Thursday, August 29, 2019

Nursing

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Well, as long as I can remember I was a sick child and, I figured that I wanted to be a nurse someone who was always helping people and that at a point of time in my life hey helped me. Despite, that I was a sick child I enjoy working with people and helping them as well, I have a lot of patience, and I'm very comfortable with a work environment like that. Nursing is a health care profession that involves taking care of another person in which a person needs the formal education and training in he art of science of nursing. Nurses help individuals, families, and groups to achieve health and prevent diseases, and they care for the sick and injured using procedures based on knowledge, skill, and experience. They work in hospitals, clinics, and other health care facilities, in physician's offices, in private homes, and schools. Nurse's work under the direct supervision of nursing departments and in collaboration with physicians. They may be assigned to general, operating rooms, or maternity ward duty. They may also work in caring for sick children, or be assigned to other hospitals units, such as emergency rooms, intensive care units, or outpatient clinics.


For instance, there many different types of nurses, general duty nurses work with other members of the health care team to assess the patient's condition, and to develop and implement a plan of health care. The tasks these nurses perform include taking patient's temperature, pulse, and blood pressure, administering medication, and injection, recording the symptoms and progress of patients, changing dressings, assisting patients with personal care, conferring with members of the medical staff, helping prepare a patient for surgery, and completing any number of other duties and that require skill and an understanding of patient's goal. Surgical nurses oversee the preparation of the operating room and the sterilization of instruments. They assist the surgeons during operations and coordinate the flow of patient cases in the operating room. Maternity nurses help in the delivery room, take care of the newborns in the delivery in the nursery and help teach mothers how to feed and care for their babies. The activities of staff nurses are directed and coordinated by head nurses and supervisors. Heading up the entire nursing service in the hospital is the nursing service director, who administers the nursing program to maintain standards of patient care. Private duty nurses may work in hospitals or in patient's homes. They are employed by the patient they are caring for or by a member of the family. Their service is specifically designed for the individual car of one person and is carried out in collaboration with the patient's physician. Office nurses usually work in the office of dentists, physicians, or health maintenance organization (HMO). They may be one of several nurses on the staff or the only staff member. If one nurse is the only staff member, this person may have to combine some secretarial duties with those of nursing, such as serving as receptionist, making appointments for the doctors, and helping maintain patients' records. School nurses may work in one school or in several, visiting each for a portion of the day or week. They may supervise the student clinic, treat minor cuts or injuries, or give advice on good health practices. Community health nurses, also called public health nurses, require specialized training for their assignments. Their job requires them to spend part of their time traveling from one commitment to another. Their duties may be quite different from one case to the next. For instance, in one day they may give instruction to a class of expectant mothers, visit a new parent s to help them plan proper care for their baby, visit an aged patient requiring special care, and conduct a class in proper nutrition. Nursing instructors may give classroom instruction, demonstrations, or supervise nursing students on hospital units. Some instructors eventually become nursing school directors, university faculty, or deans of a university degree program. Nurses also have the opportunity to direct staff development and continuing education programs for nursing personnel in hospitals. There are many specialty practices in the nursing profession. Licensed practical nurses, sometimes called (LPN), are trained to assist in the care and treatment of patients. They may assist register nurses (RN) and physicians or work under various other kinds of circumstances. They perform many of the general duties of nursing carry out prescribed medical treatments, keep checks on temperature and blood pressure reading, administer drugs and medications as they are instructed, assist in the preparation of patients for examinations and, perform simple routine laboratory tests, and in some cases, be responsible for clerical duties. Sometimes LPNs are employed by public health agencies or in private homes. A RN or physicians supervise the work of the LPN. The nurse anesthetist specializes in giving anesthesia to patients about to undergo surgery. The nurse anesthetist must be certified and posses great skill and technical skill and theoretical balanced procedure. The nurse anesthetist sometimes works under the supervision of an anesthesiologist, who is a physician, and sometimes is under the supervision of the surgeon performing the operation. Another special field for nurses is psychiatric nursing. Psychiatric nurses work with patients who are suffering from mental and emotional disorders. They may be employed by a psychiatric hospital, a unit general hospital, or in a private home. Some are psychiatric aide instructors, teaching attendants psychiatric nursing methods and procedures. Some nurses enter pediatric nursing and are primarily concerned with the care of babies and children. Pediatric nurses are well educated in the growth and development and family interactions. Nurse - midwifery as a profession was not introduced in the United States until 15. Today, nurse -midwives are well educated, certified professionals who provide health care treatment to pregnant and non-pregnant women. Certified nurse- midwives (CNWs) work with other CNWs and obstetricians. They examine pregnant patients and instruct and advise them concerning childbirth, diet, and exercise. They deliver new babies and teach new parents about the care and feeding newborns. Nurse- midwives examine non-pregnant and pregnant women, performing tests for pregnancy, Pap tests for cancer, and breast examinations. They counsel patients on family planning and birth control methods, and screen patients for infections and venereal diseases. In case of a serious problem, major illness, or difficult labor, the nurse- midwife confers with the team obstetrician. Another, even more recent entry in the field of nursing is the nurse practitioner. Nurse practitioner (NPs) is registered nurses with an advance education that expands their skills in judgment and decision-making. They work in many health care settings, either on their own or as a member of a team. In addition to basic nursing responsibilities, they do many tasks formerly handled only by physicians. They treat common ailments, recommend standard medication, and, in some states, set simple fractures or suture minor wounds. Clinical nurse specialists are also nurses with advanced education, usually at the master's degree level. They are specialized in a field of nursing practice, such as cardiovascular nursing, working with cancer patients, or working with high -risk mothers and babies. Many nurses choose to enter the armed forces. All types of nurses, except private duty nurses, are represented in the military nursing corps. They provide professional nursing care to active duty and retired members of the armed forces and their family members. In addition to their basic nursing skills, military nurses are trained to provide care in various environments, including field hospitals on air evacuation flights, and on board ships. Military nurses actively influence the evolution of health care through nursing research. Recent advances influenced by military nurses include the development of the artificial kidney (dialysis unit) and the concept of the intensive care unit.


