Monday, November 25, 2013

Healthcare Managemanet Issues

Clinical practice I occupy been in prow cellular phone interchange for over 2.5 age. As a member of ONS I have worked over the past division to obtain galore( stomachnominal) certifications ( OCN, Chemotherapy/Biotherapy, ACLS, and Telemetry). I have been involved in precepting legion(predicate) students, PSNEs, see and new nurses. I take pride in creation subject to break down complex topics to plurality who are new to stem cell, in order to entrust them a solid foundation to grow from. I have a very open, engaging personality which facilitates me being able to be a resource for go through and less experienced nurses on the floor. I also adapt well to changing situations. DD 67 y/o male. Hx of lung cancer with radiation and 50+ years of smoking, ECHO showed COPD. patient received a heap transplant in March 2012 and while out diligent, abnormal role tripped and broke respectable hip in whitethorn 2012. During recovery from hip military operat ion patient developed PNA and PE. I took care of DD about 45 days post hip surgery. At this time patient was weaned from vapotherm 65% on 15L to NC. DD had on order for 3L NC group O at night and 2L NC type O during the day. Since patient had such an bulky pulmonary history there was an order to keep patient oxygen sit downuration above 86% unless patient was symptomatic.
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Patient had been maintaining his oxygen saturation with the new oxygen orders anywhere from 90-96% on my eldest day. On my first day the primary team up had weaned his steroid hormones, again, which always left the patient with a steroid hang over the following day. The ! patient had been through the edge of having his steroids weaned many times and knew what to expect each time. On my second day we had gone for our morning walk, sat up in the chair for breakfast, and made it back to the have a go at it for a mid-morning nap. DD had expressed increased fatigue but no worsened than before when his steroids had been decreased. At 1200 patient oxygen saturation was 85%. Respiratory therapy was paged for a PRN tx and then the MD was contacted (MD...If you neediness to get a full essay, order it on our website: BestEssayCheap.com

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