Year 3 student nurse, Urgent and unscheduled care assignment

In quest to deliver urgent and unscheduled services, hospital management has to bypass the rules confined for patients. However, service parameters are helpful to make arrangements for patient in less available time. Emergency services for contraception patient have to be occurred under clear clinical model. Medical staff doesn’t have allowance to exempt mandatory health care chronological procedures especially in emergency situations. (N.R. Buchan, R.T.A. Croson, and R.M. Dawes, 2002)

UUC parameters

·         Who needs care immediately; he/she must be medicated on priority basis.

·         Deliver care within agreed clinical model using evidences bases care, through whole system care pathways.

·         Emergency cases aren’t taken so longer for diagnosing, decision making and initializing the care process.

·         Resource utilization is essential by enhancing awareness among medical staff regarding the importance of each medical facility.

·         Care system shouldn’t be tripped as with biased means in order to effectively manage and govern the delivery of unscheduled car.

·         UUC services for contraception is intentionally planned to commensurate after complete investigation whether abortion is for premature birth or for mature birth. Hence, strict conditions used to apply on the registration.

·         UUC community wide services can be possible if unscheduled care development team/local care group with responsibility for the delivery of an unscheduled care service model is available.

·         NHS community care act 1990 should be put into consideration for possible treatment of victim.

Clinical decision making process

Clinical decisions are totally under medical officer’s control. However, they take decisions in accordance with guidelines & policies available for them. Medical officers don’t place them away from health care standards. With the advancement in technology, medical practices have been modernized and quick responsive relatively.( J. Bishop, and K. Scott, 2000) However, higher standards of facilities used to be expected by patients. Nurses don’t have sufficient privileges to execute their powers without being authorized by medical officers. In liz case, unavailability of female medical officer may enable nurse to do necessary care for her. Furthermore, nurses have sufficient privileges to give first aid to patient. Liz has been appeared to make sexual activity decision and contraceptive use in an idiosyncratic manner. She is a nurse by professional. Thereby, she has posse necessary knowledge of vulnerabilities involved in contraception.  (T. Jones, 2006)

Clinical practitioner would prepare her case, and he would diagnose medicines required her for treatment. This is her duty to assign Liz a time slot for further essential treatments. Emergency services help people to take out them from physical trauma. Emergency services cannot carry people until they fully recover. However, they have to shift patients from emergency to general hospital rooms. (J. A. Espinosa, J. N. Cummings, J. M. Wilson and B.M. Pearce, 2003)

The role of multidisciplinary team

Multidisciplinary team is fundamental need during emergency hours. Hence, their multi skills make them perfect to cope up with difficult cases. Liz case has relatedness with maternal discipline.( P.H. Siegel, 2002) However, it needs multi skills including nursing, medicine specialist and surgeons. Eventually, this team may apply generic and integrated approaches, improved access, systematic registration, involve managed clinical networks, provide pharmaceutical care, develop rehabilitation, coordinated team based care, share information and real time data. (Simmons R and Elias C, 2004)

Multitasking is helpful for achieving optimal results within short time period. However, UCC services can always be run with the adoption of multitasking approach. Liz case can be therefore operated with the presence of nurse and medical officer. When she presented her, she was containing alcohol in stomach. However, her case could touch to severity limits. This was the reason for appointing multitasking team in emergency room to better care for patients.( Kim YM et al,2005) Eventually, Liz received better medical care as of association with nursing profession. It is somehow instinct of human beings as they care little much for people to who they know. Similarly, these conceptual frameworks apply to nursing profession as well. This learning outcome is clearly describing the significance of nurse in health-care settings. Nurses have to constantly make several decisions in a UUC condition. However, nurses have to use own experiences and expertise learnt during job. Nurse must show equality in its practices, she mustn’t work for its personal interest. Multidiscipline task team can make effective collaboration between services and risk prevalence. (Redelmeier DA, Rozin P and Kahneman D, 2004)

Risk involvement

Liz had certain risks while being presented for admission in hospital. These were whether social risks or medical risks. Hereby, medical risk is to be put under control within stipulated time period but social risks never come under control of someone. Nurses should at least work towards the latest policies using the best evidences available, while working safely improving patients care and well being. The extent of abuse and patient’s vulnerability needs to put under consideration with seriousness. Nurses follow multiple guideline principles to do treatment of such victimize individuals. (Dodge JA and Oakley D , 2009) Furthermore, Liz had lost her senses due to sudden victimization of contraception. It was critical decision for nursing staff whether to admit her in emergency or they must discharge her after giving first aid. For this particular task, they were instructed to conduct essential screening tests to identify the existence of substance in her. It is, however, nurse’s responsibility to determine medical intervention for her. (Bruce J, 2000) Medical officers don’t place them away from health care standards. With the advancement in technology, medical practices have been modernized and quick responsive relatively. However, higher standards of facilities used to be expected by patients. Nurses don’t have sufficient privileges to execute their powers without being authorized by medical officers. In liz case, unavailability of female medical officer may enable nurse to do necessary care for her. Furthermore, nurses have sufficient privileges to give first aid to patient. Liz has been appeared to make sexual activity decision and contraceptive use in an idiosyncratic manner. She is a nurse by professional. Thereby, she has posse necessary knowledge of vulnerabilities involved in contraception.  ( Mills RT and Krantz DS, 2009)

Bibliography

N.R. Buchan, R.T.A. Croson, and R.M. Dawes, “Swift neighbors and persistent strangers: A cross-cultural investigation of trust and reciprocity in social exchange” The American Journal of Sociology, 2002

J. Bishop, and K. Scott, An Examination of Organizational and Team Commitment in a Self-Directed Team Environment, Journal of Applied Psychology, 2000

T. Jones, “Terry Jones on Innovation, Leadership, & Success in the Wired World”, Proceedings of the Front End of Innovation Conference, Boston, MA, 2006

J. A. Espinosa, J. N. Cummings, J. M. Wilson and B.M. Pearce, “Team boundary issues across multiple hospitals”, Journal of Management Information Systems, 2003

P.H. Siegel, Using peer mentors during periods of uncertainty, Leadership & hospital management Journal, 2000

 Simmons R and Elias C, The study of client-provider interactions: a review of methodological issues, Studies in Family Planning, 25(1):1-17, 2004.

Bruce J, Fundamental elements of the quality of care: a simple framework, Studies in Family Planning, 21(2): 61-91, 2001.

Kim YM et al., Client participation and provider communication in family planning counseling: transcript analysis in Kenya, Health Communication, forthcoming, Vol. 10, 2005

 Redelmeier DA, Rozin P and Kahneman D, Understanding patients' decisions: cognitive and emotional perspectives, Journal of the American Medical Association, 270(1):72-76, 2003

Dodge JA and Oakley D, Analyzing nurse-client interactions in family planning clinics, Journal of Community Health Nursing, 6(1):37-44, 2009.

Bruce J, Fundamental elements of the quality of care: a simple framework, Studies in Family Planning, 21(2): 61-91, 2000.

 Mills RT and Krantz DS, Information, choice, and reactions to stress: a field experiment in a blood bank with laboratory analogue, Journal of Personality and Social Psychology, 37(4):608-620, 2009

Source: UK Dissertation

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