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Should  nurses  have  the  right  to  refuse  to  treat  abusive  patients?

Should nurses have the right to refuse to treat abusive patients?

Introduction

Every man, woman, and child have the right to medical care, as it is contingent on their human rights. On the other hand, it is the right of a nurse to choose whether to attend to a patient or not, personally. Meaning, when they are acting as individuals as members of the public, but not when they are in uniform at a medical institution of their employ. Unless they have special reasons to decline to treat such a patient.

Abusive Patients

Abusive patients have poor moral standards that would disgust anybody, male or female. However, as a nurse is their occupation is vocational work and it would be wrong to deny them treatment or treat such patients ill. Just as it would be unfair for a police officer to show favoritism for one person over the other based on their race or social class.

People who behave in abusive nature often need to be rehabilitated and reprimanded in criminal cases. However, such people always need counseling to find out the root cause of their behavior. They may have been raised in an abusive home and they have no better example. More than that, they need to find healthy ways to channel feelings of anger, fear, and insecurity instead of hurting others. Nurses can help in such a situation, if not the health institution.

For such patients. Counseling can be provided to help them deal with emotional imbalance by first settling their own mental health issues. This is because the way you behave and the way you feel are connected, that is why dealing with the thought process that leads up to that situation, where the patient acts abusively; needs to be treated as well. However, it is good to note that some nurses may have been in abusive relationships and attending to an abusive patient, may trigger negative emotions towards the patients and painful memories.

In that case, it would be better if the nurse did not treat such a patient. In the event the nurse feels negatively affected by the patient’s presence and being in charge of administering their treatment, it is always good as the nurse head or supervisor to have a chat with the affected nurse. Understand their state of mind, and how they feel dealing with such a patient before forcing them to attend to a patient, that could end up traumatizing them emotionally. Nurses should have the right to refuse if it will affect their health in any way.

Abusive patients often need therapy. This means that, if they are not admitted based on injuries from their abusive behavior it is best if they commit to a therapy session regularly to deal with inner challenges. It can be done privately where they can speak openly to their therapist. Treatment for abusive patients means wanting to really change, taking responsibility for their actions, and seeking professional help from someone outside the family. This means, looking beyond your partner to help you change, however starting with admitting you have a problem is the first step.

While a nurse is working with such a patient, it is always to good to maintain mutual respect, a level head because after all, you are dealing with a temperamental character. It means, between the two of you, you as the nurse must maintain order and civility in the event of an outburst, or rage. It is also good to remember that an abusive person often has multiple problems. Including mental disorders such as depression which often leads to suicidal thoughts.

Conclusion

Abusive patients need to be monitored round the clock, with dangerous objects kept out of reach, should they feel the need to behave impulsively. Also, be very aware of how you speak to an abusive patient. They are often insecure, hypersensitive and mistrustful of others. They also tend to be very jealous, hence their controlling behavior. Dealing with an abusive patient is a delicate matter.

Should  nurses  get  additional  degrees  for  the  on-job  training  and  knowledge  that  they  acquire?

Nursing training programs

Introduction

Like any other career, you need tow things. Experience and qualifications. Today, it matters even more because the corporate and public workplaces have become increasingly competitive. This is because, the young people of today are very educated, and thrive on having knowledge. After all, we are in the age of information. Everything you need to know is a click and swipe away. Classes can be taken online to enrich your knowledge and enhance your resume. It is all possible if you choose to invest in education. At some point, it becomes mandatory if you are seeking a certain career path or job role.

Degrees for On Job Training

On the job training should come as part of the package for any respectable workplace. Career development is very important. Implementing career growth through continuous professional development seminars and workshops, allows you to enhance not only your skills but also the overall productivity of the staff. Which means, you provide a better service. In a place like a hospital, it is only prudent to keep up with technology, new medical procedures and read papers and journals on new techniques for treatment. The effects of various medication, and to know what is under research and development in the pharmaceutical industry.

Having knowledge, and staying relevant will keep you at pace with the best practices that will allow you to deliver the best service for the best recovery outcomes. Education in any career is important to keep progressing and doing the best for the people that you serve. Nursing education involves the clinical rotations that they have to get used to while on their shifts. Since they are on their feet most of the day, they need to be ready to walk around attending to patients to monitor their vitals and administer treatment.

The nursing students also practice by simulation thr0ugh out their schooling to develop care plans and clinical reasoning to make the best decisions that reflect care, skills and the best outcome for the patient. Whether they are in crisis or not, they have to practice making life decisions at a moment’s notice, in the event of an emergency. This is not easy to do, especially after practicing it for years to doing it in a real-life situation, the impact can be enormous.

This is why even emotional counseling seminars and training is essential for the nurses themselves. Dealing with patients can lead to familiarity and an affection for those whom you are dealing with. In some cases, their treatment ends in death and learning how to deal with those emotions appropriately is important for medical practitioners. At the end of their studies, both American and Canadian students must sit for the NCLEX-RN examination, and pass it to qualify as a nurse. NCLEX stands for National Council of Licensure Examination to practice.

