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The importance of the charge nurse
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Dimension of Nursing Practice: Practice- Provides leadership in the application of the nursing process to patient care, organizational processes and/or system, improving outcomes at the program or service level.
Ms. Bardsley functions as a hemodialysis liaison and leader in clinical practice with the following roles: charge nurse, preceptor, and mentor for her colleagues. She is the resource person for the Hct-Line monitoring tool. The tool is used to monitor patient’s fluid removal during treatment to avoid hypotensive episodes associated with decreased perfusion to the heart. She routinely monitors the patient outcomes which to date has resulted in 0 admissions. She recently updated the policy to make it more user friendly for the staff and to maintain staff competency.
Ms. Bardsley is a member of the organizations Infection Control Team/ Hand Hygiene Program and the unit’s infection control
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Bardsley was selected as the unit’s glucometer champion responsible for glucometer training and competency for the Hemodialysis Nurses. She tracks the competencies to assure staff is competent at all times. We have had 100% documentation in the last year, a measure required of the lab/ organization.
Dimension of Nursing Practice: Collaboration- Uses the group process to identify, analyze, and resolve care problems.
As a charge nurse, Ms. Bardsley leads morning huddle to identify and make improvements in work flow, patient care and assignments according to the needs of the staff and unit on any particular day. The huddles provide for continuity of care, transparency among manager and staff, and an opportunity to discuss improvement projects and lastly a session once per week directed by the social worker to help with staff mindfulness to destress what is a stressful area of practice.
Ms. Bardsley builds many professional relationships with her colleagues by sitting on a variety of hospital-wide committees.
Ms. Bardsley is a CREW Facilitator for the
This discussion board is about the nurse’s scope of practice. The purpose of this posting is to discuss the definition and standards of the nurse’s scope of practice as defined by the American Nurses Association (ANA) and by the Ohio Board of Nursing with an example of how to use the standards of practice. Per the ANA, when determining the nurse’s scope of practice there is no one specific explanation that can be provided due to the fact that registered nurses can have a general practice or a practice that is very specialized. The limits that are placed on a RN’s scope of practice will depend on a registered nurse’s education, type of nursing, years as a nurse, and the patients receiving care. At the basic level, every nurse’s practice
The fourth role these nurses participated in was they all were collaborators. According to Black, “The collaborator role is a vital one for nurses to ensure that everyone agrees on the same patient outcomes (Black pg 299). An example, was when one of the nurses went with Lara’s mother to get knitting supplies; before Lara’s mother went to pay, the nurse told her to give her the yarn. She said it was a gift from the staff. The staff had all collaborated together to pitch in money and buy the yarn. The last role these nurses provided was they were all managers. According to Black, a manager, “in their daily work, all nurses are managers” (Black pg 298). This quote, explains almost all of these nurses actions. The nurses in the case study were able to manage the patients care in multiple holistic ways such as: educating her on BMT, French braiding her hair, simultaneously giving her shots, and advocating for the patient to be a teenager by moving her to a room with a phone jack. All in all, the prominent nursing roles were provider of care, advocate, educator, collaborator, and
There are events, subtle or otherwise, leading up to a critical change in health status. As nurses at the bedside, we must have strategies and protocols implemented in order to monitor changes in vital signs and trends leading towards a cardiac, respiratory, or neurologic event. In a hospital setting, patients are monitored for changes in condition, whether it be improvement or deterioration, allowing clinicians to decide the course of action to follow in their care.
After further multidisciplinary team meetings with the involvement of John the treatment option of automated peritoneal dialysis was implemented (NSF 2004). Once the Tenchkoff catheter had been inserted, education and training completed John was ready for discharge home.
The staff will now have to rely heavily on technology to monitor delicate vital signs and feeding schedules as well as charting assessments. The large panoramic view of a room has been replaced with walls and a nurse watching a com...
