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Communication with doctors and nurses
Nurse patient communication
Nurse patient communication
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OR Observation #1
Princeton HealthCare System
June 6th, 2016
The surgeon grabbed the flask of Matisol, a liquid adhesive to secure dressings, soaking
the front of his mask so he could stand next to the equipment long enough to make sure his
patient didn’t die on the table. By now, the smell of Matisol and burning flesh had reached the
front desk where the nurses sat, eyes bloodshot and watery. The OR looked like a warzone.
I stood in the corner of the OR suite, gawking at the surgeon and his staff. It was like one
of those scenes from a zombie apocalypse movie. There was the surgeon standing in blood and
other bodily fluids. His once light blue scrubs, now navy, were covered with the patient’s blood.
No one said a word for the next
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This program was a great opportunity to open my eyes to everything the medical
field has to offer.
Dr. Myers Observation
Princeton HealthCare System
June 7th, 2016
I kept trying to prepare myself for the first time I saw someone die. I played it over and
over in my head until I got to the point where I told myself if it happened, it would not be a big
deal. Unfortunately, this wasn’t the case. I was shadowing Dr. Myers, a trauma surgeon at the
hospital, and we were treating patients in the emergency room. It is always tough to say what
kind of emergency room is better. Would you rather have an ER that is jam-packed, nurses
swarmed with patients, monitors constantly beeping or an ER that is dead silent, an ER where the
nurses and doctors are standing around and the rooms are empty?
Today, the emergency room was a ghost town. The nurses and doctors were standing
around engaging in conversation. Other than the three patients Dr. Myers and I met with, there
was nothing else going on. Although it sounds decent, when the ER is empty and slow it
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She had a sizable wound covered with
dressing down the middle of her chest. There was a Gastrostomy tube lying next to the patient
and another tube was inserted into her stomach. Basically, the patient was in hell. Just as Connie
was beginning to undress the wound, 12 other nurses and staff members entered the room.
Connie had invited all of them to watch. I stood there in the corner looking at these people. It
was like they were all hawks peering down at this helpless mouse.
At one point, Connie even said, “Isn’t this so cool!” I looked at her and just thought, how
can this woman, so talented at what she does, lack the skill of empathy. It then struck me that not
everyone has empathy, it is not a skill that can be taught or learned, it is something you are born
with. Shortly after Connie finished and it was just Dr. Wimmers, the patient and I, Dr. Wimmers
approached the patient and she immediately broke down to tears. She began to plead to know
why this happened to her and why she was going through hell. Dr. Wimmers just sat there and
held onto the patient’s hand. He kept saying, “I’m so sorry this happened to you.” This was
...amily that all is going to be okay. Just around the corner from a waiting room is an OR, a surgical techs “home away from home”, a place where miracles happen.
Monitoring staff levels is an important factor. Also leveling the flow of patients in and out institutions could help to reduce wide fluctuations in occupancy rates and prevent surges in patient visits that lead to overcrowding, poor handoffs, and delays in care. Studies show that overcrowding in areas such as the emergency rooms lead to adverse outcomes, because physicians and nurses having less time to focus on individual patients. One study found that for each additional patient with heart failure, pneumonia, or myocardial infarction assigned to a nurse, the odds of readmission increased between 6 percent and 9 percent (Hostetter and Klein, 2013). All of which costs the hospital money.
Empathy is imperative to teach kids from a young age in order to help them recognize mental states, such as thoughts and emotions, in themselves and others. Vital lessons, such as walking in another’s shoes or looking at a situation in their perspective, apprehends the significance of the feelings of another. Our point of view must continuously be altered, recognizing the emotions and background of the individual. We must not focus all of our attention on our self-interest. In the excerpt, Empathy, written by Stephen Dunn, we analyze the process of determining the sentiment of someone.
