On the weekend of March 11 and 12, I had the pleasure of being assigned to GJW, a 72 year old, female patient in room 41. She is a retired nurse and when I was assigned to her, she had been in the hospital for 11 days. Her concurrent health challenges include rheumatoid arthritis, obstructive sleep apnea, chronic lower back pain, chronic anemia, type II diabetes mellitus, coronary artery disease, hypertension, fibromyalgia, obesity, gastroesophageal reflux disease and dilated ascending aorta. The patient’s code status is a full code and her allergies include butazoiodine, naproxen, nalfon, chloropromozine. The reason for her admission to the orthopedic surgical ward was to do a revision of her left ankle replacement that was done last year
This week, I was given the opportunity to care for two female patients – 205(1) and (2). The first patient, 205-1, was admitted with respiratory distress and had a past medical history of hypertension, schizophrenia and bipolar disorder. She was initially put on 2 L/min of oxygen and placed on oxygen titration protocol with orders to maintain O2 saturations between 88-92%. The patient was oriented to person and place, but had difficulty with time. She was also obese (BMI 30) and deemed a moderate assist with ambulation. Her care plan included total assistance with ADLs, smoking cessation and oxygen protocols, limited salt intake (3mg), and chronic pain management. The second patient, 205-2, was admitted with a right pelvic fracture and had
Yes, our unit also has charge nurses. At one time, we did have a set RN on each shift, that just did the charge nurse role, but now we rotate the position. It has its pros and cons with the rotation. Having different RNs take charge, gives everyone a chance to experience and demonstrate their leadership. The downside to rotating is, everyone has different ideas, skills and ways of handling situations. I guess there are more ways to handle being a charge nurse, as long as patients needs are being met safely and patients are happy. As for the nurses, its not always possible to make everyone happy, but for the most part, that goal is met. Our charge nurses are all advocates to the nurses when problems arise, they do staffing of the unit, run board
The patient, Jane Doe (pseudonym to protect patient’s privacy under HIPAA), was admitted to the hospital on May 1st for bilateral lower extremity pain. She was diagnosed with lower extremity cellulitis, a bacterial skin infection. Though the infection was in her legs and she reported pain, she could ambulate with her cane. Her background showed that she has a history of hypertension, peripheral vascular disease that led to chronic venous stasis ulcer, and obesity. She had no known drug allergies, and was full code (full resuscitation). Her progression of hospitalization showed that she had increased swelling in leg, could not tolerate ultrasound to her legs, started on vancomycin (antibiotic), and was scheduled for biopsy on her right leg. She
I do believe that nursing is in danger of losing its designation as a “profession” if it fails to maintain educational entry levels comparable to those of other health profession. I believe our entry level is far below average when compared to other professions. On a professional level and in this time, entry level should be a baccalaureate degree. Almost every job prefers baccalaureate degree. Nursing entry level being a diploma makes nursing as a profession one may question. This may lead to doubts and patients wanting other professions to better care for them because of the decline in nursing education.
Susan is a 78 year old widowed lady who was admitted to a medical ward following an episode of coffee brown vomiting and breathlessness. Susan has a past medical history of chronic
Many of us have experienced this: we spend 10-15 minutes in a doctor’s appointment and the experience feels like a Q&A session, then we are told to follow the treatment regiments but are left with many unanswered questions. Nurse Practitioners (NPs) can be a part of a solution to this problem by providing a holistic and high-quality healthcare that centers around patients’ needs.
As far as I remember I would always play nurse with my siblings and make them feel better. When my parents would take me to the store to pick up a toy, I always picked band-aids and pretend doctor kit. My long-term career is becoming a Registered Nurse, and my short-term career is the career I currently have as a Licensed Practical Nurse.
