the outcome to have been completely different. A focus on what is best for the patient rather than on risks clinicians may face when speaking up about potential patient harm is needed to achieve safe care in everyday clinical practice (Okuyama,
Today’s clinical experience truly affected me in multiple ways. I went into this day with an open mind, and was pleased with the patients and the way I was able to conduct myself. This clinical affected me because throughout the day I felt that I experienced many emotions. A few times during my day I did have to fight back tears. I felt I had this emotion because some of the individuals expressed how they wanted to get better in order to get home to their families.
This is one of the values that is of the utmost importance when being a nurse. We must have compassion for our patients. We as nurses will make an impact every single day in the lives of people in our community. We need to realize that we are the voice of the voiceless and the advocates for those who cannot advocate for themselves. You realize that even by helping one person, you are making a difference and are making the world a better place one patient at a time. Some of us may enter the field and some of us may be continuing on in our education, but we all share one thing in common, we are all nurses and we all made
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
Because of this extreme depression the user is almost forced to use again to alleviate depression. The tolerance level of the user thus increases. Tolerance refers to the fact that through continued use of a drug, users often feel the need to increase the "dose"...
I feel as if the patient’s are our number one priority. They come to us for help, and we should be there for them and advocate their wishes. The code of ethics was put in place partially for this reason, to make sure our patient’s have top of the line care. When a patient comes in and states they are in pain, they should be treated as if they are in pain. If a patient declines a medication due to the route and location, then the nurse and physician should work together to form another option. A patient should never be sent away without being treated first. One recommendation I would make is to form an algorithm for pain treatments, just as they do for cardiac arrest. That way when a patient comes in and declines the first option, there is a protocol in place that includes other options. I would also recommend transferring the patient to another unit to be treated if fast track does not have the resources. The patient should also be informed of the treatment right away before making them sit and wait for
Working at the hospital for a little over a year now I have seen a few instances that are a "near miss", some a failure, and as of today a complete failure in patient safety but is being overlooked in some ways. Being the most recent and fresh in my mind this incident included a known drug addict, and an order that read "pt. may go outside with family". During shift report I asked the night shift RN why a known drug addict has outdoor privileges, when it is hard enough to get anyone the order to go outside. The RN giving report agreed with me, but since the ordering physician wasn 't available we could not challenge the order overnight. As my shift continued I go into the patients room to check on them and the bed was empty the wheelchair was gone and the bathroom was empty. I asked my Clinical assistant and she said that she was never told the patient was leaving (strike 1: patients need to tell staff when they leave the unit). After 30 minutes I looked in the room and the patient was still gone, after an hour the patient returned with a family member (strike 2: patients are allowed 15 minutes off the floor). I quickly went into the room and asked the patient that if they would like to leave the unit they need to notify staff before they leave and patients need to come back to
I believe that we should always think of others needs and do no harm to others even if they have harmed you in some way. I treat others the way that I would want them to treat me and I expect that others will treat me the same way. I understand that not everyone feels the same as I do and that I cannot control the way that others decide to treat me. I show compassion for everyone I come in contact with and I treat every patient the same way despite the fact that they may be unruly or even try to hurt me. I have accepted the fact that there are some people out there who will try to hurt me despite the fact that all I want to do is help them. I feel that everyone in the health care profession should feel the same way as I do and try to keep themselves from losing their mercy that they show towards others. After being in the health care field for so long, many people stop caring for others and become detached from the patients. I agree that we cannot take every case personally but we still need to retain our humanity and continue to show compassion to fellow
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
During my second year of working, I have been offered to further my study by taking Post Basic Renal Nursing. It is a six months course. Once completed my post basic I have been posted in Haemodialysis Department. In my department, it consists of 8 normal machine and 1 Hepatitis B machine. There are 42 dialysis patients
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.
This reflective essay will discuss three skills that I have leant and developed during my placement. The three skills that I will be discussing in this essay are bed-bath, observing a corpse being prepared for mortuary and putting canulla and taking it out. These skills will be discussed in this essay using (Gibb’s, 1988) model. I have chosen to use Gibb’s model because I find this model easier to use and understand to guide me through my reflection process. Moreover, this model will be useful in breaking the new skills that I have developed into a way that I can understand. This model will also enable me to turn my experiences into knowledge that I can refer to in the future when facing same or similar situations. Gibbs model seems to be straightforward compared to the other model which is why I have also chosen it. To abide by the code of conduct of Nursing and Midwifery Council (NMC) names of the real patients in this essay have been changed to respect the confidentiality.