Nurses also undergo a bachelor’s degree program in sciences for four years at college. However, it is also possible to go from an RN to BSN (bachelors of science in nursing) program, which is especially directed towards RNs who have an associate degree or nursing diploma. This allows you to move from practicing to an education and then applying it to your place of work. After completion, it will most likely put you at an advantage to earn more, and even move up in the ranks.

Conclusion

However, for an entry into the nursing profession an associate’s degree, diploma or bachelor’s degree can set you up as you learn the ropes. Further education also boosts the reputation, and as a result, the profits of the medical institution because they have better-qualified staff. Therefore, it becomes a win-win situation for all the parties involved, including the patients who will have access to better health care. Without a doubt, on the job training and additional education is important, and it should not be overlooked for such a significant role.

Should  medical  professionals  be  given  a  global  visa  so  that  they  can  work  wherever  they  are  needed  easily?

International-medical-graduates

The idea of having a global visa is very tempting. Not only does it allow you to travel like a world citizen, but it also means that you can get access into any country without the long procedures of applying for a visa to each country that you seek to visit. It is convenient and in case of emergency, it solves the problem of going overseas in at a moment’s notice.

This would be especially convenient for doctors who work overseas, military personnel, global volunteers, diplomats and the likes. Being a globetrotter means that you are busy, and it can get both equally expensive and cumbersome to continuously apply for visas to different parts of the world. For the case of medical practitioners such as doctors and nurses, being declined a visa, or not having your passport ready on time means that you are likely to lose a patient due to your absence due to delayed treatment or medication.

Organizations like the doctors without borders go to great length to travel the world over to offer medical care and quality health care to low-class citizens, and those caught in natural disaster crises. These medical practitioners are the ones in need of the global visas so that they can respond to the emergencies wherever they are needed. To practice overseas as a nurse, the nurse will at least need an Associate of Science in Nursing, also ASN, or a Bachelor of Science in Nursing. The hopeful nurse will also need to pass the national council licensing exam (NCLEX-RN), as well as experience in the US to qualify to practice abroad.

Therefore, it is no easy feat and it requires dedication on the part of the nurse. He or she will need to be focused on the opportunity to practice abroad and study hard and smart while getting the required experience to do so. Nurses may seek overseas jobs for many reasons. Among them, they may be offered better wages abroad, and also, they get to travel while doing what they love. On the other hand, working for non-profit organizations comes with good pay and benefits that can set up a foundation for young nurses.

More than that, they receive great exposure while working in remote areas and third world countries. During such times, their work truly feels vocational, and it is easy to feel fulfilled if you took the job for the right reasons. At times, nurses are invited to other countries to fill a shortage and hence, they may go in droves and willingly to help others. For these kinds of reasons precisely; filling a shortage, in response to disaster relief, nurses should be awarded a global visa along with the doctors who qualify to do so.

There should definitely be strict criteria and guideline to follow that will finally enable them to be awarded the privilege of having a global visa, which is essentially a global work permit. This opens up their careers to a wealth of opportunities exclusively to them alone due to the nature of their work. For nurses coming into the united states, they go through a Visa Screen. This is a visa credential assessment service for a comprehensive screening done on health care professionals who are seeking an occupational visa to work in the united states.

The applicants who complete the visa screening successfully then receive an official ICHP certificate for the Visa Screen credentials assessment service. The visa screen cost can be a bit pricey for the initial application at $540 dollars. However, for renewal, it cost significantly lower at $275 dollars. The Visa screen certificate is valid for a period of five years from the time it is issued to the successful nurse (candidate). After considering the necessities of a global visa, I believe that qualified nurses should be awarded such a visa on an honest application.

How  does  extreme  weather  impact  upon  the  workload  of  nurses  in  the  community?

Challenges community nurses face

Extreme weather increases the number of casualties who visit the hospital. This is because, sometimes it is of an unexpected nature, or overwhelming and people are still caught off guard. Extreme weather of unexpected nature includes earthquakes, tsunami, volcano eruption and even blizzards. Sometimes the weather prediction is not right and people are caught in the wrong place at the wrong time. Sometimes rain begins slowly and ends up as a flood.

For farmers, pedestrians, animals and people living in lowlands and valleys, they are affected the most. In extreme cases, both people and animals die from floods. When an earthquake takes place, it is likely for people living in mountain and hillsides experience mudslides. The land shifts and houses crumble and people die. This makes for several casualty and fatal cases. The worst slides recently have hit the people of Sierra Leone and the recent earthquakes in Japan and Mexico have left people devastated.

