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One of the problems I see with healthcare today is the fragmentation of healthcare services, the multiplicity of various medication and prescriptions with a great affinity for adverse reaction and potential harm to the patient.Nurses have always been taught the importance of Holistic care, knowing when to asses apregnant patient for possible drug addiction, or a mental health patient for a potential stroke (I’ve experienced both of these pt. scenarios).It is not acceptable to answer “I only know OB or psychiatric skills” when caring for a patient. We might not know specialties such as A lines, Ventilators, ICP readings, hemodialysis, EST, RSI, or pediatric intraosseous infusing; but assessment skills and patient education is expected in every field of nursing from every professional nurse.Finally discharge planning begins at admission, patient teaching and re-evaluations is a continuous process. Understanding that patient care is more complex and intense is another motivator to get the patient the healthcare education he or she so desperately needs. Institutions and providers reimbursement is based on positive patient outcomes.To return to the definition of education we need to exemplify the art of imparting knowledge, but we also need to measure patients goals, facts, skills and ideas learned in order to evaluate their progression toward their optimal level of health.When I have an extra part time job I worked at an acute care hospital as a nurse’s nurse. In other words during their peak season I would go from unit to unit helping where I could and doing whatever the nurses delegated.It became clear almost immediately that discharge teaching would not be one of them. I did the vitals, made appointments for referrals, gave patients their medication due that day, even got wheelchairs and transportation ready.I freed the Nurses to COMPLETE their discharge teaching, patients benefitted from the established trust and confidentiality of their nurse.
Administration was informed of any late discharge if needed, while the patients and/or family’s needs were adequately met. We quickly came to recognize the few nurses who had “waited” for the float nurse to teach their patient and they were “retrained”.I leave you with the words of Sir William Osler, 1st Baronet (July 12, 1849 – December 29, 1919) a Canadian physician and one of the four founding professors of Johns HopkinsHospital. One of Osler's greatest contribution to medicine was to insist that students learnfrom seeing and talking to patients. “The trained nurse has become one of the great blessings of humanity, taking a place beside the physician and the priest.” William OslerReply| Quote & Reply| Report AbuseOct 16, 2015 12:27 PM0 LikeJudith Isinta 5 postsRe:Topic 1 DQ 2In the reading "How to Write Learning Objectives That Meet Demanding Behavioral Criteria," Kizlik states that “The purpose of a learning objective is to communicate.