Premium Essay

Round Nurse Role

Submitted By
Words 915
Pages 4
During clinical patients were at the wound clinic to have their present wounds assessed. The patients at the wound center were both new and returning patients. Each patient is seen by a nurse and either the doctor or nurse practitioner on staff. There were four registered nurses working at the center today each having a different role that they play. The first nurse is responsible for admitting the patient, checking vital signs, going through a brief history. This nurse also is the first person to assess the wound, they will clean the wound and measure the wound for the doctor/NP. The second nurse works as a case manager and does rounding with the doctor. That nurse will write the orders given by the doctor and coordinates with a skilled nursing facility, home health or the primary care provider if need be. The third nurse that see’s the patient is in charge of teaching the patient how to care for the wound to help promote it to heal. They then will eventually discharge the patient once appointment is complete. The fourth nurse worked in the hyperbaric chamber. Although each nurse is designated a different task, they all worked together to help carry out everything needing to be done in a prompt and seemingly fashion, this really showed how …show more content…
These ulcers are typically found on the lower legs, between the calf and ankle. They are often started by trauma to the leg or from when your skin expands do to excess fluid build up. They are usually irregular in shape, shallow and weep discharge. They do not heal well because of the damaged veins in the legs and can easily be infected. Common treatment for venous leg ulcers is to keep the swelling of the legs down to a minimum and the use of compression therapy. Compression therapy can be done using particular stockings, leg wraps or pumps. For compression therapy to successfully work you need to have enough blood flow to the

Similar Documents

Premium Essay

Collaborative Care: A Case Study

... In collaborative rounds, the team members share their patient knowledge and their experiences with a particular problem (Fewster, 2015). Doctors share the information about diagnosis, while nurse share the lab values and condition of the patents. A hierarchical relationship is found to be existing in hospital settings (Lancaster,Kolakowsky-Hayner, Kovacich, & Greer-Williams, 2015). Studies by Lancaster et al., (2015) suggest the adoption of a hospital patient care system based on the conductor less orchestra model, in which members work together. This leads to achieve a cohesive performance that can lessen the existing hierarchy in hospital settings (Lancaster et al., 2015). A similar study by Nair, Fitzpatrick, McNulty, Click, & Glembocki, (2012) identifies the need of a culture that foster a collaborative behavior among nurses and physicians to improve patient outcomes. They also acknowledge nurse-physician round as an intervention to improve relationship between caregivers (Nair et al., 2014;...

Words: 604 - Pages: 3

Premium Essay

Making Rounds with Oscar

...Introduction Dr. David Dosa, and his sidekick of a nurse, Mary Miranda, play the main roles in Making Rounds With Oscar; including Oscar, of course. Dr. Dosa is a Geriatrician who works with Mary on the third floor at nursing and rehabilitation called the Steere House, located in Providence, Rhode Island. Although he is inevitably surrounded by death, Dosa couldn’t love his job more if he tried. One of his favorite parts of the job is listening to all of the stories his patients have to tell and being able to apply them to his daily life. Every story Dosa tells is about a patient and how their death somehow ends up connecting to Oscar. Oscar’s death-sensing abilities have been a hot topic of all the nurses in the Steere House for a while now. Dr. Dosa wasn’t a believer of this phenomena until he talked with various nurses on his floor and families of deceased patients. He has developed an intense curiosity about the cat and is determined to find a logical explanation, although he knows he may never find one. Dr. Dosa is a character in his own book, which gives readers a whole new point of view on geriatrics and the lives of the elderly. His stories make you feel more empathetic toward the elderly, instead of judging them for something that’s completely out of their control. Dr. Dosa Dr. Dosa loves his job and can’t seem to understand why anyone would think otherwise. Most people think of geriatrics as being a depressing...

Words: 1386 - Pages: 6

Premium Essay

Research Critique, Part 2

...and bedside nursing staff play a pivotal role in transforming bedside nursing. A critical appraisal was conducted in Australia by Gardner, Woollett, Daly, & Richardson, (2009) on measuring the effect of patient comfort rounds on practice environment and patient satisfaction: a pilot study. This research aimed to test the effect of a model of practice that enhanced the role of the assistant-in-nursing (AIN) on a skill mixed unit (Gardner et al, 2009). Gardner et al, 2009 adopted a quasi-experimental pilot study using a non-randomized parallel group trial design. The purpose of this paper is to identify if hourly rounding will upturn patient safety and satisfaction during their hospitalization. Protection of Human Participants. The authors of this study did not disclose any risk related to the study, however, one main benefit is this is a pilot study assessing techniques and tools for a larger study in the future. The piolet was regulated over an eight week span within a matched surgical unit including an experimental and control group. The intervention unit includes a sample of 61 consenting patients and 23 consenting nurses; while the control unit consists of 68 consenting patients and 16 consenting nurses (Gardner et al, 2009). Amid the admission of patients they were offered information on the pilot study along with consent packages administered by a research assistant and provided an explanation and question session; all nurses were offered the same packages, explanation...

