You gave a great example of how you incorporated Ohio’s scope of practice into your post. As a home health nurse, I find that I am the first person to notice a change in the patient’s normal status. I received a patient that had been wearing Foley catheters for around 5 years. After several months of visiting with this patient, my assessment showed a change in her behavior, along with becoming disoriented and she had also fallen a few times that week. My analysis was that I suspected a urinary tract infection and I implemented a plan by calling the squad to have her taken to the emergency room for evaluation. Once the squad came, the emergency medical team evaluated her and took her vitals (which were normal) and said there was no need to go
Each of the 5 samples examined during the lab were able to be diagnosed with certain diseases pertaining to the symptoms they were found to display during the urinalysis.
Doris a 64-year old women with a kidney infection and history of urinary tract infections gave a urine sample. Unknown culture #304 was isolated from the sample provided. From the broth culture a reserve stock and working stock was prepared. The reserve stock was made by the inoculation of a nutrient agar plate. The nutrient plate was divided into four sections. The working stock was made with the quadrant streaking method by the inoculation of a nutrient agar plate.
The American Nurses Association (2015) has outlined the scope of practice as assessment, diagnosis, outcome identification, planning, implementation, and evaluation. The state of Ohio section 4723.01(B), ORC, states the scope of practice for a registered nurse as knowledge, judgment, and skills that is derived from the principles of physical, behavioral, social, biological and nursing science. As a nurse in Ohio you have to be able to identify your patient’s health problems, be able to carry out
During the home health observation day, there were several opportunities to observe a variety of patients with varying levels of functioning ability, different illnesses, and different needs and levels of interaction with the nurse. The first patient seen was a seventy-three year old Caucasian female with an ulcer on her right heel. Several weeks prior, she had scratched her left leg and she also had several small wounds on her left leg. The orders were to clean and redress the ulcer. She has a history of end stage renal disease, pneumonia, weakness, diabetes, dialysis, and right hip fracture. Upon entering the home, the patient was found to be sitting in a wheel chair in the living room watching television with her husband close by her side. She greeted the nurse with a smile and began to update her on her current condition. Her heel was “hurting” and she rated her pain an 8 on a scale of 1 to 10. She also had some “swelling” that she could not “get to go away; because, she could not get up and walk. They need to fix my foot so that I can get up and get around.” She told the nurse that she had been to see the doctor “yesterday” and the doctor had given her a written order that she wanted her to see. The order was written for an evaluation for a soft pressure shoe fitting. The nurse read the order to
A study from the National Center for Health Statistics of infections treated most frequently in American emergency rooms showed Urinary Tract Infections (UTI) account for 8.1 million visits to health-care providers every year. Women are at greater risk because their urethra is a lot shorter than that of a man. This significant length difference allows a greater risk for bacteria to infect the urethra. The risk for a female to contract at least one UTI in her life time is estimated at approximately forty to fifty percent.
The scope, history, and duration of catheter associated urinary tract infections is reviewed. The scope of catheter associated urinary tract infections is when an individual acquires an infection that has been caused by the insertion of a catheter. The individual may have had the catheter in place for a short period of time and acquired it upon insertion related to the lack of sterile technique. However, the individual also may have had the catheter in place over a long period of time and acquired an infection. Roger, Feneley, Hopley, and Wells (2015) explain that the body’s natural flora is disrupted from ascending in the urinary tract and colonizing a bacterial infection during normal bladder emptying. However, if a catheter is in place this allows for easy ascending bacteria to colonize and form an infection, and
According to Kaufman, & Ingrid (2015), a need assessment is a systematic process for investigating the current practices and to determining the best practices. It outlines the current way of doing things and an improved method for filling the gap. During my clinical preceptorship at New York Presbyterian Hospital, many patients that came into the hospital were cauterized to determine the amount of urine in their bladder or post-void residual (PVR). Most of this patient later on developed Community Acquired Infection secondary to frequent cauterization. This assignment will explore the current practices and will address an improved method for filling the gap.
