Nursing Practice


Introduction


The nursing practice has its own standards in taking the responsibility. From the nursing education that provided by the medical professionals, the future of nurses in medical practice can be forged. The role of nurses is visible in the health care community. With the help of the collaboration of nursing programs and current health care issues, there is an assurance that all of the nursing practices are delivered with quality. However, what qualities does it take to be a successful emergency room nurse to be effective in the roles and functions that they play within the health care settings?


The Nursing Practice


An emergency room nurses are expected to be master in their practice and medical environment. Professionalism is always the driving force for them to wear their composure and attitude. The responsibility in taking care of the patients can be mirrored in their oath and practiced core values. The continuous promotion of quality lifestyle and well-being remains as a strategy in the early recovery of the patients. On the other hand, the examinations of the physical, emotional, mental, social, and spiritual factors are also emphasized. Part of their job is performing well in assessing, diagnosis, and technological skill, and at the same time attends to the needs of the patients to provide medication, comfort and counseling.


            Nurses are considered as the most flexible worker in the field of medicine. Nurses are the assistant of the doctors and when the doctor is out, the nurses are in-charge to do the unfinished duty. The clinical judgments are part of their practices, values and ethics. The touch of technology also reached their domain to make an additional knowledge. The nurses have a broad knowledge in determining the difference between a disease and illness. Knowing the distinction can formulate a good foundation in the healing purposes and if possible, as part of the nursing education in the near future. The essence of the existence of the nurses doesn’t focuses only for the people but also in the environment.


Clinical Skills


Oral Medications


An emergency nurse practitioner administers the oral medications for the patients which are done by taking a medicine through the mouth. Some oral medications are administered through the use of tubes if the patient is not capable in ingesting the medicine. The use of tubes is in the purpose of keeping the patient take his food or medicine if he cannot chew and swallow it literally. The caring procedure of the nurses in their kind of work is very much far from the improvised household procedures and ensures safety and cleanliness.


Administering Intramuscular/Subcutaneous Injection


This kind of medical practice is very critical because the medicines are intended to take in the use of syringe. The liquid medicine is stored inside the injection and the nurse needs to study first the composition of the patient before performing such tasks. The type of the medicine depends on how the patient can carries it through his bloodstream. After the determination of the right medicine, the measure of it must also be considered. The nurse should then next to identify the right muscle tissue where the syringe is intended to be inserted. Another factor to be considered is the rules for safety and clean syringe. The nurse must be first confirmed the right selection of the right size of the needles. After the medical performance, the proper disposing of the materials should be done. The proper way to dispose it is very essential so that the possible infection cannot be scattered and the development of the future viruses can be avoided.


Wound Management


The most common incidence of patient’s cases in emergency is the involvement of wounds or serious cases like hernia. The large and deep cuts seen from a patient’s skin is part of the responsibility of an emergency nurse practitioner. Since the nurse noticed the sudden change in the patient, he must start to work in it. It is very obvious that the wound had a minimal chance of infection and before it scattered and become too late, he must assess the past learning that he had. It Includes:




  • reduction or elimination of causative factors (pressure, shear, friction, moisture, circulatory impairment, and/or neuropathy),




  • providing systemic support for healing (blood, oxygen, fluid, nutrition, and/or antibiotics), and




  • applying the appropriate topical therapy (remove necrotic tissue or foreign body, eliminate infection, obliterate dead space, absorb exudate, maintain moist environment, protect from trauma and bacterial invasion, and provide thermal insulation).




 


Conclusion


Through the use of the evidence-based practice like the case studies, the role and function of nurses can be improved. The nurses accompanied the doctors and other physicians but they should also create medical decisions in case that the doctors are attending other patients that are mostly with critical situations.


References:


Keast, D., & Orsted, H., (2003) The Basic Principles of Wound Healing [Online] Available at: http://www.pilonidal.org/pdfs/Principles-of-Wound-Healing.pdf [Accessed 02 September 2010].


Shah, D.K., & Sagar, J., (2007) Massive Penoscrotal Haematoma Following Inguinal Hernia Repair: A Case Report, Journal of Medical Case Reports [Online] Available at: http://www.brooksidepress.org/Products/Administer_IM_SQ_and_ID_Injections/lesson_2_Section_1.htm [Accessed 02 September 2010].



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