Working With An Emergency Department For Over Thirteen Years

Two experienced nurses had been working at the Winkler county hospital for more than 20 years. In 2009, Ann Mitchell and Vicki Galle became whistleblower in the small town of west Texas. The nurses field an anonymous report to Texas Medical Board regarding to retaliation in the hospital. In the letter, the nurse stated the unsafe practices of Dr. Rolando Arafiles. The nurses were concern about the improper treatment to patient provided by Dr. Arafiles. Since. Dr. Arafiles tried to misuse his connections in order to save himself. Upon receiving the notice from the Texas Medical Board, Dr. Arafiles contacted his good friend and patient-Winkler county sheriff. Dr. Arafiles filed a complaint of harassment by the nurses to the sheriff. The sheriff started investigating the complaint and obtained the copy of the TMB report that clearly identifies that Mitchell and Galle had filed a complaint. Then, the sheriff obtained a search of warrant and seized each nurse’s work computer and found the copy of TMB letter. The nurses were charged with the third degree felony for misuse of official information to cause damage to the physician. However, the TMB disputed with District and County Attorney over the charges asserting that there was no misuse of official information in the state-governing agency. The complaint process allows anyone to report a physician for any unsafe, improper or poor practice including nurses. Since TMB is a government agency there was no violation of Health

On November 1st, 2016 I had the opportunity to conduct an interview with Katherine M. Sawyer RN, BSN of Owosso, Michigan. Katherine, a female nurse who has worked in the nursing field for thirty-six years began her nursing career at Ingham Medical where she was a full-time staff-nurse for three years; then worked as a per-diem staff-nurse for eleven years. After working at Ingham for a total of fourteen years, Katherine obtained a position at Memorial Healthcare in Owosso where she worked as a nurse educator for fifteen years. Shortly after this she became a Basic Life Saving (BLS) instructor as her main role as a nurse educator was to provide nursing orientation and this additional role fit in perfectly. After some time she became involved in Quality Improvement for four years, and she has now switched back to the nurse educator role where she once again has the role of nursing orientation for Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Patient Care Techs (PCTs). The number of staff she teaches and orientates each month varies between one and ten individuals. She also teaches BLS and First Aid at Baker College of Owosso. Her contact information is as follows: Phone number (989) 413-1974 and e-mail address kmsawyer521@gmail.com. The purpose of this paper is to inform the reader of Sawyer’s role in the nursing profession as a nurse leader. Individuals will learn of Sawyer’s many different roles, responsibilities, and the organizational structure of Memorial

The RN I followed played the role of a teacher/educator not only by educating patients about procedures or medications they were receiving but also by educating and teaching me how to be an efficient and diligent nurse throughout the entire shift. Each time we received a call (Charlie 911) he would teach me what we would be doing for that specific call, such as telling me the procedure for assessing inmates after an altercation; First, we identify the patient then ask if it was a PREA related incident before we can continue the physical assessment.

“Definition of a nurse: To go above and beyond the call of duty. The first to work and the last to leave. The heart and soul of caring. A unique soul who will pass through your life for a minute and impact it for an eternity. An empowered individual whom you may meet only for a 12-hour period, but who will put you and yours above theirs”-Anonymous. For the past year and a half, I have volunteered at Blaire E. Batson Children’s Hospital. It has been an amazing experience! My passion for the medical field and career of nursing has been magnified. I know without a doubt that nursing is what I want to do for the rest of my life. I long for the opportunity to care for my future patients and their families. I want to touch other people’s lives just as I have witnessed nurses do throughout my time volunteering. God has given me a passion for nursing. With my passion and compassion for others, I know I will be successful if admitted into the BSN program.

During the past few shifts, I have been astonished, and thankful about how often the nurses, doctors, and respiratory therapists have been providing me with learning opportunities. I feel this is because they have observed my enthusiasm and willingness to learn. For example, I asked a nurse if I could observe her giving care to a 24-week old preemie with necrotizing entercolitis. This nurse explained, that because of this baby’s immature age, she had to cluster the baby’s cares, and monitor this baby’s oxygen saturation. If the baby was overly stimulated her oxygen saturation would decrease, and the nurse needed to stop working with the baby. This nurse also pulled up a PowerPoint about NEC, so I had a visual of this baby’s condition. She provided me with a NICU parent book, and I read the section about NEC. This nurse said that she gives NICU parents this book to read, so that they have a better understanding about their baby’s condition. This is an awesome education technique that I want to adopt. This is because the parents will hear the diagnosis explained from the doctor and nurse. They may or

I worked in the emergency department for eight months before I first saw someone die. I watched how his eyes rolled back on the stretcher and within moments, I was staring at how the man’s chest would still forcefully rebound with each compression of his limp, naked body. I had not even realized forty minutes had passed. Looking down at my clipboard, I had still managed to get down the time points for each epinephrine that was fruitlessly pushed. Why was I nauseous?