Many nurses work in clean environments hat are well lighted and controlled in temperature, although some work in rundown inner city hospitals under less than ideal conditions. Nurses usually work eight hours each day, those who work in hospital usually work three shifts 700A.M to 00 P.M, 00 P.M to 1100 P.M, or 1100 P.M to 700 A.M. Nurses spend much of their time on their feet, either walking or standing. Handling patients who are ill or infirm can also be physically strenuous. Nurses who treat patients with infectious diseases must be particularly strict about cleanliness and sterility. Although some nursing duties are routine, many responsibilities (especially in emergency situations) are not so predictable. Sick people often are demanding of service or they may be depressed or irritable. The nurse must preserve a calm manner and must be cheerful to help the patient achieve emotional balance. Jobs in most fields of nursing should be plentiful through the 10s. Although there are presently more than 1,77,000 registered professional nurses in the country, there still unfilled vacancies in many positions. The nursing shortage of the recent years still exists today through the country and it affects all specialties and practice settings. Administrative positions are more competitive, however, with an advantage going to those with graduate degrees. There are always many employment opportunities for hospital nurses, especially in big cities and rural areas.


Well, in the olden days, medical problems were usually cared for by worship. In the Christian era, some women in the church took nursing duties, but the women had no real training, but it taught them the use of herbs and drugs. During, the Crusades, knights were the nurse so therefore there were some men nurses. In the 17th century, St. Vincent de Paul began to encourage women learn the skills of nursing but, there was no real training back then. But later in the 1800's Florence Nightingale learned training in Kaiserwerth, Germany, she then established her own school in London designed for the field of nursing. Similar schools were made in 187 in New York City, Conn., and in Boston. In the Spanish-American war and, later the WWI needed more nurses for military and civilian life. Nursing schools enrollment increased in double and new programs were developed. In 10 a Rockefeller Foundation and the Gold Mark Report recommended that nursing schools be independent of hospitals and that students would no longer be exploited of cheap labor and after that there were many universities of nursing. During, the depression of the 10's many nurses were unemployed, and the number of schools declined .The technological advances in medicine and health have required nurses to become knowledgeable about advance equipment and to learn about an increasing number of medication. Nursing, now have became an important profession and this profession have open many organizations. The American Nurses' association was founded in 186; it was open to establish and maintain a code of ethics; to elevate the standard of nurses ' education; to promote the usefulness and honor of nurses. In 117 a monthly magazine was established was named The American Journal of Nursing. The National League of Nursing Education was organized in 18 by 18 women superintendents of hospitals to promote nursing education and to raise educational requirements for the profession .The National Organization for Public Health Nursing was organized in 11, to establish standards in public health nursing, and to promote a general intelligent understanding on the part of the laity, and this organization published a journal, The Public Health Nurse. While, each of three organizations maintain s a headquarters, with secretaries and reference libraries.


