It is difficult to overestimate the role of the nurse in treatment in the hospital. Implementation of doctor's appointments, caring for seriously ill patients, holding many sometimes quite complex manipulations – all this is the direct responsibility of the nursing staff. The nurse is also involved in the examination of the patients, their preparation for surgical intervention and intensive care. All this demands much of not only professional but also moral and ethical qualities of a nurse, their ability to find the right contact with the patients and their relatives.
The Role of the Nurse in Treatment
It must be always kept in mind that a person addresses medical professionals for help only when in trouble, which can lead to short-term or long-term loss of health and even threaten the patient’s life. Thus, the real contact between the patient and the medical staff is ultimately necessary and important for successful treatment, which, from the side of medical staff, implies the full sympathy and understanding.
Sensitivity, emotional support, spiritual warmth to the patient are sometimes more necessary than drugs. No wonder that in the past, nurses were called “sisters of mercy”. This name not only refers to their professionalism but also the moral aspect of their work.
A nurse should be a good psychologist taking into account individual characteristics of the patient, the nature of their illness, the patient’s state of mind at that moment. On one hand, nurses must inform the patient if they have a critical disease; on the other hand, it is important to help the patient remain optimistic. The patient may be adequately informed of the disease, and, therefore, the information may be biased to cause distrust to medical personnel. In such cases, it is desirable to adjust the patient on a persistent treatment but, at the same time, inspire their confidence in the favorable outcome of the disease. The patient should be fully protected from the psychological trauma that may worsen their condition and make an unfavorable prognosis of the disease outcome.
Smooth and affable communication of medical nurse contributes to the creation of a favorable contact with the patient. Excessive dryness and familiarly attitude or is not acceptable. In some cases, it may be a violation of patients’ treatment regime. In this case, the aim of a nurse is to explain the patient the incorrectness of their behavior, and convince that such violations could adversely affect their neighbors in the room. A nurse should report to the doctor all violations of the therapeutic regime. Then, the doctor may make corrections to the treatment process.
The appearance of a nurse is equally important. A neat and trim nurse is more credible for the patients than the one who is not wearing fresh clothes, with long nails and messy hair.
One of the main duties of nurses is strict implementation of doctor's appointments, the exact observance in controlling the drugs, the time of their introduction, the sequence of operations.
Making the appointment, the doctor is guided by the nature and duration of drug action, the terms of its introduction into the body and excretion from the body, as well as combining ability of certain drugs. Negligence in the appointment and the execution can be extremely dangerous for the health of the patient. For the same reasons, a nurse should not cancel their own appointments or make changes on their own.
Modern hospitals offer a wide range of diagnostic and treatment equipment. The duty of a nurse is to properly use these devices. More experienced and trained nurses assist and share their experience with younger colleagues who do not feel confident enough to carry out any manipulation.
In the case of an emergency due to a dramatic deterioration of the patient, panic and confusion are not allowed. It is inadmissible to have the sick fear, express uncertainty of the staff and talk in a loud and excited voice. Firstly, it all has a very negative effect on both the condition of the patients and the other medical personnel. Secondly, a nervous situation is not helpful to provide a modern and professional assistance to the patient. In such situations, the head of the department gives clear instructions, and before their arrival, the nurse must work in the room.
In addition to patients, nurses often have to deal with relatives and close friends of the patients. In this case, health workers, adequately inform the relatives about the health condition of the patient. However, even in this case, one must exercise great care and tact.
Particular caution should be observed when giving information on the phone about the health condition of the patient. In this case, it is best to avoid serious conversations and invite the person to the hospital and talk in private. Starting a conversation on the phone, one must clearly introduce oneself: name the office, their position and last name.
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Often, family members are asked to participate in the care of seriously ill patients. Practice shows that no care of loved ones will replace a seriously ill monitoring and care by qualified medical personnel.
It is mandatory for a nurse to have a commitment to continuous improve their skills and knowledge, and acquire new skills. This should contribute to the general atmosphere of a medical institution, which plays an important role in the formation of highly skilled, disciplined and responsible medical officers, to develop them into high professionals with moral qualities.
Practice in Nursing Pediatrics
The activities of the pediatric unit, regardless the profile and mission, are impossible without the constant work of nurses. The nurse must know and properly evaluate the clinical situation of each patient, not only to be able to perform multiple manipulations and procedures but also to have a good understanding of their problems. A nurse is not just a medical assistant but also an important member of the treatment process.
