Alte Case Studies

Providing satisfied patient care and having the joy of seeing patients get better and go home are a key component of job satisfaction. In our hospital we promote job satisfaction and we believe the concept of job satisfaction related to independency to make decisions related to patient care, adequate support team, and effective patient care. As new nurses join the work team, nursing leadership should make them attend team leadership meetings and involve them be a part of a research team; by doing so; nurses will feel confident and comfortable with their skill set, knowing that they are being recognized as a part of team. Adequate time to getting used to the clinical trial enrollment process and always a mentor follow them for at least 6 months for providing adequate guidance. This strategy helps nurses build confidence by increasing their independency to make decisions on their own. They feel they have adequate support, and with this kind of support they are able to provide care for patients effectively and efficiently. From personal work experience, when new nurses join our staff team she or he has a group of team for assisting them for learning new skills and assist them to learn clinical research aspects. Whenever they learn new skills a mentor accompany them till they become confident. These preceptors provide guidance until they feel confident doing their task on their own. According to Walker

Soon after, I received my licensure and began working at The Queen's Medical Center as a Registered Nurse (RN) in early part of 1994. Since becoming a RN, I have provided care to a great deal of patients and reassured countless numbers of family members. As a RN, I've also become the coordinator of care, patient advocate, and teacher to the patients I cared for while serving as the eyes and the ears of the physicians. As with any human, I enjoyed sharing the laughter with my patient and cringed at site of their pain and despair. For these reasons, I believe that being a RN is a great career choice for me. However, for these same reasons, I still feel that I am not a complete nurse; hence I've decided to go back to school and try to earn my Bachelor in Science Degree in Nursing

The way you responded to the case study is interesting. You selectively identified the phases Jane was passing through .starting from the Honeymoon phase progressing through shock and rejection phase and finally ending up in recovery phase. In you papers you have explained all of these progressions in detail. In addition the overall concept I was able to grasp form your post is that transitioning in to a task oriented career like nursing is always challenging. However, following specific guide lines like time management, conflict management, and ability relax and laugh at some of the situations can positively impact the growth of the individual.

I identified priorities in my patient assignments when one of my patients became unstable. I had a patient whose pulse oximetry was reading in the 80% with 6 L of oxygen. At that time, that patient was my main priority. I quickly got my preceptor, and informed her of the situation. She informed the physician and I implemented the order to give the patient IV Lasix to diuresis the fluid out of the patient’s lungs so he could breathe better. We ended up calling a code and we moved him to the ICU where he could be constantly observed.

I tried desperately to remain in control during a test, my lower back began twisting in piercing pain and my head began to spin, subsequently, I completely blanked out. Dr. Carol Tingle, Director of Nursing and Dr. Linda Markey instructor at the Baton Rouge General School of Nursing called me into the office to address what had occurred. That was the beginning of my emotional healing as I was strongly encouraged to begin counseling and medication management. Seeking psychological help for my mental breakdown allowed me to overcome the biggest challenge I had to prevail over in my life by obtaining by diploma as a Registered Nurse.

For the purpose of this essay, I will discuss the case of a five years old patient presenting to my place of work with the symptom of shortness of breath (SOB). To maintain confidentiality the pseudonym “Ryan” will be used to refer to the child and Ryan’s mother will be frequently referred to as “mum”.

A number of emotions were felt during this experience, in regards to transitioning from a student nurse to the registered nurse role. Primarily, the transition in role from student nurse to registered nurse was similar to any clinical experience I have had at Midlands Technical College. I was placed in a medical-surgical rotation. I felt slighted that not only were we required to complete a data tool but we also participated in the teamwork model demonstrated in prior semesters. Personally, I did not feel a transition during this particular clinical experience.

As a Registered Nurse who knows the duties that his work demands, I have to demonstrate deeper understanding of the Health Directorate's core values of care, excellence, collaboration, and integrity in my professional nursing practice and patient care. To conform to the above mentioned values, I endeavor to appreciate that improving a patient's experience is integral in patient care. This can be achieved by doing away with fear and anxiety that protracts patients' healing process. Enhancement of the communication between my patients and I will also go a long way in hastening their recovery and their self-management.

Critical reflection is an indispensable tool used in evidence based nursing practice. Critical reflection is often a difficult concept to define as all health professionals interpret it in diverse ways. However, one definition of critical reflection is the revision of nursing practice experience so that it can be described, analysed and evaluated to use that knowledge to improve on future practice (Bulman & Schutz, 2013). Critical reflection is essential for nursing practice because it ensures patient safety and provides holistic care. This assignment will discuss in further detail a description of an event, a reflection of thoughts and feelings and an evaluation of the positive and negative sides of the incident from both the nurse's and the patient's viewpoint and the consequences. Followed by an analysis of what can be taken away from the event to further improve future nursing practice as well as what can be done to improve one's own learning and develop an action plan using new knowledge.

Respiratory therapists have one of the most exciting and gratifying careers within the medical field. Unfortunately as with any other job or career, it doesn’t come without having challenging times. Respiratory therapists work along-side physicians and are highly trained to treat patients with any sort of lung concern or breathing complications. This job requires hands on care, and deals with life and death daily. One specific scope of this field involves caring for patients (of all ages) attached to mechanical ventilation. It is the respiratory therapists’ responsibility to remove assistive ventilation to patients with written order from the doctor; which ultimately results in death of the patient (Keene, Samples, Masini, Byington).

First of all, I recognized that I was dealing with humans, and not just dealing with a disease process and application of the nursing process in the aspect of restoring patient health. I was dealing with emotions, and families, and cultural beliefs that influenced individual’s aspects of care. I started to see that health did not just incorporate healing the disease, but also recognized the importance of making sure patient’s felt that their

However my concern for the patient’s health and the feeling that it was the right thing to do prevailed for me to tell the nurse in charge the correct oxygen saturation of the patient.

My practice in nursing has been influenced by various elements within my career. I have come to embrace that nursing is a learning process and one should expect constructive criticism. When I began as a “novice,” I found myself nervous in some clinical situations but I managed to remain focused on

I stayed close to the patient during this whole period, but I was not paying enough attention to her low oxygen level. The patient was a healthcare aid and she kept telling me that, “It’s ok, I am always a shallow breather”. However, I should have my own judgement ability and provide more competent care with timely evaluation of the effectiveness of the interventions.

Mrs. J. arrives at the emergency department with her 6 year old son, PJ, who has a history of Cystic Fibrosis (CF). He is febrile (101.7° F orally), BP 98/66, HR 122, RR 32 with the use of accessory muscles. Mother states PJ has, for the last five days, exhibited signs and symptoms of upper respiratory infection, runny nose, low grade fever, cough, and fatigue. He has lost 2 pounds over the past 5 days due to anorexia though he has not had vomiting. He weighs 36 pounds and height is 3’2”. Today, PJ became more lethargic and his fever was difficult to control with pyretics.