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There are three kinds of programs that the prospective training that allows them to specialize in certain areas such as operating rooms technique, emergency ward care, premature nursery, or psychiatric nursing. The baccalaureate degree program is offered by a college or university. It requires four to five years to complete, and graduate of this program receives a Bachelor of Science degree in nursing. The associate in the arts of nursing is awarded after a two -year study program that is usually offered in a junior or community college. The student usually lives at home and receives hospital training from cooperating hospitals in the general vicinity of the community college. The diploma program usually lasts three years. Hospitals and independent schools conduct diploma programs. At the conclusion of each of these programs, the student becomes a graduate nurse. One is not, however, a registered professional nurse until one has taken and passed a licensing examination as is required in all states. After licensing one has the privilege of adding the initials RN to one's name, and seeking employment as a registered nurse. Whether to choose an associate, diploma, or bachelor's degree program depends on one's career goal. A bachelor's degree in nursing is necessary for most supervisory or administrative position, for jobs in public health agencies, and for admission to graduate nursing programs. A master's degree is usually required to prepare for a nursing specialty or to teach. Nurses can pursue postgraduate training that allows them to specialize in certain areas such as operating rooms technique, emergency ward care, premature nursery, or psychiatric nursing. This training is sometimes available through hospital on -the - job-training programs. Licensed practical nurses have one-year educational programs. All states require applicants pass an examination to become licensed. Applicants must have graduated from an approved school of practical nursing before taking this examination. High school students interested in becoming a nurse should take science, and mathematics courses, and including biology, chemistry, and physics and English as well because nurse must communicate well with patients. High school students may explore their interest in the nursing field in a number of ways. They ay read books on careers in the nursing field, may talk to school nurses, a volunteer at hospitals. There are no other ways to become a registered nurse more than one of three types of educational programs, plus the passing of a licensing examination. Registered nurses may apply for employment directly to hospitals, nursing homes, companies, and government agencies that hire nurses. Most of the administrative and supervisory positions in the nursing profession go to nurses who have earned at least a Bachelor of Science degree in nursing. Nurses who have accumulated many years of experience but who are graduates of diploma programs may possibly achieve supervisory positions. Some nurse does return back to school for specialized training for a better salary.


In the 10s, registered nurses employed in hospitals, medical schools, and medical centers receive an average starting salary of $ 0, 400 per year; experienced nurses average $7,800 per year. Head nurses are paid about $5,700 to start and $5,000 with experience. Licensed practical nurses earn an average from $1,00 to $18,00 a year. Those with experience may earn $,00or more. Nurse anesthetists, among the highly paid nurses, average $1,000 to start and $68,00 with experience. Average wages for nurses on the staff of nursing homes and in health agencies are about $1,00 in the 10s. The salaries for nursing assistant's ranges are from $7,500 to $,000 a year. Beginning aides may start at about $1,000 a year. Entry position with the Department of Veterans Affairs offers approximately $16,500 for nurses who were graduates of the diploma programs or the associate of the arts program. Nurses with a bachelor's degree earn about $1,00 in the entry position. The average annual salary for all nurses employed in federal government agencies is about $6,100.Registered nurses in hospital s and nursing homes generally earn more pay for working the evening or night shift ad for additional nursing education. Benefits for nurses may include paid vacations and holidays, health care, advanced education and retirement benefits. Martial status of Rns is 66% are married, 15% are single, 4% are widowed, and 14% are divorced. Genders of most nurses are 7% are males and 5 are females. Education of most nurses is 1% RN diplomas, % are associates degrees, 40% are bachelor's degrees, 1% are master's degrees, and 15 are Ph.Ds. The current employed nurses are 0% and workload 77% full -time and %part- time.


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