When Nurse Training Makes a Difference
Nurse qualification by degree is a choice each nursing student must make. Many nursing curricula organize the classes by degree goal. A bachelor’s nursing degree will set up a nurse candidate for positions of greater prestige and greater longevity. But nurses intent on long term career longevity can groom higher aspirations by achieving higher benchmarks from the outset. Institutions looking to recruit nurses with bachelor’s degrees can expect more fluid patient response’ and more intelligent care plan response.
There has been a significant blurring of the lines between candidates who have achieved an assistant of science in nursing and a bachelor’s degree in nursing. The ability to operate at a higher technical level is what some institutions need. The breakout requirement in the performance capacity is what a health care facility depends on when wards fill up with heavy need patients. These caliber professional performance levels are what hiring managers look for when screening applicants.
Nurses should not put patients into panic mode. A professional attiude is key. They should do everything the can to secure the patient from any feelings of pressure, worry, or discomfort. By charting interactions and vitals, nurses begin to document the case. A care plan for the patient’s outlook is indicated as noted in the charts. For follow up, nurses then can refer back to these notes. Progressively senior nurses should be able to handle multiple patients per shift managing these dynamics.A thorough knowledge of resident care plans encourages the nurse on duty or med nurse to interact with the patient in a beneficial way.
But all too often the hospital wards or long term care floors are filled with anxious and confused patients who have been left to sit or lie down for hours or even days without clarification or proper addressing of certain problems. Patients who feel ignored by their nurses will file complaints and tell visitors their nurses are slacking off. Senior nurse staff should make sure these patients do not feel “lost in the mix”. Inexperienced nurses might be able to miss certain details but peer nurses and managers will notice and hear about patients who have been left by the wayside.
A nurse knew to the facility might miss important cues. Sometimes this can be too late. Hidden bruises, unusual lesions, draining ulcers, and stiff or numb extremities must be noted. Is the color worsening? Is the affected area becoming larger? A nurse should watch the way a patient walks around or gets up from the bed, transfer to the wheelchair or toileting apparatus.
The physician must be notified and the Change of Condition filed in the patient’s medical chart. Nurses need to keep a weather eye on patients who may hide their symptoms. Patients who fear their treatment due to pain or physical discomfort will take their bead from nurses. If the nurse comes off as too busy or distracted they may drop or suppress medications, palm them, even mix them up. This is fraud. Nurse cannot depend on patients to put them straight. Hyper-adrenalyzed patients can collect the medications and trade or sell them on the street.
Sufficiently trained nurses will watch their patients consume all ordered narcotics and medications and closely observe their effects. A professional nurse does not leave unconsumed medications at the bedside or anywhere near a patient without witnessing their intake. For example, a patient consuming multiple painkillers should display drowsiness and lethargy. Trained nurses should take away patient’s own medication. Patients undergoing narcotic and other pathologies of medical care will lose track of what personal medications they may take, confusing displayed symptoms.
On the job training and experience will progressively groom a nurse to deal with such patients.. Sometimes another nurse may be more effective for caretaking goals. Patients may hide problems and nurses can only tell by examination and assessment what is going wrong. progressively trained nurses should be able to observe changes in hygiene, outlook, and mental condition. Perfectly normal patients sitting in a room all day can turn manic after induction of medications and excitement.
Nurses who are properly trained can skip over important details in haste. So when re-checking patient conditions and vital statistics over time nurses can catch a problem with a patient or even a machine. Nurses can pick upon failure in machines or other technical problems only with usage experience on patients and issuing of improper results. If a nurse is trained to assess both the patient condition and the readings, they may simply report inadequate readings.
The patient then has inappropriate and inaccurate readings reported to the physician and to their chart. This can really impact negatively the care plan for that patient. Nurses assigned to different patients in the same room cannot pick up the slack. They sometimes may switch working machines for technically unproductive machines without the nurse’ knowledge. The timing of dealing with these machines may be more than the nurses can handle.
Therefore a properly trained nurse is required for patient care because they can determine the difference between a technically accurate vitals reading from an erroneous one. But only highly trained nurses capable of independent thought processes and independent decision making can achieve these top notes of nurse duty performance. Otherwise patients suffer in silence. And supervisors wonder why their feedback card ratings are declining.
Later, when the nurses determine a problem with the machine, they will need to retake those readings and then commit them to the patent’s chart. This can make a window of doubt into the patient’s care because these missing readings are not present in the records. This prevents a physician from following the path of a treatment plan or set of medications results. The pathology of this error may be lost but it has a negative impact on a patient.
But how will they know? This is just one of many problems that occur during a busy shift and may not even be detected until the next shift when nurses begin their vitals readings on rounds. This can be hours into the next shift, creating problems for every patient’s care plan. The regression backwards over time affects different patients in varying ways. For every patient struggling with mood disorders, over-medication, untreated pain, burgeoning infections, and multiple organ failure, the gap in sloppy nursing allows a documentation blindness.
Nurses at the desk will discuss various cases and verbally update each other with observations. This patient is sick. That one is still coughing. This one isn’t sleeping so well. That one is not walking straight. This way nurse bounce the patient symptoms off each other, reporting and seeing what other nurses think at the same time. Without such communications, there is a temptation to ignore the problem or conceal it. A more professional nurse grooms her co-workers to recognise a problem and deal with it.
The other detriment of such practices is to the entire nursing ward or health care facility. Healthcare systems and HMO businesses are the most stringently planned budgets in the world today. The patient stay in the hospital becomes longer because problems in the care plan need to be changed and the patient stay extended. These costs can add up and change the health care approach of an entire facility. These are the far reaching consequences of poorly trained nurses.