Preview

Reflection On Subjective Assessment

Good Essays
Open Document
Open Document
428 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Reflection On Subjective Assessment
During my initial subjective assessment the patient was positioned in a high sitting position. During the subjective assessment the patient mentioned that she frequently felt dizzy when rotating her cervical spine suddenly. This finding alerted me to the fact that she may have vertebrobasilar insufficiency. I later made the decision to position the patient in side lying to enable me to auscultate her basal lobes and assess her basal expansion. I was concentrating very hard on listening to her air entry, which was made particularly difficult as the ward was extremely noisy at the time. Suddenly my clinical educator arrived unexpectedly to observe me. I continued with my assessment of the patient’s lower lobes and when I ‘d finished the assessment

You May Also Find These Documents Helpful

  • Better Essays

    RTT1 Task2W

    • 1775 Words
    • 5 Pages

    “A moderate sedation/analgesia (“conscious sedation”) policy requires that the patient remains on continuous B/P, ECG, and pulse oximeter throughout the procedure and until the patient meets specific discharge criteria (i.e., fully awake, VSS, no N/V, and able to void).” The trained nurse had the equipment to insure that this policy was followed, however failed to perform her duties as required by this policy. The second event is that the LPN reset the alarm and made no effort to provide an intervention for the alarm. The LPN did not inform the RN of the O2 Saturation level. The LPN Was not trained properly. The third event was that there was not enough staff called in for the level of acuity that these patients had. The administration should have been made aware of the emergency coming in and called in more staff to accommodate the staffing need.…

    • 1775 Words
    • 5 Pages
    Better Essays
  • Satisfactory Essays

    NU333 Complete Physical Assessment Jarvis: Physical Examination and Health Assessment, 6th Edition Complete Physical Examination Form COMPLETE PHYSICAL EXAMINATION Date __8/31/2013______________ Patient __Jane Doe_________________________ Age __33_ Sex _F__ Occupation Healthcare worker Client Representative/Interpreter: __none__ Examiner _Emanuel Singleton RN________ General Survey of Patient 1. Appears stated age: Yes_____________________________________ 2. Level of consciousness: Alert and oriented x 3 (person, place and time)…

    • 772 Words
    • 4 Pages
    Satisfactory Essays
  • Better Essays

    Since the patient has become unresponsive the nurse should begin with a neurological assessment by checking pupils for reaction and using a blunt needle on the extremities to insure a response from both the autonomic and peripheral nervous system. The respiratory and cardiovascular system can be assessed with the use of a stethoscope by listening to lung and heart sounds, as well as, checking peripheral pulses, capillary refill time, and checking for any discoloration of the skin especially around the mouth and extremities. To conclude the assessment of the integumentary system the nurse should check for any abrasions, bruising, or wounds sustained by the patient during the fall the patient reported. The nurse can continue to assess the patient’s pain level by looking for key expressions that would indicate the patient is in pain such as furrowing brow, flared nostrils, grimacing, or restlessness at the point of at which external pain factors are used to determine responsiveness of the patient such as a sterna rub or pinching of the knuckles. The scenario indicates that the patient has begun to have increased difficulty with breathing at…

    • 1422 Words
    • 6 Pages
    Better Essays
  • Good Essays

    Today I observed a left total knee replacement procedure. The surgeon was Dr. O’Neil and anesthesiologist was Dr. Wells. Before the operation began, I followed one of the nurses to ask the patient questions to help us determine their medical history and if the patient ate anything within the last twelve hours. Once we took the patient to the O.R., Dr. Wells checked the patient's vital signs and ordered the patient to sit up and have bad posture. Dr. Wells cleaned an area of the back where he injected a sedative into the patient’s spinal cord to relieve them of severe pain once the surgery was done. The patient laid down on the bed and was strapped down. The left leg was wrapped in gauze and connected to a monitor. The scrubs and Dr. O’Neil…

    • 330 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    Disruptive Physician

    • 3206 Words
    • 13 Pages

    The Chief of Vascular surgery, Dr. Blauhard, strode confidently down the central corridor of the operating theaters. Passing the open heart surgery rooms and the new hybrid theater he knew that his patient would be going to sleep in room 12, his room. The patient was lucky to have him as her surgeon. He had been vice-chairman of vascular surgery at a major university and had published extensively in his chosen field. He was viewed as a star. But he was not respected or revered or even liked by the staff at his new hospital. In fact, his behavior at the new hospital had been outrageous. He yelled. He criticized. He threw instruments. He humiliated nurses and technicians and even environmental services workers. He was insufferable to work with and for. So as he pushed through the doors into operating room 12 a sudden quiet fell and bodies tensed. The patient, scheduled for a popliteal aneurysm repair was fast asleep and intubated, sleeping deeply inhaling the agents that allowed the surgeons to invade and repair. The aneurysm pulsed quietly in the right leg, awaiting repair. The right leg was clearly marked across the front of the knee. But prior to prepping, the patient was rolled from the supine position into the prone position, effectively shifting the right leg to the left side of the operating table. As such, and with no one saying anything, the left leg was prepped and draped. The wrong leg was prepped and draped. But no one said anything. A surgical timeout was held but no one spoke up. They were all quite afraid to say anything. The surgeon asked for his scalpel and carefully incised the wrong leg……

