Nurse Practitioner Consultation Essay - 4910 Words

For the purpose of this essay, I will discuss the case of a five years old patient presenting to my place of work with the symptom of shortness of breath (SOB). To maintain confidentiality the pseudonym â€Å"Ryan† will be used to refer to the child and Ryan’s mother will be frequently referred to as â€Å"mum†. As this assignment is a critical evaluation of my own practice, elements of it will be written in the first person. Webb (1992) considers writing in the first person acceptable when personal experiences and opinions have played a significant role in shaping the ideas presented. My current role is that of unscheduled care practitioner (paediatric specialist) within a health centre, which aims to compliment the services of local GP†¦show more content†¦Self-awareness is another important aspect to consider during this stage. I try to prepare myself for the encounter with a patient by clearing my mind from any distractions/stresses caused by previous consultations, so that I can focus entirely on the new patient. Walsh, Crumbie and Reveley (2004) explain that consultations can be stressful and emotionally draining and, in a busy clinical environment, it is easy to hang on to charged emotions from a previous encounter. Kaufman (2008) agrees that before the patient arrives in the room the practitioner should deal with, or at least acknowledge any negative feelings or stress. It is my belief that every patient, regardless of the severity of their condition/presenting complaint deserves my undivided attention and I am also aware of the importance of ‘getting right’ those first crucial moments of a consultation. How the patient is greeted, patient comfort and environment all shape the patients first impression and help to develop communication and rapport (Egan, 1998). Once I dealt with the above issues, I was ready to call my patient. I introduced myself to Ryan and his mum and welcome them both to the consultation room. To build rapport, practitioners should begin the consultation with a greeting, introduce themselves and state their role (Kaufman, 2008). With paediatric patients it is also important to establish who the accompanying adult is, to make sure that the person present has parental responsibilityShow MoreRelatedManagement Of Patient Health / Illness Status879 Words   |  4 Pagesdecreasing availability of primary care physicians, many patients are seeing family nurse practitioners for their primary care needs. Nurse practitioners help patients manage acute and chronic illnesses. They conduct physical exams and perform diagnostic tests and procedures. Nurse practitioners in the family practice specialty diagnose and treat patients from childhood to adulthood. The National Organization of Nurse Practitioner Faculties (NONPF) Competencies include: Health promotion, health protectionRead MoreThe Importance Of The Apn Professional Development Plan1705 Words   |  7 Pages011 as â€Å"the performance of additional acts by registered nurses licensed as APRNs† (KBN, 2015) including prescribing treatment, drugs, devices, and ordering diagnostic tests. Prescribing of drugs is defined and limited by statute. APNs’ Prescriptive Authority in KY is defined in KRS 314.196 and requires an agreement between the KBN and the Kentucky Board of Medical Licensure. The Collaborative Agreement for the Advanced Practice Registered Nurse s Prescriptive Authority for Nonscheduled Legend DrugsRead MoreThe Art Of Vision922 Words   |  4 Pagesspecialized training. My future role as a nurse administrator and family nurse practitioner is evident as research shows that a major shortage of advanced practice nurses as well as nurse leaders as clinician s in the world of healthcare is absent today. A nursing administrator has multiple capabilities as the role of this type of leader requires heightened awareness to the needs of the healthcare team as well as a strategic plan for growth. The family nurse practitioner role offers the advantages of additionalRead MoreWhy I Become A Pediatrician1177 Words   |  5 Pagesin my dad s bank account as saving and save up $3,000 for anything Ill like to buy in the future . And once i save up the money I’ll be finishing school early and moving out. After I Graduate I’ll be going to medical school to become a pediatric nurse at community school in Riverside before becoming a pediatrician. I want to become a pediatrician because in the future i want to have kids and if my kids get hurt or they don t feel well I’ll know what to do. And I also not work at a corruptedRead MoreHealth Care Delivery Needs Provide Clinical Nurse Specialists With Unique And Interesting Daily Responsibilities1221 Words   |  5 PagesUnpredictable care delivery needs provide clinical nurse specialists with unique and interesting daily responsibilities. The role is the ideal career for nursing professionals who enjoy variety and challenge. Due to their enhanced skill sets and responsibilities, clinical nurse specialists make significant impacts on caregiving. Nursing professionals choosing this career shape organizational policies and procedures, and for half a century have led the caregiving community through many innovationsRead MoreA Report About A Recertification Survey999 Words   |  4 Pagesorder is obtained no treatment can be provided without orders or consultation with the ph ysician. 