...this reflective writing, I will reflect upon my performance in the video undertaking vital signs and therapeutic communication addressing both positive and negative aspects and link my reflections to journal articles and texts. By replaying my video I found a positive aspect of my performing the skills of undertaking vital signs which is performing hand hygiene. Generally, I think that the patients in the ward are already get physical disorders and have very low immunizations, so they have high incidences of diseases. I realize that hand hygiene can remove bacteria and viruses which may spread by touching patients and easily cause infectious diseases to them. So it is essential to perform hand hygiene before and after touching patients. Alemagno, Guten, Warthman, Young & Mackay (2010) state that infectious organisms can harbor and spread by health care workers who touch the patients while providing care. Appropriate hand hygiene is basic to patient health and safety and is the most cost-effective way to decrease bacteria transfer. Barrett & Randle (2008) also state that the prevalence of healthcare-associated infections which are acquired by patients during health care, investigation or rehabilitation in a hospital or community setting can be reduced by effective hand hygiene decontamination. So hand hygiene is an important way to prevent infectious diseases in health care facilities. In my vital signs assessment video, I performed hand hygiene before and after touching the patient...
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...Reflective essay: Intro: Vital signs are a fundamental component of nursing care and indicate the body’s ability to maintain blood flow, regulate temperature and regulate oxygenate the body tissue. Taking vital signs are essential in revealing any sudden changes in the body, which could potentially indicate clinical deterioration of the patient. As a first year student I was assigned to take a patients vital sighs while my peer videoed it. Throughout the video blood pressure, pulse, respirations, and temperature was recorded to check if everything was in normal range, while ensuring a comfortable environment, and communicating with the patient to build trust and confidence in my ability to make an accurate assessment and judgement on the results of her vital signs results. Para 1: hand wash Prior to taking the vital signs, I demonstrated and explained how to theorectically wash your hand and dry them, this was a social hand wash lasting between 15 – 30 seconds (Tollefson, 2010). A social hand wash- The removal of any jewellery is essential before undertaking Hand hygiene and wash and must occur * before and after shifts, * between patients, and when * dealing with any bodily fluids. The social hand wash ensures the prevention of cross contamination between both patients/ staff and the increase of bacteria dispersing from one patient to another. Para 2: blood pressure I made sure that the environment was comfortable for the patient. Providing a...
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...participation. 4.) Discuss clinical paperwork and how to fill it out 5.) BCMA How to start your day: 1.) Introduce yourself to the RN/LPN/NAC with whom you will be working with and indicate what you plan to do (bath/meds/vs etc.) 2.) Give the nurses time to get report from the prior shift before posing questions. Try to be present during report. 3.) Accompany the nurse on walking rounds, if possible 4.) Review available information on the patient’s prior nights and goals for the day. Look at the MD progress 5.) Introduce yourself to each new patient to whom you are assigned 6.) Determine whether patients need help eating and whether they are scheduled for tests that day 7.) Take the patient’s vital signs 8.) Perform a head to toe assessment 9.) Give meds, if you are assigned to give meds. 10.)Check for orders 11.)Keep the nurse...
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...Monica Renee Zamora 1410 Vargas Rd. Austin, TX 78741 • 512-920-8284 • monicarzma@gmail.com Clinical and Administrative Medical Technician Medical Assistant with current training that includes: patient interview techniques, taking vital signs, triage, laboratory/screening tests and medical office functions. Experience PPD (pharmaceutical product development), Austin, TX (05/2013 to Present) Research Technician: * Monitor patients for adverse drug reaction and monitor food intake. Review patient charts and orders for testing subjects. Perform clinical procedures for patients including ECG’s with holter monitoring, phlebotomy, vital signs, urine collection, and ethanol breath testing and blood glucose. Sodalis Elder Living, Austin, TX (09/2013 to 09/2015) Resident Care attendant: * Direct care and supervision of resident and assures residents are kept safe, comfortable; practice appropriate hygiene. Provide social activities and ensures residents are cared for. Assist residents with cleaning their living space, perennial care, laundry and minor household duties. Victory Medical Clinic, Austin, TX (03/2013 to April, 2013) Medical Assistant Externship: * Obtain lab result; prepare specimens for process, vital signs, triage patients, health histories. Urinalysis, cultures (throat), pregnancy testing. * Assist with clinical procedures, PAP Smears, Well Women Exams, DOT Exams; administer injections (Vaccinations, Steroid, Depo Provera) Wound care, EKG’s, and phlebotomy...