Another factor that influences being a safe and professional nurse is having the right attitude. This will help you develop your nursing skills better if you have a positive attitude, because you may work with a team of registered nurses but you must recognize that each of you have your strengths and weaknesses. You must value each nurse for their expertise and skills, and always be willing to learn and accept feedback to help improve yourself. As a nurse, you may be great at starting IVs, while another nurse may be great at talking to patients, another nurse may be great at wound care, etc. Overall, recognizing when to ask for help is a good quality in nursing, this isn’t as a disfavor to yourself but actually a service to your patient, because
1. What is the difference between a. and a. Which K, S, and A pertain to the care you provided to the patient you have chosen? Why do you need to be a member? K- Describe the limits and boundaries of therapeutic patient-centered care. S- Assess levels of physical and emotional comfort.
Traditional hemodialysis (HD) is provided to the patient at an outpatient clinic that is often referred to as a chronic unit. Patients must come to the chronic unit to be hooked up to the dialysis machine which circulates their blood through a dialyzer thereby removing toxins and excess fluid. This dialyzer is a clear plastic tube which contains thousands of micro fibers that allow the blood to flow through while enabling diffusion to remove the unwanted components of the blood. The majority of dialysis patients use this as their primary method of treatment; however, some patients find the treatment to be harsh and uncomfortable. These patients often look for alternate treatments such as peritoneal dialysis.
... practice of medicine, combined with addressing holistic needs of the patient and family, including the physical, psychological, cognitive, emotional, spiritual and social care as it relates to being competent in nursing.
Scope of practice refers to the actions, procedures or processes that are permitted to be done by a professional in his or her profession by the law (Anderson, 2013). The scope of practice that is permitted by law is basically based on the educational qualifications and the experience in the particular field. All the health care professionals have this scope of practice including nurses which is governed by a governing body of the particular ...
The demands on health care providers to provide the best quality care for patients is increasing. With added responsibilities and demands on our health care workers, it is hard not become overwhelmed and forget the reason and purpose of our profession. However, there is a way where all professionals can meet and come together for a common cause, which is the patient. A new approach in patient care is coming of age. This approach allows all health care professionals to collaborate and explore the roles of other professions in the hope of creating a successful health care team. This approach is referred to as the Interprofessional Collaboration Practice (IPC). To become an effective leader and follower, each professions will need to work together
I believe it is because knowing why you are doing what you’re doing makes you more knowledgeable, insightful and creative. This is why nurse managers are so valuable on their units to the hospital, they are the ones that hold the communication line between staff and administration. Our Lady of the Lake Regional Medical Center is a general medical and surgical hospital that has been located in Baton Rouge, Louisiana for over ninety years. It is a private Catholic hospital that serves as a teaching facility to surrounding students in the area. In addition they employee nine hundred physicians, three hundred staff members and treat over 25,000 patients a year. There Rosa Franklin has over thirty six years of experience working. She is currently the nurse manager on Cardiology 1. In this report I will be sharing with you the five managerial functions of a nursing manager in a hospital setting. This includes influencing, planning, organizing, staffing and controlling.
On these occasions, I rely on my nursing assessment, evaluation, and interventions, collaborative skills, and scientific knowledge to make sound clinical judgments for the benefit of my patients. As a hemodialysis nurse, I will persevere to comply with innovation in nursing practice, EBP, research, and education. I believe growth requires generation of innovative, improved ideas and practices for the betterment of the organization and patient satisfaction. For this reason, I will embrace technological advancements; empower front line staff to embrace change and innovation; and motivate staff to be change agents on the floor with the aim to provide better quality of care for our
The Scope of Nursing Practice describes the “who,” “what,” “where,” “when,” “why,” and “how” of nursing practice. Each of these questions must be answered to provide a complete picture of the dynamic and complex practice of nursing and its evolving boundaries and membership. (ANA, 2010). Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering
Nurses are one of the most valuable resources in any healthcare organization (Longest, Rakich, & Darr, 2006). Nurses play an important role as members of the multidisciplinary healthcare teams. Nurses help organizations to achieve its mission and vision and meet its goals and objectives. Nursing care is vital to the provision of the healthcare delivery system in promoting health and wellness, preventing illness, restoring health, caring for disabled, and helping dying patients and their families (Catalano, 2006). The promotion of quality of nursing care and the safety of nursing practice takes place through nursing education and ensuring clinical practices meet evidence-based practice, accreditation, and certification requirements (Ironside,