You have valid points. Due to the specific way of education and previous experience with patients the advanced practice registered nurses (APRNs) has a unique role in the health care system. The APRN is educated as how to provide holistic and comprehensive care that would address not only the patient physical needs but also their psychological needs, including values, preferences, and previous experiences. And to address all these aspects the APRN typically spends more time with the patient in order to learn more about the patient, establish trust, and build relationships. As you mentioned there are no studies that suggest that the APRN is less capable than physicians to give safe, effective, and efficient care. According to IOM
“Constant attention by a good nurse may be just as important as a major operation by a surgeon.” There was a girl who had always wanted to become one of importance, education, and also a contributor in her community. She feels that this occupation will assist her in living comfortably, providing for her family, and will be something she will enjoy doing. The career of a Registered Nurse is a challenging and important career, because of the importance one holds within a community. The research will describe the career of a Registered Nurse, what is required to become a successful, and the impact this career has on society.
The career I am curious about is in the medical field, generally speaking, nursing. I have chosen to become a registered nurse because of its background, and how its characteristics require the use of creativity, problem-solving, social skills, and critical thinking. Registered nurses use various skills to diagnose and apply certain care methods to specific patients. I know that nurses aid patients with various illnesses, diseases, disabilities, and injuries. I love helping people and the feeling I receive when helping people. It would also be very motivating to learn and discover things about the human body and how to fix any problems involving it.
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
Registered nurses have several duties and responsibilities that can range depending on the organization that they work for. Registered Nurse’s may be employed in physicians' offices, schools, hospitals, assisted living facilities, nursing homes, clinics, and even in prison settings. They are responsible to provide direct care to patients that are done under the order and supervision of a licensed health professional. The licensed healthcare professionals include physicians, nurse practitioners or physician's assistants. The daily actions of an RN may include receiving a patient assignment, assessment of each patient, administering medications, attending to patient needs, facilitating patient, assisting the physician with bedside procedures, monitoring laboratory results, and monitoring for any changes in condition. While on the job they might also encounter heavy lifting of patients, exposure to bodily fluids, and large amounts of time on feet. The amounts of hours they work depend on where they work. For example, hospital-based nurses mostly work a total of 3 twelve-hour shifts per week while a office-based nurse usually works 5 days a week for a total of 40 hours.
Prior to my nursing education, my perception of a registered nurse was that of a health care professional whose tasks include administering medications to sick patients on a timely fashion and making sure that the doctor’s orders are met. Without proper education on the different duties and responsibilities that encompass the role of a registered nurse, my impressions of the nursing profesison relied heavily on the various misconceptions that is often portrayed on television and other forms of media. Even after graduating from nursing school, I still have a difficult time in finding a clear definition to my role in nursing as it tend to incorporate various roles such as an educator, advocate, researcher and many others. I do not think of the nursing profession as a single entity, but rather a melting pot of assorted roles that simply overlap for the sole purpose of
I enjoyed reading your posting. You make a good point that advanced practice nurses should have the duty to do more than an associate educated nurse, but strangely it is not a requirement to for graduate nurses when graduating to join a national nursing organization. I enjoy and only find befinite with the association that I have joined and the cost is tax deductible when I file my taxes. Some of the benefits besides citizenship contributions are networking, access to discount insurance rates, educational opportunities and access to mentors and mentoring (Nursing 360, 2012). This is one of the main reasons for the push to have nurses graduate at a higher level of education for the need for nurse in getting involved in a deeper level with
I was born and raised in Nepal, where poverty is visible. Throughout my life, I have seen all different types of people in poverty, may it be infants, children, seniors, and even disabled people. Every day I would see people on the streets begging others for money so that they could treat their sick relatives. Whenever I saw them, I felt so frail. I wanted to comfort them, yet I did not know how since I was little. After I had moved here in the United States, then I started realizing that health care is precisely the right path for me. Moving here made me understand how other countries like Nepal are in great need of health services. Seeing the poverty and insufficient of good healthcare gave me more than the aspiration to become a nurse, it gave me the affection and dedication to achieve that career. I suppose that passion and commitment are important aspects of becoming a nurse.