Care Plan

In: Philosophy and Psychology

Submitted By turkey12345
Words 3608
Pages 15
Understanding Your Role.
I report to work in the duty room at the beginning of each shift. The rota is on the wall in the duty room so I can check which shifts I am working also if there are any shift changes.Annual leave - there is a folder in the duty room with the annual leave forms.If I wish to book annual leave I fill in the form and hand the form to the care manager.I check the blue diary to see if the holiday has been granted.Calling in sick – early shift by 6.00 -late shift by 11.00 b .Breaks - 10 minutes in the morning but this is up to the discretion of the team leader and half hour lunch unpaid.Timesheets are in the timesheet folder in the duty room .I fill the timesheet in weekly and total my hours weekly . At the end of the month I total all the weekly hours to get my monthly hours and fill in the box at the end of the sheet and sign the sheet.Pay slips - I go the office and sign for my pay slip monthly .Second employment - you are not allowed to have a second job whilst working at LCD.Staff handbook received on induction.Expenses - I can ask Sue for a form from to claim back any expenses.line management - on my induction a received a chart lay out of the line management .job description I received when I did my induction with Ann on the first day .The signing in book is in the entrance hall as I enter the building .I sign in when I arrive and sign out when I leave.
Your personal development
I meet with my mentor Jeanette monthly to discuss any problems ,support or further training I need regarding my role.Also receive support from the care manager Ann.I also receive feedback from my mentor and the care manager regarding my work.Probation period= 3months and completing the induction and the care certificate ,I have kept a folder of the courses I have attended .

Similar Documents

Plan of Care

...Consumer Name: Date: 12/5/12 RN Plan of Care: 1. Perform S-SAM’s Assessment annually per LVN to re-evaluate ability/knowledge to self-administer routine and ‘prn’ medication, OR with competent staff supervision OR appropriateness of RN exemption/delegation for medication administration (1hr/yr- LVN; 1hr/yr-RN) 2. Complete LVN focused nursing assessment on admission and semiannually to obtain current medical data to monitor decline/improvement of current medical and/or psychiatric diagnosis. (2 hrs/yr- LVN) 3. RN will perform QA review of chart annually to monitor compliance/recommendations of medical/dental/vision/consultant appointments, and intended effects of routine and ‘prn’ medications and to develop the RN Plan of Care for annual IP. (4hrs/yr- RN) 4. RN will perform a follow-up QA of chart within 90 days of annual QA to confirm compliance to DADS regulations and to RN Plan of Care. (1hr/yr-RN) 5. Perform verification of current MD orders on pharmacy printed MAR (3hrs/yr-LVN) 6. Perform verification of compliance to medication/treatment orders documented by unlicensed staff on MAR (3hrs/yr-LVN) 7. Nurse to monitor monthly weight and inform PCP of weight gain/loss > 8lbs (1hrs/yr-LVN)(1hrs/yr-RN). 8. Nurse to provide annual residential/day habilitation staff education/training on SAM’s process in order to deem staff competent to administer medications per BON-RN Delegation.(2hr/yr-LVN) (2hrs/yr-RN) 9. Provide RN on-call after office hours to......

Words: 346 - Pages: 2

Care Plan

...Northwest Tech Community College Nursing I & II Care Plan Student's Name: Client's initials: Date: ___________ Age and Developmental Stage: 69 year old Integrity vs. despair this patient is in despair not able to care for himself financially. ______ Diagnosis and Definition: Pneumonia- infection in lungs caused by a pathogen. ______ ¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬¬-__________________________________________________________________________________________________________________ IDENTIFIED NURSING DIAGNOSIS SHORT-TERM GOAL INTERVENTIONS NURSING ACTION TAKEN RATIONALE FOR NURSING INTERVENTION EVALUATION OF THE EFFECTIVENESS OF THE SHORT-TERM GOAL I. Health Perception/ Management A. Nursing Diagnosis: Risk for Injury Subjective: Pt states he has lost his pep and stamina. Has shortness of breath with any exertion. Objective: Pt has Rheumatoid Arthritis and uses a walker. A. The pt will not fall during my shift 1. Provide night light 2. Keep patient’s room free of clutter 3. Assist the pt with all transfers and ambulation. If the patient requires multiple pillows for rest or positioning, tape the bottom layer of pillows to prevent dislodging. 1. Safety measures to prevent falling at night (Cox,2007,p.62) 2. Basic safety measures to prevent injury (Cox, 2007, p.62) 3. Assist in preventing suffocation or tripping on pillows. (Cox,2007,p.62) Goal was met. Pt ambulated with one person......