Words: 959 - Pages: 4

Premium Essay

Pico

...UNDERSTANDING EVIDENCE - BASED NURSING | Evidence-based Literature Search and Review on Interruptions during Drug Rounds | Cohort: March 2010 | | Student ID: | | Word count: 3292 Additional Module 1 | It is generally accepted that evidence-based practice (EBP) is the way forward in contemporary nursing. It provides the rationale behind nursing practice and allows for the delivery of optimal nursing care. Evidence-Based Nursing (EBN) involves the process of researching and implementing proven evidence in providing better patient care and is crucial as the role of the nurse is ever expanding (Banning, 2005). This essay will demonstrate that as a student nurse, the author has gained the necessary skills to conduct an evidence-based literature search and review and implement that knowledge into practice. Starting with a brief discussion on EBN it will go on to identify a suitable research question. During a placement on a medical ward the author noticed that nurses experienced many interruptions whilst conducting medication rounds and this review will consider ways to minimise interruptions and thus improve patient safety. Using the PICO acronym a suitable research question was formulated, ‘do interruptions during medication rounds increase the drugs administration errors made by nurses?’ A short description of the literature search is given and a summary of findings is presented in tabular form. Five original articles were selected and one chosen to critically...

Words: 4962 - Pages: 20

Free Essay

Nursing Homes

...homes that are full of nurses and take in the sick. Hospitals do not need to keep elderly people, because hospitals are very fast passed and cant have occupied rooms in idle. This makes it easier for people needing immediate medical attention able to get it. When you put a person in a nursing home, either because they are ill or can no longer take care of themselves, it can cause many effects on that persons well being. They are able to get the medicine they need and are around people they can relate too. Nursing homes consist of educated nurses whom are specialized in the needs and responsibilities that come with senior citizens. Theses nurses are to provide round the clock care due to the fact that the patients constantly need care. Usually the people that go to nursing homes live by themselves and have a hard time doing the things that are necessities or are disabled. Hospitals constantly have patients going in and out daily; by having the help of nursing homes, the hospitals do not have to keep elderly patients in occupied rooms, nor send away patients that need assistance and cannot provide it personally. These homes also play a big role in the lives of C.N.A’s and R.N.’s because it provides more jobs to the people pursuing the medical field across the nation. In conclusion, because nursing homes are available to elderly people they are a big help to hospitals. They also provide good quality jobs to nurses, and help out the patients by providing round the clock care that...

Words: 290 - Pages: 2

Premium Essay

Organizational Systems and Leadership Task One

...leading” (2012). Nurses, in their role as manager of patient care, have many possibilities for exerting leadership on an interdisciplinary team. One way that a nurse can exert leadership is to motivate her peers to take action when presented with a problem. Too often, people are prone to complaining or complacency when confronted with a problem. People believe that the problem is something that is out of their control, or may simply not have the empathy to clearly understand that the problem at hand is important (Kruger, 2010). For example, there has been a recent increase in Emergency Department activity in the past few months. Due to the hustle and bustle on the unit, rooms are not getting cleaned by Environmental Services as quickly as they should, but the rooms are being cleared on the tracking board (a computer program that shows the status of all of the ED rooms). This is causing a problem with the triage nurses, as they are bringing patients back to dirty rooms and must return patients to triage while the triage nurse cleans the room. This backs up triage even more, and causes a cascade of events that breaks down the flow of patient traffic into rooms. Rather than complaining, two of the nurses on the unit decide to take action. They ask the Unit Secretary to not take patients off of the tracker board until the room is cleaned. This will prevent the triage nurse from bringing the patient back to a dirty room. The nurses also ask their charge nurse if Environmental...

Words: 1879 - Pages: 8

Premium Essay

Delegation

...BSN Communication Style case study There are four kinds of communication styles; assertive, passive, aggressive and passive-aggressive. In assertive communication, the communicators are confident and positive and lay claim to their own right to speak up for themselves. A personal experience from my working place in a mental health facility, where I had a case when a mental ill patient was placed on four – point restraints for trying to strangle a room mate. The charge nurse called Dr cassette, that is a code for emergency rescue or for aggressive behavior response when any patient is acting up. When all the staff gathered together, she assigned each person to specific task to do. Asmat can you please close the unit, tell the patients to remain in their room for 10 minutes, don’t let anybody to block the hallway. Patricia get the doctor’s order, give the shot as ordered by doctor and make sure the patient did not eat anything for about 30 minutes to prevent choking. Ursula make sure that you make rounds every 15 minutes, check the rise and fall of patient’s chest, check the vital signs every two hours, document whatever result you get. Please alert me immediately if there is any deviation from normal range. Passive communication; here the problems don’t get solved and the delegator is avoided and ends up doing more work him or herself. Example of this communication style I have experienced in my work place is a case where my director asked the unit secretary Eva to type...

