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i just need a response to the posting below:For every patient admitted to the hospital, at least two nurses will have direct contact with him or her. One from the 7a/7p shift and then one from the 7p/7a shift. Patient care does not include the patient’s attention from the other nurses in the department when the primary nurse can not provide immediate care to the patient. The patient will also see the hospitalist or intensivist, and depending on the patient’s need, the hospitalist may consult another doctor or two will be consulted in for collaborative treatment. Each discipline plays an integral part in the care of each patient. However, the nurse spends the most considerable amount of time with each patient (2015).As healthcare advances and technology improve to assist and document the patient nurses, over the years, have become more swamped with repetitive documentation to ensure treatment accuracy. They have less time to provide care to patients and family.Fitzpatrick mentions that a nurse’s presence is at the core of the essence of nursing. Being there to comfort, provide, and update designated family members is very important to patients and their families. Patients and families look to nurses to be their medical concierges when their attending physician does not answer questions or direct care. We are looked to for safety and comfort and reassurance that timely and quality care will be provided.As a growing nurse, I have learned that being attent

ive and anticipating a patient’s needs can foster trust and excellent outcomes, even with some of the allegedly difficult patients. Working in an environment where subjective data nurses are considered to improve patient care is very important. As different issues arise, every nurse must be heard. Because each nurse has the most time with the patient in “real-time, “every measure needs to be taken to incorporate each nurse’s ideas and findings to help improve healthcare treatments and patient handling. This year alone, nurses have to practice at the full scope of the profession and their education dealing with COVID-19. For example, just within the last two months, for a short period, the nurses started noticing a trend in patients developing Heparin-induced thrombocytopenia that were placed on a heparin drip at a high dose protocol of units/kg/hour. After making a few recommendations that they all strongly agreed was the issue, the ICU intensivist switched to a lower dose, which resulted in a positive outcome for future patients. Now we did not have enough clinical data to back up our findings, and this event could have been unique to those few cases, but it was the attentiveness and the concern of every nurse that prompted a change in the course of future treatments. As needs and technology, and policies change with healthcare, the nursing profession must continually change and push for advancement in education, participation, planning, and research.