In Britain, every nurse is on grade. The grade depends on experience and skill, and each grade has different responsibilities and pay. On the bottom grades are unqualified auxiliary nurses who do the routine work on hospital wards. On the top grades are nursing officer, who are usually administrators.
Auxiliary nurses are on the bottom grades, but student nurses get the lowest pay. However, student don't stay at the bottom of the scale forever. When they qualify, they start working on a middle grade. As they get experience, they can get promotion and move up the ranks to become staff nurse, then sister (charge nurse if a man), and perhaps eventually nursing officer.
Many Nurse work shift, and often they work overtime to earn more money. After basic training, many nurses choose to do further study and become specialists. Nurses can specialize in many different fields, there are triage nurses working in Casualty, and Psychiatric nurses who treat the mentally ill. There are health visitors who visit patients in their own home, practice nurses working in GPs' surgeries, and midwives who deliver babies.
Many of them say they don't get enough pay and respect for the work they do. They say that the work is physically and mentally hard, that they work long hours and get very tired. But they also say that there are many great rewards which have nothing to do with money.
Nursing Care Plan For Discharge Patient
When the doctor decided that the patient already in the good condition, The nurses have to prepare what they must do or see what is the patient needs after discharge from hospital.
Nursing care pan for the discharge patient do not important for the patient only, but to the family also the nurses should explain what they can do related to patient's needs.
Plan and Outcome data :
- The patient or family's discharge planning will begin on day of admission including preparation for the education and or equipment.
- On the day of discharge, patient / family will receive verbal and written instructions concerning: Medications, Diet, Activity, Treatments, Follow up appointments, Signs and symptoms to observe for (when to contact the doctor), Care of incisions, wounds, etc.
- Other data may can help.
Nursing Interventions :
- Assess needs of patient/family beginning on the day of admission and continue assessment during hospitalization.
- Anticipated needs/services:
- Respiratory equipment,
- Hospital bed,
- Wheel chair, Walker,
- Home health nurse,
- Home PT/OT/ST
- Involve the patient/family in the discharge process.
- Discuss with physician the discharge plan and obtain orders if needed.
- Contact appropraite personnel with orders.
- Provide written and verbal instructions at the patient/family's level of understanding.
- Verbally explain instructions to patient/family prior to discharge and provide patient/family with a written copy.
- Ascertain that patient has follow-up care arranged at discharge.
- Provide verbal and written information on what signs and symptoms to observe and when to contact the physician.
- Assess if any community resources should be utilized (i.e.: Home Health Nurse), and contact appropriate personnel.
- Document all discharge teaching on Discharge Instruction Sheet and Nursing notes.
- Other: ...
Labels: NCP Discharge Patient
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Management Nursing Care Plans @ 11:42 PM,
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