It is considered to be necessary to make a remark. This paper is dedicated to the work of nurses in the department of pediatrics unit and intensive care.
The duties of nurses (wards) are defined in job descriptions drawn up by the administration and agreed with the trade union of health care setting. Usually, the duties of a nurse include the following:
- Provide care and supervision of the state of the sick; respect the principles of medical ethics, fire prevention and safety; be attentive and responsible strictly keeping professional secrecy.
- Timely and accurately perform all on-values ??in resuscitation; not to leave the patient unattended; strictly comply with internal regulations.
- Prepare the workplace, equipment, a medicament, systems and the containers (bottles) with media for Old-precision therapy; conduct surveillance and map of the appointments, as well as accounting records; surrender and accept vigil at the bedside of the patient.
- Tell the doctors about the deterioration of the patients.
- Participate in the feeding of patients and carrying them to the toilet (washing, oral treatment, treatment of the perineum and genitals, linen, treatment of bedsores); strictly comply with sanitary and epidemiological conditions.
- Carry out biological sampling media for laboratory research.
- If necessary, carry out complex primary resuscitation.
- In case of death of the patient, prepare the corpse for transfer to the mortuary.
Even though the list is brief and far from complete, it can be clearly seen that a nurse should have good background and outstanding practical skills.
What should a qualified nurse know:
- Features of the pathological process that caused the plight of the patient; what complications that must be controlled in the first place threaten them.
- In what may first manifest the deterioration of the patient; when to call the doctor on duty, which can be occupied in other chambers.
- Signs of the tongue; sudden respiratory arrest; rapidly increasing respiratory distress.
- Signs of the threat of heart failure; signs of the ensuing sudden cardiac arrest.
- Drugs; the main drugs used in daily practice; intensive care unit; the rules of storage and use; the possible complications associated with their use.
Intensive Care Unit
It should be remembered that the intensive care unit is an extremely complex part of the work. It is important to do everything immediately for the parient’s life depends on every well spent minute. On this background, one sometimes escapes these “little things” in the work such as the issues of interaction with other hospital services, in particular, with the various laboratories. This is expressed most often in the case when a nurse, writing an application for a particular study, does not trace it to be done in a timely manner. Thus, one of the functions of the intensive care sister implies monitoring the timely implementation of the research conducted in other parts of the hospital. A nurse of the intensive care unit should be the person in charge to regulate and directly perform virtually all therapeutic, prophylactic and diagnostic procedures prescribed by a doctor.
In intensive care units, the problems of the following character are particularky acute. For most patients, the main issue in the first hours and days is the question that usually is not asked aloud: “Will I live?”. The experiences associated with fears connected with their own destiny, are not only extremely painful for the patient but can adversely affect the course of the disease.
At this time, it is necessary to provide not only medication but also the moral support of the entire medical staff, primarily on the part of nurses. It is a poor doctor who, after a conversation with a patient, does not make them feel better. These words should be referred to nurses to the same extent.
Under no circumstances should a nurse let the patient notice the fear and confusion. Profuse pulmonary hemorrhage, seizure, acute laryngeal edema, no matter what happens, nurse's face must remain calm, and the actions - clear and confident.
Of course, one can never deliver to the patient a poor prognosis. Talk about the weather (and often sick after talking with the doctor trying to “clarify” the issue with the nurse) must always be maintained in optimistic tones. However, one should not forget to treat correspondingly those patients who know the nature of their disease and possible outcomes.
If the patient does not know his diagnosis, the doctor did not consider it possible to report such information, it must not in any case come from the nurses. What one should say to the patient, how to orient them with respect to the forecast, it is necessary to check with the doctor. Tactics in these cases depends not only on the nature of the disease, but also the human personality traits. There are cases where patients learn their diagnosis and mistakenly draw themselves into the gloomy outlook.
General atmosphere in the division is very important and even more so in the intensive care unit. If a patient sees calm, confident, well-working people, they imbue confidence that they are in safe hands and calm themselves. If, in addition, the patient sees not only high-class specialists but also people showing human compassion, they have a special trust for the staff establishing full contact and psychological results of this treatment will be better.
In conclusion, it should be noted that the work in the department of intensive care is not for everybody. Perhaps mental health is important too. People are callous, indifferent, with unstable mentality should not be allowed into the profession. Care, courage, kindness, accuracy along with a high level of professionalism must be integral as a nurse in the intensive care unit and intensive care.
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