...OB/Peds March 11, 2014 Community Resources Paper The Risks and Education of Teenage Pregnancy The at-risk group that I chose to research is teenage pregnancy, and the education and risks associated with it. I selected this topic because I feel like it is essential to teach our children all the risk and responsibilities that come with the decision to become sexually active, before they become sexually active. If teens are taught the essentials about pregnancy and sexually transmitted infections, and are educated on the resources available, they will be able to make an informed decision before making a crucial decision. I feel that when abstinence is all that is taught by parents, our children are too scared to ask about sexually transmitted infections and pregnancy, and don’t know about the resources available to them to prevent both. Teenagers who are sexually active have no idea all of the different resources available to help them to prevent pregnancy and spreading sexually transmitted infections. When they become sexually active they are afraid that they are going to get in trouble for not being abstinent which further increases their chance of getting pregnant or spreading infections because they are too scared to ask about it before they put themselves in the situation. Among the most conservative states I found the following. “Mississippi continues to have the highest teeth birth rate, with 55 births per 1,000 girls. New Hampshire...
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...Being able to have a chance to watch parental visits, the delivery and postnatal visits, is a great way to put all the steps together. My OB experience has positive and negatives outcomes. The first OB mother I got paired with, did not have any prenatal visits left when I contacted her, but I was able to watch the placement of her cervidil. Her labor went extremely fast, and the nursing staff was unable to call me due to the fasten of her deliver. Then I was going to get place with another nurse’s student, to watch that birth. The OB mother of that birth did not feel like I deserved to watch her give birth, due to not attending any prenatal visits. Lastly, while in the labor and delivery suite, the nurses worked extremely hard to find me another...
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...The ability of making a clinical judgment is essential in the nursing career. It safely and effectively meets the patient’s health care needs. We are given an insight into Josie Elliot’s pain management in postoperative care in which, Tanner’s model of clinical judgment is used holistically provide Josie’s optimum patient care. This provides a framework to enhance the process of making a clinical judgment in several situations. The importance of Josie Elliot’s pain management and potential effects of uncontrolled pain in postoperative care are discussed to provide full recovery for the patient’s needs. The importance of pain control is to provide patient comfort during the healing process in postoperative care. (Douglas & Schoenwald, 2013) Pain is considered the 5th vital sign during observations therefore the pain scale should be recorded during observations after surgery. Pain intensity is also assessed, as it is a quantitative estimate of the severity of the patient’s perceived pain. (Douglas & Schoenwald, 2013) Nurses also use pain scales to determine the pain intensity. (Ersek & Irving, 2012) For example, the numerical rating scale allows the patient to rate the level of pain from 0 -10. Nurses use a holistic approach to help the patient on how to deal with pain, helping them regain their physical, mental and spiritual health. (Seliman & Andosy, 2011) Family & patient education is also important as Lorig (2001) views it as a schema designed to improve...
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...Competency Differences in Nursing: Associates Degree verses Bachelor’s Degree Shannon Garcia Grand Canyon University Professional Dynamics NRS-430V Lisa Arends October 25, 2014 The path one takes to achieve their degree in the field of nursing has a great outcome on the care their patients receive. This paper is going to first explain the two main routes of education one can take to become a nurse, the associate’s and bachelor’s degree. Then it is going to show a few examples of competencies that differ in patient care when a patient is cared for by an associate’s degree verses a bachelor’s degree nurse. Then finally this paper is going to give a personal patient care example of care that differed when given by an AND verses a BSN nurse. Associates Degree (ADN) An associate’s degree in nursing (ADN) is a two year academic degree awarded by a community college. This degree usually requires at least one year of prerequisites prior to entering the nursing program. The ADN was first introduced in 1956 by Mildred Montag to help alleviate the nursing shortage after World War II (GCU, 2014). Ms. Montag envisioned a new level of nurse from the current apprentice nurse that was trained at a hospital and the BSN nurse that was trained at a four year university. Ms. Montag created a degree program that would allow nurses to be trained at a faster pace and also attract students that did not fit into the hospital trained setting or who did not have time for a four year degree...
