In the current era of nursing, it is easy to get caught up in the hustle and bustle of the job. It may be easy some days to forget about the basic driving forces that brought us to the bedside years ago. In order to get back to the grass roots of practice, I interviewed a flight nurse of Air Medical, John Rhodes, a bachelor’s prepared nurse from State University, Alumni 1990. Following the interview, I observed him giving direct care to a couple of patients during flight. By doing the stated tasks, I was able to unveil the theories for which one member of our nursing community lives out.
The daily configuration of the helicopter bedside includes two flight nurses or one flight nurse and a flight paramedic to
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In order to assess the patient, he immediately began to alter his typical communication style to asking questions that she could answer with yes or no head nods or by writing down brief phrases on a piece of paper. By making this care plan during flight, any generalizations that were made were able to be tested as the patient reacted (p. 129). Her response included a decrease in heart rate, blood pressure, and respiratory rate along with eliciting a one-sided smile for us. Overall, this patient encounter was very positive.
An additional observation of FN Rhodes was during the scene care and transport of a young male who sustained a high-speed motor vehicle collision (MVC). During this time John thoroughly addressed many of Abdellah’s 21 Nursing Problems, starting with issue four that regards preservation of proper body mechanics for prevention of deformities was clearly maintained via cervical spine immobilization in this MVC (McEwen & Wills, 2011, p. 130). The trauma patient was showing abnormal vital signs of high heart rate, low blood pressure, and low oxygen saturations. With expeditious recognition, FN Rhodes prevented cell death by placing him on a 100% oxygen mask known as a non-rebreather (p. 130). This intervention was promptly followed up with initiation of a fluid bolus to encourage fluid balance as he recognized the physiologic responses of the