I currently work as a state tested nursing aide at Bowling Green Care Center. I recently went from second shift to first shift because of school. All of the first shift STNA 's are in their late thirty’s, mid-forties, making me the youngest on first shift. Because of that, I get walked on a lot. I always get left to do things by myself including the two assist. There is no such thing as teamwork at the Care Center unless you 're a part of the "first shift clique." This place is honestly worse than high school. One example of this is last Wednesday. Normally we have four aides (two for each hall). However, one aide called off. Leaving one aide down each hall, with a split. A split is supposed to go back and forth between the halls and help with each. The other two aides I was working with were a mom and a daughter. Our first hour and a half is our hardest part of the shift. We have to get up multiple residents for breakfast. That includes; wash-ups, dressing, showers and even lifting our two assists. That Wednesday, I had little help. The only help I had was to transfer one resident to his wheelchair. I had to get up about twelve residents by myself. I had to give three showers that morning, and deal with two of them beating the crap out of me during the shower. Oh, and I had to have all of this done by 8:30. Needless to say, I was over stressed and couldn 't handle it. This isn’t the only time something like this has happened. In the article “The Relationships between
A discussion regarding the health care reform or even health care in general can be somewhat controversial. The definition of health is drastically different depending on whom you speak to. Many would define health as " a person's absence of disease, others would describe good health based on the status of mind, body & social well-being" (GCU Lecture, module 2, 2012). According to The American Heritage® Dictionary of the English Language, health is defined as "The overall condition of an organism at a given time". An individual's overall health affects the nation, this is where stakeholders come into value. According to Keele, Buckner & Bushnell a stakeholder is either an individual or an organization that either invest time and
One way to avoid issues that may require nursing home abuse attorneys is to know the telltale signs of understaffing in nursing homes. Many certified nursing assistants, or CNAs, are overworked. It is not unusual for each CNA to care for up to 20 residents during their shift. When a CNA has to help these individuals shower, bathe, reposition
Some care aides were wonderful and went out of their way to go the extra mile; however, I noticed many of them didn’t tell the residents what they were going to be doing before they would do it, which would scare many of them. Often the residents would scream or wince from shock or pain, as the care aides would begin their care without prior disclosure. Many residents were not verbal, or had dementia and that was considered to be the factor in which it was justifiable to treat them this way. I was dismayed at how I witnessed the lights turn on, the blankets torn off, the residents being turned from side to side and their briefs being taken off, leaving them cold and completely exposed without any notice or indication of what was going to happen.
1. Is the profitability or loss of the typical nursing facility in the hands of Medicare and Medicaid system administrators?
The aim of this assignment is to critically discuss the nursing assessment individualised care and nursing interventions of the acutely ill patient. The patient discussed developed severe sepsis due to a urinary tract infection and her condition deteriorated during the recovery process in the nurse’s care. Lovick (2009) defines sepsis ‘as a known or suspected infection accompanied by evidence of two or more of the SIRS criteria’. SIRS is outlined as a ‘systemic inflammatory response’ consisting of two or more of the following symptoms ‘temperature >38 degrees Celsius or 90 beats per minute, respiratory rates greater than 20 breaths per minute and white blood count higher than 12,000 cells per microliter or lower than 4000 cells per
Training and development opportunities are important in many areas especially in the healthcare field. Being that I worked as a Certified Nurse Assistant for over 20 years, I can name just off the top of my head why training and development is important. Training and development opportunities is important because if an employee(s) is working with a patient that has multiple tubing inserts into their body, patient may be bed-written and must be turned every two hours or PRN, if a patient has a sign on their door that reads as follows “NPO” after 12 midnight or if a patient wanders off, what needs to be done to that patients upon contacting the nurse. I listed a few things above that requires proper training and development opportunities in the healthcare field working as a Certified Nurse Assistant that is mandatory and needs special attention to.
● Please complete the following worksheet and submit by the due date via the Blackboard Assignment Drop Box. (You can submit earlier if you wish). Use it as a guide to frame your clinical project. Consult with your Preceptor for review and comment before completing. Remember, your Preceptor may ask you to do a specific project. This completed form is the written part of the graded Assignment 3 Rubric and will keep you focused. You will complete this form via Blackboard. Submit completed worksheet to Preceptor once Clinical Faculty has reviewed and notified you that it is acceptable. Please do not solicit for any donations. If you plan to give yourself credit for written material, do not include the “UTA College of Nursing” or “Student Nurse” on your flyer. Please see your Clinical Faculty for assistance if you have any questions on the directions.