Words: 1891 - Pages: 8

Care Plan

...This essay will examine the challenges of managing Mr. W. Fountain nursing problem on his immobility condition. Developing a care plan for Mr. W. Fountain to aid his recovery due to stroke; resulting to mobility problem. Although, mobility as a result of stroke will be the main focus of this essay but I will also briefly explain the process of developing an effective care plan. I will be relating it to my anatomy and physiology knowledge and show why dealing with my father’s stroke condition some twenty seven years ago make Mr. W. Fountain condition more personal to me. At this stage, I will like to highlight that the nursing management for Mr. W. Fountain will be based on the use of Roper Logan Tierney model in practice. (2003). I will be applying the nursing process that includes delving into the phases and cycle of nursing assessment, planning, implementing and evaluating (APIE). At the implementation stage, a care plan with appropriate objectives, implementation steps and evaluation strategies will be drawn in ensuring that his care is more focused on his needs. I will also be using a range of assessment tools: such as waterloo score and strip, trips and fall. Dignity and respect of Mr. Fountain will be maintained all through in this essay. In conclusion a copy of care, feedback from the Lecturer and reflective summary will be attached. According to Glasper and Mcewing (2010) Stroke occurs if there is an interruption of blood flow to part of the brain. Without blood...

Words: 2921 - Pages: 12

Care Plan

...NURSING CARE PLAN COURSE: Basic Adult Health CLIENT INITIALS: DATE OF ADMISSION: AGE: GENDER: JL June 13, 2011 85 M HT: WT: ALLERGIES: 140 lbs. NKA CODE STATUS: FULL RACE/ETHNICITY: CULTURAL CONSIDERATIONS: Caucasian None RELIGION/SPIRITUAL CONSIDERATIONS: Unknown OCCUPATION/HOBBIES/RECREATIONAL ACTIVITIES: Retired LIVING SITUATION/WITH WHOM: (home, assisted living, LTC, etc) Lives with daughter. SOCIAL HISTORY: (tobacco, ETOH, illicit drugs, family dynamics) Quit smoking many years ago, no history of ETOH or drug use. NURSING CARE PLAN ADMITTING MEDICAL DIAGNOSIS: Client's principal admitting diagnosis was leukocytosis. Definition: (from Taber’s) “An increase in the number of leukocytes (usually above 10,000/mm3) in the blood. It occurs most commonly in disease processes involving infection, inflammation, trauma, or stress, but it also can result from the use of some medications” (Venes, 2009, p. 1327). Etiology/pathophysiology: ( NOT from Taber’s or Wikipedia) Etiology: Causes of leukocytosis are infection, inflammation, tissue damage, immune reaction, bone marrow problems, medications, and stress (Drug Information Online, 2011). Pathophysiology: “Leukocytosis can be a reaction to various infectious, inflammatory, and, in certain instances, physiologic processes (eg, stress, exercise). This reaction is mediated by several molecules, which are released or regulated in response to stimulatory events that include growth or survival factors (eg,......

Words: 3941 - Pages: 16

Comparison of Health Care Plans

...Comparison of Health Care Plans There are several different health care plans available for consumers, and businesses as well as physicians. An Indemnity Plan: under this plan the insurance company which is known as the payer protects the policy holder against costs of medical services and procedures. This plan has higher costs to the consumer but also offers freedom of choice for providers. Health Maintenance Organization (HMO): Offers Limited provider network, but does cover preventative care, lower co payments, does not cover any out of network non-emergency services. Point of Service (POS): Offers in network and out of network providers, lower co-payments for in network, and higher costs of co-payments for out of network providers. Preventative care is covered. Preferred Provider Organization (PPO): Offers preferred providers you can also use out of network providers but at a higher cost. Referrals are not required for specialists, discounted fees, and need preauthorization for some procedures. Higher costs for out of network providers, preventative care coverage varies. It is my opinion that the PPO will provide more coverage for the least amount of money for the consumer but does not favor the provider; the provider is given a list of what is a covered expense and the rest they have to write off. I have a PPO for my insurance plan from my employer and I get papers from the insurance company with a detailed explanation of what...

