The preceptor experience today was short, so we didn’t really get to do a whole lot, but it was still a good experience to have. Today in the Matthews office there were only 2 nurses total where as there were 8 in the office last time. This was due to them having meetings and doing house visits. I asked my nurse if she did house visits and she stated she did not because she just physically does not have them time to do them with all the documentation that is required of her. This was interesting to me because sometimes I really do feel like nursing is 70% charting and 30% actually caring for the patient. She then went on and showed me how she has to have a 40 patient workload each month to meet quota. Even though a lot of those patients are
The purpose of this article is to discuss appropriate nurse staffing and staffing ratios and its impact on patient care. Although the issue is just not about numbers as we discuss staffing we begin to see how complex the issue has become over the years. Many factors can affect appropriate nurse staffing ratios. As we investigate nurse staffing ratios we can see the importance of finding the right mix and number of nurses to provide quality care for patients.
Julia, a registered nurse, has been run down all week making medication errors and recently one of her patient’s fell out of bed. Julia has eight patients assigned to her due to staffing shortage since the hospital decided to stop using LPNs. Julia is very overwhelmed and is unable to safely take care of her patients. Julia was required to report to her manager’s office the next morning due to her patient neglect and fall. The manager informed Julia the high nurse to patient ratio is not a problem as other floors and nurses are doing fine with it. Recently, I have seen this occur with in my own facility I work for. As of right now it is staffed with fifty percent locums or travel nurses, which leads to increased
Providing the best care to each patient starts with providing the proper amount of staff members to each unit. Looking at the needs of different units not only allows administration to see areas for improvement, but also areas that are being handled correctly. Utilizing the indicators provided by The Joint Commission, 4 East, a pediatric medical/surgical floor, has a high rate of falls and nosocomial pressure ulcers that appears to be related to the increase overtime nurses have been working for that floor (Nightingale, 2010). Research has shown increases in adverse events have been related to nurses working over 40 hours a week (Bae, 2012).
The nurse on fifth surgical west stayed very busy throughout the day. When she comes on shift her day consists of beside report. Where they are at the patient’s bedside giving report. It is to ensure everything that is said is accurate and nothing is left out. How she prioritizes her day depends on the patient’s needs. It is difficult to know what will happen that day because patient’s can be discharged and admitted. The nurse prioritizes her patients by looking at the reason they are being treated. If everyone is doing ok then she goes by what medications are due. This is to reduce the risk of late medications. She also is aware of the patient’s pain level. She mentioned if the patient is in pain or uncomfortable then
It is a good idea to keep a list and make sure those nurses all have an equal
Thus the support of the Vice President of Nursing is necessary for this project. As inconsistencies exist between managers, a third strategy to improve the scheduling gap is to form a Nurse Staffing Advisory Council. This Council membership will include frontline nurses and nurse managers. The Vice President of Nursing will head the team. Dent (2015), mentions that the Chief Nursing Office is a valuable asset to this council. The responsibilities of the Council are to assure a fatigue management policy is in place, consider nurse-sensitive outcomes in evaluating staff adequacy, and assure the self-scheduling policy is in place and rules are being followed. Also, this team will be responsible for writing a staffing plan which will include minimum staffing requirements for the nursing units along with a volume surge management
They found that the daily interaction with residents is very limited which make isdifficult to properly complete the tasks they are assisting with in a quality manner. One Assistantreported that “we’re not enough to provide quality care so we’re asked to take good care ofresidents; we try to but were just not enough, the service we provide is too kept to a minimum.” Ithink these key points are very important to healthcare role, I think that if you are training to bein the healthcare field you should know the importance of taking training seriously and thingsshould be done in a quick but timely manner. I would agree with this article and the nurseassistants who voiced their opinions on how caring more about the residents and properly
Aigul Samb Professor Avra Spector Great Works November 31, 2014 The Silence of the Siren In the short story ‘The Silence of the Sirens’, Kafka rewrites the myth of how Odysseus escapes the sirens in his own distinctive way. The sirens are best known for failing to trick Homer’s Odysseus with their alluring song, but there exist numerous other, occasionally conflicting, myths concerning them. This ambiguity contributed to various interpretation of physical appearance and symbolic significance of sirens ever since it was composed by Homer 2800 years ago.