My encounter with nurses and certified nursing assistance at a long-term care facility was one that I learned a lot from. The experience and training were great. I got to be in a setting of well-trained healthcare workers, all trying to help the sick or be there for those who couldn’t help themselves, in a sense. At this particular facility, the staff was discerning

Witnessing the patience, strength, and compassionate attributions that nurses convey within their care was remarkable. Having the opportunity to make a positive difference in the life of another human being was a very overwhelming and humbling experience for me. Therefore, these encounters set the foundation towards my pursuit of a nursing career.

I was offered a position in the Department of Epilepsy and Clinical Neurology as a Senior Patient Experience Representative and offered administrative support for the Neuropsychology program. I acted as a direct point of contact between family and providers. It was my responsibility to request referrals for Neuropsych evaluations and have current knowledge of ICD-10 and CPT codes. In this department I received a lot of calls from frantic parents whose child was actively seizing or had just come out of a seizure. This was never an easy part of the job for me! It broke my heart to hear the fear in these parents voice, but I knew when routing these calls to the triage nurses that the patients where in the best of hands. The nurses I worked with here where amazing. They always put the patients first! These nurses where such inspiration to me and one of the reasons I am pursuing a career in nursing

As of right now in high school, I am a Lifeguard for the city of Tucson, I've been a lifeguard for four years. Therefore, i am currently only a Emergency Medical Responder, which is only a EMS certification level that describes the level of EMS provider below that, of an Emergency Medical Technician along with a Paramedic. Which is commonly used. A first responder is the first medically trained personnel who come into contact with an injured or sick patient. Therefore, going further into this type of work force I will not only get me a better education but also a high, much better salary. Earning more money for doing a more important job than I do now will be a big pay off, on top of that feel more successful.

I later enrolled in a practical nursing program, in pursuit of my dream of becoming a nurse. While taking my prerequisites, I decided to volunteer at a local hospital in the emergency department. At the hospital, I assisted with transporting patients within the facility, preparing rooms for incoming

I began ICU nursing immediately upon graduating nursing school in a medical/surgical ICU. I cared for patients with a wide variety of illnesses and thus, acquired ICU nursing skills that would allow me to manage most types of ICU patients. We cared for patients with acute pancreatitis, diabetic ketoacidosis, gastrointestinal bleeds, liver failure, septic shocks, pulmonary hypertension, congestive heart failure, acute myocardial infarction, renal failure, and respiratory failure. The hospital for three years was in an underprivileged area, and the hospital itself lacked several resources I would later find at Emory. I provided compassionate nursing care by planning and implementing nurse plans of care with a focus on education, patient safety, and quality outcomes in cooperation with the ICU team.

Spending two days shadowing a school nurse was a wonderful experience. I had the pleasure of doing my school nurse rotation at Fox Creek Junior High School. I never realized how difficult and overwhelming it could be to be a school nurse. Ms. Bodauine was the nurse I got to shadow. She spent her day doing paperwork, helping the sick and injured, and doing vision and hearing screenings. There were several kids who came in throughout the day, approximately twenty-one per day that was either sick or injured. Upon each kids visit, I had the opportunity to observe, assess, and communicate with them. I was able to observe behaviors of some children showing Industry vs. Inferiority, according to Erickson. I also observed

Many activities and studies have prepared me for a career in nursing. The first way was through my participation in the PSEO program at Inver Hills Community College, where I completed prerequisites needed for a pre-nursing student. Another program that has prepared me was my mentorship at Fairview Ridges Hospital on the Labor and Delivery unit, where I was given the privilege to work with a postpartum nurse who later became my mentor. I was able to perform vital signs on the mother and baby, help keep the baby quiet during the 24-hour testing, help with baths in the nursery, and listen and learn about the field. I also participated in the Healthforce Minnesota Scrubs Camp where I got to engage in hands-on experiences exploring a variety of

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.