During this period a deep cut could lead to infection, and the only treatment for infections was amputation and cauterization. However, hospitals and medical instruments were hardly if ever sanitized, so one could often come out of the hospital worse than when one went in (Bloodwiki). It was not uncommon for a person to survive a surgery only to be set upon by diseases such as hospital gangrene and septicaemia (Youngson 29). Youngson describes hospitals as “dark and overcrowded, ill-run and insanitary. It was not uncommon to see in the same ward, at the same time, cases of, (let us say) typhoid fever, erysipelas, pneumonia, rickets, dysentery; nor was it uncommon to see two patients in the same bed” (Youngson 24). Anesthesia was not used in surgeries until 1846, so prior to that the patient was completely conscious when they operated on him or her, unless the patient passed out from pain. Patients were uneager to be cut into while they were awake: “Dragged unwillingly or carried from the ward to the operating theatre by a couple of hospital attendants (in Edinburgh a large wicker basker was used for this purpose) the patient was laid on the operating table and if necessary strapped down” (Youngson 27). The tools used in surgeries can be seen here.
I wondered what it must be like for the patients to be there for days until I began to chat with the patients.
As I was doing my rounds, I began cleaning up the bed next to hers. As I was cleaning she began conversing with me very casually about the weather. As we continued our conversation about nothing in particular, I noticed that the nurses and physicians were observing me in awe. This was the first time the patient had actually spoken to anyone since she had been admitted.
She verified identity, checked for any allergies, and asked when was the last time you had anything to eat or drink, any mental or jewelry, and what procedure was being preformed. She then took the patient to the OR. In the OR she worked on the outside border of the sterile field. She called a time out to again verify patient and procedure. She retrieved any extra materials needed, and watched to make sure everyone maintained sterility. All procedural and material documentation and identification of team members was done by the circulating nurse. She also assisted the physician with the use of equipment, so that no sterile person had to touch any machines. Lastly, she handed the patient off to
A bubbly and upbeat nurse was quick to greet me. Nurse Kate is a registered nurse in the state of Ohio with a BSN and currently working on her Masters. She would be the person I would be shadowing that day. She led me in and out of all the emergency rooms for 10 hours. The rooms were a lifeless blue color with typical hospital beds that could be transported anywhere in the hospital. The grayish tile on the floor looked almost new. A curtain acted like a door, but there were walls separating the actual rooms.
I think she just got the wrong guys attention . Connie was just having enjoying herself, but now she has a mysterious guy on her trail.
There has long been an issue with overcrowding issues in emergency departments and fast track units have been used in order to reduce wait times, dissatisfaction of patients, and morbidity. The purpose of this study was to look at the impact a fast track unit has on wait times, length of stay, patients who leave without being seen, and mortality rates. The research question for this study is, can a fast track unit help to improve wait times, length of stay, patients who leave without
Several months ago, I was at my annual checkup at my doctor’s office. What started out as just a routine office visit was the beginning in a life changing experience.
With so many changes happening in the healthcare system today it is hard to know if it is for better or for worse. Everyone has such a difference of opinion it could be good either way or bad either way. Many people think that a universal healthcare system is only going to raise costs and the quality of care would be reduced. Where others think it would bring cost down and increase access to care. Would it really be worth it for our society to change to a universal healthcare system or should we stay right where we are.
We were both young women, in our twenties, when I started working at the hospital. I was fresh out of university, inadequately armed with my family ingrained stiff upper lip, politeness, and compassion. You had already been a patient for 14 years. I find myself walking those accursed grounds again, this time in my mind, tracing your probable journey. It was common to most patients.
On Friday October 28, 2016 I job shadowed at St. Anthony’s Infusion Center in Gig Harbor from 9:00 a.m. till 1:00 p.m. There were two receptionist Linda and Lisa.
There are a number of hazards in this case that deals with staffing, communication, and the hospital policies. Other contributing factors were the vital signs were not monitored properly on the patient and the patient did not receive oxygen or ECG monitoring after surgery. When the pulse oximeter started to alarm, the patient was not assessed. A complete review of the department’s staffing protocol, communication system, management style, and policy needs to be assessed for failures in the system. A manager was not mentioned in the incident and that is a major problem. The manager of the ED department should be available to assess the nurse patient ratio and monitor the department at all times.