May 2023
Jacob P
Cox
,
BSN, RN
Medical Pediatric Surgical Services
Randolph Health
Asheboro
,
NC
United States
It is hard to stand your ground when a physician does not agree with your assessment, but Jacob did just that. He continued to advocate for the patient until that patient was transferred to a higher level of care.
I have only worked at Randolph for a short time but in that time I have been so impressed and inspired by the skill and expertise I have witnessed from Nurse Jacob Cox on MPS. One night he was caring for a pediatric patient that was exhibiting signs of respiratory failure even prior to getting to his floor. Jacob advocated for this patient from the moment he was notified the patient was coming to MPS, even before the patient was physically on his unit. When the patient did arrive, it was evident that the infant was in distress. Jacob and the RT working that night worked impeccably together to provide the best possible care and outcomes for this patient. He notified the pediatrician of the patient's condition and when he was not given orders to help the patient he persisted to advocate for the patient.
It is hard to stand your ground when a physician does not agree with your assessment, but Jacob did just that. He continued to advocate for the patient until that patient was transferred to a higher level of care. It was Jacob and the respiratory therapist's vigilant care that kept this patient from coding in our facility. They never gave up on fighting for this patient. Not a month later, he had another pediatric patient whom he assessed was having increased respiratory distress. It was his expert assessment skills that determined and fueled the plan of care to transport that patient to a higher level of care before deterioration. I truly believe these pediatric patients got the best care they could have at our facility because Jacob was their nurse.
I admire his courage to stand up for what he knew to be correct; many nurses would not have trusted their assessment and continued to advocate for the patient as he did. He has also been such a great team member to get to know and work with. I have already learned so much from him. He is a team player and leader. He continually strives to make a better environment not only for patient care but for staff satisfaction and wellness as well. He has provided education for RSV in the pediatric patient that was intended for use on his unit but then shared that knowledge with other units that might encounter RSV pediatric patients. He truly strives for the best possible patient outcomes and it is admirable to see. He constantly picks up shifts or changes his schedule when MPS is short staffed and he readily takes on additional responsibilities that benefit patient care and the organization, such as becoming a BLS instructor. It is obvious he would be an excellent resource to have as a PALS instructor based on his history of phenomenal pediatric patient care. Nurses like Jacob are the ones who continue to strive for excellence in a changing and challenging healthcare field.
Recently I had an elderly, medical overflow patient who was status post laparoscopic surgery the same day. The patient had abnormal VS and output that was not improving despite MD notification and interventions. Jacob Cox was working and after consulting with him, he volunteered to come lay another set of eyes on the patient. Jacob came over, assessed the patient, and provided recommendations based on his MPS experience. This patient’s condition did not improve which became an uncomfortable situation for me, as a MASU RN. Jacob was readily available via telephone and face-to-face consult all night long. I would guess, I called him or visited him 10 or more times throughout the night and between telephone calls to the MD.
Jacob was very supportive, he never seemed irritated or bothered and answered every question/concern that I had for the entire shift, although he had his own patient assignment. This patient ended up being transferred to another unit. Following the transfer I spoke with Jacob and he provided lots of feedback, positive encouragement, and support the entire night. This is not the first time he's been called upon by m and our peers for support, suggestions, and advice and he has always had a very positive attitude. This night and every night that he's been available to us on MASU has been a blessing and I'm thankful to have him "next door".
It is hard to stand your ground when a physician does not agree with your assessment, but Jacob did just that. He continued to advocate for the patient until that patient was transferred to a higher level of care. It was Jacob and the respiratory therapist's vigilant care that kept this patient from coding in our facility. They never gave up on fighting for this patient. Not a month later, he had another pediatric patient whom he assessed was having increased respiratory distress. It was his expert assessment skills that determined and fueled the plan of care to transport that patient to a higher level of care before deterioration. I truly believe these pediatric patients got the best care they could have at our facility because Jacob was their nurse.
I admire his courage to stand up for what he knew to be correct; many nurses would not have trusted their assessment and continued to advocate for the patient as he did. He has also been such a great team member to get to know and work with. I have already learned so much from him. He is a team player and leader. He continually strives to make a better environment not only for patient care but for staff satisfaction and wellness as well. He has provided education for RSV in the pediatric patient that was intended for use on his unit but then shared that knowledge with other units that might encounter RSV pediatric patients. He truly strives for the best possible patient outcomes and it is admirable to see. He constantly picks up shifts or changes his schedule when MPS is short staffed and he readily takes on additional responsibilities that benefit patient care and the organization, such as becoming a BLS instructor. It is obvious he would be an excellent resource to have as a PALS instructor based on his history of phenomenal pediatric patient care. Nurses like Jacob are the ones who continue to strive for excellence in a changing and challenging healthcare field.
Recently I had an elderly, medical overflow patient who was status post laparoscopic surgery the same day. The patient had abnormal VS and output that was not improving despite MD notification and interventions. Jacob Cox was working and after consulting with him, he volunteered to come lay another set of eyes on the patient. Jacob came over, assessed the patient, and provided recommendations based on his MPS experience. This patient’s condition did not improve which became an uncomfortable situation for me, as a MASU RN. Jacob was readily available via telephone and face-to-face consult all night long. I would guess, I called him or visited him 10 or more times throughout the night and between telephone calls to the MD.
Jacob was very supportive, he never seemed irritated or bothered and answered every question/concern that I had for the entire shift, although he had his own patient assignment. This patient ended up being transferred to another unit. Following the transfer I spoke with Jacob and he provided lots of feedback, positive encouragement, and support the entire night. This is not the first time he's been called upon by m and our peers for support, suggestions, and advice and he has always had a very positive attitude. This night and every night that he's been available to us on MASU has been a blessing and I'm thankful to have him "next door".