Robert L
Stoy
May 2024
Robert L
Stoy
Youngstown State University Centofanti School of Nursing
Youngstown
,
OH
United States

 

 

 

The residents were hesitant to order the patient a head CT. Robert advocated for his patient to the resident, explaining that this was a significant change and an acute change.
Robert has demonstrated time and time again his passion for nursing and expanding his knowledge to ensure he is capable of providing the best care to his patients. Taking the time to get to know his patients, not just their medical history but developing the whole picture. There are multiple examples I could provide of how this student has demonstrated the core values that the DAISY Award represents, however, there is one moment that sticks out the greatest. On day one of clinical I expressed how important it is to establish a baseline of your patient at the very start of the shift. We arrived at clinical right at 3 pm, and it was at shift change for this patient. Robert and the bedside RN received a shift report, and the RN went to get a report on her other patient. Robert went into the room directly after receiving the report to complete his head-to-toe assessment. He developed his baseline, and shortly after a while, Robert was talking to the patient, who then became aphasic and difficult to arouse. This was a change. Robert then completed a focused neuro exam and noted that he also developed worsening facial droop and decreased respiration. He immediately notified the RN of this. She came to the bedside to gain her perspective, and she shut off his Precidex just in case that might have been contributing to the change. Then they proceeded to call the residents to get them to the bedside. The residents were hesitant to order the patient a head CT. Robert advocated for his patient to the resident, explaining that this was a significant change and an acute change. The residents finally agreed to get the head CT, and the patient did have an acute stroke. The patient then went for a STAT IR procedure to remove the clot and place a stent. The next day, the patient was able to speak and move all four extremities purposefully. If it were not for Robert's advocacy and detailed assessment, this change might not have been identified right away, causing a delay in treatment and could have led to a poor outcome. Thank you, Robert, for advocating for your patients and contributing to this patient's positive outcome.