Emily Paranick
December 2020
Emily
Paranick
,
BSN, RN
Radiology Department
UPMC Children's Hospital of Pittsburgh
Emily immediately contacted our sedation team and had them come to assess the patient due to the circumstances since these scans were so crucial because of pre-op planning.
Emily Paranick, Radiology Professional Staff Nurse, BSN, deserves recognition for going above and beyond for her care for a complex 16-year-old who came in as an outpatient. Emily was the CT and Nuclear Medicine nurse this day. This role provides care for complex imaging exams that require a nurse to assess each individual and place IV(s), education, and emotional and strategic care for these exams.
The patient came with her parents from over 6 hours away for a GFR nuclear medicine scan and a CT scan with contrast. Because of these types of scans, she needed to have an IV placed in each extremity for blood draws, CT contrast, and also had to drink oral contrast over an hour. After the patient was screened and IVs were placed, the parents asked when she would receive her sedation for the scans. She was not scheduled for any type of sedation that day but did arrive NPO due to having to drink oral contrast over an hour. This can create an atmosphere of confusion. It is hard to recover from a situation such as this as there is an immediate need for service recovery and use of AIDET and creative narration of the situation to accommodate an unexpected request for sedation or anesthesia. Emily immediately contacted our sedation team and had them come to assess the patient due to the circumstances since these scans were so crucial because of pre-op planning. The patient needed this to occur timely, as she has a new and concerning diagnosis.
The team provided the patient with minimal sedation to hold still for the CT scan, which in turn, ended up being unsuccessful, but Emily would not let the patient go home without getting the scans completed. Emily hung in there the entire day involved in the sedation, recovery, and continued Service Recovery. She then contacted the head of the Anesthesiology Department to plan for this patient to get the pertinent scans done that day. Anesthesia was able to provide anesthesia at approximately 5 pm for this scan.
Emily stayed well past her scheduled shift to coordinate and care for this patient, as well as taking care of other outpatients that day. Her nursing peers were rightly impressed with her attention to this situation. She is a true DAISY Nurse.
The patient came with her parents from over 6 hours away for a GFR nuclear medicine scan and a CT scan with contrast. Because of these types of scans, she needed to have an IV placed in each extremity for blood draws, CT contrast, and also had to drink oral contrast over an hour. After the patient was screened and IVs were placed, the parents asked when she would receive her sedation for the scans. She was not scheduled for any type of sedation that day but did arrive NPO due to having to drink oral contrast over an hour. This can create an atmosphere of confusion. It is hard to recover from a situation such as this as there is an immediate need for service recovery and use of AIDET and creative narration of the situation to accommodate an unexpected request for sedation or anesthesia. Emily immediately contacted our sedation team and had them come to assess the patient due to the circumstances since these scans were so crucial because of pre-op planning. The patient needed this to occur timely, as she has a new and concerning diagnosis.
The team provided the patient with minimal sedation to hold still for the CT scan, which in turn, ended up being unsuccessful, but Emily would not let the patient go home without getting the scans completed. Emily hung in there the entire day involved in the sedation, recovery, and continued Service Recovery. She then contacted the head of the Anesthesiology Department to plan for this patient to get the pertinent scans done that day. Anesthesia was able to provide anesthesia at approximately 5 pm for this scan.
Emily stayed well past her scheduled shift to coordinate and care for this patient, as well as taking care of other outpatients that day. Her nursing peers were rightly impressed with her attention to this situation. She is a true DAISY Nurse.