Role of the registered nurse in pediatric palliative care essay

My work week is Friday to Monday, 8 p. I saw him looking at his radio.

Role of the registered nurse in pediatric palliative care essay

My work week is Friday to Monday, 8 p. As I listened to the tele, there happened to be a police officer who was there for an unrelated incident.

Role of the registered nurse in pediatric palliative care essay

I saw him looking at his radio. At that point, I put into action a plan that I had thought of beforehand. It might sound odd, but I had thought about these problems well ahead of time because of the way I always approached resuscitations: The first thing I did was tell the secretaries I needed every operating room open.

I needed every scrub tech, every nurse, every perfusionist, every anesthesiologist, every surgeon—they all need to get here right away. They immediately began making phone calls.

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I told the trauma nurses that I needed all the treatment areas completely clear. Nurses were instructed to keep an eye out for crashing patients and make sure that all patients had bilateral gauge IVs ready for the moment that they would decompensate.

That night I was working with Dr. Patrick Flores and Dr. I know how these guys work. We are like brothers. We also had a new guy, Dr.

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Michael Tang, who just graduated residency and had been there for a few months. Allan MacIntyre was the Trauma Surgeon working that night. Station 1 has a central desk with four trauma bays.

Trauma 1 and 2 have two beds in each bay. Trauma 3 and 4 have one bed in each bay. The most critical care traumas usually go to Trauma 3 and 4. Also attached to Station 1 is our critical care pod.

That has four beds in it. Adjacent to that is our psychiatric area where we fit eight beds close together. Station 2 is down the hallway from Station 1. Station 2 has a central nurse desk surrounded by eight beds that are in line of sight. Station 4 is the end of the hallway after Station 2.

It opens up to a large room with a central desk with eight beds surrounding a wide U-shaped hallway. Taking the U-shaped hallway of Station 4 all the way around will lead you to the Med Room to the left, Rapid Track, and Station 3 to the right.

The Med Room is an open room with recliners typically used to give medications. Rapid Track is a row of chairs in the hallway. In my mind, that was the worst place to put any of these traumas, so I told the nurses to not put anybody into those rooms.

Station 2 was going to have our orange tags, patients with threatening gunshots in critical areas, but had not crashed yet. This is not in the textbook. In my mind, these orange tags were expected to crump near the end of the Golden Hour. Rapid Track and Med room would hold the green tags, staffed by two PAs, were just going to end up sitting on the floor or stuffed into an area with people watching over and making sure that none of them crumped.

The ER doctors would resuscitate and send the resuscitated patients to Trauma 3 or 4 for the trauma surgeon to prioritize to the OR. In preplanning, I knew that as we started to get some of these red tags stabilized, the anesthesiologists and surgeons would start arriving and we could open up more ORs.

I can resuscitate four or five people, but that operating room was going to be the key to stopping the bleeding and saving lives. In a high volume penetrating MCI like this, you really need flow. You need people to get stabilized and into the operating room, not sitting around perseverating about what test to order next.

Getting those ORs staffed and opened was my biggest priority. There were three to four people inside each cruiser. Two people on the floorboards and two in the back seat, and they were in bad shape. They had thready pulses, so they went directly to Station 1, our red tag area.- Hospice Care Nurse Definitions of palliative care, hospice care, DNR orders, and end-of-life care Hospice care is a model of care that focuses on relieving symptoms and supporting patients with a life expectancy of six months or less (Altshuler, ).

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Hospice Care I've written about my own experience with hospice in my book DYING: A Book of initiativeblog.com my father died, my family and I were able to help him do so with the help of a wonderful hospice in Southern California.

Earn while you learn at one of the nation’s Top Hospitals. Located in the heart of New Castle County, Delaware – and within easy driving distance from New York, Philadelphia, Baltimore and Washington – Christiana Care combines all the advantages of a community-based health system with the sophistication one of America’s Top 15 Major Teaching Hospitals.

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"The CAM-ICU assessment takes less than a minute to complete," says Tina Chard, Occupational Therapist at RIH Kamloops. "Some of the staff did not understand the purpose behind the CAM-ICU and how important it is to the patient's care and therapy.

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