2. All Case Mangers will have an in service dated 11/20/2015 case managers will receive written documentation of the tags received, the need for verbal orders for Start of Care and evaluation treatment plan expectation to follow the regulations on consultation for treatment orders. H331 Initial Assessment Visit A registered nurse must conduct an initial assessment visit to determine the immediateRead MoreThe Role Of Family Nurse Practitioner ( Fnp ) Essay1470 Words   |  6 PagesRole Summary When comparing the roles of Family Nurse Practitioner (FNP), Certified Nurse Midwife (CNM) and Certified Registered Nurse Anesthetist (CRNA), it was found that all of these specialties’ were referred to as Advanced Practice Registered Nurses (APRN’s). Each of these unique nursing roles are responsible for coordinating patient care in a variety of settings and scopes of practices that is specific to the role’s of the APRN’s. APRN’s care for patients in primary and specialized care settingsRead MoreAfter More Than A Decade In His Second Career, Aging Registered1512 Words   |  7 PagesAfter more than a decade in his second career, aging registered nurse John Noble â€Å"knew as I got older, bedside nursing would potentially get harder.† He knew he eventually would need to move away from the bedside and took advantage of the hospital paying for further education. He chose a Master’s degree as a Nurse Practitioner (NP) as it allowed him the flexibility to decide during school if we wanted to go into management, teaching, or become a practicing NP. In school he really liked the NP roleRead More Nurse Practitioners as Primary Care Providers Essay2383 Words   |  10 PagesNurse Practitioners as Primary Care Providers Every individual in the world deserves to enjoy health and wellness. Maintaining or achieving proper health needs enables individuals to be productive at work and leisure. Traditionally, many people have had barriers obtaining adequate healthcare due to economic constraints or personal inconveniences. Despite impressive technological advances in medicine, the challenge of delivering quality healthcare to the Americans continues to be debated amongstRead MoreNurse Practitioners : Nursing Practitioners2026 Words   |  9 PagesNurse practitioners (NPs), or Advanced Practice Registered Nurses (APRNs), play an essential role in the growing complexity of the healthcare system. Established in the early 1960s, nurse practitioners have served as skilled clinicians, meeting the healthcare needs of patients as the availability of primary care physicians continued to decrease. Much like a Primary Care Physician, Nurse Practitioners can serve as a primary health care providers or specialize in particular areas of health care like

Tools Used While Testing And Tracking Testing Essay

Status of the bug ought to be changed on time in the tool or excel so that the team will get to know what s going on about the defect. Tools used while Testing and tracking Testing process: Before there are any ways to catch the Defects, Test cases or use cases, Companies utilized Excel to keep up the data, Requirement Tractability furthermore the status of the deformity. As the quantity of cycles are expanding and number of the general population additionally expanding, it is essential to utilize a solid system for catching the data it is possible that it might be experiments, deformities or Requirements so that as opposed to recording analyzers can focus more on finding the Bugs. Let s have a look on each of them: Test Managing Tools: These instruments are basically used to store everyday exercises which incorporate what must be tried and how, report the status of testing. The principle exercises include: †¢Creating, keeping up the discharge/extend cycle †¢Creating Test curios particular to every discharge †¢Checking the traceability †¢Test suite creation and test execution status †¢Report-chart era Below are some tools used for this purpose: JIRA ALM Requirement Managing Tools: These instruments are utilized to deal with the Requirements and catch every one of the prerequisites. There are many focal points by utilizing this sort of Tools: †¢Requirement tractability †¢Save time †¢Less Stress †¢Workflow and Best practices †¢Easy to team up Below are theShow MoreRelatedCore Impacts Pro. Core Impact Pro1201 Words   |  5 Pagesduty. While the incident is being handled currently, this has raised awareness to potential vulnerabilities within the system that will need to be addressed. It is being recommended that the solution is to conduct a penetration test and to perform a vulnerability assessment on the agency s network. 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Completed Ngc@ Report Free Essays

NATIONAL GENERAL CERTIFICATE Candidate report template (2009 specification) UNIT NGC3 – THE HEALTH AND SAFETY PRACTICAL APPLICATION Student number: Location: Date of review: Introduction including overview of area inspected and activities taking place This report follows an inspection of the building and yard located in †¦Ã¢â‚¬ ¦. in order to meet the requirements of the Nebosh NGC 3 practical application. The areas concerned with this inspection are the works building and one store in the yard and its immediate surrounding area. We will write a custom essay sample on Completed Ngc@ Report or any similar topic only for you Order Now The building consists of a canteen area, an office for admin duties, two toilets, a locker room, a drying/store room for personal protective equipment (PPE) and a small store room. In the yard is one store for the storage of various outdoor work materials and tools. The premises are occupied by up to fifteen staff at any one time. Staff work on a rotation of day and night shifts and the building is used for messing, completing paper work and planning work. The yard and store are used for loading and unloading