Preview

Cardia Pre-Op Clinic Reflection

Good Essays
Open Document
Open Document
1840 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Cardia Pre-Op Clinic Reflection
This week in the cardia pre-op clinic, a Nurse Practitioner (NP) named Dot told me about her patient needed child life and that she was not prepared for her surgery. The patient was an 8-year-old girl from Puerto Rico who spoke Spanish and some English. I met D.F. and her mother in the waiting area of the pre-op clinic. I accompanied D.F and her mother to the lab and assessed D.F.’s understanding of why she was coming to the hospital. D.F. told me that she had a murmur and when I said, “oh, a murmur in your heart,” she told me, “no, a murmur in my chest.” Then I went back up to the pre-op clinic and spoke to Dot, asking her if the other had shared her understanding of the surgery and if there was any reason why she was not prepared for her surgery. Dot shared that the surgery had been moved up one week, and when she asked the mother that morning if D.F. had been prepared she did not realize the importance of preparing her child. I decided it would be best to talk with the mother first about preparing D.F. and giving her the option of preparing D.F. herself.
As a result of her cognitive development, I suggested to D.F.’s mother that we could provide her with a tour of the inpatient unit to provide her with a concrete experience and allow her to ask questions throughout the
…show more content…
On Thursday I had the opportunity to provide child life independently in the the cath lab, cardiac pre-op clinic, and the cardiology clinic. I carried and answered Maureen’s phone throughout the day. I checked in with the nurse practitioners and patients to determine if there were any child life needs. I followed up with a family to provide them a tour of the cardiac ICU and inpatient unit. I took on many of the responsibilities that Maureen has on a daily basis. I was excited to be provided this opportunity to experience to many aspects of being a child life

You May Also Find These Documents Helpful

  • Better Essays

    A 13 year-old girl, Tina, was admitted for outpatient surgery on September 14. Tina was accompanied by her mother, who was informed by nursing personnel she would be in surgery approximately 45 minutes and then recovery for one hour. Tina’s mother informed nursing personnel that she would be leaving, but would provide her cell phone number to be notified if Tina was ready prior to the anticipated time. Tina’s surgery and recovery time did not last as long as expected and her mother was unaware she was ready to be dismissed from the hospital. In the mean time, Tina’s…

    • 4363 Words
    • 18 Pages
    Better Essays
  • Satisfactory Essays

    Specific Purpose Statement: To inform the audience about Marlo Thomas and her involvement with St. Jude Children’s Hospital.…

    • 368 Words
    • 2 Pages
    Satisfactory Essays
  • Better Essays

    Sentinel Event Analysis

    • 2297 Words
    • 10 Pages

    He is dumbfounded that this sort of situation could happen to one of his patients and blatantly blames the nurses. He questions their intelligence, asking how they did not know that the girl’s parents are divorced and only the mother has custody. The father is not allowed to take his daughter due to legal rights, and big legal issues are involved with inattentive behavior. Dr. Munoz is the number one ENT for outpatient surgeries at Nightingale and is afraid that with his neck on the line for this casualty, he will lose credibility. Surgeons are responsible for the medical operation itself, as well as making sure the patient gets from pre-operative care to surgery to post-operative care safely. In these regards, Dr. Munoz did his job, but is still unhappy with the negligence of the nursing staff. His office notes state who the custodial parent is, but the staff did not ask for his notes. One way of avoiding this mess and covering his tracks would be to make certain that all notes taken by all medical personnel are transferred onto the patient’s record so there is no…

    • 2297 Words
    • 10 Pages
    Better Essays
  • Satisfactory Essays

    Pam Estevez, a nurse at Pennywell Family Practice Clinic, asked you to organize a lunchtime lecture series for the clinic staff in which regional medical professionals will discuss topics related to pediatric health care. You have hired the first speaker…

    • 643 Words
    • 3 Pages
    Satisfactory Essays
  • Powerful Essays

    In my role as a specialist nurse I am involved with caring for patients within a community setting and providing a holistic assessment of their needs. This can involve assessing patients as a result of a supported discharge from secondary care or referral from General Practitioners (GP’s) for issues related primarily to their cardiac condition, their general overall health and any other health related issues. These assessments can take place within the patient’s home or within a clinic setting. These assessments are quite commonly carried out with very little prior knowledge regarding the patient and this is currently an area under review. For the purpose of this case study I will look at a lady who attended a clinic session within a GP’s practice.…

    • 6153 Words
    • 25 Pages
    Powerful Essays
  • Good Essays

    The ethical problem in this case involves Joanna’s concerns with the patient complaint of abdominal pain going unaddressed. Despite the vital signs being within normal limits and no significant changes in readings, Joanna’s report of abdominal pain to the medical resident twice and the nurse supervisor’s went ignored.…

    • 713 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    The patient had an opportunity to raise the incident with nursing and medical team on the night and the following day, however she didn’t until her son came for a visit the following day.…

    • 347 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    The medical professionals in this story were an interesting blend of misunderstanding and incredible empathy. For example, Neil Ernst and Peggy Philp take an interesting stance on this patient’s case. While they may have been more understanding than some of the…

    • 1009 Words
    • 5 Pages
    Good Essays
  • Good Essays

    BSN Degrees

    • 754 Words
    • 4 Pages

    Miss R was married but separated from her husband. She had two young children that were in the care of her parents due to the husband’s abusive nature. Miss R was suffering from Renal Cancer and at the end of her life. She was still able to speak for herself, but pain was becoming an extreme problem. She decided to put herself on our “Comfort Care” orders, which are the equivalent to Hospice. At this time her husband showed up and started wanting to become part of her care. This scared and worried her terribly. Immediately I contacted the charge nurse and the Ethics Committee was notified. This committee consists of social workers, BSN nurses and hospital pastors. They were able to address the situation, the law, the patient’s current needs and quickly develop a plan. A DPOA was drawn up and signed while patient was still conscious and of sound mind. She made all her wishes made very clearly and succinctly, and the decisions for her care were then legally transferred from her husband to her mother. I am sad to say that Miss R passed away less than one week later, but am glad to be part of a team that was able to pull its resources and do an amazing job. I think earning my BSN will make me a more valuable part of that…

