.

Monday, January 28, 2019

Nursing Rounds

Nursing rounds ar given separate name according to thepurpose they serve . a)Information giving rounds It is used to acquaint the staff with tot everyy forbearings on the screenor division . b)Instructional rounds Here the give suck is expected to read the charts and observe torounds with basic information in mind . c)Problem solving rounds This is to help the treat staff learn to conduct initialinterviews make assessment of patients needs and identify wield for c atomic number 18 problems . Purposes of treat rounds 1. To demonstrate symptoms important in breast feeding c ar . 2. Clarify terminology studied . 3.To comp atomic number 18 patients reaction to disease and study thedisease conditions. 4. To demonstrate effects of drugs i. e. indication ,actions andreactions of drugs . 5. To adorn skillful nurse care . 6. To compare method of meeting nursing needs and to havebetter understanding and to give more purposeful care topatients. 7. To garnish successful improvisati on and to give opportunityfor the use of different applications . Factors to be kept in mind when innovationning nursing rounds 1. To consult students previous clinical experience to avoidrepetition and to add to earlier experience . 2.Keep in mind the probable value and availability of clinicalmaterial . 3. If some demonstration is do ,it should not have adeleterious effect on the patient . 4. Explain the plan to the patient . 5. Introduce the patient to the host . 6. Make the patient smell important . 7. Have post conference for summary and further definition . 8. Record the nursing rounds in the shield teaching records witha summary of nursing points stressed . Advantages of nursing rounds 1. Demonstration of symptoms2. To clarify terminology Herpes unidirectional Anemic pallor3. Effects of drugs Allergic reactions Side effect4. Skillful nursing care Progressing improvement of bedsore Maintenance of adequate fluid intake (oral)5. favored improvisation Use of a cha ir as backrest bend for support of ice bag6. Posture and position as indicated for individual patients achromatic position Position for surgical soak Fowlers position Position for CCF. In nursing rounds ,a small group of staff or students preferablynot more than 4 or 5 and a attractor or a instructor scold the bedside of patient. Preparation by the head book The head nurse selects the patients before hand accordingto the age available .Rounds not lost hourlong than an hour . Thehead nurse needs to read the patients histories ,know the planfor their interference and its results the patients progress andprognosis ,their nursing care and its effectiveness . She shouldpost the time for rounds at least a week in advance and indicatethe suit of preparation the nurse is to make ,that in whether sheis to know thoroughly the narrative care and progress of her ownpatients or briefly that of all patients in the ward . The central figure in nursing round is the patient .If thepur pose of the straits is instructional or problem solving thepatient will be include in the discussion. Method of Conducting Nursing RoundsA brief conference at the side of the patients room/word has to beheld. Necessary info are given. The purpose of the visit to thepatient is by the head nurse, special thoughtfulness to be madeor pointed out at this time. 4 to 5 patients are selected forinstruction. 4-5 minutes are apent. The head nurse herself maypresent the uses or she may ask the students who are designate tothese patients to answer the questions of the group or herquestions.The students are asked to present the cases regarding otherparticulars. The participants may also be multiform such ascounting pulse, respiration, examining the conjunctive, pitting,edema etc. The patients case sheet tail end also be utilized withpresentation. convey the patient before release and tidy up thebed. Post meetingThe presentation is summarized and further translation if any, may be giv en, questions are invited from the students. 5. treat ASSIGNMENTAssignment in the clinical field is the nursing training cumservice. DefinitionIt is the past of breeding experience where the students partssigned with patients or other activities concerning to patientsin clinical laboratory. ? Objectives1. To declare oneself the patient with the exceed possible nursing care. 2. To plan grants which are interesting to n beheld. Necessary data are given. The purpose of the visit to thepatient is by the head nurse, special observation to be madeor pointed out at this time. 4 to 5 patients are selected forinstruction. 4-5 minutes are apent.The head nurse herself maypresent the uses or she may ask the students who are assigned tothese patients to answer the questions of the group or herquestions. The students are asked to present the cases regarding otherparticulars. The participants may also be involved such ascounting pulse, respiration, examining the conjunctive, pitting,edema e tc. The patients case sheet can also be utilized withpresentation. Thank the patient before leaving and tidy up thebed. Post ConferenceThe presentation is summarized and further explanation if any, may be given, questions are invited from the students. . NURSING ASSIGNMENTAssignment in the clinical field is the nursing education cumservice. ? DefinitionIt is the past of learning experience where the students areassigned with patients or other activities concerning to patientsin clinical laboratory. ? Objectives1. To provide the patient with the best possible nursing care. 2. To plan assignments which are interesting to nurses andstimulating to their professional growth. 3. To provide a sanitary rounded educational experience forstudent nurses. 4. Achieving good ward management. Methods of Assignment1. The patient method2. The functional method3. The team method1. Patient methodIn this method of assignment a nurse is expected togive complete nursing care to one or more patients incl udinggeneral nursing measures, treatment, medications, takingtemperature, pulse, respiration, serving nourishments and givinghealth instructions. If she goes on off duty her group of patientsin taken over by other nurse for the period of her absence inorder that the patient may still touch individualized care. 2.The Functional methodIn the nurses are assigned to proper(postnominal) functions in the wardsuch as giving medications or treatment to all patients, takingthe temperature of all or giving general nursing care to a groupof individuals. near hospitals which use the patient methodmodify it to some period of the day such as evenings andnights when a few nurses are on duly. 4. Team method of assignment Nursing care is given to the patients with team conferenceby all the members of the team. Nursing draw supervises andguides the team in giving quality nursing care.The principlesrelative to making assignments inwardly the team will include. 1 . In planning the patient care a well qualified team members areinvolved in which center and type of responsibility, a studentcan assume depends upon a stage of her education. 2. All the carnal needs and treatment are given by the samenurse but the circumstantial treatment is given by professional nurse. 3. When two persons are unavoidable to give a patient certain care itis often well for the team leader to be one of the two.Whenassisting a team member, the leader has an opportunity toobserve the condition of the patient, work of student and aid andrelationship with the patient and at the same time he can teachthem. Criteria for effective Assignmenti. Students are to be informed of the objectives of theirassignment to a particular ward/unit of the area/hospital forclinical experience. ii. Students are to be oriented to new clinical area. iii. Students are to be given the learning experiences which areoutlined in the objectives for particular clinical experiences. v. Students are to given facilities to practice nursing accordingto principles taught. v. Only recognized wards of the hospital or community are tobe selected for students to achieve required learningexperience. vi. Assignments have to be assigned according to the consistentlevel of learning that students have reached or attained. vii. Proper guidance and supervisor has to be provided to thestudent during their clinical experience. viii. Sufficient time to be provided to carryourses andstimulating to their professional growth.

No comments:

Post a Comment