Medical Surgical Nursing: Assessment And Management Essay

Question:

Discuss about the Medical Surgical Nursing for Assessment and Management.

Answer:

Introduction:

Medical Surgical nursing is often considered to be one of the largest nursing specialty of the nation who is assigned a variety of duties where they can practice their skills to make them expert to handle various works. They are often considered as master coordinators because they have to juggle up a lot of tasks from various domains in order to complete the assignments handed to them. Therefore in order to perform the broad aspects of different types of responsibilities, they need to be cool headed multi-taskers who have to exhibit varieties of their skill in their practice to care for the patients (Lewis et al., 2015). The following essay will mainly portray the various attributes that need to be possessed by an individual in the medical-surgical background so that they may become successful and can promote themselves to special wards in the departments. The essay will also portray how they have to maintain the ANMC guidelines to avoid any unwanted circumstances to arise and can practice their skill uninterruptedly.

A medical nurse has to juggle with a large number of patients at the same time by attending their needs and requirements and therefore help them with the needful. They have to be responsible for providing the correct medication following the rights that have to be maintained while administering the medication. They are also provided the responsibly to educate the families about the disorder or the disease that their family is experiencing (LeMone et al., 2015). They also have to teach the carers about the techniques and the methods of caring their people. They also have to attain a huge knowledge about the various disorders that the citizens face and also have to continuously develop their skill according to the modern researches that is being conducted. Besides, handling this huge responsibility they also have to be well polished in their communication skills with every patient so that they can maintain bonds with their patient which in turn will make their work easy as the patients will respond well to the treatment. They are also given the responsibility of discharging patients with maintenance of proper documentation, correct billing procedures and also others. Admitting new patients along with the preliminary procedures and health check is also the duty assigned to medical surgical nurses (Ignatavicius& Workman, 2015). Therefore, it is seen that not only the entire caring responsibility of the patient is on their shoulders but also a huge number of works from various domains are placed on them. Therefore, the nurse had to have a huge number of qualities that need to be present to be a successful nurse.

The nurse has to develop a high level of critical thinking skills that will not only help him to handle every task efficiently while caring and treating a patient but will also help him to come out from any unwanted, legal and also ethical situations effectively. This usually helps to develop confidence in the nurse and build an esteem that leads her to perform various challenging tasks and thereby be an expert in patient handling and also develop management skills and ideas (Zambas et al., 2016).

Another quality that the medical- surgical nurses need to have is the vast knowledge of various types of diseases and details about treating such patients effectively. Besides, having to to handle with the medication administration criteria for each of the patients, they also have to be very particular about the treatment plan that they have to undertake for the patients depending upon the patient’s condition (Winsett et al., 2016). The nurses on the other field like ICU or cardiac department of orthopedic or genealogical department need knowledge in a particular direction only. Therefore, in case of medical-surgical nursing, an all over idea about the patients’ condition can only be evaluated when the nurse can understand and distinguish various symptoms of different diseases and take action accordingly (Lewis et al., 2016). As a result vast knowledge about disease states and the body systems must be clearly known by them.

Management skills are also important for the nurses of this elective because they also have to manage schedules for their tasks and undergo extensive team work to divide their tasks effectively. They also have to manage documentation for each and every patient that they are caring for, maintain their privacy and confidentiality, performing tasks by undertaking ethical considerations, develop communication among colleagues, patients and their family members (Centrella-Nigro et al., 2016). Therefore, they have to develop exceptional management skills among themselves so that they can multitask and at the same to time be efficient enough to conduct all their duties.

They have to undertake a huge amount of responsibilities of works that are not only limited to a particular field but also involve various domains, they often develop an exceptional skill of keeping themselves calm and composed under several stresses and pressures. This is not the case for other specialty nurses because they have to concentrate on the particular patient that they are handling and does not have to juggle both the administrative and the care works together. The medical- surgical nurses maintain an intense level of coordination among themselves as well as with the patients from the time they are admitted to the hospitals till the time of their discharge including the matters of post discharge considerations like transportations as well as their home health care (Kelly, 2016). Therefore the nurses have to be physically, emotionally, intellectually and clinically active for providing utmost service to the authority and the patients for 24/7

Nursing and Midwifery Board of councilsof Australia has long been the best companion for such nurses who had effectively set up various guidelines. These should be followed by the nurses for the treatment of the patients’ care. They will bring the best results to the organization and also will prevent the nurse from getting engaged in any legal and ethical issues. Starting from setting their standards to the importance of evidence based nursing practice have been discussed. They have also set the profession legal aspects that need to be followed to prevent them from legal obligations (Nursing and Midwifery Board of Australia, 2010). Following the domains mentioned in NMBA like the importance of critical thinking, provision of coordination and care, collaborative and therapeutic practices, maintaining an ethical framework and others should be maintained by the medical- surgical nursing to perform their activities.

Therefore from the above essay, it can be stated that medical surgical nursing is a special area of nurses. Here, a large number of skills like critical thinking ability, special knowledge about disease of various kinds, efficient management skills, peaceful mental stability, and coordinative approach for every task following the NMBA guidelines need to be exhibited. Often these skills are very different form the other specialist nurses and require immense zeal and capacity to perform them.

References:

Centrella-Nigro, A. M., Blackwell, B., Coughlin, A., & Voorhees, K. A. (2016). The Effect of Human Patient Simulators on Knowledge and Self-Competence in Graduating Prelicensure Nursing Students. Nursing Education Perspectives, 37(6), 337-339.

Ignatavicius, D. D., & Workman, M. L. (2015). Medical-surgical nursing: Patient-centered collaborative care. Elsevier Health Sciences.

Kelly, K. M. (2016). The Effect of Human Patient Simulation on Medical-Surgical Nurses’ Self-Efficacy in Cardiac Emergency Management (Doctoral dissertation).

LeMone, P., Burke, K., Dwyer, T., Levett-Jones, T., Moxham, L., & Reid-Searl, K. (2015). Medical-surgical nursing. Pearson Higher Education AU.

Lewis, S. L., Bucher, L., Heitkemper, M. M., Harding, M. M., Kwong, J., & Roberts, D. (2016). Medical-surgical nursing: assessment and management of clinical problems, single volume. Elsevier Health Sciences.

Lewis, S. L., Maltas, J., Dirksen, S. R., & Bucher, L. (2015). Study guide for medical-surgical nursing: Assessment and management of clinical problems. Elsevier Health Sciences.

Nursing and Midwifery Board of Australia. (2017). National competency standards for the registered nurse. [online] Available at: [Accessed 15 Feb. 2017].

Winsett, R. P., Rottet, K., Schmitt, A., Wathen, E., Wilson, D., & Group, M. N. C. C. (2016). Medical surgical nurses describe missed nursing care tasks—Evaluating our work environment. Applied Nursing Research, 32, 128-133.

Zambas, S. I., Smythe, E. A., & Koziol-Mclain, J. (2016). The consequences of using advanced physical assessment skills in medical and surgical nursing: A hermeneutic pragmatic study. International Journal of Qualitative Studies on Health and Well-being, 11.

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