Full transcript
0:00Hi, good morning Collins. My name is
0:02Mahera. Let's start the warm-up session.
0:06Why did you choose to become a nurse?
0:08>> There are several reasons why I chose
0:09nursing. First of all, many of my
0:12relatives are nurses and their stories
0:14inspired me a lot. Besides, nursing is a
0:17profession with an ocean of
0:19opportunities both native and abroad.
0:21Above all, this is a service-oriented
0:24profession in which I can serve
0:26humanity. Hence, I chose nursing as my
0:28career.
0:29>> What is your career goal after reaching
0:31your dream destination?
0:33>> Right now, I do not have any clear
0:35management goals. I am very interested
0:37in learning about management and
0:39leadership and would be interested in
0:41any committees that I could participate
0:43in and learn. I have lots of ideas and
0:46would love to be in a brainstorming
0:48group and I am very interested in the
0:50management dynamics of the organization.
0:52I feel that I need to join leadership
0:54groups to learn and meet new people.
0:56>> Describe your typical working day.
0:59>> My day starts with prayer. After
1:01completing my daily routines, I reach my
1:03work station by 7:30. Before taking the
1:06handover, I complete my inventories and
1:09update the crash cart medication and
1:11dressing trolley. After receiving the
1:13handover, I interact with my patients to
1:15identify their health needs. Based on my
1:18assessment plan, a nursing care plan and
1:21provide quality care for my patients.
1:23Afterward, I assist the physician in his
1:26work and carry out necessary clinical
1:28orders. Meanwhile, I find some time to
1:30interact with my colleagues and maintain
1:33a good rapport with them. My duty ends
1:35by 3:30 after I give a handover to the
1:37next scheduled staff members.
1:39>> Where do you see yourself in 5 years?
1:42>> In 5 years, I envision myself as a
1:44seasoned nurse working in a challenging
1:47and rewarding role. I aspire to deepen
1:50my clinical expertise and leadership
1:52skills and to become a valuable asset to
1:54my health care team. I hope to be
1:56involved in mentoring and educating new
1:59nurses and to contribute to improving
2:01patient outcomes through evidence-based
2:03practice. Ultimately, I strive to make a
2:06positive impact on the lives of my
2:08patients and their families.
2:10>> What are the pieces of advice for the
2:12upcoming nurses?
2:13>> As a nurse, I can give a bunch of advice
2:16to upcoming nurses. Firstly, I advise
2:18them to love their profession. If anyone
2:21loves their profession, they can carry
2:23out their responsibilities in an
2:25efficient manner without complaints.
2:27Apart from that, I advise them to be
2:29dedicated to their profession and
2:31maintain professional standards. These
2:33are essential because a nurse should
2:35abide by nursing ethics on any grounds.
2:38These are a few pieces of advice that I
2:40would like to give to future nurses.
5:42>> Your preparation time is over. You can
5:45now start your role play.
5:48>> Good morning. Welcome to the Community
5:50Health Center. My name is Henzy
5:52McCurley, and I am one of the nurses on
5:54duty today. May I please have your name?
5:57>> Hello, Nurse Henzy. My name is Mahira.
6:00>> It is very nice to meet you, Mahira. How
6:02can I help you today? Could you tell me
6:04what brings you to the health center?
6:06>> Oh, Nurse, I am feeling terrible. I have
6:08been throwing up and having really bad
6:11watery diarrhea, along with awful
6:13stomach cramps. It all started so
6:16suddenly. I really need some medication
6:18to stop this right away.
6:20>> I am so sorry to hear that you are
6:21feeling so unwell, Mahira. Dealing with
6:24stomach troubles can be very
6:26uncomfortable and exhausting, so I
6:28completely understand why you are
6:30seeking help. To help me get a clear
6:32picture of what is going on and how we
6:34can best support you, I would like to
6:36ask you some questions about your
6:37symptoms first, and then we can discuss
6:40how to manage this together. To begin
6:42with, could you describe how these
6:44symptoms started and what you have been
6:45experiencing over the last day or two?
6:48>> It started about 24 to 48 hours ago out
6:51of nowhere. First, I felt extremely
6:54nauseous, and then the sudden vomiting
6:56began. Shortly after that, the watery
6:59diarrhea started, and my stomach has
7:02been cramping up ever since. I feel so
7:05weak and tired from going to the
7:06bathroom so many times.
7:08>> That sounds really draining, Mahira.
7:10Thank you for sharing that. Along with
7:12the vomiting and diarrhea, have you
7:14noticed any signs that might suggest you
7:17are getting dehydrated, such as feeling
7:19dizzy when you stand up, or noticing
7:21that your urine is much darker than
7:23usual?
7:24>> Now that you mention it, I did feel a
7:26bit light-headed when I got out of bed
7:27this morning. I haven't really checked
7:30the color of my urine, but I know I
7:32haven't needed to go to the toilet to
7:33pass urine very much today because
7:35everything seems to be coming out as
7:37diarrhea.