Words: 871 - Pages: 4

Premium Essay

Professional Roles and Values

...Professional Roles and Values Melissa Hurst WGU Professional Roles and Values RUP1 Professional Roles and Values INTRODUCTION Nursing is not just simply going to school and passing the NCLEX. It truly is an experience like no other, filled with lifelong learning that continues far past the classroom. Nurses learn not only from their classroom and clinical experience, but also from past experiences and even our earliest predecessors. Although at times it can be very hectic and challenging, it is equally as fulfilling and rewarding. Nursing qualities include eagerness to learn, a kind and caring attitude, compassion, empathy, integrity, ability to embrace diversity, self-awareness, ability to be a good listener and communicator, respectful, and a professional demeanor. A nurse must also be prepared to meet not only the academic aspects of nursing, but also physical and emotional aspects. It is important for nurses to be a team player, and possess the ability to collaborate and work well with other. The nurse must be able to leave his or her personal feelings at the door when their shift begins, and take care of all people equally regardless ethnicity, gender, financial situation, and cultural preferences. Responsibility and accountability are two very important aspects within the nursing field. Nurses must provide the best care possible to their patients, and advocate for not only their patients, but the nursing profession as a whole. A. FUNCTIONAL DIFFERENCES ...

Words: 6994 - Pages: 28

Premium Essay

Interprofessional Collaboration Research Paper

...Interprofessional collaboration is a great asset to ensure patient satisfaction through excellent delivery of quality patient care. It serves as an approach to changing traditional, silo-type patient care because it helps to create an environment that obligates each team member to stay active within their roles. As each member fulfills their role, the work load is divided, relieving frustration and overworked feelings that one would feel within a silo type patient care environment. “Interprofessional teams include physicians, nurses at different levels, certified medical assistants, dietitians, nutritionists, pharmacists, physician assistants, social workers, mental health workers, health navigators, health coaches, community health workers,...

Words: 311 - Pages: 2

Premium Essay

Educational Preperation

...The Differences in Competencies Between Nurses Prepared at the Associate-degree Level Versus the Baccalaureate-degree Level. Amanda J. Perez Grand Canyon University: NRS-430V-0105 NRS-430V Professional Dynamics March 10, 2013 The Differences in Competencies Between Nurses Prepared at the Associate-degree Level Versus the Baccalaureate-degree Level. Although both an associate-degree level and baccalaureate-degree level prepared nurses may sit for the same NCLEX-RN exam, “nurses prepared at the baccalaureate-level are linked to lower mortality and failure to rescue rates” (AACN, 2012). This is simply one difference between the competencies of a nurse prepared at an associate-degree level versus one prepared at a baccalaureate-degree level. In the mid 1900’s an associate-degree level nurse was thought of as a “technical nurse”, closer to the role of a limited vocational nurse; created to assist the professional baccalaureate-degree level nurses during nursing shortages (GCU, 2013). Since then associate-degree level prepared nurses can very much function and practice on their own, once passing the state board licensing examination. However differences in patient care and nursing approach are evident between associate-degree level and baccalaureate-degree level prepared nurses. According to Table 2-1 “Comparison of Nursing Education Programs” in Conceptual Foundations: The Bridge to Professional Nursing Practice, the purpose of an associate- degree level program is to “prepare...

Words: 991 - Pages: 4

Premium Essay

Professional Nursing Boundaries

...I am a trained nurse working in one of major reference hospital in a capital city of Sabah. I have 14 years experience working as a trained perioperative nurse in operating theatre. Working through the years gives me ample experience in this field. Over this year, the workforce development in health care system has change the nursing profession and become more challenging. These changes had affected the nursing role and also their boundaries. Extending nursing role has happened in order to improve patient care. In Malaysia, registered nurses had given a credentialing to be able to undertake a wider range of clinical activity. The National Council of State Boards of Nursing has stated that definition of professional boundaries are the spaces between the nurses power and apply the following concepts are a spaces between nurses and a patient, nurses and doctor and also to other healthcare worker. College & Association of Registered Nurses of Alberta stated in their article “professional boundaries separate therapeutic behavior which well intentioned or not could lessen the benefit of care clients, families and communities”. Professional boundaries is a guideline for all nurses to perform their work as a professional without violent or crossing the limit of responsibility. Nurses need to practice and consistent with professional standards. Maintaining appropriate boundaries controls these power differentials and allows for a safe connection between the professional...