Words: 271 - Pages: 2

Care Plan

...Care Plan Gastric Bypass Nursing Dx Related to As evidence by 1. Risk for Infection gastric bypass surgery surgery 2. Acute Pain surgical procedure pt stating pain 3. Imbalanced nutrition decreased ability to digest food decrease size of stomach Goals: Remain free from infection, demonstrate appropriate care of site, and demonstrate hygiene measures Interventions: assess vitals Rationales: increase in temp could be infection Show patient wound care teaches patient wound care properly Teach & have patient demonstrate proper hygiene Ensures sanitation measures Outcomes: Patient shows no signs of infection, patient listening and demonstrating how to clean surgical area Goals: Patient has decreased pain, know ways of decreasing pain, pain management Interventions: reposition pt Rationales: comfort measure Offer suggestions to help relieve pain gives more options on how they can help with their pain Teach patient of knowing when medications should be taken Helps with keeping the pain at an optimal level Outcomes: patient states decrease of pain, states ways of decreasing pain and when to take pain meds Goals: Identify nutritional requirements, have appropriate weight loss, consume adequate nourishment Interventions: Give resources for nutrition Gives pt options that they can have to eat and support Weigh pt daily monitors their weight loss Teach pt......

Words: 259 - Pages: 2

Care Plan on Stroke

...This health problem was chosen due to personal experience with family members who have suffered stroke as well as working with patients on practice placement, and seeing how important it is to respect the person as an individual and to give them the holistic care they deserve and allowing them what independence they have left. Finally the essay will also discuss the involvement of the multidisciplinary team and the roles they each play in the caring of a patient suffering from dysphagia for example the dietician and speech and language therapist (SALT). The first phase of the nursing process is the assessment of the current needs/problems presented upon Mr. Smith’s arrival to hospital. The initial assessment requires the nurse to gain consent in order to gather any information such as his contact details as well as the contact details of his next of kin who in this case his is wife Susan and also the details of his GP, any known allergies he may have and any medications he may currently be on, whether he has dentures as well as his weight and BMI. During this phase, communication with the patient and family is essential to ensure that correct information is obtained so that a proper informed decision concerning his care can be made. In this case there may be some barriers that may effect the assessment process and that is the speech of Mr. smith is sometimes slurred, therefore he may need his wife to answer some of the more complex questions that require more than a yes......

Words: 4726 - Pages: 19

Care Plan

...NIAGARA COUNTY COMMUNITY COLLEGE THEORETICAL CARE PLAN DATE: NUR STUDENT NAME: MEDICAL DIAGNOSIS: Acute Abdominal Pain SURGICAL PROCEDURE & DATE: Hartman Procedure PATIENT'S INITIALS: AGE: 57/M ROOM #: ERICKSON'S DEVELOPMENTAL STAGE: VII generativity vs stagnation |A. Brief Description of Pathophysiology Including Signs & Symptoms: Hartman procedure-The Hartman procedure was developed by Dr. Henry Albert Hartmann in 1921 and involves the surgical resection of the | |rectosigmoid colon, closure of the rectum, and creation of a colostomy. It was initially created to improve the mortality rate of patients who had colonic adenocarcinomas but is now indicated for | |several pathologies including complicated and severe diverticulitis, rectosigmoid cancer, and in cases where a colon resection is needed but a primary anastomosis cannot be safely done. There are few | |contraindications to the procedure and is often the procedure of choice when other complicated procedures cannot be performed. Patients with hypotension, renal failure, diabetes, malnutrition, immune | |compromise, and ascites can have unfavorable......

