Discuss about thr Nursing Reflection for Simultaneous Thrombolysis and Venous Angioplasty.
Bright is a patient who is receiving post-angioplasty care. During his post operative care, the patient should be adequately monitored and provided with all the necessary support that he deserves. When attending to him, I had to do my best to ensure that he manages his condition well. In this section, I would like to reflect on the strengths and weaknesses of the assessment that was done on the patient.
The patient was provided with appropriate post angioplasty care that would enable him to manage his conditions. Just like any other patient, Bright was observed to be experiencing post angioplasty complications including bleeding and haematoma formation-related chest pain. According to the research conducted by Arokiaraj, Guerrero, Levine & Palacios (2013), the patient was to be given a good care commensurate with the condition. Post angioplasty care was to be effectively delivered because it was necessary for improving the condition of the patient. So, to achieve this, we had to be actively involved in assessing the patient to determine the condition and identify the most appropriate intervention to provide (Chai-Adisaksopha, Crowther, Isayama & Lim, 2014).
During the assessment exercises, I managed to successfully monitor the patient’s vital signs. I had to apply all the principles, policies, and guidelines governing postoperative care to help me in the monitoring of the patient’s vital signs. This was a commendable thing to do because all post angioplasty patients have certain signs that should be taken so seriously. It is at this stage that the patient can experience challenges like bleeding (Chai-Adisaksopha, Crowther, Isayama & Lim, 2014). Therefore, all the vital signs must be rigorously monitored, observed and recorded throughout. I successfully did this because I knew the reason why it had to be done. At the same time, I managed to successfully check the patient’s sight and managed his IVT and infusion because it was one of the activities that I was supposed to carry out. If I had failed to do so, I would not have managed to display my competence as a postoperative nurse.
The other thing that was rightfully done during the assessment process is a strict compliance with the PQRST process of patient assessment. Here, I had to assess the patient’s pain by considering the Provokes (causes of the pain); Quality (the sharpness, burning, dullness or crushing of the pain); Radiates (localization and radiation of the pain); Severity (the 1-10 scale for the severity of the pain); and Time (the beginning, and duration of the pain). The application of the PQRST method was good because it enabled me to assess and be acquainted with finer details of the pain. In fact, I had to dig deeper into the historical background to determine exactly when the pain began, its severity, and the entire duration it has taken.
Areas for Improvement
Last, but not least, I did an excellent job by adopting a multidisciplinary approach during my assessment. As a professional, I believe in the power of teamwork. I am a team player who always works alongside other experts. Therefore, when attending to the patient, I had no choice rather than cooperating with all my colleagues because they would help me in many ways. I fostered a good working relationship with the RN, surgeon, pharmacist, and the physician because I knew that they would enable me to carry out a successful assessment on the patient (Fairman, Rowe, Hassmiller & Shalala, 2011). The perfect way in which I did I collaborated with my colleagues enabled me to achieve my goals.
However, during the assessment, there are certain things that were not properly done. In the first place, I failed to provide the patient with a pain relief. This was a big mistake because it prevented me from discharging my roles as expected. As the responsible nurse, I was supposed to closely monitor the patient and give him the necessary pain reliefs before the arrival of the physician. It was a necessary thing to do because it would enable me to slow down or reduce the severity of the pain experienced by the patient. This shows that I was almost behaving like an irresponsible practitioner who did not take the necessary measures to address the pains that the patient was going through as I was waiting for the doctor to come and attend to him.
The other thing that I did not do well during the assessment is failure to check the patient’s ABCD. Because I was in charge of the patient, I was supposed to be responsible for regularly checking the patient to ascertain his A.B.C.D. However, failing to do so was my undoing because t portrayed me as an irresponsible nurse. Moreover, I failed to monitor the patient’s BGL and chest. Finally, I failed to call the physician to attend to the patient before I left the facility. I later realized that this was a big mistake because I was not supposed to leave the hospital without calling the doctor. However, I failed to do so because I was not aware of the finer details of the hospital such as the ward name, doctor’s office, and the exact location in which he was at the time. I was also unable to contact him because I did not have his telephone number.
Clinical handover is one of the most essential activities that should be carried out by the healthcare providers. A patient can be transferred from one practitioner to the other either temporarily at the end of the shift or permanently. When attending to Bright, I had to handover the patient to another practitioner to continue with his care. I had to do so because it is a mandatory requirement in the organization (Lowe, Plummer & Boyd, 2013). During the handover, I had to ensure that I comply with all the regulations. It would enable me to effectively transfer all the responsibilities to the new practitioner who would be responsible for caring for the patient.
