How Trained Nurses Can Shine
Nurses need to be trained in how to treat patients and fulfill all their needs. Nurses cannot pick and chose which chores they need to do, on which patient, nor do they get to arrange their task set and/or timeframe in a manner that suits them best.
Often the case load of a staff nurse means that the patient will be juggling various jobs or needy patients, not necessarily in a way they like. There is much more to nursing than giving shots or checking histories, and the nurse must be ready at all times to perform all needed nursing tasks to as many patients as are required. The reality is that in contemporary medical institutions today, situations exist with multiple charge patient realities that include significant occupational burdens.”
Nurses are involved in physical administration of patient care. This requires a standard amount of occupational training. Nurse training can be medical advice, research tips, equipment operation handing, and more. Nurses are trained to assess and plan day to day patient healthcare. Nurses are trained in nursing theory and how to treat patients. Nurses attend class and practice nursing tasks to provide the same care for patients on the job.
Nurses attending nursing school are trained to administer medicines, nurse bedridden patients, and perform charting tasks and file administrations. This involves witnesses to pharmaceutical tracking, supply ordering, ongoing LVN communication, as well as monitoring of medicines, review of patient symptoms, and room administration. At the same time, nurses must maintain a peaceful and supportive psychological frame of mind for the betterment of the patient’s outlook.
Conflicts may come up, paperwork confusion may arise, and records administration problems can occur that nurses must deal with and treat patients all the while. Many nurses grow accustomed in training to addressing single charge situations. But in reality, medical institutions group patients, causing personalty conflicts between patients that nurses must address.
Nurse training informs nursing students about the functions of the nursing process. This is a qualified guide to perform the nursing tasks as needed. But the scope of actual nursing on the job is much larger. Nurses may have to ‘police” certain patients, making sure they swallow pills and not secrete them. Nurses may have to note negative observations about patients, such as failure to follow doctor’s recommendations, incidence of eating disorders, and self-injury such as cutting.
Nursing involves all facets of the patient experience. This includes intake records handling, surveying patient history and vitals statistics readings resolutions. Nurses should evaluate all types of information when treating the patient, from labels to test data to personal observations. These can make a critical difference and can catch errors before they do harm. Strongly reinforced nurse training can pay off in these instances.
The paperwork responsibilities, reporting patient conditions, charting, and intaking new patients at the same time can overflow within timed nursing shifts more often than not. Nurses who are not well trained to perform these duties will find themselves putting in extra unpaid hours keeping up.
It is not unusual to see charge nurses working unpaid overtime completing records, updating charts, and finishing up with patients. Many institutions running on thin budgets will discharge nurses after a census, and nurses must complete their shift charting and other communications and patient treatment responsibilities on their own. Any follow up, for example, to the pharmacy for an overdue prescription or to an on-call physician, must be executed irregardless of the nurses’ timecard.
Nurses are placed where staffing priorities need them. They may be reassigned to other wards or step-up areas as needed. There will be slow days and there will be fast days, but nurses are responsible for treating all patients at the highest level of care no matter what their time limitations are.
The time sensitivity of all duties a nurse performs means they must be completed whether official “work” time permits or not. Therefore a nurse must involve themselves with each patient outside the minimums of ward responsibility to make sure adequate care is administrated. This may not be enforced in terms of policy at various healthcare institutions, but it is definitely the norm in practice. Staying fifteen minutes after clocking out, for example, to collect an X-ray test result and deliver it to the ward, is not unusual.
Other instances of practical nursing processes not covered in “offcial” training can be seen. For example, in a clinical care situation in training, a nurse might have to alter the setting on an EKG machine or test out various pharmaceutical applications on a patient to achieve the best result for lowered blood pressure. Various ongoing therapies may require the nurse to take special note of a patient’s response and extra communication may be required.
But the demand on the nurse’s time and physical availability for results may exceed the nurse’s resources. Phones do not ring on the ward in training, visitors do not get lost in nurse training school, and in nurse training when a nurse is doing three things already, another nurse does not call out needing help, with a new admission coming onto the scene. Yet these working conditions are very much part of normal nursing day.
In training, a nurse does have to deal with the professional responsibilities and commitments as framed by academic examples. Outside training, the practical career path comes to the fore. Outside training, a nurse will be assessed at all times for professional advancement and adequacy.Nurses who take too long over rote tasks like taking vitals, (or other tasks) get a reputations for being “spacy”. Nurses who are not dependable are not very good at time management, and get complaints from patients about lack of communication skills and poor medical abilities.
The properly trained nurse must support requests from the team and the charge nurse no matter how many requirements their charges have currently running. The nursing team will often offer additional training for things like vein location for putting in a line, or even best placement of cuff equipment for taking vitals. But past a certain point poor training becomes evident and staff will officially take note a nurse is incompetent or unhelpful handling single or multiple charges.
Nursing students have a training experience that is of simple academic patients of ongoing treatment cases. But in reality, medical care plans are much more complex. Handling people is involved. Patients may be resistant to treatment or not observant of dietary restrictions or rest orders as given by the physician. Nurses without good people skills, nurses with no experience dealing with patients, and nurses without a complete understanding of the pathology involved will cause career damage unless they absorb the training required.
Nurses on the job often give qualified objections because they have not had a chance to speak with the doctor before issuing pain or treatment medications to a patient they have never seen before. This is a significant indicator of nurse raining in the patient handoff. Giving report is essential to any nursing practice. Patients are likewise alarmed they are not seen or given a consultation before a dosage regiment is instituted. Nurse must be trained to handle these situations effectively.
Nurses in this instance carry more responsibility to review both the patient set of criteria and the possible side effects of a drug versus the entire set of pharmaceuticals being introduced to the patent’s bloodstream. Often a nurse can spot a contraindication before anyone else, and the thrust is upon them to do so. Nurses must also counsel the patient and assess them psychologically at all times. Thus the import of training cannot be underestimated. It can save lives.
When shifts change, nurses must convey the most timely changes in patient assessment to the next charge nurse. These must be done in accurate medical terminology in a transparent style. If nurses on the next shift have poor training and fuzzy communication skills, the primary nurse’s best contribution is of maximum value to the patient and the medical caregiver. The nurse’s clarity of thought, mission to deliver the best nursing possible, and the motivation to promote healing can transform the most basic nurse training into a sterling bonus for the patient.
Nurses must assess patients in an ongoing and accountable manner. Is the patient a physical threat to themselves or others? Is the effect of any change or restriction in medication or privileges affecting them negatively? Are they speaking to themselves or others in a manner that shows a change in self esteem or motivation to heal? re new medication mixing with old in a healthy way? These observations are important and training in them will start in training and take place over the course of a nursing career.
Some patients may create incidences of panic disorder and need to be housed separately. They may try to not take their medication, create obstacles to treatment, or become even more ill. Student nurse skills must adapt and grow to meet these situations. Academic training will not train a nurse to speak to a patient in crisis. But adaptation to on-the-job nursing challenges will polish any nurse’s occupational skills.
It is hard to train a nurse for the variety of challenges and issues that come up for their patients in these kinds of scenarios. Occasionally physicians will be flexible and changes to the individual care plan will be made. It is vital to the medical outcome that these circumstances be communicated to the next nurses and on-call physicians. Being able to perform simple tasks like recording dosages and medical administration while balancing management of multiple patients can get tricky. But adequately trained nurses will meet and surpass such challenges to succeed and shine.