UNE Nursing Student

Month: September 2022

Human Trafficking

Before the presentation about human trafficking, I had limited knowledge about the statistics and facts of the prevalence of human trafficking. I have heard on the news many times about people arrested for sex trafficking and I have seen so many articles and posts about how to avoid being trafficked. I have been advised that if someone is following you in public, try to go to a highly populated area. Another tactic that has been discovered that human traffickers may use is putting zip ties (or anything you would have to take time to remove from the outside of your car) on the outside of your car so you will take the time to remove it and be distracted. If you remove it at that time someone could be waiting to abduct you. In order to avoid this, do not remove it at that time and just get in your car and leave. 

I did not know much about labor trafficking before the presentation and it shocked me the amount of different jobs that could be affected by labor trafficking such as panhandlers, nail salons, and construction jobs. I would like to study more about  the signs of human trafficking that healthcare workers may see because it is our priority to keep patients safe and to assess for signs of abuse, neglect, or possible danger outside of the healthcare setting. I was really thankful for the little cards that the presenter handed out because I am going to put that with my hospital badge to reference if I suspect a patient is the victim of human trafficking. 

Planning Change

I anticipate this project going really well because my clinical group works together really smoothly and successfully. Even though I have only spent a couple days of clinical and one day of simulation with my clinical group, we have gotten pretty close. We have already navigated ways to work with each other in the most successful ways possible. Whenever one of us needs help with a patient, needs help remembering a skill, remembering a med, or remembering where things are on the floor, anyone in the group is always willing to help. I do not anticipate us having problems with working as a collaborative team.

We created a group chat with everyone in our group and will check on each other’s progress throughout the timeframe of this project and through each task we need to complete. We have agreed to be open and honest with each other if problems arise, be respectful, and to speak up if something is bothering one of us. I do not anticipate us running into any barriers, but if we were to, it might be finding time to work on the project together. Teamwork is a skill that can always be practiced in order to be more successful in our future careers. Practicing researching skills will also be so helpful for us in clinical practice because medicine and healthcare is changing everyday and there is always room for more research and improvements.

Disaster Nursing

Nurses need to be familiar with their own hospitals emergency safety plans as well as safety plans produced by Joint Commission. Plans such as a Hospital Incident Command System (HICS) and an Emergency Operating Plan (EOP) are two resources that hospitals have to create clear structure and instruction in the event of a disaster or emergency. Nurses are known for being quick to act and always need to be ready in the event that some of the emergency protocols need to be followed. The nurses main goal is patient safety and maintaining the safest environment possible for all patients in the hospital.

Nurses have a duty to self and a duty to patients for safety. Nurses must keep their own lives safe in order to be able to care for and treat as many patients as possible if an emergency or disaster were to occur. Therefore I think if nurses try to keep themselves safe before trying to treat or care for others, it would be the best case scenario for all. The more nurses are safe, the more patients they will be able to then save.  When triaging patients after a disaster or emergency has occurred the nurse must then think about the severity of each patient and assess based on greatest patient need. 

Pre- Hospital Elder Life Program Assignment

Delirium is an abrupt change in cognition and disturbance in consciousness, It develops very fast and is usually reversible and most often is preventable. It occurs too often and is a problem for older adults. Ways to prevent dementia are getting people up and moving after surgery or during hospital stays and orientating the patients frequently to person, place, time, and event. Other important aspects are making sure that the patients can communicate most efficiently such as making sure they have access to glasses, hearing aids, and dentures. I have cared for many patients experiencing delirium as a CNA this summer. The patients I have worked with generally just seem confused about the care that they are receiving and don’t fully understand why they are in the hospital. They become confused about the many healthcare staff taking care of them and can become combative and agitated. This makes it challenging to give them the best care because they don’t understand why they need IV’s or things like that.

My goals are to be kind and have a caring attitude while trying to orient patients at risk of developing delirium. I want to be able to talk with older adults and help prevent prolonged hospital stays for them. I also want to learn more about delirium because that is something that is very prevalent in hospitals and I will be a nurse in that setting. I am not nervous about this volunteering opportunity because I have had clinical at Maine Med already and am very familiar with the setting. I also worked as a CNA all summer with dementia and delirium patients so I have experience with those topics. There is no HELP program at Maine General in Augusta that I know of and they have a lot of patients developing delirium. It was really hard to see also the amount of patients with delirium and dementia that were just waiting for placement because no nursing homes had any openings for them.

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