    • 3206 Words
    • 13 Pages
    Powerful Essays
  • Powerful Essays

    Delegation Assignment

    • 2119 Words
    • 9 Pages

    My clinical instructor provided right supervision for me while I administered medication to my patient. My instructor was in the room when I was administering the medication and assessing the patient. The patient was very cooperative and gave permission for me, a student nurse, to provide clinical nursing care at the beginning of the shift, and again while I was performing the assessment and preparing to administer the an IM injection. I discussed with the patient that I have administered this medication before and described in a clear concise manner of what the process entails. In accordance to the five rights of delegation (right task, right circumstances, right person, right direction/communication, right supervision) the delegated care was appropriate. After five minutes the patient’s blood pressure dropped from 155/100 to 130/90 and she rated her pain 5out of 10, on a scale from 1-10... Within the next five minutes her blood pressure dropped down to 121/80 and rating her pain 3out of 10. The last five minutes her blood pressure was 90/66 and she claimed mild discomfort, no…

    • 2119 Words
    • 9 Pages
    Powerful Essays
  • Good Essays

    Evaluation Essay

    • 600 Words
    • 3 Pages

    Women are known to be great fans of shoes. At last count, Philippine Politician Imelda Marcos had over 2,500 pairs of shoes. Although Mrs. Marcos’ love for shoes is extreme, it is a very good example of how women love their shoes. Since most women have about one percent of the money Mrs. Marcos’ has, they must deal with enjoying their measly fifteen or twenty pair of shoes. One desire a woman of Imelda’s wealth and most other women share is quality. Some shoes are bought at big name stores like Dillard’s, Macy’s or Shoe Warehouse but some women have found that the Payless Shoe Store shoes have lasted just as the long. Over the years, the pumps, boots and sneakers purchased from Payless Shoes has made women just as happy as the major retail stores.…

    • 600 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Head To Toe Assessment

    • 249 Words
    • 1 Page

    This week in clinical, I got my first patient to take care of. I was very excited, but overwhelmed. I went in the patient's room and introduced myself. The patient stated he wants to eat breakfast, so I helped him with that and watched him eat because of him having aspiration pneumonia. My patient was a 64 year old male, diagnosed with aspiration pneumonia, with past history of stroke causing him to have left sided weakness, and was legally blind in right eye. Before helping the patient with breakfast, I quickly did a full set of vital signs. After breakfast, I did am care for my patient. After that, I did a head to toe assessment following the sheet provided by the clinical instructor. Then, I reviewed my chart more carefully and looked…

    • 249 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    Observation can be used effectively as watching learner perform skills will relate to giving feedback and provide questioning. Providing positive feedback will improve learners confidence and questioning develop their potential.…

    • 1160 Words
    • 5 Pages
    Good Essays
  • Good Essays

    Patient X walked into the ER, dressed himself in a hospital gown, and became suddenly unresponsive. After regaining consciousness, he was admitted to the intensive care unit. Nurse A noticed that patient X’s temporal artery was in a rapid spasm, presented with right sided weakness, poor muscle control, and was bradycardic. Nurse A notified Nurse B of the symptoms, concerned that this was an acute, high stakes situation indicating neurological involvement. The physician began an assessment and asked Nurse A what she witnessed. Nurse A presented the patient’s symptoms and stated a concern with the neurological presentation of patient X. The physician turned to the patient care assistant (PCA) and stated he did not see anything wrong and asked…

    • 920 Words
    • 4 Pages
    Good Essays
  • Good Essays

    told me to adjust her bed and I followed up the request with a question regarding where to level the bed at. My C.I. told me to ask that question to the patient and how comfortable they were being tipped head down. The patient told me what they could handle for incline and explained to me why they didn’t want to be tipped so far. After beginning my manual CPT, I asked my C.I. if it looked correct where I was performing it and how I was. My C.I., then again, told me to refer to my patient when wondering those questions. My patient gave me constructive feedback and explained why she liked it a certain way better. When I was performing and done with the CPT session, my patient was coughing often, letting me know I have helped her with secretions she was not able to cough up on her…

    • 799 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    The second stage involves planning how those learning needs will be met and how knowledge will be retained.…

    • 5985 Words
    • 171 Pages
    Powerful Essays
  • Best Essays

    Look at some theories and principles of assessment and then explain how you apply them in relation to your own teaching practice and whether or not they can be seen to work. What role does assessment have in evaluation of teaching and learning? In what way can assessment help with quality processes? Make sure you use examples from your own teaching whenever possible.…

    • 2217 Words
    • 9 Pages
    Best Essays
  • Powerful Essays

    Mary (changed name) was admitted with right cerebrovascular accident (CVA) and was now just waiting for residential placement. One of the side effects left over from her stroke was that she had a drop-foot for which she had a splint and a walking stick; she had declined to use a frame. Mary was one of the patients on my team so I was getting to know her quite well during my first two weeks on the ward. I was working with another patient when I saw Mary twist on her ankle and try to steady herself on her stick. This had the effect of spinning her round and she fell to the floor onto her left hip. I ran to help, she was in a lot of pain and slight shock, I called down the ward for help several members of staff came to help saying "do this" and "do that" all at the same time, I was quite over whelmed. Mary was rolled back and forth onto a sling, hoisted up and placed on her bed, all the while I was looking after her head, I did not know what else to do so I talked to her to calm her down, which was difficult due to all the commotion. On initial examination the senior nurse on duty said it looked like she had broken her femur, which was later confirmed. Her residential placement was cancelled and she was transferred to stepping hill.…

    • 1492 Words
    • 5 Pages
    Powerful Essays
  • Good Essays

    Evaluation Essay

    • 683 Words
    • 3 Pages

    Frozen yogurt shops have exploded all over America and have become one of the most popular choices for dessert. When craving a mouth watering sweet dessert, you want to visit a place that goes beyond your expectations. One may consider the quality, the service provided, and cleanliness. However, if you choose to visit the "self serve" Orange Leaf Frozen Yogurt, those expectations may remain unmet.…

    • 683 Words
    • 3 Pages
    Good Essays