4. “Don’t hang up after you tell us what’s wrong. The operator may be trained to give you instructions in CPR and other medical procedures that could be lifesaving.” —Dennis Rowe, paramedic…
Patients generally died at home with their loved ones before cardiopulmonary resuscitation was invented in the 1950s. For better or worse, technological advances and prehospital care have moved patients away from their homes and into the hospital during the last moments of their life. (Crit Care Nurse 2005;25[1]:38.) Now health care providers have the moral and ethical dilemma of being in control of what many consider to be an ethereal, spiritual, even sacred occasion.…
According to Critical Care Nurse’s (CCN) instructions for authors, the review article is to be uploaded to the CCN online manuscript submission and review system using Microsoft Word (American Association of Critical-Care Nurses [AACCN], 2015). All components of the submission package must be completed in English (AACCN, 2015). The review article is intended to be a feature article, and therefore must meet the feature article criteria delineated by the instructions for authors. The review article will not exceed 15 double-spaced pages, excluding abstract, references and visual elements (AACCN, 2015). The review article will be formatted using the American Medical Association (AMA) Manual of Style, 10th edition guidelines…
When I was in nursing school, I did my rotations in a couple of intensive care units (ICU). Often I cared for patients who were very ill and possibly dying. I took very seriously the task of discussing do not resuscitate (DNR) status with the patient and family, even as a student. Many times, death was anticipated and those involved were ready to make a decision toward do not resuscitate status. The legal and ethical dilemma arose when the patient or family was against DNR status and wanted everything done. Some of the intensive care units that I have worked in had an unwritten status of "slow code" that the nursing staff would assign to patients that, according to consensus, would not survive. This slow code meant that the staff would call the code after the patient was too far-gone for successful resuscitation or that advanced cardiac life support (ACLS) protocol drugs would not be given. It may have been less than adequate CPR or decreasing the concentration of oxygen used. I had the understanding that life saving resources was not to be wasted on these patients. I heard nurses talk about squirting the drugs into a garbage can or into the mattress of the bed.…
This study aimed at finding out the perception of emergency room staff nurses on family witnessed resuscitation (FWR) practice. The first objective is to describe the resuscitation skills of the emergency room nurses. The second objective is to determine the benefits and barriers of family witnessed resuscitation practice as perceived by the nurses. The third objective is to examine the status of emergency room nurses in terms of length of experience as emergency room nurses, number of times the emergency room nurses have attended a family witnessed resuscitation, and number of life-saving trainings attended. The fourth is to determine the perception of emergency room nurses having family witnessed resuscitation practice in terms of ethical…
Sometimes it is something that we can predict. Other times the crisis happens upon us suddenly and without warning. In departments such as the Emergency Department (ED), crisis can generally be expected and the ED staff can safely believe that there will be a crisis during their shift. The outcome of the crisis can depend on how it is approached and dealt with. A patient’s rapid deterioration of their state of health or arrest in front of the family is a common crisis situation that occurs where I work. This puts the staff as well as the patient and patient’s family in crisis mode. I feel that my job as the patient’s nurse is to make sure that the situation flows as efficiently as possible. Crisis communication needs to be initiated immediately. My verbal and nonverbal communication can affect the situation. I also need to pick up on the verbal and nonverbal cues of the family. It is also important to collaborate with the team, listen to both staff and families and communicate in a professional manor. Active listening is a prominent quality of a leader, along with how they lead the team. A positive approach is always best while maintaining clear and concise communication. There are times when it is necessary to use assertive communication. This is true when dealing with a difficult person, staff or family member. The nurse needs to be a leader, professional and assertive in order to…
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In hospitals, especially emergency rooms and intensive care units, nurses encounter many critically ill patients. “One-fifth of the patients cared for by critical care nurses die in the intensive care unit” (Browning, 144), when these patients are nearing the end of their lives there are many decisions that need to be made by the patient if they are able and their family. Healthcare workers are put under tremendous amounts of stress in these situations, especially when they disagree with what the current code status of their patient.…
The patient did not choose to be in hospital or clinic , but was forced to by life circonstances.Knowing the fact we are all subject to life events it is important that we show compassion to ward those who need it the most when it is need it. Help the patient feel humain again do not count the patient has a case number let’s the patient participate in the decision about his or her life.Even though they may not understand the medical terminology treat them with respect, call them by their name , recognize they may even be angry with me as a nurse but with patience in an come response I can ease their fears.Be empathetic is to do for orther what I would like them to do for…
Boyle, L. A., & Roberts , K. E. (2005). End of life education in the pediatric intensive care unit .Critical care nurses , 25(1), 1-6. Retrieved from http://moxy.eclibrary.ca/login?url=http://search.proquest.com/docview/228182699?accountid=12792.…
The operating room is populated with a variety of staff members. As a member of the operating team, it is clear to how the role of the certified registered nurse anesthetist works with the attending, the circulator, the scrub and other team members. The research of this role has clarified some of the misconceptions of the role and provided more detailed information to those interested. There were information that was unfamiliar and unclear before the start of the research paper and now, it is clear to how valuable the certified registered nurse anesthetist is in the operating room. The research of this role verifies how the certified registered nurse anesthetist works with a variety of team members and what their responsibilities are. This research allows a circulator to learn how to work with the…
There was always a desire in me to opt for a profession in which I could contribute to the society and help the people in need. What better way to do this than to be a paramedic who tirelessly works to aid people in distress. On joining this profession, one must learn to apply theoretical knowledge that to clinical and field situations. One must also learn many procedures and constantly update those skills. No day is a routine day. Every day, the shifts are different, the locations changed and clinical scenarios unique. The work pertains to attending calls such as trauma, cardiac and respiratory emergencies, substance overdose and many other situations and every call teaches some lesson. Apart from providing clinical help, paramedics have to act as efficient organisers and counsellors. Paramedics are often relied upon to control and direct emergency situations, this responsibility and challenging tasks is what draws me to become a practicing paramedic.…
In my life, in your life, we are going to come up upon to a thought situations. When I faced my first thought situation, I was not quite sure how to react. I was not quite sure how to handle it or help. “My son was chocking with a hotdog” it was the scariest day of my life. Hotdogs are one-off the most dangerous foods for children to eat. Since then, my life changed and I realized how important is to know CPR guidelines to help someone when help is need it.…
There are three key points with supporting knowledge to successfully save a life including delivering compressions, delivering rescue breaths, and performing the entire cycle.…
This assignment will reflect on the effectiveness of my clinical and interpersonal skills in relation to my position as a nurse in a busy critical care unit. It will primarily focus on one particular patient and the care they received by myself in their immediate post operative period. In accordance with the NMC’s code of professional conduct names will not be used to protect the patient’s confidentiality. NMC (2008).…