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Wednesday, September 18, 2013

Healthcare Managemanet Issues

Clinical practice I admit been in motif cellular phone interchange for over 2.5 age. As a member of ONS I have worked over the past course of instruction to obtain galore( blank spacenominal) certifications ( OCN, Chemotherapy/Biotherapy, ACLS, and Telemetry). I have been involved in precepting many a(prenominal) students, PSNEs, see and new nurses. I take pride in creation able-bodied to break down complex topics to nation who are new to stem cell, in order to oblige them a solid foundation to grow from. I have a very open, engaging personality which facilitates me being able to be a resource for go through and through and less experienced nurses on the floor. I also adapt well to ever-changing situations. DD 67 y/o male. Hx of lung cancer with radiation and 50+ years of smoking, ECHO showed COPD. patient received a corduroy transplant in March 2012 and while out diligent, stirred role tripped and broke respectable hip in whitethorn 2012. During recovery from hip military operation patient highly-developed PNA and PE. I took care of DD about 45 days post hip surgery. At this time patient was weaned from vapotherm 65% on 15L to NC. DD had on order for 3L NC group O at night and 2L NC type O during the day. Since patient had such an bulky pulmonic history there was an order to keep patient group O situration above 86% unless patient was symptomatic.
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Patient had been maintaining his oxygen intensiveness with the new oxygen orders anywhere from 90-96% on my commencement exercise day. On my first day the primary team up had weaned his steroid hormones , again, which always left the patient with ! a steroid hang over the following day. The patient had been through the edge of having his steroids weaned many times and knew what to expect distributively time. On my second day we had gone for our morning walk, sat up in the chair for breakfast, and made it back to the hit the sack for a mid-morning nap. DD had expressed increased fatigue but no worsened than before when his steroids had been decreased. At 1200 patient oxygen saturation was 85%. Respiratory therapy was paged for a PRN tx and then the MD was contacted (MD...If you neediness to get a full essay, order it on our website: OrderCustomPaper.com

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