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...From the time when I graduated The Salter School’s Medical Assisting Program, in 2005, I have been providing care to patients. I have worked in various specialties such as Ear, Nose, and Throat (ENT), Primary Care, Cardiology, and presently Emergency Medicine (ER) and Maternal Fetal Medicine (OB/GYN). My definitive goal has always been to go back to school in order to achieve a degree in nursing. However, I put my education on hold to raise my brother and my two sons. Recognizably, I am at a point in my life where I am now able to manage an education in nursing, alongside with my other responsibilities. I worked very hard to maintain a 3.9 GPA, so I could be given priority into the BCC nursing program. As they say, “hard work pays off”;...
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...After graduating nursing school I immediately obtained a position in the Emergency Room at East Houston Regional Medical Center. During my time in the Emergency Center I became an Advance Cardiac Life Support (ACLS) instructor and CardioPulmonary Resusciation ( CPR) instructor for American Heart Association. I stayed in that position until I became pregnant, which was a year and a half after becoming and registered nurse. Then I transferred to Labor & Delivery (L&D) as a staff nurse. I spent all of maybe four weeks in orientation, because of my previous experience prior to becoming a nurse was ten years as a scrub tech in labor & delivery. Shortly after learning the ropes in L&D maybe a month or so I became a charge nurse on that unit. I stayed at East Houston Regional Medical Center as a nurse for seven years until I transferred to Ben Taub General Hospital within the Harris County Hospital District. Once I arrived to this facility it was long before I became a charge nurse as well in the labor & delivery unit. This facility happened to be different, educational and more of a challenge than where I had come from. Ben Taub is one of the two county facilities in Houston. This particular facility has a Level 1 trauma facility therefore our unit was able to see some pretty ill, near death patients in the L&D unit. For example, one night a patient was admitted for a postmortem cesarean section after a very traumatic and fatal car accident. Well while the obstetrical physicians were...
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...am compassionate, enthusiastic, caring and dedicated nurse who has been working at St. Joseph Hospital for 23 years. I started in 1995 as a license practical nurse and have made my way up to become a Nurse Practitioner. I was able to advanced my education and achieved my goals with the help of SJ’s employee reimbursement program as well as with The Al Greenway Nursing scholarship. I would love the opportunity to continue to work for Baycare to show my appreciation and have more of an impact on my patients care as provider. During my first 12 years at SJ, I worked on cardiac step down caring mostly for post open surgery patients and cardiac patients treating conditions such as CHF, HTN, CP, post MI, arrhythmias. I later felt that I was not...
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...BULLET BACKGROUND PAPER ON NURSING CAREER COUNSELING PURPOSE Air Force nursing is a non-line career field and subject to a slightly different set of commissioning and accession requirements, outlined in this paper. DISCUSSION * Air Force (AF) Contracted Nursing Students will file their Form 53 in the Fall of their senior year and indicate their Undergraduate Academic Major as Nursing. (46XX-AFSC). * During their senior year, AF contracted nurse candidates through their DETs will be contacted by an AO from Randolph AFB who works with nursing accessions; Maj Laura Jones is the POC for members who have chosen the nursing track Med/Surg; Maj Toneka Machado for OB. * About six months from graduation date, they’ll be notified of their future permanent duty station assignment or within the assignment cycle of when they graduate. In other words, if a member graduates in May their assignment will be worked in the Summer AFPC assignments cycle which is Jan-March. In the past, some AOs worked more than a year out but due to our changing environment in the bedded facilities we are no longer making assignments more than 6 mos. from graduation. * Nurses then graduate with their BS in Nursing and prepare for the National Council Licensure Examination (NCLEX). The National Council of State Boards of Nursing (NCSBN) developed two licensure examinations, the National Council Licensure Examination for Registered Nurses (NCLEX-RN) and the National Council Licensure...