vehicles with work equipment to prepare for railway work. There were no members of staff on duty at the time of the inspection. Executive Summary Upon completion of the inspection I found there were several areas of concern which lead to breaches of the Health and Safety at Work Act (HSWA), the Regulatory Reform (Fire Safety) Order (RRFSO), the Manual Handling Operations Regulations, the Management of Health and Safety at Work Regulations (MHSWR) and the Provision and Use of Work Equipment Regulations (PUWER). The health and safety of the employees who are using the premises may also be at risk if some of these concerns are not addressed immediately. Failure to address these issues may lead to attention and possible enforcement action from the HSE and/or the Office of Rail Regulation (ORR). Breaches of statutory duty or failure to comply with improvement or prohibition notices may result in court action being taken which may lead to criminal prosecution and fines of up to ? 20 000 in a magistrates court and the possibility of up to 6 months imprisonment. A detailed description of the findings is listed below with reference to specific observations given in brackets. Main findings of the inspection Fire precautions The Regulatory Reform Fire Safety Order (RRFSO) requires that fire fighting arrangements must be provided in the workplace (18). Although there are fire extinguishers located throughout the building there is an absence of any extinguisher in the office. Therefore there is an urgent requirement to have extinguishers installed here as employees would be in extreme danger if a fire were to start in the office. The RRFSO also states that fire exits must remain free from obstructions at all times (1). The PPE blocking the fire exit is not only creating a tripping hazard but it is putting the health and safety of the employees at risk of becoming trapped in the building if a fire were to start. Management of Health and Safety Many of the observations are the result of a poor Health and Safety management system which could easily be rectified by members of staff and at a very low cost to the organisation. (2,3,8,10,12). Use of rail steel as doorstops presents a significant risk of slips, trips and falls and is a very easy problem to rectify. Other housekeeping issues such as tangled cables, hand cleaners being stored near eating and drinking utensils and overflowing waste paper bins are all issues that will present a very poor image to visitors but are low cost and not time consuming problems to resolve. These issues may also be in breach of the Management of Health and Safety at Work Regulations 1999. PPE. Issues The Personal Protective Equipment regulations state that all PPE must be suitably stored and maintained (1, 14). The PPE blocking the fire exit must be removed and all the old PPE in the store room should be disposed of and replaces as it is no longer fit for purpose. The heater in the drying room (6) also needs urgent attention as its purpose is to dry out PPE used by employees in wet weather conditions. With the heater not functional this has an impact on the ability to maintain the PPE to a good standard. PUWER Issues The Provision and Use of Work Equipment Regulations state that employers must ensure that all work equipment is suitable, maintained and inspected (7, 17). The old fax machine in the office has been out of use for quite some time with service tags out of date and there has been no effort to have it repaired or replaced. It is creating a tripping hazard as well as breaching PUWER. A similar situation has arisen regarding the water dispenser in the canteen. The employees have shown their concerns about not being able to use the machine and it is in serious need of repair or replacement. This is also creating a welfare issue which must be addressed. Manual Handling Issues There are some issues concerning heavy materials being stored at ground level (13, 20). This is in breach of the Manual Handling Operations Regulations 1992 and presents a high risk of a RIDDOR injury to employees lifting or moving these materials. As suggested these materials must be stored correctly and at waist level to prevent injuries from bending and lifting. This will prevent high costs through RIDDOR incidents and loss of productivity. Conclusions The building and yard are all of modern design with full refurbishments having been carried out as recent as 2007. Many of the hazards found were as a result of a lapse in general Health and Safety management and many of the observations could be rectified by simple maintenance and tidying up of the building and yard. This is a very low cost practice which in turn could improve the Health and Safety of the workforce. The employees have all had a very good level of workplace specific Health and Safety training with certificates on display on the notice board. However this training counts for little if it is not put into practice on a daily basis. It appears there have also been many bad habits picked up over the years such as poor general housekeeping. Employers and employees should take pride in a clean and safe workplace and it also sets a good example to any visitors or potential clients. A safe workplace will also reduce the risk of accidents and ill health to employees and in the long run save money from unnecessary claims, losses of production and a poor corporate image. Recommendations: |Recommendation |Likely resource implications |Priority |Target date | |Fire exit door should remain free |PPE to be removed from exit area and signs to |High |Immediate | |from obstructions at all times. (1) |be erected advising to keep clear. | | |Fire extinguisher to be installed in |New fire extinguisher, ? 