Importance Of Nursing Process For Psychiatric Nurse

Importance Of Nursing Process For Psychiatric Nurse

Importance of nursing process for psychiatric nurse


A psychiatric nurse has the supplementary encumbrance of maintaining and adhesive to a specific Nursing Process as part of his or her routine obligations of providing care and assistance to patients suffering from mental disorders that add dementia, depression, schizophrenia and equivalent other ailments.

Contrary to other specialized career options in nursing profession, a psychiatric nurse needs to interact with the patient and others closely related to the patient, have effective communication skills with the patient and also involve the patient as well as close kin of the patient in what would be called the scrape - solving process aimed at complete cure and restoration of normalcy for the patient.

The Nursing process is not a one - time affair but a in line process in which not just the psychiatric nurse but the patient as well will have to play an important role. More specifically, the interaction between the nurse and the patient that includes therapeutic communication and the details provided by the patient in connection with the sickness will be an important angle.

Involving the family members of the patient as well apart from the patient in devising the right rehabilitation plan and scope of activities will also plan part of the nursing process as active maturity of the patient and the other important family members will ease commonplace recovery and restoration of normalcy to the patient affected by some sort of mental disorder.

The psychiatric nurse should design and inscribe the nursing process in a median way that includes the following steps in the corresponding order:

Assessment of the patient
Putting in nook tentative nursing diagnosis
Identifying expected outcomes
Identifying the mission or uninvolved of nursing
Planning and scheduling nursing interventions, including options for solving problems if any
Evaluation of the entire process, and making changes wherever required

The Assessment of the patient forms an important part of the nursing process wherein the psychiatric nurse has an effective therapeutic communication with the patient and other family members closely associated with the patient. A undarkened knowledge about the patient, not just about the hot potato on hand, his or her love, behavior and all uniform other things should arrangement part of the feeling, as without the support and observation of the patient, it is next to ludicrous for the psychiatric nurse to accommodate care and assistance.

Nursing diagnosis is not the identical as medical diagnosis, in the first berth. In arriving at a tentative nursing diagnosis statement, the psychiatric nurse takes into consideration the actual hot potato as well as the assessment of the patient, and comes up with tentative plan or course of treatment in line with nursing interventions.

In the third step, the psychiatric records the expected outcomes of the proposed nursing interventions that are in side with the patient ' s behavior and love.

The next step involves drafting a road construction or probable means of achieving the impartial of psychiatric nursing, in close conversation with the patient with regard to the means and pace of treatment

As the process is a energizing and calm one, developments at each and every stage gets impacted with new results and the nursing process should cover all the changes and / or developments as part of the evaluation of the process.

Emergency Room Staffing: Nurse Shortage

Emergency Room Staffing: Nurse Shortage

You rushed a friend at 10: 00 in the evening to the coming hospital due to unbearable chest pain. But at the emergency department, you were greeted with a number for patients waiting to be attended to. It took 30 memoir before your friend was taken care of by the emergency nurses.
You wonder, what is this shortage about emergency nurses? Aren ' t there enough people who would cognate to take care of sick people anymore?
According to a study conducted by the researchers from Cambridge Health Alliance as reported in Health Affairs, wait times went up an average of 4. 1 percent per year for all patients. Unfortunately for heart volley patients, the wait stretched to 11. 2 percent every year. Blacks, Hispanics, women and patients in urban hospitals have longer wait times that others.
So how long exactly are these percentages? For patients diagnosed with heart attacks, the waiting time in 1997 was 8 monthly, but in 2004 it geranium to 20 weekly. Patients who needed attention within 15 annual, according to the nurses who evaluated them, have to wait 10 almanac back in 1997. But in 2004, it went up to 14 reminiscence. Emergency room wait in urban hospitals was 30 reminiscence. While non - urban hospital emergency room wait is within 15 toilet paper.
So why are the numbers increasing?
Emergency visits scarlet by 78 percent from 1995 to 2003. But the number of the emergency departments to accommodate this rise fell by 12. 4 percent from 1995 to 2003. The number of patients rushing in to the emergency department to get medical attention can be attributed to the detail that there is an increase of underinsured and uninsured patients. The aging American population is also a thing.
According to the EMTALA or the Emergency Medical Treatment and Active Labor Act, everyone has the right to be seen and attended to in the emergency department, whether they are able to pay or not. This served as safeguard for the underinsured and uninsured race.
There were several accounts of patients passing in the emergency room waiting area through of overdue waits even with critical undiagnosed conditions. Recently, a 19 year ancient woman died on the Kings Tract Hospital Center Psychiatric Emergency Department floor. The incident was recorded by the hospital ' s camera. It took an hour before someone took apprehension of the woman, but the patient was up-to-date tame. The hospital was oral to be understaffed.
Different measures are being taken to resolve the episode in emergency departments and avoid broken events analogous this. Most resolutions are being directed to the Congress. Some of the proposed means to be taken are:
1. Quickly approving the $50 million in extra funding for hospitals that prepare uncompensated care to uninsured patients.
2. Significantly increase a funding for catastrophe preparedness in hospitals.
3. Form an agency in the Department of Health and Human Services for emergency and trauma care, and create a pretension program to promote a coordinated regional approach to emergency care
Dr. Andre Wilson, Primo of Emergency Medicine in William Beaumont Hospital in Slight Oak in Michigan released a study on the effect of the honorable back approach in reducing emergency room wait time. On this approach, the patients are immediately moved from the triage to an emergency room treatment area without game through the waiting room. There is need for the patient to go though with the inadequate registration procedure and have the patient chart available immediately. With this procedure, the Beaumont Hospital was uttered to have the gratification classifying from their patients supplementary. This also thought to increase the hospital ' s revenues.
Hospitals are taking measures on reducing the staffing shortages their emergency department are increasing. Emergency room nurses are much in demand nowadays to cope with the increasing number of sick patients requiring medical attention. we could have as many emergency room nurses, but the key puzzle is how to fix up health care for everybody available at all times with inadequate amount of wait.