    • 754 Words
    • 4 Pages
    Good Essays
  • Good Essays

    When author, Danielle Ofri, first arrives at her new job, she finds herself feeling distant. “This was a different planet from my native New York City” (Ofri 116). She is not accustomed to driving a car and the lack of people in her new environment. A feeling of loneliness is interpreted from her thoughts. Despite her unfamiliar surroundings, Ofri begins seeing patients and is quite pleased with her set up. It is not until she meets Diana Makower, a young woman who claims to be pregnant, that she is faced with a dilemma. Diana insists she is not ready for her pregnancy and abortion is her only option. As a doctor at this medical institution, following the rules would require her to tell Diana to call her insurance company. Instead, she worries about her “…ethical duty to provide the care [her] patient [needs]” (Ofri 118). The author then goes on to say “It seemed clear to me that my duty was first to my patient, and second only to some faceless institution” (Ofri 118). Even though she is breaking protocol, her instinct was to help her patient out. She knew the possible consequences and acted upon her own jurisdiction. Unfortunately, the author is unable to recommend a qualified physician to perform the surgery because of her unfamiliarity with the area.…

    • 819 Words
    • 4 Pages
    Good Essays
  • Better Essays

    Personal History Project

    • 1929 Words
    • 8 Pages

    On September 8th 1990, it was a hot sunny day in the city of Cali, Colombia. Temperature around 88°F with very low humidity, normal for that time of year, since the summer was about to begin. A sky full of altocumulus clouds cooled the estimated population of about 1.7 million people ("1990 population estimate for Cali, Colombia."). Among that population there was my mother. Already late for her gynecology appointment, inconveniently causes by a car accident, she would shortly find out when I would be entering the world. The accident turned a 20-minute drive in a 45-minute drive. Rushing into the clinic, as the doctor’s assistant was calling her name, she rapidly was taken to the back to speak with the provider. When the doctor came into the room he calmly said, “I have good news, and bad news”. My mom’s heart already racing she decided to go with the bad news first. “The probability of being a complicated birth is pretty high, which means the surgical team will have to perform a cesarean section instead of a vaginal birth”. My mother relived thinking it would be something much worse she asked the doctor to go ahead with the good news. “The baby will probably be arriving today”. My mom became frantic, “that’s the good news? They might as well both have been bad! My mother panicked, she had nothing ready for the birth, since her first child was not due for another 10 days. Her hormone levels raging at an all time sky high, she shortly began to cry. The doctor and his staff hugged her and reassured her that everything was going to be ok. They quickly rushed her to the hospital where they would have all the equipment in the event that there were any major complications. Once she was all settled in, the operating room staff started to prepare for the birth around 3:15 P.M. The staff thought I was ready to come out, however I took another three hours to make my grand appearance. At 6:23 PM I arrived spreading my arms and legs with a…

    • 1929 Words
    • 8 Pages
    Better Essays
  • Good Essays

    As a Child Life Specialist, I inspire to help children and their loved ones cope with challenging experiences in the hospital. Helping children in need is one of my passions in life. A unique approach to helping the children is by building a bond with the children and families. Building relationships with the family and patient reduces anxiety and develops trust. I believe I have the responsibility to protect children and families in the hospital, respect all customs and values of the individuals I work with, and communicate effectively with patients and team member’s to ensure quality care. I do my very best to make the sometimes overwhelming and stressful hospital experience into a positive learning experience for the child.…

    • 288 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    I was on my third day of residential care placement; the staff had just started to take turns for their morning tea break so I took the time to catch up on my case study patient’s medical history in the nurses’ station. Within a few minutes the Manager of the rest home ran in to gather the blood pressure machine and bandages. She informed another student nurse and myself to “take these to Max’s (pseudonym) room NOW, while I call an ambulance”.…

    • 2088 Words
    • 9 Pages
    Powerful Essays
  • Good Essays

    I will be using the three- step model to examine the ethical dilemmas between the nurses, physician, patient and family memebrs. According to Kenneth Blanchard and Norman in the Medical Law and Ethics, this is the best approach to use to help evulate this ethical dilemma. I begin this evaluate by asking, is the current situation legal? Absolutely, the decision made by the daughters was the right approach, although she did not go through which the surgery, she still had an additional four years to live. The mother had a living will and one of the daughter as a medical power of attorney, when the mother was in a stable condition, she trusted her daughter as her proxy since she knew she would have carried out what she wanted. On the other hand,…

    • 372 Words
    • 2 Pages
    Good Essays
  • Good Essays

    The Steel Windpipe

    • 709 Words
    • 3 Pages

    <br>To the doctor and hospital staff, it is crucial that the girl has the operation, in order to keep to keep her alive. The old-fashioned thinking can be understandable, but I think the grandmother was too stubborn and the mother was a bit unreasonable. They need the doctor's help, yet they refused to listen to him, even to the extent that the hospital had to keep the two women at bay. After the operation, instead of being anxious, the mother demanded, " Well?". This is so ungrateful on the mother's part. If you need the other party's help, you should at least be polite rather than rude.…

    • 709 Words
    • 3 Pages
    Good Essays

Related Topics