Words: 2513 - Pages: 11

Care Plan

...NURSING CARE PLAN # 1 Write one (1) priority NANDA nursing diagnosis for the assigned client. Address one of the following client needs in identifying the nursing diagnosis: 1. Oxygen, 2. Fluids, 3. Nutrition, 4. Urine or bowel elimination, 5. Comfort and hygiene, 6. Activity, rest & sleep, 7. Safety, and 8. Psychosocial For additional information on writing care plans see “Writing the Nursing Care Plan” in the NRS 104 Syllabus. Nursing Diagnosis (Client specific problem; Use NANDA and PES format) Client Goals (Specify 1 short-term and 1 long-term goal) 2 Nursing Interventions (To assist client in meeting expected goal) and 1 Teaching intervention Rationales for Nursing Interventions (Cite source, year, and page number of text for each rationale) Actual evaluation based on care provided during the clinical day Transfer ability impaired related to difficulty of moving from bed to bathroom and back. STG: Patient will be able to transfer from bed to the bathroom with assistant three times at the end of the shift LTG: Patient will be able to use the walker to move around in two week. Help client put on shoes or nonskid socks when transfer Apply a gait belt to lower back before transfer her. Keep the belt close to the patient when transfer - with shoes or nonskid socks will prevent from slip or fall (Ladwig 376) - The belt provides a handle of sorts, that allows whomever is escorting to weakened individual to easily grasp the...

Words: 340 - Pages: 2

Care Plan

...Care Plan : Pregnancy Induced Hypertension (PIH) Patient Conference Report History of events leading to admission: This is a 46 y/o female that was admitted to Brandon Hospital. She is 28 weeks gestation with twins. Medical diagnosis: Pregnancy Induced Hypertension Past Medical History: Seizure disorder for which she takes Lamictal, infertility, 2nd. Invitro with twins, she has a sinus infection. Past Surgical History: Laparoscopy for endometriosis X3, surgery for broken jaw, tonsillectomy, Pertinent Lab Results: Most recent labs done 2/22/15, (CBC) NA+ 156, BUN- 28, Albumin- 8.0, Protein- 10.0, Creatinine- 1.3, Pertinent diagnostic results: Chest X-ray: pulmonary edema and cardiomegaly, cardiac catheterization, EKG: atrial fibrillation. Lists of Medications: Amoxicillin, Docosate sodium, Labetalol HCL, Lamotrigine (lamictal). Allergies: Macrobid Code status: Full code Vital Signs: T 99.2F, oral P 80, regular B/P 186/100 SaO2 100% Weight- 160lbs. Ht. 5’5 List 3 pertinent medications given by you on your shift. List actions and indications, side effects, and nursing considerations: |Name: |Amoxicillin | |Action and indications. |Binds to bacterial cell wall, causing cell death, spectrum of amoxicillin is broader than penicillin.......

Words: 593 - Pages: 3

Care Plan

...maintenance alteration. • Community members establish priorities among these health problems • Community members identifies solutions and modifications to reduce unhealthy lifestyle • Community members evaluate the success of the plan • Community members continue with interventions to be effective in maintaining health Interventions (Role of the nurse) • Partner with community members to identify their healthcare needs. • Involve community members by allowing them to voice their opinion • Identify and help remove barriers to health care. • Discuss with the community members, realistic goals for changes in health maintenance. • Help community members to choose healthy lifestyle and to have appropriate diagnostic screening tests completed. • Refer community members to social services for financial assistance as needed. • Encourage community members to make and keep appointments with primary providers Evaluation To determine the success of the interventions, community members will: • Describe at least two contributing factors that lead to health maintenance alteration and at least one measure to alter each factor • Verbalize an understanding of and a plan for adhering to recommended follow-up care including future appointments with health care provider exercise regimen, and medications prescribes...

Words: 281 - Pages: 2

Care Plan

...contribute to these problems. Community health nursing diagnosis (Used at least one nursing diagnosis for the community). Deficient knowledge regarding condition, treatment plan, selfcare r/t unavailability of health education as evidenced by increased heart disease in community. Risk of decreased cardiac output r/t smoking, drinking and obesity. Community health nursing plan (Identified at least one short term and one long term goal for the community. The goal/objective is related to the priority problem and is a measurable statement): Short Term Goal: By 2017, 25% of people will be educated on heart disease and risk factors. They will be provided with programs to help quit smoking, diet and exercise programs and pamphlets on alcohol. Long Term Goal: By 2020, there will be a 5% decrease in heart disease for this community. Community health nursing interventions (State at least three interventions that would achieve the identified short and long term goals. These interventions are supported by the evidence-based literature. Use APA when citing the source of your interventions): At least 3 interventions that could help us achieve our short and long goals would be: 1) Provide informational pamphlets on diet, exercise and low cholesterol. Information would include meal plans . Also pamphlets or information on ways to quit smoking including oral medications, patches, gum and nasal sprays 2) Work in collaboration with hospitals, clinics or......