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...This Friday was my second day on the medical surgical unit. My instructor gave me a progress note for a patient who I supposed to follow him. I also, supposed to follow the nurse for pass medication and help her regards my patient. My assigned patient was 64 years old veteran who admitted last day because of complaint of shortness of breath. He had history of acute HF and chronic R pleural effusion. I introduced my self to the nurse and asked her regards following her for preparing med and helping her. After reviewing the patient’s record , I did head to toe assessment test and I checked his vital signs. he had regular heart rhythm but with murmur. He had very soft crackles at right base. Otherwise it was with no wheezing. I had a great time...
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...Journal Today I felt like I am not ready for the clinical. I was worried about tomorrow exam and my focus was more on exam then clinical. We had a pre-conference as usual which gives us information on what we are going to focus on while taking care of a client. We discussed about oxygenation and about medication. I was assigned with a client who has pneumonia, seizure disorder, and second degree MVA. Soon I entered the client room I washed my hand, introduce myself, checked client id and started assessing the client which I was lacking before example checked whether the tubing are intact or not. After that I took vital signs which were easier than before. I learnt something new while giving a bath to a client. I learnt to put on the condom catheter to a client with the help of the professor. I was scared while changing the condom catheter since it was my first time but at last I did it. I gained little self-confident after doing it. Changing the bed sheet was challenging one since I have to turn and lift my client. At last we had a post conference where we took some data from the client record and we discussed about what we did so far. We talked about our client and related nursing diagnoses. This conference gives much knowledge and it is really helpful. Two questions: Q1. How would you determine if the client has adequate fluid intake? Q2. What kind of feelings are there when giving a bath to a...
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...Communication Style Case Study University of Phoenix HCS/350 Communication Style Case Study In communicating, “The words you choose and the way in which they are delivered to the delegate make the difference between a successful and a frustrating episode in delegation” (Hansten & Jackson, 2009). The three communication styles in the case studies are passive, aggressive, and assertive. An analysis of the first scenario reveals that Robin, RN, used aggressive communication while Rashad, the assistive staff used passive aggressive communication style. In order to accommodate therapeutic communication that would improve the outcome, the scenario would change as follows: Robin, RN sends out an announcement of a staff meeting to discuss roles, responsibilities and expectations of the assistive staff. Robin, RN opens the meeting by stating, “The purpose of the meeting is to review roles, responsibilities and expectations of our assistive staff, please take a copy of the job description so that I am circulating so that we can review together.” Rashad, Assistive personnel stated, “My role is to anticipate the needs of the patients for toileting and personal hygiene right?” Robin, RN, in a inquiring voice, restated, “Rashad, do I hear you asking if your role is just to anticipate the needs of the patients for toileting and personal hygiene?” Rashad, acknowledged “Yes, I need to know what else I may have to do.” Robin, RN, in a calm, but professional and...