Each facility has their specific way of scheduling and protocol for staffing; not every facility uses a model that has other nurses’ help decide the next shifts nursing assignment. Some places will have a separate person makes the assignments and determine which nurse will get which patients during each shift, this can lead to the issue of the person making the assignments not knowing specifics and the level of care needed for each individual patient. In some cases a nurse may only have a few patients and another nurse has double as many. The level of care each individual patient needs is a huge aspect to take into consideration, making pervious nurses
The technology boom of the industrial era created a surge of new media people could consume. Music was being created along with moving pictures and new types of theaters. Caricatures of minorities were created not to accurately represent the people and their lives, but to paint an image in the public's eye of a lesser human. The masses at the time and even now would argue that these people these caricatures were based of real people and experiences but first hand accounts from the community beg to differ. People from oppressed communities were being portrayed as animals, fools, and sexual heathen to degrade their worth and make the fight for equality harder
For more than four years, World War One (WW1) was a conflict that caused a destruction to land and many family members who have lost their lives. Over sixteen million civilians were killed and ten million men died during the war. WW1 broke out because of the four main causes; Militarism, Alliances, Imperialism and Nationalism. Militarism was a crucial aspect that caused WW1 to break out because countries such as France and Germany had created a huge army to prepare for war. The Alliances was a fundamental long-term factor that led to the outbreak of WW1 as countries also decided to align with other countries so they could help each other if one goes to war. Imperialism was another vital factor that caused WW1 to erupt as many countries scrambled for territories that were not taken which began the tension of countries trying to expand their empire. Lastly, Nationalism was a very important reason in causing WW1 as European countries felt that they were more superior than the rest of the countries.
When was the last time you were in the hospital or a loved one was in the hospital, and ever wondered where the nurse is, and they haven 't returned for hours. You finally push the assistance button several times, and they open the door and hurriedly say, “I will be right back”, then you don 't see them for a while again. When they come back to check up on you, you explain to them what you need, and then they send in a less qualified staff member to assist you. At this point, you become very annoyed and frustrated not to mention scared to be admitted in the hospital to begin with. Little do you know, your nurse has ten other patients and other non-nursing tasks that they are responsible taking care of. They have been working a double shift and are extremely exhausted, and a large stack of charts that they will have to do before their shift is over. As a patient, you now become frustrated and are not happy about this; as a nurse, they are just as frustrated as you are, not only because the amount of work they have but more importantly they can 't deliver the appropriate care they long to give. For most hospitals they do not hire enough registered nurses for reasons that are good and bad. This is an issue that needs to be addressed not only locally but nationally and on a constant basis. When there are too many patients for one registered nurse to attend to, nurses become exhausted, mistakes are made, and patients are unsatisfied. A minimum nurse to patient ratio needs to be
For my interview, I spoke with one of the Nurse Practitioners (NP) that I interact with while working my shift at the hospital. I will call her Terri Smith because although I asked to use her quotes in my paper, I did not think to ask for permission to use her actual name. Where I work, many of our internal medicine physicians are hospitalists. During the night, they are covered by the umbrella of Quest Care. There are several NPs that work under the afore mentioned physicians and are there, on-call, when needed for their clinical expertise. It is nice, because even though I can’t develop much of a relationship with the doctors whose patients I work so hard to take care of, I get to have the opportunity to grow strong bonds with the NPs that I see almost every shift.
Over the course of this preceptorship, I have written a few different journals with the nursing process as my topic, the reason for this is because the nursing process is everywhere and has become a part of my day to day life, not just during my different clinicals over these past couple of years, it has spilled over into work, school work assignments, and home life, as well as. I now find myself assessing everything that needs to accomplish throughout my day and developing a plan of action, setting priorities to works towards their completion. Another topic that I feel is very important for a nurse is professionalism and important in developing a trust with the patients in your care, as well as, to earn the respect of your fellow nurses and other members of the hospital staff. Over these past couple years and I have seen that many of the patients and their families look to their
Several of the roles which I observed this morning were expected: the nurses took vitals for incoming patients, performed focused assessments, and were the main communicators between family, the patient, and the physician. I realized when the first patient came in around 10:00 am, the RN’s role in assessments, gathering blood work, and carrying out all the necessary steps to situate and stabilize the patient as soon as possible. It was incredible seeing the nurses work together, in sync, in those first moments when the patient was brought in. And though expected, I appreciated seeing just how much communication was held and information was gathered from the patient or family members by the nurse. Jessica asked the right questions from both parties, while still showing incredible empathy and not making the whole situation seem rushed and flustering. I understood this as another essential role of the nurse in the ED; he or she must maintain even in such a fast-paced environment empathy and focus in each interaction.