Words: 646 - Pages: 3

Care Plan

...J. A. Care Plan Tamara Parker South College Medical Dx: Depression Allergies: Demerol, Oxycodone Hx: 91 y/o female brought to Shannondale from Blount Memorial with multiple fractures which she sustained from falling out of her bed. Patient suffers from chronic back pain and has hx of osteoporosis, muscle weakness, glaucoma, hyperlipidemia, kyphoplasty with bone fusion, back fusion, stemi, OA, and depression. |Neuro: |GU: | |Alert and oriented x3. Little confusion |No bowel movement since 3/2/16. Urine x1. | | | | |EENT: |MS: | |PERRLA, normocephalic, presbyopia. |Generalized weakness, uses wheelchair, needs little assistance with ADL’s. | | ...

Words: 1566 - Pages: 7

Care Plan

...Advanced Nursing Practice I NSG6001 Genitourinary Care Plan Case Genitourinary Care Plan Patient Initials: H.M Age: 60 years old Sex: Male Subjective Data: Client Complaints: Decreased Urinary flow, dysuria, nocturia, urinary frequency, low grade fever. HPI (History of Present Illness): This 60 year old Hispanic male presents at the clinic today with a chief complaint of urinary frequency, decreased urine flow, increased nocturia, slight terminal dysuria and low grade fever. The patient was experiencing these symptoms for the past two years, but they had increased a whole lot more during the last two weeks. Upon assessment, it is noted that the patient has a systolic murmur that is more audible at the right sternal border. Five years ago, patient was in the hospital with suspected angina. At the moment, the patient presented with a PSA level of 6.0. In the past patient did not seek medical advice or treatment for his symptoms which have worsening now and forced him to look for medical assistance. PMH (Past Medical History—include current medications, any known allergies, any history of surgery or hospitalizations):   Patient has history of urinary frequency, decreased urine flow, nocturia and dysuria which he did not seek medical help for. Patient was hospitalized five years ago, where he was treated for chest wall syndrome. Patient is currently under treatment for high cholesterol and......

Words: 1755 - Pages: 8

Care Plan

...Student: | Angela Hanus | Date of Care: | 06/14/16 | Clients initials: | MO | Age: | 71 | Date of admit: | 06/14 | Admitting Diagnosis: | Hepatic Encephalophy | Past Medical History: | Colonic polyps | Benign neoplasm of colon | Bunion | Hammertoe | Tibialis tendonitis | Liver failure | Severe malnutrition | Carotid artery injury | Type 2 diabetes | Hepatocellular carcinoma | Sarcopenia | Liver/Kidney transplant | Immunosuppression | Hyperglycemia | VRE | ESRD | MDRO | | | Medications: Generic Drug/Purpose | Dosage | Route/Freq | Generic Drug/Purpose | Dosage | Route/Freq | Caffeine / Somnolence | 200 mg | PO / BID | Epoetin Alfa (Procrit) / Anemia | 10,000 units | SubQ / TIW | Insulin (Humulin R) / Diabetes | Sliding Scale | QubQ / Q6 Hours | Metocloprimide (Reglan) / Nausea and Vomiting | 5 mg | IV / TID | Midodrine (Proamatine) / Orthostatic Hypotension | 5 mg | PO / BID | Ursodiol (Actigall) / Hepatitis | 300 mg | PO / TID | Lantus / Diabetes | 16 units | SubQ / QHS | Mirtazapine (Remeron) / Major Depressive Disorder | 7.5 mg | PO / QHS | Mycophenolate (Cellcept) / Renal Transplant Rejection | 260 mg | PO / BID | Pantoprazole (Protonix) / Esophagitis | 40 mg | Inj / Q12 Hours | Prednisone / Renal Transplant Rejection , Cerebral Edema | 5 mg | PO / QD with breakfast | Quetiapine (Seroquel) / Major Depressive Disorder, Bipolar | 25 mg | PO / QHS | Sodium Chloride .9% / Hyponatremia | 10 ml | IV / Q8 Hours | Tacrolimus (Prograf) /......

Words: 642 - Pages: 3