Patient Shadowing Case Study

During the shadowing of an LPN’s normal workday, what roles/ job expectations did the nurse fulfill? The nurse delegated tasks to aides which was expected. Two patients asked the nurse if she could help them change their brief and the nurse was busy in a med pass and told the patient that she would get their aid. We spent the first hour of the shift going over the diabetic patients and finding out what their sugar levels were to be able to properly prioritize the most critical patient before dinner. The LPN that I shadowed did not fill the expectation of cleanliness however. She did not wash her hands once during the shift or between patients (including insulin injections, CBS, and medication pass). This made me really disappointed and I do not want to be a nurse like that. During the middle of the shift there was a call over the speakers that a nurse was needed outside (patients smoke) and we were the
She also commented on items they had in their room and allowed the patient to respond. I did not really care for her style of therapeutic communication because I did not feel like it was genuine and I feel like the patients also felt that way and it did not allow for a trusting relationship. There was no interaction with the nurse and any of the family members so no therapeutic communication methods were observed. The nurse also did not talk to any doctors because there was a charge nurse that had that responsibility. From what I observed from the charge nurse answering the phone was very rude phone skills answering a call out by “We’re in a crisis what do you want”. All I could think of was she better hope that was the phone call for a call out and not a family member or doctor calling. I really do not have any examples of therapeutic communication methods because this facility did not communicate well or efficiently and I was not