On October 27h, I had the opportunity to spend my clinical day in the Emergency Room, rather than on the floor on 8 South. I arrived at the site at seven and stayed until noon. I was introduced to the charge nurse Kim. Kim decided to place me with Megan for the day. Megan has worked in the ER for the past two years; however, she has worked at the VHA for the last 12 years. She worked as an LPN prior to becoming an RN. There is a large variety of roles that nurses fill when working in the ER. When I arrived on the unit, there was a whiteboard that assigned each nurse to various positions. The listed assignments are triage, observation, bays, and a heart and chest pain area. Triage is an important role where nurses use assessment skills and …show more content…
There were not serious admits. According to Megan, the pace of the environment is often unpredictable. It is difficult to predict how many admits to expect and to anticipate the urgency of their needs. The pace for each nurse is also influenced by what role the nurse is fulfilling. Triage, for example, is fast paced with the responsibility of distributing patients, while those in observation have considerably stable patients. Additionally, it is influenced by the level of patient urgency. The VHA does not have a trauma center and generally only receives levels three through five. The ER is usually fast paced and requires collaboration across various disciplines. Megan states that collaboration is especially evident between the ER nurses, physicians, psych, social work, and even police officers. Those in the ER are also responsible for communicating with other hospital units. This becomes imperative with patient transfers to the wards, medical stepdown, or psych. While balancing patient care and this complex communication, nurses are still responsible for using good therapeutic communication. This was evident when Megan listened intently about one patient’s struggles with his housing situation, while providing holistic
This is why she chose to write about her shift with 4 patients and what she went through with each of them. The central idea of this book is, Nursing is difficult and nurses are only humans that have personal struggles Brown's sharing every detail of her shift helps effectively make readers better understand
Communication in the operating room is very important. If surgeons and nurses are not communicating effectively it can directly affect the quality of patient care and safety. In 1999, the Institute of Medicine (IOM) issued a report, To Err is Human: Building a Safer Health System, which estimated the fifth leading cause of death in hospitals in the United States was due to health care errors (Mason, Gardner, Outlaw, Freida, 2016). To help reduce these errors, effective communication needs to be exercised throughout health care.
A was mobilised by the physiotherapists the day after her operation with a zimmer frame and assistance of two. As Mrs. A was previously independent with no aids to help her walk she would need intensive physiotherapy to get her back to her baseline. Mrs. A was discharged to a community hospital on a rehabilitation ward five days are being admitted, (Ojomo,2004) defines communication as the process of sharing ideas, feeling thoughts and messages with others. Good communication skills is a key Part of nursing, it helps to keep the patient safe and to deliver appropriate care to the patient. Without good communication skills could mean to cause harm to the patient unintentionally.
Nurse’s role has a unique contribution in the interprofessional team. The interprofessional team are group of individuals in a various healthcare disciplines communicating and working together towards common goals to provide quality, individualized care for patients. Each team members from different profession and occupation collaborates, supports, enhances, and provides knowledge, skills, and attitudes to coordinate processes and interventions. Nurse’s offers specialized service to society to meet the health care needs of their clients.
Each morning patients came in for assessment and the treatment team developed or altered existing treatment protocols. I longed to be part of this team, working to stabilize each patient so they could return home to pursue their goals. The nurses stood out to me as the team members at ground zero in the unit, working directly with patients, and advocating for them in meetings. As a Nurse Practitioner, I will provide this same standard of holistic care to my patients, taking into consideration their biological, social, psychological and cultural needs while developing and implementing treatment decisions.
Proper communication skills can decrease stress related to the miscommunication of ideas. It has been shown that “communication plays a key role in the diagnosis, care and treatment of patients” (Khademi et al., 2021). Continuing with the angry family member scenario, the nurse should encourage the family members to express their feelings and the nurse should acknowledge what has been discussed. This shows that the nurse is displaying positive, interpersonal communication by providing compassion and active listening.