Although most people think they can get away with picking an easy topic for their senior projects it turns out to be a little more complex than that. Growing up my ideas and passions would always seem to be changing but when I finally became set in my ways at least in knowing what I would like to pursue the Nursing Program was up to par. I chose to do mine on Nursing in the ED (emergency department) because this is a field I would love to go into so I can be of service to those in need of any medical care, to always have a stable job to rely on, and further more to be able to excel in the field of medicine. I would love to be one of the people on call to respond to the needs of another individual in their time of need. Anyone could only
The role of a family nurse practitioner is a fundamental portion of the future of healthcare. The role is clearly not as understood by other healthcare professionals as needed which results in the disagreement if the role of a family nurse practitioner is even required for primary care. As people are getting older, the need for medical professionals that can provide patient care to our ever growing population increases. The need for the role of family nurse practitioners will grow too. The role of the family nurse practitioner, the ability of the FNP to be able to transition into their role.
The national league for nurses defines critical thinking in the nursing process as “a discipline specific, reflective reasoning process that guides a nurse in generating, implementing, and evaluating approaches for dealing with client care and professional concerns” (Kozier, 2008). This definition is imperative to help a nursing student learn how to think in terms of nursing care. Nursing students must achieve a comprehensive understanding of critical thinking in order to understand the nursing process. The purpose for this paper is for nursing students to learn how to use the nursing process, how to properly document their findings and assessments, and correctly implement APA formatting in a formal paper.
Lily was a 65 year old lady with stage 5 CKD, she had recently begun hemodialysis treatment three times a week as an inpatient and had been responding well to treatment. During dialysis treatment on the morning of the first day, Lily’s observations showed that she was: tachycardic, hypotensive, tachypnoeaic, had an oxygen saturation level of 88% and was becoming confused and drowsy. It became apparent that Lily had become hypovolaemic. The hypovolaemic shock seen in this patient was of a particular critical nature due to the fact that her dialysis treatment had moved her rapidly through the first two stages of shock with her compensatory mechanisms failing very quickly (Tait, 2012). It was also much harder to identify the early signs of
It is no secret that communication is key when providing direct patient care in a skilled nursing facility. However, there is a noticeable lapse in the communication between the care team when providing care to the individual or groups of individuals. Two main parts of any care team are the registered nurse and the certified nursing assistant, as these are the two people whom have the most direct and impactful roles with residents in a skilled facility. The Registered Nurse and the Certified Nursing Assistant play similar roles in providing patient care, but have different roles in its entirety. The role of the Registered Nurse (RN) is defined as having the competency and skill to provide direct and indirect health care to individuals, their families, and communities around them. Services are also provided designed to give out medications, to promote comfort or healing, promote healing, and to also provide the dignity of their patients and patient’s families (American College of Rheumatology, 2015).
This assignment will present a nursing care study of a patient on a cardiac ward. The patient will be referred to as Ann to maintain confidentiality (NMC, 2008). Ann’s consent was gained prior to starting this care study. The care study will be developed using the Nursing process and the Roper, Logan and Tierney model. These will both be outlined. The assignment will focus on the assessment process and one problem identified during the assessment and the nursing care which followed this.
My organization is in the process of integrating with a much larger system which requires an overabundance of changes as we are adopting the policies and procedures of the system. We are in the process of transforming the nurse assistants’ roles to include phlebotomy. The nurse assistants were informed of this decision months prior, but no update had been given since. A week ago, the nurse managers were informed that the classes have been arranged and will begin the second week of February. The nurse assistants are quite frustrated with the abruptness of the news and some that are nearing retirement do not believe that they should be required to get this training.
The debate on safe and adequate nurse staffing has remained a growing and controversial issue in healthcare. The most important issue is determining a safe number of nurses that should ideally work on a unit. In an article by The Journal of Nursing Administration it is stated that, “over the course of the last decade, hospital restructuring, spurred in part by a move to managed care payment structures and development of market competition among health care delivery organizations, led to aggressive cost cutting. Human resources, historically a major cost center for hospitals, and nurse staffing in particular, were often the focus of work redesign and workforce