Marshall VanCamp
March 2023
Marshall
VanCamp
,
BSN, RN
Emergency Department
Virtua Mt. Holly
Mt Holly
,
NJ
United States
Marshall demonstrated patient-centered care, informed care, and family inclusion in the nursing care model during the client’s Emergency Department visit.
Mr. N is an 87-year-old client with a history of a rare neurological syndrome with associated paralysis and neurogenic bladder. The client, a resident of the Westampton community, arrived by ambulance to the Virtua Mount Holly Emergency Department with a chief complaint of probable recurrent urinary tract infection related to the utilization of a chronic indwelling urinary catheter. On the date of the client’s visit to the Emergency Department, he was assigned to the care of Marshall VanCamp, RN.
As the client was transferred from the ambulance stretcher to the Emergency Department’s stretcher, Marshall introduced himself to the client and noted a unique form of communication by the client’s family, by way of discovering several “care notes” written by hand and attached to the client’s person and articles of clothing. These “care notes” were wonderful, as they provided an avenue for the family to be emotionally present and supportive of the client during the Emergency Department visit. Marshall read each of the “care notes” and clarified with the client the content of each “care note” and correspondingly arranged his nursing assessment, interventions, and reassessments by encompassing both the client and the client’s family into a centered care model.
As the client was undergoing diagnostic evaluation, Marshall recalled one of the “care notes” mentioned the client had an allergy to latex. Marshall ensured that the latex allergy was listed in the client’s EHR. Additionally, when the Emergency Department Provider ordered the removal of the current indwelling Foley catheter for replacement of a new catheter for urine specimen collection and for urinary retention – Marshall discussed with the Provider that Silicon (latex-free) catheters are not readily available in the unit’s storeroom nor distribution (per the Provider, the catheter requirements included; silicon-based, lumen size 18 gauge or 20 gauge, and with an internal balloon that could be inflated to 30cc with Normal Saline).
While Marshall encountered several challenges in locating the catheter specified by the Provider, he persisted until he successfully obtained the item from the Virtua Mount Holly Labor and Delivery Unit. Subsequently, the catheter was replaced and the client was medically admitted to 5-Stokes with a diagnosis of sepsis and urinary tract infection. Marshall demonstrated patient-centered care, informed care, and family inclusion in the nursing care model during the client’s Emergency Department visit. His attention to the “care notes” written by the family made a world of difference to the client’s satisfaction and to the promotion of a safe and beneficial health outcome upon admission to the hospital.
As the client was transferred from the ambulance stretcher to the Emergency Department’s stretcher, Marshall introduced himself to the client and noted a unique form of communication by the client’s family, by way of discovering several “care notes” written by hand and attached to the client’s person and articles of clothing. These “care notes” were wonderful, as they provided an avenue for the family to be emotionally present and supportive of the client during the Emergency Department visit. Marshall read each of the “care notes” and clarified with the client the content of each “care note” and correspondingly arranged his nursing assessment, interventions, and reassessments by encompassing both the client and the client’s family into a centered care model.
As the client was undergoing diagnostic evaluation, Marshall recalled one of the “care notes” mentioned the client had an allergy to latex. Marshall ensured that the latex allergy was listed in the client’s EHR. Additionally, when the Emergency Department Provider ordered the removal of the current indwelling Foley catheter for replacement of a new catheter for urine specimen collection and for urinary retention – Marshall discussed with the Provider that Silicon (latex-free) catheters are not readily available in the unit’s storeroom nor distribution (per the Provider, the catheter requirements included; silicon-based, lumen size 18 gauge or 20 gauge, and with an internal balloon that could be inflated to 30cc with Normal Saline).
While Marshall encountered several challenges in locating the catheter specified by the Provider, he persisted until he successfully obtained the item from the Virtua Mount Holly Labor and Delivery Unit. Subsequently, the catheter was replaced and the client was medically admitted to 5-Stokes with a diagnosis of sepsis and urinary tract infection. Marshall demonstrated patient-centered care, informed care, and family inclusion in the nursing care model during the client’s Emergency Department visit. His attention to the “care notes” written by the family made a world of difference to the client’s satisfaction and to the promotion of a safe and beneficial health outcome upon admission to the hospital.