I AM A NURSE

Envision Films

28 Sept 201502:46

Summary

TLDRThe transcript captures the dynamic and challenging nature of nursing, with a healthcare professional recounting a complex patient case involving seizures and potential GI bleeding. It highlights the need for skilled and educated nurses to lead and adapt in various situations, emphasizing the passion and dedication of a nurse who aspires to make a difference in patient care, from early childhood dreams to the realities of a demanding profession.

Takeaways

😨 The script describes a medical scenario involving a patient who had a seizure and requires monitoring and treatment.
🩺 Basic medical tests such as CBC (Complete Blood Count), BMP (Basic Metabolic Panel), and cardiac monitoring are mentioned as part of the patient's care.
🚑 The patient is on various medications including hydrochlorothiazide, prednisone, and possibly chemotherapy, indicating a complex medical condition.
🤔 There is a sense of urgency to identify the cause of the patient's deteriorating condition, suggesting complications such as GI bleed or the need for blood products and fluids.
👩‍⚕️ The speaker expresses a passion for nursing and a desire to make a difference in patient care, indicating a strong commitment to the profession.
🌟 The speaker has had a lifelong aspiration to become a nurse, as illustrated by a childhood drawing and the continued enthusiasm for the nursing profession.
📚 There is a reference to the speaker's early interest in medical books and encyclopedias, suggesting a deep-rooted interest in healthcare.
👨‍🏫 The importance of leadership in nursing is highlighted, with the speaker emphasizing the need for nurses to lead at every stage of their career.
🔥 A mention of a 22-year-old fire victim with unresponsive and labored breathing adds another layer of complexity to the medical scenarios presented.
💪 The speaker encourages the continuation of nursing practice and development, showing support for the growth and future of nursing.
🌐 The script touches on the need for change and improvement within the healthcare system, suggesting a call for innovation and adaptation.

Q & A

What was the initial condition of the lady mentioned in the script?
-The lady was postictal, meaning she was in the state following a seizure.
What medical tests were performed on the lady after her seizure?
-The lady underwent a basic CBC (Complete Blood Count), BMP (Basic Metabolic Panel), and was monitored with a cardiac monitor.
Why was the patient not given blood thinners initially?
-The patient was not given blood thinners because she had just had a seizure, and it was necessary to wait for her to become more responsive before administering such medication.
What medications were started for the patient, and why?
-The patient was started on hydrochlorothiazide, prednisone, and chemotherapy. These medications were likely prescribed to manage specific health conditions, though the exact reasons are not detailed in the script.
What was the concern regarding the patient's condition deteriorating?
-The concern was that the patient's condition was getting worse, and the medical team needed to figure out the source of the problem to address it effectively.
What was the potential complication mentioned for the patient?
-There was a concern about a potential GI (Gastrointestinal) bleed, which could require blood products and a lot of fluid.
What is the significance of the 'sabbatical' mentioned in the script?
-The term 'sabbatical' is used metaphorically to indicate a break or a period of reflection, possibly referring to a pause in the patient's treatment or the medical team's approach to her care.
Why is it important for nurses to be leaders in their career?
-Nurses are encouraged to be leaders throughout their career to promote change, improve patient care, and contribute to the advancement of the nursing profession.
What is the significance of the 22-year-old fire victim mentioned in the script?
-The 22-year-old fire victim represents a critical and time-sensitive case that requires immediate and skilled nursing intervention, highlighting the importance of ongoing nursing practice and education.
What does the script suggest about the passion and dedication of nurses?
-The script emphasizes that despite challenging circumstances, nurses have a deep love for their profession and are committed to doing everything they can for their patients.
What does the script imply about the importance of nursing in healthcare?
-The script suggests that nursing plays a vital role in healthcare, with nurses being highly skilled and educated individuals who are essential in providing comprehensive patient care.

Outlines

00:00

🏥 Medical Emergency and Nursing Passion

The paragraph describes a chaotic medical scenario where a nurse recounts a challenging call involving a patient who had a seizure. The patient underwent various tests including a basic CBC (Complete Blood Count), BMP (Basic Metabolic Panel), and was monitored on a cardiac monitor. The nurse discusses the patient's medications, such as hydrochlorothiazide and prednisone, and the complexities of their condition, which includes a potential GI bleed and the need for blood products and fluids. The narrative also touches on the patient's deteriorating condition and the urgency to identify the cause. Amidst the medical jargon and descriptions of the patient's state, the paragraph also conveys the nurse's passion for their work and the desire to make a difference in their patient's life. The paragraph concludes with a reflection on the importance of nursing leadership and the speaker's childhood dream of becoming a nurse.

