Abstract their lives. This particular incident my sister

Topic: BusinessTime Management
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Last updated: August 25, 2019

  AbstractI chose to write my essay on the work loadof nurses because it is something that seems to be over looked. From a youngage, I have been drawn to everything related to medicine and taking care ofothers.

  From the bottom of my heart, Ibelieve that nurses deserve the same recognition as doctors because at the endof the day, they are a team. I recall a time when my sister, a registered nursemidwife of 15 years, saved a patient and her baby’s life and the doctor was theone recognized.  A patient was brought inat 12:30 am at 3cm, and only moved 1cm since admission with a grade 3 meconium(the first feces of a new born), receiving 5l oxygen via face mask as the babywas in destress and needed additional oxygen. Upon reviewing the patient’snotes, she spoke to her gynecologist 2nd, explaining to her that she waspreparing the patient for an emergency caesarean. Doctor Gomez said, “wait tosee if she makes any progress because I am not interested in doing a caesareansection today.”  After speaking to thedoctor, she examined the patient to find small clots at the introitus (vagina).My sister then bypassed the doctor’s decision, and took the patient into theoperating theatre for a caesarean section as she was noted to have placentaabruption (when the placenta is detached from the mother). As for the infant,he came out with Apgar score (a physical condition of a newborn), and wasplaced in the nursery for close observation.

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 If my sister had waited longer the infant would have died, but DoctorGomez got recognition for saving their lives. This particular incident mysister experienced, drove me to highlight a day in the life of a registerednurse, with hopes to enlighten my audience that nurses work just as hard asdoctors.A Day in the Life of a Registered NurseA doctor may find the medical cause of apatient, but it is the nurse who helps the individual to overcome them (Picoult,2003). To say registered nurses are busy is a bit of an understatement. Theyspend long hours daily dedicating time and effort into their work. Thedetermination is clear within the role of a nurse which includes leadership, assessmentand treatment, for each of their patients. Nurses are doers who work physicallyharder than doctors. They are not as well paid or respected as they deserve.

Aswell, they have less autonomy and less credibility than they might. Finally, theyare wonderful patient advocates.Nursing leadership assures that everyindividual does their part to get a job done. Evidence has shown thatleadership has a positive impact on patient outcomes. Cummings (2010) has studiednursing leadership in nine acute hospitals in Canada, collecting nurse’sperceptions of their leaders, whose styles ranged from highly resonant tohighly dissonant. The individual that is in charge for the entire nursing teamis called the head of nursing, and that individual must allocate each staffmember to a task, they need to ensure that every patient has received adequatecare and debrief every individual on the team. According to the American NursesAssociation (ANA) Code of Ethics for Nurses with Interpretive Statement, thenurse is responsible and accountable for individual nursing practice anddetermines the appropriate delegation of tasks consistent with the nurse’sobligation to provide optimum patient care (Kelly-Heidenthal and Marthaler,2005).When the staff arrive to work, theindividual that is in charge has to assign each nurse to five-six patients and aclipboard (medical chart containing information such as: medical history, vitalsigns, diagnoses, treatment plans, laboratory and test results).

Then, thenurse has to go into every patient room during morning assessments, set uppatients for breakfast, chart (medical chart), give medications, and assist patientswith following out doctor’s orders. Lastly, at the end of the shift the nurseand the nurse in charge must debrief the nurse on the oncoming shift. Duringthe handover, the nurse has to give details of every patient assigned. Thehandover of each patient is generally made up of three sections: Past:historical information.

The patient’s diagnosis, any information the team needsto know about the patient treatment plan. Present: current presentation. Howthe patient has been during that time of the shift and any changes to theirtreatment plan. Future: what is still to be done. For lots of reasons tasksthat need to be completed at a certain time may be handed over to the nextshift, simply because the team did not have time to complete the task (Daniels,2004).

Nursing leadership is vital not only to the long-term credibility of thenursing practice, but to achieving good patient and client care and effectivenursing leadership is very important in all nursing role.Clearly, nurse-patient encounter is thefirst encounter between a nurse and patient while assessing that patient. Nurseassessments focus upon the patient response to health problems, perceivedhealth needs, health practices and values. The goal of assessment is thecollection and analysis of data that are used in formatting nursing diagnoses,identifying outcomes and planning care, and developing nursing interventions.Incomplete or inadequate assessment may result in inaccurate conclusions andincorrect nursing interventions. When entering a healthcare facility nurses arethe first person individuals will encounter asking them series of questionswhile checking their vital signs, it may not seem like a lot of work to some,but nurses do assessment from the moment an individual walk through the doorand at the beginning of every shift.