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...SENTINEL EVENT This is a case of an inpatient admitted at the Nightingale Community Hospital for a medical procedure which by all standards was a success but the patient is discharged from the hospital without the knowledge of the mother culminating into a sentinel event. Joint Commission (commission, 2013) defines a sentinel event as “an unexpected occurrence involving death or serious physical or psychological injury or the risk there of. Serious injury specifically includes loss of limb or function”. Like in this case, “an event can be considered a sentinel event if the outcome was not death, permanent harm, severe temporary harm and intervention to sustain life”. (commission, 2013). The required procedure being on appointment, the hospital was prepared for their patient scheduled for Thursday, September 14th at 12:30pm, a three year old Tina Gerhardt admitted to the ambulatory surgery unit (ASU) for bilateral myringotomies (insertion of ear tubes) accompanied by her mother. They were received by the hospital registrar who entered all the required information, processed all the necessary documentation with sign ups and verifications by the mother prior to being forwarded to the pre- op area. They were then received by the Pre-Op Nurse whose main job is to prepare the patient for surgery. In here, all that is necessary was done on Tina while briefing the mother through the entire process and the time each task was estimated to be completed. During the protocol, the mother...
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...my grandmother worn down both mentally and physically led me to believe the opposite. By tenderly touching her, she opened her eyes, and at that moment I felt precious to her. As time passed by, my mom decided to leave. With a heavy heart, I kissed her goodbye. Exiting the hospital, I was constantly thinking about how wonderful it would be to be the one providing her care. Since then I have been cherishing the idea of having a profession in the health care field. Listening to my mother’s personal accounts as an Intensive Care Unit Nurse also served to inspire my decision of pursuing a nursing career. The way she would express her passion and commitment of helping patients and positively impacting their lives physically and emotionally would leave me marveling. When I informed my parents about my vision of becoming a Registered Nurse, my mother thoroughly explained the multiple areas in nursing that I would excel in. The fierce and critical nature of the medical atmosphere has widened my perspective as to the characteristics and qualifications that most nurses possess. The fast pace and intense pressures with which nurses must face is what I find very admirable but also falls in line with my personality. I enjoy responding to adversity. In response to my desire to obtain more...
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...desktop PC system. I made a quick call to my brother, I remember the conversation going something like this! Why did you send me a computer? What I am to do what with it? My brother laughed, and stated it was time for his sister to catch up to the 20th century. He talked me through how to set it up and turn it on. His advice was “play with it, use it and call me if you crash it”. A year later, and after several crashes, I brought my first new computer. My love for how they made everything easier, the things they can do and the things I can creative with one. The spark was ignited, I do everything I can using my computer. I have a 30 year career as a Registered Nurse; in those years I have had many different experiences. Including nursing homes, medical-surgical, ICU, ER, pediatrics, obstetrics, and doctor office, and temporary staffing agencies. As a floor nurse, charge nurse and house supervisor, these experiences of life, and death have influenced my patients, their families, coworkers, my family and me. They have given me the skills to prioritize, organize, to think on my feet, and make life saving choices. Around 2006 my supervisor was looking for volunteers to be a super user for our first Fetal Monitoring Central Computer System; which I quickly volunteered for it sounded like fun! Several years later the hospital was starting order entry for Laboratory, Radiology and Dietary orders, my supervisor approached me about begin a super user again. Our hospital has slowly...
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...other professions, the nursing profession has many distinct and unique components. Nurses’ knowledge is acquired from many different sources and life experiences. Although hands on clinical skills are necessary, these skills are not usable alone. The ways of knowing is much more than the educational components of a college degree and licensure. Barbara Carper established four patterns of knowing which are needed in order to learn and apply nursing knowledge. The purpose of this paper is to discuss the four patterns of knowing, describe its relation to professional nursing and reflect upon these patterns in personal practice. Barbara Carper was a nurse pioneer who developed the four fundamental patterns of knowing in nursing. According to Carper (1978), “Understanding these patterns is essential for the teaching and learning of nursing” (P. 13). Carper identified four fundamental patterns of knowing which she classified as empirical, esthetic, personal and ethical. Carper (1978) states “The four patterns are distinguished according to logical type of meaning and designed as: (1) empirics, the science of nursing; (2) esthetics, the art of nursing; (3) the components of personal knowledge in nursing; and (4) ethics, the component of moral knowledge in nursing” (P. 14). Nursing knowledge goes beyond factual information. According to Peplau (1988) the art of nursing was previously limited to bathing, bed making, and housekeeping. Currently, nursing is acknowledged for consisting...
