Nurses need to be trained to treat patients and all their needs, as required. Nurses cannot pick and choose which chores they need to do on which patient, nor do they get to arrange the timeframe that suits them best. Often a case load of needy patients means that the nurse will be juggling various needy patients as well as performing paperwork responsibilities, charting, and intaking new patients at the same time. Not to mention answering the phone and dealing with walk-in clients.
Nurses must be ready to say “yes” to every task. They may be reassigned to other wards or areas as needed. Nurses must groom their computer and Internet research skills to match today’s technological advances. There will be slow days and there will fast days, but nurses are responsible for treating all patients at the highest level of care no matter what their time limitations are.
For example, in a clinical care situation in training, a nurse might have to alter the setting on a EKG machine or test out various pharmaceutical applications on a patient to achieve the best result for lowered blood pressure. But the time and physical availability for results and communications in real time versus training environment may not match the situation reality. Phones on the ward training, another nurse needing help, or a new admission coming onto the scene may distract a nurse.
Nursing students have a training experience that is simple cases of ongoing treatment cases. but in reality medical care plans are much more complex. Patients may be resistant to treatment or not observant of dietary restrictions or their rest order as given by the physician. 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. Patents are likewise alarmed they are not seen or given a consultation before a dosage regiment is instituted.
Nurses are the key communicators in this scenario. Nurses in this instance carry more responsibility to review both the patient set of criteria and the data involved with possible side effects of a drug. They must weight this information against the patient’s benefit, 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. Nurse must also counsel the patient and asses them psychologically at all time. When shifts change, nurses must convey both verbally and in writing the most timely changes in patient assessment to the next charge nurse. These must be done in accurate medical terminology in a transparent style.
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? Some patients may create incidences of panic disorder and need to be housed a negative ion chamber. A psychological evaluation referral is appropriate at this time. 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 the situation.
It is hard to train a nurse for the variety of challenges and issues that come up for their patients in this kind of scenario. Occasionally physicians will be flexible and change 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.