• Shift co-coordinator’s attendance at bedside handovers varied according to whether they have a patient load.…
Evidence has been found that moving shift reports from the nurse’s station to the patient’s bedside has improved safety and given patients a better grasp of their condition and treatment plan (Ofori-Atta, 2015). The importance of this PICO question helps lead and point the researcher in the direction that provides evidence-based research to help answer the clinical question. Over three hundred journals and peer-reviewed articles appear after searching one database with the keywords, bedside shift reports. Many of the articles provide evidence that implementation of this process not only improves patient safety and quality of care, but also shown an increase in patient engagement, enhance caregiver support, and education (Gregory, Tan, & Tilrico,…
We started our day in the hospital lobby promptly at 0630, the professor started off by explaining where on the unit each of us would be, as she usually does. I was placed in the Neonatal Intensive Care Unit (NICU) along with one other student. This week was different than previously, there were more infants and nurses and also Intermediate Care Unit (IMCU) was in a different room. Because NICU was full with nurses and infants. I started off in IMCU, where I met this wonderful nurse who I connected with and stayed the whole day talking to her, when I wasn’t checking on the other student. The nurse allowed me to shadow her with the three infants she was assigned to. At each station the…
Traditionally nurses delivered clinical information about the patient, the clinical events on their shift and the plan of care to the oncoming shift to ensure continuity of care and to make sure that their colleagues were informed about tasks or instructions that needed to be completed by the next shift. This process had a variety of names; report, handover or handoff. The format was often different from unit to unit. It usually took place in an off stage room or office or at a charting station from away from the patients. This project aimed to assess if moving nurse to nurse handover to the patient’s bedside could promote safety and decease the length of time that it took to complete the process. The study was designed to evaluate if moving shift handover to the patient’s bedside could lead to more cost effective care and if by reducing the amount of time that nurse were away from the bedside during handover could result in improved patient safety.…
Bedside reporting continues to gain much attention and is explored to support the evidence that “hand –off communications enhance efficacy in delivery of patient care. Patient inclusion in shift reports enhances good patient outcomes, increased satisfaction with care delivery, enhanced accountability for nursing professionals, and improved communications between patients and their direct care providers. Finding from the literature of Bradley and Mott (2013), notes a recent move towards accepting patient –centered care methods in hospital settings and recommends that there are many benefits connected with this style of care. This study proposed that bedside handover is a more practice and provides many of the valuable facets of patient-centered…
“A do-not-resuscitate (DNR) order is a written medical order that documents a patient’s wishes regarding resuscitation and, more specifically, the patient’s desire to avoid cardiopulmonary resuscitation “CPR”. (Payne & Thornlow, 2008, 11). DNR is one of the most important…
Rotation Day 8 today I’m in processing it was a slower day than yesterday so the processer had me help with a few things. They also asked me if I could go with a phlebotomist to drop some blood to the Operation room. When we got there I noticed read lines on the floor meaning we could not pass until we had full gowns. We waited to see if there was someone we could flag since there was no one in the front office. A person came in and we told her we had a delivery she took it and we left. When we got back they had a request to draw a patient in the SSI department I didn’t know where this was so the phlebotomist asked if I wanted to go check it out so I went. I didn’t know it we had to drive since it was in another location. We went in and the patient was in the recovery room she was alert at the moment and recognized the phlebotomist right away.…
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”.…
As I walk into the conference room, first shift was already giving report to Josh, the other CNA on my hall. The ladies on first shift talked about how the residents were, and if there had been any…
The clinical skill this reflective assignment will refer too is that of the measurement of blood pressure. As the experience predominantly involved feelings and thoughts, I found it appropriate to use the Atkins and Murphy (1994) reflective model. The use of this model enables me to reflect on the experiences described below. It also guides my thoughts as to critically analysing the experience and enlightens me as to what has been learned from the experience. A reflective model such as this has been used because, as suggested by Hargreaves (1997), reflective models are a tool that is believed to result in both improvement in patient care and professional development. An appropriate definition I found was by Greenwood (1993), who suggested that, to think about what one is doing whilst one is doing it; it is typically stimulated by surprise, by something which puzzled the practitioner concerned. I found this an appropriate definition as I was taken completely by surprise at the commencement of my experience. In accordance with the Nursing and Midwifery Councils (2008a) Code of professional conduct, confidentiality shall be maintained by not mentioning the names of clinical placements or persons.…
