To whom in may concern, I am pleased to recommend Renee Gersy as a candidate for the Emergency Department RN transition program. As a Clinical Manager for the Scripps System-wide Resource Services (SSRS), I have been her direct supervisor for the past six months and as a former manager for the Neuro-surgical Trauma ICU at Scripps La Jolla, I was able to witness her work performance first hand. Renee is a caring, compassionate, and very proficient ICU RN who would excel in the transition program and make an excellent ED nurse. Renee has consistently demonstrated her ability to be a flexible, adaptable, and competent lead ICU RN. During her contracts, she is frequently requested to have her contract extended at her assigned unit because of
Mr Edward Sales, RN, BSN, is a perioperative nurse in a 6 bed Operating Room unit. He is the Urology Lead RN, Orthopedics/Spine Service Second Lead RN, and also functions as the Acting Unit Flow Coordinator (in the absence of the Unit Coordinator). Over the past several years, Mr. Sales has demonstrated continued leadership in Perioperative Nursing practice. His contributions to this area of practice have positively influenced client care at the nursing service and across the local medical center. Mr. Edward Sales is a role model in the application of the nursing process.
Calls to outpatient areas such as radiology, rehab, and the hospital lobby are also on the rise, with family members, visitors, and employees being added, besides the inpatients, to the list of eligible Code Rescue calls for the ICU nurse to respond to. With Code Rescues involving a Stroke Alert, the ICU nurse must accompany the patient to the CT Scan area for a STAT CT of the brain, which takes the nurse away from their assigned patients for an even longer period of time based on the status of that patient. When a nurses take their break, another nurse is required to monitor those patients as well as take care of their own patient assignment. The attention given to the other patients is not considered to be extensive, basically “keeping an eye” on them until their nurse returns. This patient assignment could be at a safety risk if their nurse is also the one assigned to respond to Code Rescues at any time during the
Although I believe I am competent in the above specified areas, I am still not confident that I will get sufficient support in the hospital environment in terms of knowledge sharing, moral support and being given constructive feedback. Constructive criticism increases confidence in the work role and reduces stress in an individual (Doody, Tuohy & Deasy, 2012). In my previous professional placements, I have been able to demonstrate my competency to work in the healthcare environment. I have received positive feedback from placement educators, buddy nurses, and patients. Despite being competent in a range of the above areas, NGNs may still face transition shock.
Area I have selected for the field is Long-Term Acute Care Hospital (LTACH) specializing in pediatrics. Long-Term Acute Care Hospital, specializes in treatment for special needs such as patients with concurrent acute illnesses, recovering from acute illness due to multisystem failures, requires direct care by multiple specialists, ventilator services (weaning or decannulation), needing of daily physician visits or have complex respiratory-relevant diagnoses. Which in terms focuses on patients who have complex medical problems and the rehabilitation needs that one may require special or intensive treatment over an extended period of time. Patients who come to LTACH have been in an ICU or CCU at a hospital and now require specialized care (as
A chronic nursing shortage has been a reoccurring problem that impacts the future of our health care system and, even more so, the future quality of long-term care in this country. Currently, there are several federal and state initiatives, organizations, and agencies dedicated to solutions of the shortage. However, we continue to lack the necessary number of RNs needed to deliver quality care to a population with growing health care demands.
Thank you for the opportunity to apply for the RN role at your company. As a resident of Michigan and a graduate of Lansing Community College in May 2013 I am writing to express my interest in joining the nursing MSU Health Team. My professional goal is stay in my home state and contribute to a multidisciplinary team, ideally within a setting such as yours where caring for the health of others in the community by performing routine and emergency visits to patients and family members in need and providing compassionate care to everyone, every time.
...nician (EMT) 9 years ago, I have gained technical skills and the ability to rapidly build a rapport with patients. Already, this experience has facilitated numerous valuable encounters during clinical while setting me apart over other candidates who may be less comfortable in the care setting. Indeed, even as a nursing student, my comfort working with patients and members of the care team has allowed me to materially and positively affect patient care on numerous occasions. Additionally, my first degree in Chemistry gave me the tools and analytical nuance to pursue systematic research. Combined with my nursing education and passion for nursing research, these proficiencies uniquely prepare me to be at the forefront of evidence-based family practice nursing. Further, the fast track program will make pursuing a doctoral degree more logistically feasible for me.