Words: 1413 - Pages: 6

Free Essay

Motivation Letter

...I am eager to pursue a career in which I am able to help and care for people, becoming a nurse would allow me to fulfil this ambition. Nursing is a career for dedicated, reliable, trusting people who are able to develop relationships with patients quickly. I have these skills and I genuinely want to make a difference to people, to assist them and their families through difficult times when they are at their most vulnerable. Becoming a nurse is something that will change my life – one that I thought might not happen due to a number of tragic situations that have made this journey quite a bit longer than I had originally intended.  My experience in the field of medicine have started in high school age ,when i was accompanying my mother in a care  facility for the elderly. The professionalism and caring nature of the nurses towards the patients, and the way they worked as part of a care team really  inspired me. I  enjoyed helping the nurses caring for the elderly patients ang chatting with the staff. I enjoyed assisting the residents with their activities and believe that I have the ability, empathy and potential to become a very good nurse. This determined me to start my medical education in State Medical University in 2005 in Minsk, Belarus .During my three years study I gained valuable knowledge of clinical diseases,human anatomy,physiology,pathology,surgergical diseases,therapy and many others,as well asI gained a valuable understanding of the workings of the surgery, with...

Words: 684 - Pages: 3

Premium Essay

Theory Analysis

...government. The Centers for Medicare & Medicaid Services (CMS), along with the Agency for Healthcare Research & Quality (AHRQ) developed a standard set of survey questions which are publically reported designed to measure patient’s perceptions of their “hospital experience.” The survey instrument is called the Hospital Consumer Assessment of Healthcare Provider and Systems (HCAHPS) which allows hospitals and consumers the ability to compare hospitals to one another on topics important to patients. The survey also serves as a tool to enhance accountability through transparency and creates incentives for hospitals to improve the quality of the care they provide (Centers for Medicare & Medicaid Services, 2014). Nursing plays a vital role in the hospital’s HCAHPS comparison measures. The patient’s perception of the hospital “experience” includes several nursing-specific areas: communication, responsiveness, pain control, education, comfort level, and discharge planning. Utilization of Kolcaba’s Theory of Comfort places focus on the individual basic needs important to patients that contribute to their overall...

Words: 2429 - Pages: 10

Premium Essay

Future of Nursing

...the focus of healthcare and the way it is disbursed needs to change to fit the needs of an aging population. As the face of healthcare changes, nurses must change and become more involved in all aspects of patient care. Nurses must step out of the shadows and assume a leadership role and shape policies that affect patient care. The Institute of Medicine report” The Future of Nursing” researched nursing education, practice and leadership and made recommendations on how to elevate nurses to their full potential. Changes need to occur throughout the profession with emphasis on education, practice changes and leadership. There are numerous barriers that prevent nurses from responding to the rapidly evolving heath care setting. These barriers will need to be removed so nurses can lead changes and drive advances in health care (The future of, 2011). Nursing is one profession with multiple entry level positions, LPN, ADN, and BSN. With so many levels of education and no seamless transition of education from one level to another, nurses struggle to achieve higher education. Improving the education system and achieving a more educated workforce, specifically increasing the number of nurses with baccalaureate degrees, will change patient outcomes. Research shows the higher educated the nurse, the better the patient outcomes are. Nurses need a more diverse education that focuses on care of the patient in all settings, not just acute care. Nursing education needs to be more centered...

Words: 1199 - Pages: 5

Free Essay

Associate Degree vs Bachelors Degree

...demand in health care has prompted alternatives in educational programs. Mildred Montag, the founder of the 2 year Associates degree, created this program to combat scarcity in nursing during World War II. (Creasia and Friberg, 2011, p.15). Countless research and investigation has been conducted to analyze the differences between nurses' competencies prepared at the Associate-degree level to the Baccalaureate-degree level in dealing with the outcome of patient care. Differences in Curriculum The Associate Degree in Nursing (ADN) is a 2-year program that focuses on clinical experiences and technical competence. On the other hand, the Bachelor’s Degree of Science in Nursing (BSN) is a 4-year program that focuses on preparing professional nurses for acute care, community-based treatment, and the inception of leadership and administrative positions. The BSN level integrates with the infrastructure of knowledge that was built during training at the ASN level in preparation to advance a student's role in the nursing practice. Differences in Competency of Associates-degree versus Baccalaureate-degree Nurses Extensive research demonstrated that nurses who obtained a higher level of education contribute to better patient care results. A study that was conducted in multiple hospitals in Pennsylvania was designed to analyze and review patients’ outcomes and...

Words: 769 - Pages: 4