I had the opportunity to observe the surgical ward in Seremban Hospital. What really overwhelmed me was how the ward actually looked disorganized when patients' families visited during lunch time. One of the patients, who was undergoing vacuum dressing, was resting on the bed next to a partition. He was hardly noticeable from far because there were two trolleys blocking the view around his bed. One was piled with patients' charts and another one had been forgotten to be removed by the nurse when she rushed to attend another patient. It was a reckless thing to do but it made me see that the nurse must have had so much on her plate to be negligent about this seemingly-insignificant thing. It caught my attention when the patient was staring at
us. I thought he was waving his hand for a moment. I was hesitant to approach him but all the nurses in the ward seem occupied. My colleague and I approached him to inquire about his health condition. His weak voice was almost inaudible. I should have known better that the trolley which was blocking us made it difficult to interact with him. I wish I had removed it earlier without being requested by him. I was relieved knowing that he needed help to turn on the fan, not because he was in an uncomfortable pain. I could imagine how troublesome and stressful it would be when he needed to call for help as he couldn't move or speak loudly. However, this experience makes me realise how such little thing can affect the patient's safety significantly as time plays a huge factor in the hospital. A nurse call button should have been installed for each patient's bed so that help arrives immediately if the patient is in distress. Looking back, throughout the day when I interacted with patients, I had always asked my colleague to accompany me. I was afraid that I would make the patient feel uncomfortable if I ran out of things to say. Now that I've been through this, I hope that I can overcome this fear in the near future by trusting myself better and building confidence through more practise.
Dr. Atul Gawande, a Harvard Medical School graduate and writer for The New Yorker, phenomenally illustrates the unknown side of healthcare professions in his book, Complications: A Surgeon’s Notes on an Imperfect Science. By exploring the ethical and analytical aspects of medicine while entertaining readers with relatable anecdotes, Gawande impresses on his audience the importance of recognizing the wonders of the healthcare field, as well as the fallibility of those within it.
“Hospitals today are growing into mighty edifices in brick, stone, glass and marble. Many of them maintain large staffs, they use the best equipment that science can devise, they utilize the most modern methods in devoting themselves to the noblest purpose of man, that of helping’s one’s stricken brother. But they do all this on a business basis, submitting invoices for services rendered.”
Zuger’s point-by-point organization emphasizes the difference between one medical student with older traditional values, and another medical student who embodies the modern hospital standards. The traditional student is unorganized, stays late, does everything for herself, but truly cares for the patients and their families. On the other side, the modern student is clean and organized, does only what his job describes, works only his hours and nothing more. He works as a team with the rest of the staff, but he doesn’t truly care for the patients. Modern medicine has made leaps and bounds in the field of keeping people alive, but true care of a doctor also helps the patient and their family.
Vollmann’s story concentrates on the private experiences of individuals in a hospital. The commonality of the setting allows the reader to make necessary assumptions about the locale, timing and purpose of these hospital visits, also permitting the author flexibility in selecting events to comprise the plot. The universality of the hospital experience (lingering in the waiting room, a doctor’s examination, and a nurse’s questioning, for example) encourages the reader to relate to these private events in a shared, public manner. In this way, Vollmann relies upon one’s knowledge of hospital procedure to make greater comments about other institutions and society in general.
The hospital in this novel is a scaled down version of the outside world and is equally corrupt. A system with strict policies is created forcing patients to conform to its standards, stifling individuality. The narrator is a mute patient named Chief Bromden, who refers to the hospital as the ?Combine? because it?s mechanized to create uniformity among the patients. Chief believes the Combine?s purpose is to fix the ?impurities? by transforming them into identical and perfect packages. The ones who are unable to conform to the rigid norms must remain in the Combine, patients are only allowed to return to society when they are completely ?fixed up and new? (40). Nurse Ratched, the antagonist, is in charg...
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 nurse to patient ratio is unrealistic in many hospitals. In most cases it is almost impossible to give each patient the true amount of detailed care they really need. This is seen in most cases where there is one nurse assigned to 16 patients and each patient requires a different level of attention. Nurses are pressed for time, forcing them to cut corners, resulting in an increase in nosocomial infections and patient deaths. “The past decade has been a unsettled time for many US hospitals and practicing nu...