As a leader within my fraternity, I've performed and practiced therapeutic communication without even being aware of it. This week I was able to active listen to patients, such as a patient who explained his glaucoma to us and how it was partially fixed, but a complication arose that needs to be assessed and stabilized. I also was able to sit down and talk with a patient before her bath to see what she wanted to wear. Asking open ended questions, active listening, being silent to give her time to respond, etc. enforced my therapeutic communication within the healthcare setting. A non-therapeutic bias I've come to realize is that instead of talking to the patient, I communicated to the nurse instead.
I strive to maintain open and transparent communication channels with all members of the healthcare team. This involves active listening, sharing relevant information, and providing timely updates regarding the patient's condition and progress. By fostering a culture of collaboration and information sharing, we can make informed decisions, prevent misunderstandings, and provide the best possible care to individuals. Additionally, I actively seek opportunities for professional development and continuous learning.
Background: Describe a nursing situation you encountered this week. Today we attended clinical for second time. Our main focus was patient with COPD or any gas exchange difficulty. We assessed the patients with gas exchange problems.
This is important evidence because it gives us conditions and results of what can happen if patients get lower quality care. Patients’ are not having enough time getting checked up by a nurse, and nurses would miss some diagnostics. Patients are getting sick because of the poor care they are receiving from nurses. The care patients can get is affected by a nurse shortage, “Nursing workload definitely affects the time that a nurse can allot to various tasks. Under a heavy workload, nurses may not have sufficient time to perform tasks that can have a direct effect on patient safety.
The thing I did best today, was, communicating with my patient, and doing his physical assessment. My clinical rotation this quarter for Galen College of Nursing ,is at the VA medical center, in Louisville Ky. The VA medical center is a govt hospital for the veterans.
PATIENT CARE EXPERIENCE AND PARTNERING IN CARE Name of Student Institution Affiliation Patient care experience and Partnering in care Health care is continuously evolving with improvements in cures and medical equipments. Nevertheless, this does not transform into better health care delivery. To ensure proper and satisfactory services in the health care industry, it is important to focus on patient care experience and partner in care along with the families. We discuss this approach and its benefits, especially for the elderly like Mr. Taylor and how it helps them overcome the barriers they face for healthcare delivery.
The key to establishing a trusting relationship is the integration, usage, and mastery of therapeutic communication skills (Belcher & Jones, 2009).Due to the high importance of effective communication in mental health nursing, it is essential in therapeutic interventions. (Peplau, 1952) states that effective interpersonal skills are central to a mental health nurse’s ability to form a sound therapeutic alliance and to the role of mental health nurses. Excellent interpersonal aptitudes are what every mental health nurse needs to communicate effectively with clients. Active listening is more than just hearing what the client has to say, nurse must be actively engaging with the client, physically, emotionally and mentally. Effective listening is therefore a cognitive, behavioural and an affective process (Arnold and Underman Boggs,
This clinical experience has really helped me to sharpen my communication skills and realize just how important it is to understand mental health. We are told multiple times in class that mental health issues can be seen on any floor and that is the truth. I’ve seen patients in my older adult clinical on the pulmonary floor suffer from issues that range from anxiety to bipolar disorder and depression. Being able to understand how to approach people that suffer from these types of illnesses, allows us, the nurses, to give the patient the best care that we can. It helps to build a trusting relationship and get to know them on a personal level.
Therapeutic communication is an interaction between a nurse/ healthcare worker and a patient that helps advance the physical and emotional health of the patient by using verbal and nonverbal communication. Therapeutic communication is an active process. This communication is an important part of building a healthy interpersonal relationship, explains "Psychiatric Mental Health Nursing" .Nurses, mental health professionals and other health care professionals use therapeutic communication to educate the patient or to elicit information for analysis. The nurse uses various strategies to help the patient express their ideas and feelings in a manner that establishes respect and acceptance. This, in turn, enhances the patient 's comfort levels, encourages a feeling of safety, and increases their trust in the nurse.