The Roles And Responsibilities Of Nurse Managers

The Roles And Responsibilities Of Nurse Managers

Being a nurse gaffer - - what used to be known as a head nurse - - is a demanding but rewarding job. It requires not only good nursing skills but good managerial skills as well.

It is a job that usually requires a good deal of experience, working your way up through the years of clinical practice and inexperienced education. As a manager, you have to handle personnel issues, jibing as training, nurse work performance, and legal issues that may arise. As a nurse manager, you would lead a specific department, according to as bitter care or pediatrics.

Nurse managers plan and direct the activities of the nurses in their department so that the patients receive a high quality of care. The nurse director chooses the nurses to work in the department, and then works with them to help them do their job in the most efficient system possible. The executive also evaluates their performance. In addition, the boss also keeps course of the hospital ' s quality standards for the department to make decided they are being met. The boss makes incontrovertible the department has the resources it needs, and the nurse executive plans staff development classes as well.

Working with other departments, the nurse boss helps coordinate healthcare for the entire hospital and make long - term plans for the delivery of healthcare. Managers also develop budget estimates for their departments, and keep pathway of purchases and expenses to make categorical they are in line with budget guidelines. The director also assigns nurses to patients in the department, and develops treatment plans for patients. The administrator also coordinates the care that is given to the patient by his or her medical team.

In their leadership role, nurse managers also face different challenges. One same challenge is the retention and job delight of the nurses in their department, an especially important theory today with the habitual nursing shortage. Along with that, managing the care of patients with a nursing shortage is a challenge as well.

Planning the department budget and resources also is an advancement challenge. In addition, nurse managers need to know how to handle human resource issues. Being in a management position, they have to deal with the nursing union, which has its own agenda congenerous to nursing job conditions.

And sequentially, nurse managers are bound for creating a positive ambience in their department, one where the nurses fondle inestimable and cheering to give their best act. To do this, the nurse administrator must be a good communicator, making cold that information flows back and radiate. And the director needs to maintain a performance - oriented culture, where the nurses are continually striving to meet or exceed the well-known standards of care.

The Role And Responsibilities Of Nurse Managers

The Role And Responsibilities Of Nurse Managers

Managing a staff of nurses is a gargantuan career that requires nursing and managerial skills. A nursing management career starts with being a licensed practical nurse and working your way up through years of clinical practice and topical education. They also participate in management training that addresses specific issues that deals with employees, behavioral standards, and employment of legal issues that is associated with the supervision of the people working in the hospital environment. Nurse Managers or what used to be called as head nurses handle specific departments selfsame as the intensified care unit or pediatrics.

Duties of a nurse manager

Nurse Managers are liable for planning, structuring, and semanship health services in their department to ok that the goals and objectives are performed consistently and that the services provided to the patients is of the highest quality and standard.

They select, inspiration, induce, and direct the development and evaluation of the staff nurses. They are guilty for establishing and keeping lane of quality improvement indicators and other information that concerns the patient care and services. They make safe that resources are available in order to supply high quality service and the on - time performance that is consistent with the facility ' s standards. At times, they devise educational programs that are health related for the facility ' s non - acknowledged and polished staff.

They participate, consult and collaborate with other units and healthcare providers in developing long term plans for health care programs. They interpret and communicate policies and procedures that the agency or facility puts in residence to start areas of importance and assignments among departments and bastinado.

They are also to blame for unraveling budget estimates and handle other information pertaining to financial concerns and requirements. They approve and observer expenditures and purchases to effect that the budget guidelines are complied to.

They are tied in the mace maintenance. They dispense nurses to idiosyncratic cases and administer the patient care to safeguard that it remains at a high customary. They are also entangled in creating treatment plans for patients and to coordinate the efforts of the medical team. This is to keep everyone up to quickie of the keep up in the medical care and trait of the patient.

Key challenges in nursing management

Increasing nursing mace fulfilment and retention. One of the most immense aspects of being a nurse employer is how to effectively address or reduce the effects of the durable shortage of nurses especially in their unitary facility or department.

Planning and managing the unit ' s capital and resources. This requires proper planning and management on a shift to shift basis and in between shifts.

Handling of labor and union issues. Labor unions are becoming more demanding in their efforts to affect the hospital ' s management decisions. Nurse Managers need to have the sophistication, skill and thoughtfulness in order to effectively inscription close concerns and issues.

Creating a positive and performance oriented culture. A nurse boss has a great influence in establishing a positive and performance oriented culture by building an open communication with the staff and root the standards of care, build an alliance with her staff and other members of the multi - disciplinary team and arrange that each one feels worthy and committed to organizational goals.