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Urinary tract infection (UTI) is most common bacterial infection in female, occurs after adhesion of bacteria to the mucosal lining of the urinary bladder. There are numerus factors which can cause UTI including unhygienic practices, sexual activities, catheter use etc. and mainly bacteria called E. coli (Escherichia coli). Since inappropriate use of antibiotics can lead to bacterial resistance (Gomella, 2014). This research essay will formulate PICO (Population, Intervention, Comparison and Outcome) framework to establish the question in the given scenario where a 31-year-old female Yani suffering from recurrent UTI and has been prescribed antibiotics to treat the infection. However, after reading the sources on internet she is considering
Critical Thinking: During the first scenario, the patient was a 39-year-old female admitted to a med-surg unit following an abdominal hysterectomy. She had no known allergies and had a Foley catheter in place. Also the physician’s orders included, sequential compression devices and pain medication. While receiving report about my patient, I was beginning to think, as a nurse what my priority would be when first entering the patient’s room, which would be performing an assessment, monitoring vitals, assessing pain and inspecting the surgical site and dressing for signs and symptoms of infection, and assessing for potential post-op complications such as respiratory and cardiac problems; however, that didn’t go as planned. I was too focused on being reactive and thinking about what I was going to do next instead of being proactive, that I forgot simple steps such as introducing myself to the patient. Moreover, in the second scenario, my colleagues and I were placed in the emergency department to care for a 34-year-old patient with complaints of difficulty breathing due to asthma. In this scenario, the physician’s order consisted of administering oxygen via nasal cannula as needed in addition to administering albuterol via the nebulizer. Once again, before entering the patient’s room, I knew my first priority was going to be to assess the patient’s respiratory status by auscultating breath sounds, examining the quality and rate of respirations, the shape and configuration of the
Catheter-associated urinary tract infections (CAUTIs) are caused by transmission of bacteria to the urinary tract via the urinary catheter during catheter insertion, via the catheter lumen, or by handling of the catheter drainage bag (Mori, 2014). Urinary tract infections (UTIs) account for about 35% of hospital-acquired infections (HAIs) and about 80% of the UTIs are related to the presence of indwelling urinary catheter (IUC). CAUTIs are a significant problem affecting the patients as well as the health care system as they are linked with increased morbidity and mortality, increased health care expenses, and extended hospitalization (Gould, 2015).
The purpose of this paper is to discuss of how effective is the prophylactic intake of cranberry products (capsules, pills, juice) compared to the prophylactic use of Trimethoprim/Sulfamethoxazole in the prevention of any urinary tract infection within a six to twelve-month period in healthy premenopausal women (18-55 years old) with a history of recurrent urinary tract infections. Also to determine the resolutions that will help the advanced practice registered nurse to decide on the appropriate therapy for healthy premenopausal female population who suffer from recurrent urinary tract infections in order to decrease antibiotic overuse and antibiotic resistance.
Andrea Robertson was about to begin a new chapter in her life. After attending her long-awaited high school graduation, she looked forward to enjoying her summer vacation before entering college. She knew that once college classes started, she would have fewer opportunities to spend time with her family and friends. To make full use of her summer break, Andrea made a checklist of places to visit, including the Santa Cruz Beach Boardwalk, Great America, and Monterey Bay Aquarium. Much to her dismay, her plans came to a screeching halt after she developed a urinary tract infection.
Providers in pediatrics have always tried to puzzle the care in children with fever. It is imperative to investigate the source of fever for appropriate care. It has been noted that febrile children coming into clinics were not assessed for urinary issues and treated as “viral syndrome” and thus having precious time lost and recurrent visits. Thus, increasing appreciation for urinary investigation was needed to further delay treatment by providers care and education to parents.
Because of the versatility in nursing today going to nursing school and passing licensing exams doesn’t mean you can function anywhere in the clinical setting. However, the basic level of the scope of practice is the same for all nurses. This paper will examine how the American Nurses Association (ANA) and the State of Pennsylvania’s Standards for Nursing Practice are implemented in my plan of patient care. My scope of practice involves caring for patients during the preoperative, postoperative, but mostly the intraoperative phase of nursing.