Emmanuel is a new nurse graduate who has been hired by the local hospital to work in the ambulatory surgery centre. Emmanuel is required to attend the hospital orientation to learn about facility policies and procedures. Of particular importance are the protocols that surround patient safety.…
The more detailed and comprehensive an assessment is, the better understanding we have of our patient’s and the plan of care that we will follow to ensure they are taken care of. After reading this article, I have a deeper insight into understanding the need for a structure when performing a health history. The detailed descriptions that were provided will enable one to use the specific examples when questioning a patient, ones on which I plan on implementing in my practice. I found this article very well written and explained thoroughly, as it is a great representation of a well-completed history. In my daily practice as a nurse, I follow a specific format for completing a patient history and assessment; it very closely resembles this model. I find that when initiating a patient’s history, I begin with asking all pertinent questions in relation to presenting problems, and all historical information. I then follow with a hands-on assessment, I listen to breath sounds and heart rhythms while asking questions related to those particular body system. Listen for intestinal sounds when asking questions about dietary habits. I engage the patient in their assessment so they feel a sense of trust and willingness to cooperate in their care. I believe that more articles could be written about performing a…
1. The nurse is preparing to teach the patient about maintaining his health. Which whole medical system would best aid the nurse in guiding the patient?…
There is a prevalent disconnect in the system which ultimately leads to inefficiency and reduced quality of care. There needs to be an effective way for care providers and facilities to systematically collaborate. This lack of communication is most recognizable when a patient is shifted from one facility to another. In such a scenario, physicians are not sure of what conditions the patient is or has suffered from or what type of tests have been conducted. This puts the patients’ health at risk and can also increase the cost of care due to the tests that will probably be repeated. The article provided a particular example in which coordination not only improved the quality of care patients received but also cut down on costs. In the example, the nurse’s only duty was to improve the coordination of care which…
I will develop the attitude of listening to each patient’s needs and concerns intently, and address the problems. This quality helps in establishing a good patient-staff relationship. This method also encourages and motivates the employees to express their concerns and opinions freely. I will try to understand the staff and patients’ point of views and look at issues from their perspective.…
To ensure the delivery of safe and effective patient care, the committee recognized the need for an improved education system for nurses. The committee stated, “Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression” (IOM, 2011, p. 6). This key message from the IOM…
After learning what the patient has arrived for, the nurse must start gathering data that relates to the patient’s chief complaint. For example, if the patient presents with shortness of breath, it is important to gather data such as: oxygen saturation, respiratory rate and effort, lung auscultation, presence of cough, and observing patient color. In…
care patients are receiving and to improve the quality of care given. Healthcare workers should be identifying the root causes of outcomes, regardless of the outcome. Tracking of these outcomes, recognizing the differences and similarities of each, and making changes to the care provided based on this information is evidenced-based practice. Nursing-sensitive indicators are categorized into one of three areas of nursing: structural, process, and outcome. Structural indicators include adequate staffing and education and experience levels of the nurses providing the care. Those with higher levels of education and experience are said to have better outcomes than those with less experience and/or education. Process…
Ever felt trapped in your own life, or oppressed from society? Charlotte Perkins-Stetson’s short story The Yellow Wallpaper illustrates how trapped women felt in the oppressive society they lived in. The narrator lived in a haunted house setting and got through it by writing in a symbolic journal, but eventually went a little mad and started seeing a symbolic woman behind the wallpaper. By examining the setting of the ‘haunted house’, the symbolism of her journal, and the symbolism of the woman behind the wallpaper one can see that the narrator feels trapped and suffocated, and is trying to free herself from an oppressive society.…
This project taught me how to perform research and collect needed information by analyzing available literature and interviewing involve parties. It provided me with valuable knowledge about patient experience in the hospital and ways to improve it. His project also showed me the importance of team work. Because in order to provide quality care and improve patient safety all health care providers need to work as a team. I will use knowledge that I gained from this experience in my everyday practice. It will help met to analyze my nursing practice and care we provide and look for the solution to improve it. Nurses, as patient advocate, should always insure that patients receive best care possible and that in the end we see positive affect of…
A major advantage of becoming a physician assistant is the benefits that come with employment. When i researched at John Hopkins hospital a benefit i found was health insurance. This included medical, vision, prescription and dental plans. A great thing about John hopkins hospital is that the health insurance covers family members also. Another benefit would be life insurance at no additional cost. They also provide legal assistance which offers access to legal services for almost all personal matters. Disability is available as well this includes when you are unable to work due to illness or injury, or because of having a baby. Paid time off is part of John Hopkins comprehensive benefits package, “employees receive paid time off…
Continuity of care, for all patients, depends on the medical professionals working together for the betterment human health that frequently rely on each other to completely care for the patient. I don’t believe one could distinguish who or what department is more important in the care of a patient in the hospital setting; from the emergency department entrance door spanning throughout the hospital, every department and every medical professional is focused on one goal: to restore normalcy in the patient and return he/she to the life that he/she was living prior to entering that door. Patient care is conquered by a team of providers contributing to a plan of care for the stabilization, improvement, and health of human…
In the class, we discussed that the goal of the Canadian healthcare is not only the provision of collaborative and informed healthcare to patients, but it also provides a holistic approach to improving the safety and quality of patient's life. During my clinical experience, I practised under physician centred healthcare settings, where physicians play an independent role in the medical decision about their clients. Consequently, for the majority of patients, it was full of troubles to navigate the healthcare system. As a nursing student, it was very distressing. However, now in Canada, I gained an opportunity to work in patient-directed practice.…
As I proceeded with my nursing academy I always looking forward to our clinical days, so many departments to choose from maternity, rehabilitation, emergency, surgery and etc. Every department required the same but slightly different care. I recall providing patients’ personal hygiene by giving bed baths, bedpans, and brushing teeth. Providing patients’ stability by checking vital signs, absorbing and recording intake and outtake…
The nurse must know the patient intuitively by being with the patient as a whole and listening to the patient. The nurse and the patient join together to know the other and to understand her views and experiences. The nurse must recognize that each patient is a unique…