I carried out the handover process by applying the principles of the National Safety and Quality Health Service Standards for Clinical Handover. Among the most memorable steps I took during the handover is to transfer the patient’s health information to the new practitioner. Here, I had an obligation to update all the records pertaining to the patient’s condition, history, medication, progress, severity of the pain, and vital signs and hand them over to my colleague who was to take over from me (Curzen, et al., 2014). I know that the communication of the patient’s data is an important thing to do in nursing care. Therefore, to effectively do this, I had no choice rather than applying ISBAR (Identify, Situation, Background, Assessment and Recommendation) as the standard format.
Identification was to be the initial process in the compilation of information. The documents had to be identified to determine if they are accurate and truly represent the patient. Accuracy is a very important aspect of documentation that should be considered during handover. The use of accurate data can help in improving the safety of the patient. This is why I had to apply the format and insist on including the identification aspect of it.
Situation is the second consideration that was made when preparing the patient’s records that were to be handed over to a new practitioner. Here, I had to take all the necessary measures to ensure that I capture the condition of the patient. It is necessary for the new practitioner to be acquainted with all the information regarding the current condition of the patient. When admitted into the facility, the patient was having certain conditions that kept on changing from time to time depending on the kind of care provided (Fairman, Rowe, Hassmiller & Shalala, 2011). Therefore, before transferring my responsibility to a new practitioner, I cannot hesitate to provide detailed information on the patient’s situation.
Application of National Safety and Quality Health Service Standards for Clinical Handover
Assessment also has to be included in the handover because the new practitioner needs to know everything about the kind of assessment that was done on the patient. During the shift, the patient had to be rigorously assessed to determine his condition. Assessment is one of the major activities done during postoperative care. After his operation, Bright was subjected to a serious assessment process in which his condition was keenly examined to ascertain, among other things, his vital signs. All the information recorded during assessment should be properly documented and handed over to the new practitioner who will rely on it to continue caring for the patient.
The data handed over to the patient has to contain the recommendations made when serving the patient. Before the end of my shift, I had to give recommendations to the new practitioner. All these information should be included in the handover documents and made available to the new practitioner to use. The inclusion of the recommendations on the handover notes is appropriate because it can enable the new practitioner to be equipped with the necessary information to rely upon when prioritizing the needs of the patient (Lowe, Plummer & Boyd, 2013). The transfer of responsibility does not imply the end of service delivery, but merely transfer responsibility from one practitioner to the other who should be given authority to continue serving the patient.
In conclusion, the transfer of documentation during the handover process should be done in compliance with the National Safety and Quality Health Service Standards for Clinical Handover. If the ISBAR is properly utilized, it can be much better because the handover process can be done smoothly. I had to do all these because they are necessary for me to use when handing over the responsibility to a new practitioner. It enabled me to carry out an effective handover that guaranteed the patient a safe and quality care.
Arokiaraj, M., Guerrero, L., Levine, R. & Palacios, I., (2013). Simultaneous Thrombolysis and Venous Angioplasty in Acute Ilio-femoral Thrombosis after IVC filter Insertion and Novel Balloon Catheter Models. J Clin Exp Cardiolog, 4(240), p.2.
Chai-Adisaksopha, C., Crowther, M., Isayama, T. & Lim, W., (2014). The impact of bleeding complications in patients receiving target-specific oral anticoagulants: a systematic review and meta-analysis. Blood, 124(15), pp.2450-2458.
Curzen, N., et al., (2014). Does Routine Pressure Wire Assessment Influence Management Strategy at Coronary Angiography for Diagnosis of Chest Pain?. Circulation: Cardiovascular Interventions, 7(2), 248-255.
Fairman, J. A., Rowe, J. W., Hassmiller, S., & Shalala, D. E. (2011). Broadening the scope of nursing practice. New England Journal of Medicine, 364(3), 193-196.
Lowe, G., Plummer, V., & Boyd, L. (2013). Nurse practitioner roles in Australian healthcare settings: Grainne Lowe and colleagues report on a study to explore how clinicians,
managers and policymakers perceive nurse practitioner roles and to elicit their views on barriers to their introduction. Nursing Management, 20(2), 28-35.
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