I realize this is a bit strong, however, we live in a time (and a country) that provides “sick care” more often than “health(y) care” and unfortunately there is a stigma attached to medical care and it is a negative. This can be changed, but it Healthcare workers in some regard are providing a service, a service to patients, and a service to help other healthcare workers diagnose and treat their patients. When we are surrounded by a caring and encouraging healthcare team, a trusting relationship can then be built and provide better outcomes. The change needs to start with the individual, and eventually it can be spread to others such as peers and patients and inspire them to continue the cycle of bucket filling. Rath references many situations where customer service representatives are always negative and “scare the customer off for good.” I have seen this happen in my past career and also have witnessed this happen during my time as a nursing student. It is not an uncommon thing to hear how night nursing staff is often unpleasant and the issue is often skirted and
During many years the role of school nurse was traditionally viewed as one where the nurse cared for students that were injured, applied bandages and gave out ice bags. Throughout the years the role of the school nurse has evolved into one of leadership and management along with many other duties including traditional roles as mentioned above. The services provided by a school nurse range from assessment and screening to coordinating care for regular students as well as students with special needs. School nursing requires experience and knowledge in school, public, community and emergency health to meet the many needs of school aged children and youth. The school nurse provides many services but the basic services provided include illness and injury assessment and interventions, medication administration, screenings for health factors, disease management, health education, and preparing individual education plans for students.
...ctors? Besides, if a hospital works like this , doctors should equip with medical ethics such as, doctor should equip with autonomy of the individual, professional justice ,beneficence to everyone and non maleficent. Otherwise, it loss of meaning of this jobs. It is believed that most of the healthcare staff are enthusiastic. However, there are so many annoying social activities staff should attend but that is not include in their working scope.(醫者心) Therefore, even healthcare staff full of conscientious however it scattered the attention or energy by the social activities. Thus the quality of health care gradually decrease.(irrational non humanized)
After visiting my grandparents several times I began to explore the hospital floor. Although shy at first, I began to talk with the patients and better understand their situations and difficulties. Each patient had his or her unique experiences. This diversity sparked an interest to know each patients individualized story. Some transcended the normal capacity to live by surviving the Holocaust. Others lived through the Second World War and the explosive 1960’s. It was at this time I had begun to service the community. Whenever a patient needed a beverage like a soda from the machine or an extra applesauce from the cafeteria, I would retrieve it. If a patient needed a nurse I would go to the reception desk and ask for one. Sometimes I played checkers or chess with them during lunch break. I also helped by mashing their food to make it easier to swallow. Soon, however, I realized that the one thing they devoured most and had an unquenchable thirst for was attention and the desire to express their thoughts and feelings. Through conversing and evoking profoundly emotional memories, I bel...
The role of the nurse in the preoperative area is to determine the patient’s psychological status to help with the use of coping during the surgery process. Determine physiologic factors directly or indirectly related to the surgical procedure that may cause operative risk factors. Establish baseline data for comparison in the intraoperative and postoperative period. Participate in the identification and documentation of the surgical site and or side of body on which the procedure is to be performed. Identify prescription drugs, over the counter, and herbal supplements that are taken by the patient that may interact and affect the surgical outcome. Document the results of all preoperative laboratory and diagnostic tests in the patient’s record
Patients come to healthcare care organizations in the hope that they will receive services that will treat or alleviate their illnesses. However, in reality, many health care organizations do not often live up to the expectation of patients and their families. As a result, patients end up acquiring new infections while receiving treatment for their existing illnesses. The new infection then further complicate their disease and aggravate their agony. The purpose of this essay is, therefore, to describe the nursing leadership moral, legal and ethical responsibility to prevent the needless suffering of patients from HCAIs.
Surgical nursing or operating room nursing is very important in health care since, they do not only work with the patients before surgery (preoperatively), besides, they also work with the patients in their recovery period (intraoperatively), as well as the post-operative period (postoperatively). Like all other nurses, surgical nurses need to graduate from a two or four degree program in nursing, and must pass a national licensing exam, qualifying them as a registered nurse. Besides, nurses are train and specialize in different capacity. Furthermore, a nurse can become certified in the medical-surgical care if they so desired. Offer by the Medical-Surgical Nursing Certification Board and the American Nurses Credentialing
patients and nurture meet, three societies likewise help that of the nurse, tolerant What 's more