There are three types of assessments carriedout by nurses, comprehensive, focused and an ongoing assessment.  Firstly, the nurse must perform acomprehensive assessment which is completed upon admission to a healthcareagency. This assessment includes assessing the physical, emotional and mentalaspects of all body system as well as the environment and social issuesaffecting the patient. Next, a focused assessment, this assessment collectsdata about a problem that has already been identified. This assessment has anarrower scope and a shorter time frame than the initial assessment, the nurse determineswhether the status of the problem has change (improved, worsened, or resolved).Finally, an ongoing assessment which is a systematic follow-up when problemsare identified during a comprehensive or focused assessment. This assessmentincludes the nurse doing systematic monitoring and observing related specificproblems, it also allows nurses to broaden the database or confirm the validityof the data obtained during the initial assessment.  “Themost important practical lesson that can be given to nurses is to teach themwhat to observe- how to observe-what symptoms indicate improvement- what thereverse- which are of importance-which are of none-which are the evidence ofneglect- and of what kind of neglect.

All this is what ought to make part, andan essential part, of the training of every nurse” (Nightingale, 1860/1969,p.105).  Nurses provide care based on patient needs,working along with doctors to formulate a care plan. The nurse providespsychological support to clients with terminal illness. In addition, throughthe assessment process nurses individualized priority-setting, priorities willbe influenced by the acuity of the patient’s condition and the acuity of allpatients assigned to a nurse. Priority ranking of patients are characterizedinto three levels: First level is where they treat patients with immediatesurvival, safety and high demand. Second level highlight concerns such asmental status change, acute pain, acute urinary elimination, untreated medicalproblems requiring immediate attention (diabetic needing insulin), abnormalpathology lab results, risk of infection and safety or security. Third level iswhere those that do not fit into the above categories.

When there are nolife-threatening problems, nurses used both professional judgement and thepatient to set priorities and determine planning. “Prioritization is defined asdeciding which needs or problems require immediate action and which ones couldbe delayed until a later time because they are not urgent”. (LaCharity,Kumagai, and Bartz, 2006, p.4)Critical thinking skills is the core ofbeing a good nurse, in addition, they use these skills to provide effectivecare while coping with the expansion in roles associated with the complexitiesof current health-care systems.

Nurses use critical thinking skills to preventmedication error. In fact, they think in a systematic and logic manner with opennessto questions and reflect on reasoning to ensure safe nursing practice andquality care. Every day, nurses make decisions through critical thinking.Critical thinking is identified as an essential nursing competency by theNational League for Nurses (1997).

Critical thinkers are people who know how tothink. They possess intellectual autonomy, in fact they refuse to acceptconclusions without evaluating the facts and reasons for themselves. Criticalthinking is process that allows nurses to see the big picture instead offocusing only on details. Furthermore, nurses must administer numerous drugsdaily in a safe and efficient manner. They administer drugs according to thenursing standards of practice and agency policy. Before administering anymedication, the nurse must compare the medications listed on the MedicationAdministration Record (MAR), other recording forms, or computer orders with thehealthcare practitioner’s order. When administering medication, the nurse mustcheck the label when removing the drug container from the drawer, check thedrug when removing it from the container and before returning it to thepatient’s medication drawer. The nurse should give only medication that theyprepared and checked, because they are the responsible party should an erroroccur.

As a result, long hours and dedicated timespent by nurses are their daily work routine. Everyone has a common goal, butthe nurses are not being recognized for their hard work. They deserve the samerecognition as doctors because nurses are the center of healthcare. Societythink so little of nurses, but at the same time doctors rely on them so much.Doctors will see a patient anywhere from five to thirty minutes a day dependingon how sick they are, and the rest of the work are left to the nurses. They arethe ones making sure patients get their pills, check their vital signs toensure they do not drop, make sure patients do not fall and break something. Ifa patient vomits, doctors will run out of the room while a nurse rushes in.

Theychange patients wound dressings and start their IV line. They will cleandisgusting things off patients even if they are drunk, delirious or mean andthrough all of this they try to be friendly and positive. To say registered nursesare busy is a bit of an understanding. The determination is clear within the roleof a nurse which includes leadership, assessment and treatment, for each of theirpatients.          

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