There is a shortage of all health care professions throughout the United States. One shortage in particular that society should be very concerned about is the shortage of Registered Nurses. Registered Nurses make up the single largest healthcare profession in the United States. A registered nurse is a vital healthcare professional that has earned a two or four year degree and has the upper-most responsibility in providing direct patient care and staff management in a hospital or other treatment facilities (Registered Nurse (RN) Degree and Career Overview., 2009). This shortage issue is imperative because RN's affect everyone sometime in their lifetime. Nurses serve groups, families and individuals to foster health and prevent disease.
Each day we are faced with making decisions regarding the plan of care and discharge of a patient based on the number of days an insurance company allows to treat the patient. Most times the days allowed are less than what is required to assist the patient back to their prior level of function and ability to safely return home. This causes an internal struggle for the provider and can lead to easily accepting what the insurance company allows even though it is not always best for the patient. Typically, we follow the rule of always doing what is right, which could mean that we keep the patient on the unit longer than the insurance will provide payment.
After graduating from Messiah College, I began my nursing career in the intensive care unit. Looking back to my experiences I have seen growth in both my clinical practice and nursing knowledge. On the unit, I have put into practice my critical thinking skills when caring for critically ill patients or dealing with patients who are on the verge of coding or in respiratory distress. My leadership roles on the unit involve my participation in multidisciplinary rounds, being a council representative, a preceptor, and charge nurse. Along with my work on the unit I have continued to enrich my nursing knowledge by staying up to date with evidence-based practice nursing journals.
I joined the unit council and I’ve participated in the clinical ladder program at my facility. I believe all of these accomplishments will aid in progressing to the next level. I strive to have several experiences under my belt and I would like to be viewed as a hot commodity within the nursing field so in addition to hospital setting nursing I work part-time at a prison and a nursing home. The extra money helps pay for school and I plan to continue my education ever further. In addition to basic life support I am also certified in advance cardiovascular life support. I believe that I have some qualities of a proficient level nurse already. When caring for my patients I always go with my instinct. There have been numerous times that I’ve assessed patients and I couldn’t put my finger on what was wrong but I utilized my resources for a second opinion. I would have my charge nurse or department based educator step in to assess and give me their opinion as well. These patients were slowly deteriorating and I was able to get them the adequate help they
As a medical / surgical RN, I provided care for the elderly, the infirm, the mentally challenged, the young, and the psychologically disturbed. The wide variety of patients exposed me to the effects of life style choices, health care choices, and the resulting impacts to the patient as well as to the family of the patient. This experience has fully matured my view of the awesome responsibility that we, as health care professionals, have been charged with, and it has furthered my desire to obtain the skills necessary to provide more advanced care for my patients. In addition to exposure, maturity and experience, my career as a medical / surgical RN has also sharpened my critical thinking abilities and provided insight on observing signs and symptoms that a patient may be unware of. Furthermore, as a charge nurse I learned the importance of collaborating with other health care professionals in order to provide the highest level of care available. In summary, my career as an RN has provided valuable experience, maturity, exposure to impact and outcome, enhanced my critical thinking abilities, and improved my collaboration
Ihlenfeld, J. T. (2005). Hiring and Mentoring Graduate Nurses in the Intensive Care Unit. Dimensions Of Critical Care Nursing, 24(4), 175-178.
In her current position, she is responsible for six RN’s, three licensed practical nurses (LPN), five CNA’s and two support staff members. They are currently looking to add several more positions to the payroll. Martinez joined this agency two...
Additionally, I demonstrate commitment, leadership skills, and passion for working with my patients and multi-disciplinary team members. I have been fine-tuning my practice and immersing myself in learning through the nurse residency program at New York University Langone Health (NYLH). In addition to completing the residency program and continuing education units at NYLH, I mentor new RN’s, participate in unit practice informational meetings, and have presented and launched research findings on my clinical unit.