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Individual Clinical Experience Case Working as an emergency department nurse comprises of numerous professional life experiences. Unlike other nurse who deals with patient whose health conditions have been ascertained and diagnosed, Emergency department nurses deals with patients whose health condition has not be known. Normally, an emergency department nurse work in emergency department where one is supposed to interact directly with the patients whose condition has not been ascertained. Their main concern is to take care of patients who need urgent care.
It is usually a normal experience for emergency department to attend patients with urgent critical health concern (Mc Ewen, 2014). Therefore, based on my personal experience, as an emergence department nurse, one should possess some special professional skills when dealing with such patients. For example, one should have skills of carrying out rapid and correct physical test/examinations as soon a patient had been brought into an emergence department. In addition, I learnt that an emergency nurse should have ability to asses’ patient condition, research, and carryout treatment without referring to the physicians.
This means that one should have advanced nursing skills to carry out this exercise more efficiently and effectively. This may help physicians to easily identify dieses that could jeopardize patient’s life during the early stages before dieses become unmanageable (Wills & McEwen, 2014). One of the condition that was important in developing my identity as an emergency department nurse was when I received a patient who was vomiting, chest pain and nausea, I got a family note that notified that this patient was suffering from stroke.
The nurse who was responsible for this patient had over 20years of experience but failed to attend to him. I tried to see how I could help. After carrying out assessment on the patient I did not notice symptoms of stroke such as facial dropping. Therefore, I ignored the assertions made by my fellow nurse and thought that the patient was just suffering from chest pain. Later I realized that my patient speaking displayed significant change from the ration of 4:1 to the ratio of 3:1. After the Magnetic resonance Imaging was carried, I realized that the patient had some symptoms of stroke.
This experience changed my emotionally and professional thinking. It helped me not just assume that a patient is suffering from a certain medical condition such as stroke but it also enabled me to realize the importance carryout out physical examination to ascertain the presence of a given medical condition (Spross, 2014). Further this experience provided me with varied skills and abilities to deal with not only patients with stroke but also patients with other emergency conditions. The experience also enabled me to learn how I could interact with patients with critical conditions such as asthma and heart attack.
Further, it enabled me know how to relate with my fellow staffs including those with many years of working experience under emergency department. I was able to learn that stroke may display a wide range of symptoms which i did not recognize on my first encounter with the patient. For instance, the experience enabled me to realize that patients with stroke tend to have sudden speaking sometimes they tend to experience-great confusion. I learnt that their visibility tend to become an issue because stroke paralysis’ nerves.
For example, I observed that patient whom was in the emergency department had one of his face was partially numb. I also realized that blood test, computer based tomography, ceratoid ultrasound and physical test may be vital in the process of detection and diagnosis of stroke. Therefore, based on my experience from the emergency department, I believe the skills acquired will be helpful not only to my professional development but also will be in helpful to the society at large (Spross, 2014).
ReferencesFisher, M. (2008). Stroke. Amsterdam: Elsevier.Mc Ewen, M. (2014). Theory development: Structuring conceptual relationships in nursing. In M. McEwen & E. M.Wills (Eds.). Theoretical basis for nursing (4th Ed.). (Chapter 4,, pp. 72-94). Philadelphia: Lippincott Williams & Wilkins.Wills, E. M., & McEwen, M. (2014). Concept development: Clarifying meaning of terms. In M. McEwen & E. M Wills, (Eds.). Theoretical basis for nursing (4th ed., Chapter 3, pp. 49-71). Philadelphia: Lippincott Williams & Wilkins.
Spross, J. A. (2014). Conceptualizations of Advanced Practice Nursing.pdf In A. B. Hamric, C. M Hanson, M. F. Tracy, & E. T. O'Grady (Eds.) Advanced practice nursing, An integrative approach (5th ed., pp. 27-66). St Louis, MO: Saunders/Elsevier.
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