When a flood hit a small town in Italy, a historical ridge collapsed due to the force of the water, killing dozens. The impact of extreme weather means the emergency and trauma units of the hospitals are full to capacity. It also means there are several hysterical and hurt people, including a family who needs to be comforted. This is the job of the nurses. To support the family members as they take shifts to also treat the injured. It is a hard task, that takes a lot of emotional effort and patience.

The workload is so heavy, all nurses are needed on deck. This means those who were on leave, are summoned back to work to care for the injured and sick. They may also have to work overtime depending on the traumatic effects of the extreme weather. The US and Australia have historically had cases of wildfires, where the heat waves experienced during summer season causes spontaneous burning of their woodlands. This results in several people losing their homes and some of them, their lives due to the force and spread of the wildfire.

This is why trauma response is important. It is important to give your nurses adequate training on how to respond to disaster relief cases and be fast and efficient. Time is of the essence, it helps to work quickly in such cases. To save a life and move to the next person who needs you. This includes the obvious first aid which every seriously injured patient needs as they await doctor’s treatment and diagnosis. Nurses are responsible for the pre-care before going to see a doctor and the aftercare for treatment and medicine administration.

They take your high blood pressure, weight, get to know your symptoms and medical history to determine the next best course of action. If training is not done or completed by nurses, when faced with the influx of patients on the day of a disaster, they become patients too. They panic because they do not know how to respond. They become overwhelmed by the large numbers of patients and family members wanting answers on their loved one’s status. They also become anxious because they are worried about their loved ones too.

Prepare for the worst but hope for the best. This saying should embody the entire hospital staff attitude, and as a reminder, always stay calm. When in a frenzy, be the person who can be relied upon, who can rally others to a calm stated of mind, and field questions slowly while also asking for help. In these difficult situations, a nurse becomes a leader. She must lead both patients and relatives to a safe place mentally and physically as well. Through treatment, the following procedure and delivering support where it is needed.

Therefore, after considering this article, an efficient emergency response needs to be put in place for natural disaster relief. For the benefit of both patients’ and hospital staff alike.

Can  intimate  relationships  between  health  professionals  be  harmful  to  patient  care?

Can intimate relationships between health professionals be harmful to patient care?

Intimate relationships at the workplace is a complex situation at best. This is because it complicates the work environment. For your immediate colleagues, managers, and other staff. However, this does not mean that both parties cannot have successful careers in the same organization. After all, it is commonplace for people to meet and fall in love at work. If it goes well, some even proceed on to marry.

The reason why having a relationship at work is discouraged is because it can make the environment uncomfortable for other employees. For example, when the couple has a fight, it can be awkward working in a team with two people who do not want to talk to each other. It makes it uncomfortable when there is tension in the room, secret arguments and of course office gossip.

If the couple breaks up, it is even worse. They are uncomfortable around one another. They try to avoid each other, however, sometimes it is not possible. In the case of a relationship between a doctor and a nurse for example, if the nurse is allocated to her former partner’s service, she must work with him and vice versa. In such a case, the relationship may be so strained that they underperform. Making it a poor experience for their patient, who goes at a loss.

It may also lead to unexplained absences at work to deal with personal issues. It will also affect their state of mind when the relationship is on the rocks, causing absent mindedness and poor judgment. As for the other employees, working with the spouse or significant other of a direct supervisor can be cause for an accusation of favoritism. Even if the person in question has merit and the right qualifications, the staff is bound to discuss or include discrepancies surrounding a promotion, or other benefits due to their personal relationship. It becomes harmful to patient care when the involved couple neglects their duties like forget to administer medication and treatment. Perhaps schedule needed tests or update patients on their medical history and next steps for a healthy recovery.

It is also harmful when favoritism comes into play, overlooking the person with better skills and experience, to look good in front of their significant other.

In a horrible scenario, a break up can ensure to become sexual harassment from a begrudged ex. This makes it extremely difficult to work, and after some time the harassed party may choose to leave their job, or report the case. In both cases, the patient is left hanging. Without either their favorite doctor or nurse to continue treatment. Also having a history with patients does give them comfort and helps them to feel calm in an otherwise panicky situation. Making them the one at the losing end.

Keeping it professional is also an option, and the only one when you want to continue building your career as you develop a personal relationship as well. Leaving out personal arguments when making professional life decisions (for the patient) is best. Knowing how to cope and present yourself even in the face of a personal adversity, calls for maturity and professionalism from both parties. In addition, dating someone you work with can make both parties happy who have little time to spend on social activities, seeing your partner at work can make you happier and as a result, work better.

Workplace romance often develops into marriage, as the couples who pursue workplace romance often feel they are ready for commitment. In that case, they receive a lot of support from colleagues and staff. It is more likely for colleagues to show disapproval when the two engaged are either both married, or one of them is. Making it difficult to work with people who resent your choices. It is also likely to get looks of disapproval when the person you are dating is someone whom you report to directly. Otherwise, most employees do not have a problem with developing romantic relationships at work.

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