After I felt I had set a calm and relaxed surroundings, I then asked the patient what the problem was and how I could help them, from that I found out that the patient was suffering from severe abdominal pains, it was then my duty to ask the teenager a few questions which could then give me an idea of the possible outcome’s to my patients problem, one of the questions I also asked the patient was if she was comfortable where she was sat or if she would like to lie down the stretch out the pain in her abdomen. I feel I played my role well as a nurse to make the patient feel confident and comfortable, whilst I was asking my patient questions I feel I made good eye contact and a calm tone of voice I also used appropriate language and asked specific modified questions. I felt I didn’t inform the patient very well about what was going to happen next, next I could inform the patient I am going to ask her questions and then run a…
The first six weeks of the nursing program has forced me to turn myself inside out and examine/analyze a lot about my way of life. It has forced me to look deeply into my communication and listening skills. I have learned many different ways to deal with situations and problems that may arise with my impersonal and Intrapersonal relationships. I’ve been trying out different skills with my roommate and trying to really understand what we do in class by actually doing it. I have always found it hard to express myself if I thought I would hurt someone or that a confrontation may arise. But I am now more aware of different ways to handle conversations so that I express myself fully ant the outcome is wondrous and successful. - author unknown…
In conclusion, the medical profession has made a giant leap in medical advancement by the invention of the vaccination and the practice of variolation. We quickly embraced the practice soon after introduction; for a while it was a privilege only the wealthy could afford. Present day organizations have rallied for the protection of all socioeconomic groups and across the age spectrum. Throughout the practice of medicine, countless hours of research and billions of dollars in studies have concluded that vaccines have been found to be the most cost effective and prolific measure to save lives and money treating preventable diseases (Mandal, 2012). The Centers for Disease Control and Prevention estimate that vaccinations preemptively administered to infants and children over the last decade have prevented more than 322 million illnesses, 21 million hospitalizations, and 732,000 deaths (USA Today, 2014). Overall, the important aspects of the implications of vaccinations include the concept of herd immunity. Everyone in a given population doesn’t need vaccination for medical reasons and this will not necessarily effect the infection rate of a given disease. The magical number within a given community for herd immunity is 90%, and this is a more reasonable goal for a population (Conis, 2014). The world Health Organization has been one of the forefront leaders in pushing for immunization programs and funding for impoverished countries. The areas that need the biggest push include those with the highest amount of disparities and are defined as marginalized populations in rural locations, low socioeconomic status, areas with a high number of transient populations, and those with high rates of conflict (WHO, 2013). Ethical standards among healthcare professionals must also be considered when evaluating a population demographic for vaccination standards. We as providers must still respect all patients fairly, equally, and be impartial to their religious and…
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).…
We arrived at hospital around 2:45 in the afternoon together with my fellow student. During our first day of duty, we felt so nervous because it’s our first time to be exposed in surgical area most especially in R1. As a novice student, I happened to get nervous though we had short orientation a week before our duty about basic procedures inside the operating room, the duties and responsibilities of circulating and scrub nurse and to familiarize ourselves to surgical instruments but this time I’d say that actual is far more different than reports and lectures. I exclaimed that a person has what it takes to play or don’t. There come to transpire a moment when it’s now become more than just a game or experience. And I, as an individual neither grab the chance to have one step forward, or in the other way around, turn around and walk away. But I managed to stay..I thought I was so ready but then again everything turned out to be “not-so-ok” moment. My emotions are intense and messy. To be a good person in terms of the things that are being executed in the operating room, you have to think like you are. Tuck them neatly away and step into a clean, sterile room where the procedure is simple. Clean, cut and suture. But sometimes, you’re faced with a mark that won’t heal a mark that rips its stitches wide open. Since it is just my first time to be exposed in the operating room, there is only one…