30, easy to install by|High |Immediate | |the office. (18) |a member of staff. | | | |Heater in drying room must not be |Wall brackets to be replaced, 1-2 man hours to|High |1 week | |used until it is re-attached to the |fit and reinstate heater to wall, approx cost | | | |wall. 6) |? 50. | | | | | | | | |Arrange for repair or replacement of |Repair could be very expensive, more practical|High |1 week | |drinking water dispenser. (17) |option may be to replace. ?200 approx. man | | | | |hour to install. | | | |Remove battery chargers from power |Install an extra plug socket to prevent |Medium |1 month | |when not in use, and establish better|tangling cables under chairs. Electrician for| | | |layout of cables. (8) |1 hour plus parts. 50 approx | | | |Arrange for a repair to be carried |Hire of a welder for 1 hour. ?50 approx. |Medium |1 week | |out on the entrance handrail. (23) | | | | |Dispose of old office swivel chair |Order the correct replacement chair. ?30-40 |Medium |1 week | |from canteen. 22) | | | | |Bracket for wall mounted first aid |New bracket approx ? 10 and less than 1 man |Medium |1 week | |kit to be replaced. (12) |hour to install. | | | |Remove cut-offs of rail steel from |Source correct doorstops or fit latches to the|Medium |1 month | |doors and keep doors closed whenever |walls. Approx cost ? 15 to fit. 1 man hour. | | | |possible. (2) | | | | |Yard store flooring to be cleared of |General clean up and disposal of any disused |Medium |1 week then review each | |obstructions to gain access to |and waste materials. 2 staff hours | |month | |shelving. 21) | | | | |Steel plates to moved from the yard |1-2 staff hours to store on shelving, |Medium |1 week then review every 3 | |area into the store and stored on |preventing injuries from lifting heavy plates | |months | |shelving at waist height. (20) |at ground level. | | | |Remove spray cans and all outdoor |General clean up of office by staff. Keep all|Medium |1 week then review each | |work equipment from office area. (9) |areas around and under desks free from | |month | | |clutter. 1-2 hours | | | |Install correct hand wash dispenser |Dispenser costs ? 5 and takes less than 1 man |Medium-Low |1 month | |in canteen. (4) |hour to fit. | | | How to cite Completed Ngc@ Report, Papers

Gun Control in the US Essay Example For Students

Gun Control in the US Essay Gun control, as we know it, consists of the government restricting the ability of individual citizens to purchase weapons. The different types of gun control vary from waiting periods between when you purchase the gun and when you actually get it, background checks so that high-risk people cant purchase guns through legal channels, and completely banning certain types of guns. There are countless ways for criminals to avoid these government regulations, causing them to only render the ability of innocent citizens protecting their home and familys ability to purchase guns. The waiting period method of gun control is basically a two-step process. The first step in the procedure is that the person wanting a gun goes to his local shop (or calls a reputable mail order outlet) to place the initial order. Then, he must wait one to two weeks while the government performs a small background check for past criminal activities, disorderly conduct, or lack of mental/emotional stability. During this time, if the purchaser of the gun wanted the gun for impulse reasons (out of rage), it is hoped that they will not still want to cause bodily harm after a couple weeks. The problem with this method of gun control is that it stops the ordinary citizen from purchasing a gun on the whim, but it actually protects the common criminal. Underage buyers and other delinquents can purchase mass quantities of weapons through dummy buyers that have clean backgrounds. So if a burglar enters a house with full intention to maim or kill, the innocent victim (who cant get a gun to protect his family because he was arrested for drunk driving seven years ago) is simply a victim of a law that supports black market trade. There are over 200 million registered guns in circulation (Larson), and they are the ones that will not be killing our children. The unregistered ones are owned by murderers, rapists, Another practiced technique of preventing dangerous firearms from killing honest people is to ban an entire type of weapon. The AK-47 is a commonly-used example of that. Again, the criminals still have limited access to the weapon through underground channels, but these banned weapons are so powerful that there is really is not practical purpose for them in the home (or in hunting). This can easily be adverted by the common criminal who knows anything about the way guns are assembled. A semi-automatic machine gun can be converted into a fully-automatic gun with a little handcraft. A shotgun can become a bloody powerful weapon by sawing-off the tip of it. Obviously, new methods of gun control are needed to produce desired results. In the first half of 1991, fifty children under the age of seventeen had been shot to death. If we continue to monitor the sale of firearms, there must be new techniques that can watch where the guns end up. And if we decide that we can/will not go down that track, we must make that judgement earnestly, and without haste, because it will decide the future of The United State of America as we know it. Bibliography:Larson, Erik. The Story of a Gun, The Atlantic Monthly. January 1993Pooley, Eric. Kids with Guns. , New York. August 5, 1991.