7:38>> I appreciate you letting me know about
7:40the light-headedness, as that can
7:42certainly happen when your body loses
7:44fluid. Besides the vomiting, diarrhea,
7:47and cramping, are you experiencing any
7:49other symptoms?
7:51>> I don't think I have a high fever,
7:52though I felt a bit feverish last night.
7:55There's no blood in my stool, thank
7:57goodness, and the stomach pain comes in
8:00waves with the cramps, rather than being
8:02constant and sharp.
8:04>> All right. Mahira, what could be the
8:06possible cause for this?
8:08>> As for causes, I haven't traveled
8:10anywhere recently, but I did eat some
8:12takeaway food 2 nights ago that tasted a
8:14bit off. I wonder if that caused this.
8:17>> That is very helpful context, Mahira.
8:20Eating something that was slightly off
8:22can certainly trigger an upset stomach.
8:24Now that I have a better understanding
8:26of your situation, I would like to
8:28outline some effective ways to manage
8:30gastroenteritis at home, so you can
8:32start recovering comfortably. First, the
8:35most crucial part of your recovery is
8:37hydration. Because your body loses
8:40essential fluids and salts through
8:42vomiting and diarrhea, you need to
8:44replace them by drinking oral
8:46rehydration solutions or water. It is
8:49best to sip small amounts frequently
8:51throughout the day, rather than drinking
8:53large quantities at once, which might
8:55upset your stomach again. Next, getting
8:58plenty of rest will give your body the
9:00energy it needs to recover. When you
9:02feel ready to eat again, you should
9:04gradually reintroduce bland foods as
9:06tolerated, such as plain toast or white
9:09rice. While avoiding rich, greasy, or
9:12spicy foods for a while. Finally,
9:15practicing strict hand hygiene by
9:17washing your hands thoroughly with soap
9:19and water, especially after using the
9:21bathroom and before handling food, is
9:24essential to prevent spreading any germs
9:26to others. Mahira, regarding
9:28over-the-counter support, you can
9:30purchase oral rehydration salts from the
9:32pharmacy to help restore your
9:34electrolyte balance. You might also
9:36consider antidiarrheal medications like
9:39loperamide for short-term relief if you
9:41need to manage the diarrhea, though
9:43keeping hydrated remains the main
9:45priority.
9:46>> Thank you for explaining all of that,
9:48nurse. But can't you just prescribe me a
9:50strong antibiotic or something stronger?
9:53I really want this to stop immediately
9:55so I can get back to work.
9:57>> I completely understand your desire to
9:59get back on your feet quickly, Mahira,
10:02and it is completely natural to want a
10:04fast solution when you are feeling this
10:06miserable. However, I must gently advise
10:09against prescribing antibiotics in this
10:12situation. Most cases of gastroenteritis
10:15are caused by viral infections, and
10:17antibiotics are strictly designed to
10:19treat bacterial infections, meaning they
10:22are ineffective against viruses. Taking
10:24unnecessary antibiotics can actually do
10:27more harm than good, as they can cause
10:30unwanted side effects like further
10:31stomach upset or thrush, and they
10:34contribute to antibiotic resistance.
10:36Furthermore, as a nurse, issuing
10:38prescription medications for viral
10:40gastroenteritis is not within my scope
10:43of practice. Mahira, please be reassured
10:46that gastroenteritis is usually a
10:48self-limiting condition. This means your
10:51body's immune system will naturally
10:53clear the illness, and symptoms
10:55typically resolve on their own within a
10:57few days to a week without causing any
10:59long-term complications. How are you
11:02feeling about these management steps?
11:04And do you have any specific concerns or
11:06questions?
11:07>> That makes sense about the antibiotics,
11:09even if I was hoping for a quick fix. I
11:12guess I'm just worried about how to tell
11:14if I'm getting worse or when I should
11:16actually be concerned.
11:18>> That is a very valid concern, Mahira,
11:20and it is important to know what warning
11:22signs to watch out for. Now, I would
11:24like to explain when it is necessary to
11:26see a general practitioner or seek
11:29urgent medical attention. You should
11:31consult a doctor or go to urgent care if
11:33you experience persistent vomiting that
11:35prevents you from keeping any fluids
11:37down for more than 24 hours, or if your
11:40overall symptoms last longer than a few
11:42days without any improvement. You must
11:45also seek immediate care if you notice
11:47severe blood in your stool, develop a
11:49high fever, or experience pronounced
11:52signs of severe dehydration, such as
11:55persistent dizziness, confusion, extreme
11:58thirst, or passing little to no urine.
12:01If any of these red flag symptoms occur,
12:03please do not hesitate to get evaluated
12:06right away.
12:07>> All right, Nurse Henzie. I will buy some
12:09rehydration salts, rest up, sip fluids,
12:12and monitor how I feel over the next
12:14couple of days. If things don't improve,
12:17or if I notice those warning signs, I'll
12:20see a doctor immediately. Thank you so
12:22much for your guidance today.
12:24>> You are very welcome, Tahira. Take good
12:26care of yourself, get plenty of rest,
12:29and I hope you feel much better very
12:30soon.