Mindmap

Keywords

💡Postictal

Postictal refers to the period immediately following a seizure, during which a person may be disoriented or unresponsive. In the script, it is mentioned that a patient is 'postictal had a seizure,' indicating the medical condition the patient is experiencing and the urgency of the situation.

💡Seizure

A seizure is a sudden, uncontrolled electrical disturbance in the brain that can cause changes in behavior, movements, and levels of consciousness. The script describes a 'witnessed seizure,' highlighting the importance of observing and responding to such events in a medical context.

💡CBC

CBC stands for Complete Blood Count, a test that measures the different components of blood, including red blood cells, white blood cells, and platelets. It is mentioned in the script as part of the medical evaluation for a patient who had a seizure.

💡BMP

BMP stands for Basic Metabolic Panel, a group of blood tests that measure electrolytes, kidney function, and other metabolic processes. The script refers to a 'BMP' as part of the diagnostic process for a patient.

💡Cardiac Monitor

A cardiac monitor is a device used to continuously observe the electrical activity of the heart, which can be crucial in detecting abnormalities. In the script, a 'cardiac monitor' is used to track the patient's heart function after a seizure.

💡Hydrochlorothiazide

Hydrochlorothiazide is a medication used to treat high blood pressure and fluid retention. It is mentioned in the script as one of the medications started for a patient, indicating the patient's medical needs.

💡Prednisone

Prednisone is a corticosteroid medication that can be used to treat a variety of conditions, including inflammation and autoimmune disorders. The script mentions 'prednisone level,' suggesting the patient may have a condition requiring this medication.

💡Chemotherapy

Chemotherapy is the use of drugs to treat cancer by stopping the growth of cancer cells. The script mentions 'chemo,' indicating that the patient may be undergoing cancer treatment, which is a significant aspect of their medical condition.

💡GI Bleed

GI Bleed stands for Gastrointestinal Bleed, which is bleeding in the gastrointestinal tract. The script discusses the possibility of a 'GI bleed,' which is a serious medical condition that requires prompt attention.

💡Blood Product

Blood products are components of blood that are separated and used for transfusion. The script raises the question of whether a patient will 'need blood product,' which is a critical consideration in managing certain medical emergencies.

💡Nursing Practice

Nursing practice refers to the professional activities performed by nurses, including patient care, education, and health promotion. The script emphasizes the importance of 'continuing their nursing practice' and the role of nurses in patient care.

💡Leadership

Leadership in the context of the script refers to the ability to guide, influence, and inspire others, particularly in the nursing profession. It is mentioned as a necessary quality for nurses at 'every single part of their career' to achieve great things.

Highlights

A lady had a seizure and was in a postictal state, requiring a witness seizure, basic CBC, BMP, and cardiac monitor.

The patient was unresponsive and needed to wait for more responsiveness before receiving blood thinners or potassium.

Hydrochlorothiazide, prednisone, and chemotherapy were mentioned in the patient's treatment.

Concerns about a GI bleed, the need for blood products, and fluid management were discussed.

The patient's condition was deteriorating, and there was a need to identify the source of the problem.

A fever was noted as a symptom, and the urgency to resolve the situation was emphasized.

The speaker expressed admiration for highly skilled and educated individuals in the medical field.

A call for change and the promotion of change within the medical field was made.

A 22-year-old fire victim with unresponsiveness and labored respirations was mentioned.

The importance of continuing nursing practice and its future was highlighted.

The speaker's love for their work in the medical field, even in challenging circumstances, was expressed.

A personal anecdote about wanting to be a nurse since kindergarten was shared.

The need for nurses to be leaders throughout their careers was emphasized.

The speaker's desire to make a difference for their patients was conveyed.

A humorous moment about a device going off and the speaker checking on someone named Henry was mentioned.

The speaker's commitment to ensuring they did everything possible for their patients was noted.

A reflection on the speaker's interesting experiences and desire to take action for their patients was shared.