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...------------------------------------------------- ------------------------------------------------- Education ------------------------------------------------- Everest institute, Norcross, GA; Medical assistant diploma ------------------------------------------------- kba learning center, mangilao, guam; certificate booking and office procedure ------------------------------------------------- ------------------------------------------------- skills ------------------------------------------------- injections, ekg, capillary sticks, urinalysis, venipunture, vital Signs, sterilization, spirometry, throat culture, pap smear, processing claims, cpt & icd 9 coding, therapeutic procedures, charting, cpr and first aid, microsoft office, and typing 60 wpm Professional Experience Medical Assistant Externship United Pediatrics, 9/2013 – 11/2013 * Conducting Vital signs and recording medical history * Preparing patient for examinations, assist physician with examination * Injections, urinalysis, venipuncture administered when ordered by physician * Scheduling patient’s appointments, heavy phone, Insurance Verification * Administered Fluoride, Iron/Lead Testing, Strep Testing, Immunizations, * Well Baby physicals, Sick patient appointments, School physicals Store Manager, Rent-A-Center 3/2010 – 06/2012 * Assisted...
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...Albert Dominic November 24, 2013 Introduction With the many advancements in mobile technology, the health care industry has been able to use this technology to enhance the quality of the services they provide. Thus the birth of wireless medical patient monitoring. Monitoring Patient Vital Signs via Mobile Computing Versus In-Patient Visits Mobile monitoring of patient vital signs has become more popular than ever. Imagine being able to monitor your blood pressure, glucose levels (diabetes), your body temperature and many others using mobile technologies that have surfaced today. I remember when a patient would have to make a trip to the doctor’s office to have their vital signs taken. Now vital signs can be recorded and stored on a mobile device, uploaded to a database that can be accessed by the doctor’s office. Storing vital sign stats on mobile devices is light years ahead of having a person physically take those vital have to enter them on a chart and then enter them into a computer system. The mobile technology also saves time by allowing instant access to the data instead of waiting hours. Patients are able to take advantage of the new smartphones and can monitor their own vitals and have a digital record they can share with the doctor anytime. They are also able to chat real-time with the doctor of the doctor’s office in case there is a question that needs to be raised or addressed. Mobile technologies has helped patient buy into the concept of preventative care...
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...Organizational Systems and Quality Leadership Task 2 A. Root Cause Analysis The purpose of this root cause analysis is to carefully examine the causative factors, errors, and hazards that led to the sentinel event of Mr. B’s death. Mr. B was 67 year old male that presented to the ED with his son and neighbor. Mr. B stated that he tripped and fell over his dog. Upon assessment Mr. B’s vital signs were stable with the exception of rapid respirations, his left leg was shortened, red and swollen, and pain was rated 10 on 1-10 scale. The first step to a root cause analysis is to identify what happened. In this scenario, the patient is admitted to an ED room after proper triage. Initially, 5 mg diazepam was ordered by the ED Doctor, and administered by Nurse J at 4:05 pm. After five minutes, no status change is noted and Dr. T ordered 2 mg hydromorphone IVP. This is administered at 4:15 pm. Dr. T then ordered an additional 2 mg hydromorphone IVP, as well as an additional 5 mg diazepam IVP. At 4:25 pm a successful reduction of left hip takes place. At 4:30 the procedure is concluded. The patient remained sedated, showing no signs of distress or discomfort. Mr. B is not currently on supplemental oxygen. Mr. B is placed on an automatic blood pressure machine programmed to monitor the blood pressure every five minutes as well as a pulse oximeter. At 4:35 pm Mr. B blood pressure is 110/62 and O2 saturation is 92%. He has no supplemental oxygen, and his ECG and respirations...
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...subjects and providing an early alert service to help hedge the possibility of preventable death. MedAlert Inc. is aimed at being an industry leader as well. Helping move the medical devices market to a more customer focused orientation through example. MedAlert Inc. understands that high quality products, paired with unwavering customer service will lead the company on a path of constant and sustainable growth, and be a beacon of success for other companies in the medical services industry. Product MedAlert plans on creating an entire line of products that will help address a number of different health needs. The pillar of the product line will be the vital sign monitoring and alert system, QuickAlert. The product will be a device worn in an inconspicuous location on the body that will monitor the user’s vital signs in real time. Paired with a mobile device, such as a...