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...Educational Preparation Looking back at the history of nursing starting in the 1950’s entry-level baccalaureate-degree nursing (BSN) programs was offered in colleges. These programs were a crucial part of the development of the advanced nursing educational program. After the war there was a shortage of nurses and the associate-degree level of nursing (ADN) programs were developed to help with this shortage in a quicker time frame. Both of these nursing programs were important at that time in history and still have their roles in society today (Creasia & Friberg, 2011). There are differences in the educational competencies for ADN nurses compared to those educated at the BSN level. One such difference is the leadership and management positions held in nursing thought by many to be primarily the role of the nurse with a BSN not an ADN degree. There has been quite a lot of debate on this topic over the years and there continues to be a need for clarification of the different roles of the ADN versus the BSN nurse (Schank & Stollenwerk, 1988). Chamings and Teevon (1979) found while asking nurse educators that differences in the competencies of nurses remained undetermined, while there were defined differences in expectations. It is understandable that an ADN or BSN graduate needs to be able to go into the workforce knowing their skills and being able to apply that knowledge to meet the requirements of their nursing role. Ashkenas (1973) did a study on new ADN graduates...
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...discussed for many years before us and is still current in health care and in general. As I was preparing for this week learning adventure, I can say that, besides our chapters in textbooks, I read so many different articles, but for this paper I have chosen the article written by Maier- Lorentz Transcultural nursing: Its importance in nursing practice. I found this article easy to understand and fallow through and I agree with many things listed and discussed by the author. We can define diversity in many different ways many years ago diversity was defined mainly by gender, race, or color. In today’s world, we can also add on sexual orientation, military experience, education, work experience, marital status and many more. With a diverse workforce health care can compete with the higher achieving global organization. This article is discussing important of diversity in the nursing profession. As we can see from the article increasing culturally diverse workforce creates positive outcome for the hospital or organization, and also helps in delivering better care for patients and families (Maier-Lorentz, 2008). That is why this issue has been incorporated through nursing schools in their curriculums as well as boards and examinations, also organizations implemented and developed policies and procedures to help with cultural diversity. As of 2004, there were 2.4% working RN’s in the United States. 94.2% were women, with 5.8% being men 89.3% were Caucasian and 4.2% African American...
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...Difference in Competencies At this time it is possible to graduate and sit for the nursing board exam with either an Associate Degree in Nursing or a Bachelor Degree in Nursing or a diploma completion from a hospital education program. This paper will focus on the two major pathways to a nursing degree, the associate and bachelor degrees. There are several major differences between these degrees and several similarities. Firstly, the history behind these degrees, how they came to being, and where education levels are headed to in the future. Then patient care and the direct and indirect impact on the patient will be discussed. The Associate Degree for Nursing In society today the associate of nursing degree is a fairly common achievement. It typically involves three years of full time attendance, taking undergraduate courses at a community or junior college with an emphasis on a particular area of study (thefreedictionary). Those who are studying for a nursing degree at a community college are typically working towards an Associate Degree of Applied Science (AAS) with an emphasis in nursing (ASN) or an Associate Degree of Nursing (ADN). History and Creation of the Associate Degree for Nursing Prior to WWII the associate degree was not offered. Most nurses were trained in schools through larger hospitals across the United States. According to Conceptual Foundations: The Bridge to Professional Nursing Practice (2011), there were more than 4000 hospital programs training nurses in...
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