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...Complex Case Study #1 My job as a charge nurse is to make rounds visiting the patients and family. One morning in February 2010, as I was visiting with a patient, CH, I walked into her room and found her lethargic, SOB, diaphoretic and clammy. I proceeded to take her vital signs of which her temperature was 102.3, respiration 24, pulse 124, blood pressure 98/62. I was about to call an RRT but the MD arrived on the floor and was instructed to come to the patient’s room from my call to the nurses’ station. I then held off of calling an RRT, as the MD instructed me to wait and let us proceed with treatment. Orders were then given by DR. T for blood cultures, CBC, CMP, IV bolus of NS, urine culture and IV Vancomycin and Cefepime. I immediately draw the cultures, labs and obtain the urine culture via straight catheter, also started the bolus infusion; other nurses pitched in to help and made the process moved faster. The antibiotic was then given stat as ordered, after all the orders were carried out the physician thanked me very much for my quick clinical thinking of noticing that the patient was becoming septic. I realized that she was becoming septic due to her symptoms and was able to stop a situation from getting worst, the physician stated that she could have well coded. I was glad that my experience allowed me to know when to act quickly and to be calm and thoughtful in a stressful and emergent situation. The patient and family members were very thankful and...
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...Compassionate * Compassionate caregiver * Flexible * Accurate and detailed * Works well under pressure * Certified in 10-key | | * Efficient and reliable team player * Committed team player * Dedicated hospice care provider * Adaptable * Professional phone etiquette * Excellent communication skills * Customer service-oriented * Payroll * Multi-line phone proficiency * Administrative support specialist * Critical thinker * Project planning * Spreadsheet management * Certified Computer Office Assistant * Filing and data archiving * HIPAA compliance | Experience STNA | The Oaks At BETHESDA | 10/13-11/13 Maintained accurate records of patient care, condition, progress and concerns. Monitored vital signs, such as blood pressure and pulse. Responded appropriately to the physical, emotional and developmental needs of patients. Assisted patients with bathing, oral hygiene, grooming, feeding and elimination. Helped patients move in and out of beds, baths, wheelchairs and automobiles. Maintained a clean, healthy and safe environment. Obtained household...
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...0830 Pt in dining room eating his breakfast. 100 % ate for breakfast………………………. …………………………………………………………………L.Gotora PNS1/WATC 1000 Head to toe assessment completed. Pt in room lying down in bed. PICC on left side without redness or swollen. A&O X4. Vital sign T 97.7, P 75, R 20, BP 108/70 and O2 96 RA. Pt stated pain 2 on the lower left leg on scale of 0 to 10. Pt looks discomfort. Hair clean and dry and evenly distributed. PERRLA. No drainage tenderness and redness on nose. Ear clean without redness and swelling, small amount of cerumen presented in ear canal. Oral mucosa pink and moist. Dentition intact no bleeding in gums or swollen. Non palpable or non-tender on lymph gland. Full range of motion and symmetrical. Capillary refill < 2 second....
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...We were presented with a patient who was a 35-year-old female. Prior to examination we are told our patient has fatigue, weight gain, forgetfulness and has been seeing a psychologist for some depression. After running our subjects vitals we found that she is well nourished, with a heart rate of 70 bpm (beats per minute). She has a repository rate of 13 bpm (breaths per minute) and weight 157 lbs. Measuring at 1.6 m tall, and having a blood pressure of 107/75 mmHg. After a small checkup we noticed is she was very distracted and unfocused during the examination. While our patients show little to no pain, her skin is mildly cool to touch and very flakey. After palpation of the patient’s stomach there was no reported issues or pains. After evaluating our patient’s examination and symptoms, we had come to the assumption that she has a dysfunction with her thyroid, also known as hypothyroidism. The exact symptoms that brought us to this hypothesis are the weight-gain, depression, and levels of fatigue. One’s thyroid gland has many roles in the human body. It is part of the endocrine system. The figure to the left breaks down the pathophysiology of hypothyroidism. One’s hypothalamus secretes...
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