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Nursing care of the critically ill patient
Issues in critical care nursing
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In the Critical Care setting where I have most of my experience, I have developed strong Critical thinking and good clinical judgment. These two are essential in this setting, as patients’ lives are in our hands. A nurse with both these skills can recognize symptoms and conditions act accordingly to prevent deterioration. In critical care one develops other great skills as well, to include intuition, strong assessment skills and anticipation. I believe these skills will make the transition to the APRN role easier. The reason is because APRNs rely heavily on strong assessment skills and clinical judgment to make an appropriate and accurate diagnosis. They must possess strong critical thinking and clinical knowledge. In the Critical care setting
we have several protocols in place and have more autonomy. In the APRN role the practitioner can be completely autonomous or practice under the supervision of a physician. The critical care setting introduces that concept to nurses with supervision of a physician of course.
meet the challenge of preparing future nurses who will have the knowledge, skills and attitudes (KSAs) necessary to continuously improve the quality and safety of the healthcare systems within which they work” (QSEN, 2017). The six QSEN competencies include patient- centered care, teamwork and collaboration, evidence- based practice, quality improvement, safety, and informatics. Two QSEN competencies that relate to MAS are safety, and teamwork and collaboration. The nurse needs to have the knowledge, skills, and attitudes regarding MAS to ensure the newborn’s safety. In order to keep the newborn safe, the nurse must have critical thinking skills to be able to recognize and communicate pertinent information, such as new
There are several differences in competencies between an ADN and a BSN. These include, but are not limited to decision-making skills, the depth of knowledge base, as well as critical thinking abilities. As the nursing is role is becoming more complicated; strong skills are necessary for providing excellence in patient care (American Association of Colleges of Nursing, n.d.a., pp. 1,3). More than ever patients that are being admitted to hospitals have multiple commodities. When caring for a post-surgical open heart patient, it takes multiple types of critical thinking skills to recognize when a patient is becoming hemodynamically unstable. Quick, crucial, and significant decisions need to be made quickly to turn a grave situation around.
As a nurse we are responsible for the safety and overall health promotion of our patients. Competency in the nursing field is what ensures patient safety and decreased hospital acquired injury. Continued competence ensures that the nurse is able to perform efficiently and safely in a constantly changing environment. Nurses must continuously evaluate their level of skill and find where improvement needs to be made in order to keep up to date with the expected skill level set by their
Describe how the things that are most important to you in your RN role have prepared you for the APRN role.
Emergency room nurses have to be quick to adapting to any type of situation presented – within minutes, it can go from slow to hyper drive. Their main focus is not on one specific group but on
In order to better understand the role of an Advanced Practice Nurse (APN) and how the core competencies work in their role I conducted an interview with
By approaching all patients with a Christian worldview, I am able to provide safe, efficient, compassionate care at all times, in all environments. Technological advances and a constantly changing healthcare environment are providing a wealth of opportunities for Advanced Practice Registered Nurses (APRN). “As APRN’s are assuming a larger role in patient treatment decisions, I wish to be part of this process” (Mudd, 2014).
...ers that can teach the nurses coping mechanisms. APNs also act as the advocate for both the patients and the nurses in health care settings.
I believe that nursing should be a holistic approach, dealing with a patient’s body, mind, and soul. It is definitely a physically demanding job, but equally as important is the demand for emotional input. My past academic performance, as well as my personal qualities, provides the foundation for my career. A core characteristic of a successful nurse is teamwork and the ability to act as the liaison between the patients and the doctors. Besides working well in a team, it is also important to seek out help when necessary. Another vital quality is the understanding of diversity and the importance of acknowledging and honoring, rather than judging or ignoring, what makes people different. Critical thinking allows nurses to take action and make referrals. Nurses must be able to obtain autonomy through critical thinking skills that arm them with the ability to respond to the constant changes and needs of a patient in their charge. As nurses build on practical knowledge, gain experience and continue educational endeavors, the intellectually disciplined process allows the nurse to recognize possible patient problems. Lastly, the saying, “Measure twice, cut once” goes a long way when discussing safety in nursing. Regardless of how stressed or overwhelmed a person might feel, it is imperative to pay attention to detail to avoid sentinel events or near misses. These are the crucial qualities that I hope to attain as a nurse and important goals to conform to throughout my years as a registered
After completing the chart on AOTA’s Specialized Knowledge and Skills in Technology and Environmental Interventions for Occupational Therapy Practice Position Paper, I was able to identify areas of proficiency and weaknesses. I am competent the areas of intervention and resource coordination and advocacy. I am weak in the areas evaluation and evidence-based practice.
Mary has decided that she does not want to pursue a career in administration, as she would prefer more patient contact than an administrative role typically provides. Since Mary is prepared to continue her formal education and pursue a graduate degree, selecting which one of the four Advanced Practice Registered Nurse (APRN) roles would be the best fit, is Mary’s next step.
Going to a small school, such as Gonzales High School with 750 students, has limited the opportunities of having clubs, sports, and academic course accessible to schools with a much larger population. GEAR UP, a program designed to help students academically, they offered field trips to colleges yearly and after school tutorials, if we ever need extra help. GEAR UP has provided me with answers to questions I have about college, I have also taken advantage of their tutoring and went for help on homework. AP classes introduced me to feeling how the college work would be like. My APUSH class was a challenge, consequently a completely different experience from any other class I have taken. I worked long hard hours on the assignments and studying
Conclusively, critical thinking abilities and expertise apply to thinking, reading, speaking, writing, and listening. Nurses need to decode a thought accurately, clearly, quickly and logically for other people to understand what they are saying or writing without any misunderstanding. Therefore, it undertakes a special individual to be a professional nurse. It undertakes the skill to take a theory, idea or problem, assess it, resolve it, as well as lucidly communicate it. This is one of the challenges of nursing; reflective, critical practice based upon the sound thinking of intellectual minds dedicated to safe, efficient patient care. One cannot assume or guess solutions as, those solutions have to be based upon specific principles, and be able to defend one’s thinking with proof.
Nurses critically think when they are assessing a patient and have to make a clinical decision of what they assessed. A new nurse will become a better nurse when he or she is working in the field; they will learn different things once they are growing in their career. With nursing sometimes one has to expect the unexpected. However, as a nurse she must be ready for whatever comes her way. It is always ok to ask a mentor nurse for help if one is not sure about something that is how she will become a better nurse. So the real question is what is nursing and what is
In conclusion, nursing practice in critical thinking guarantees success in the health service and its importance lies on this. It is vital that nurses develop their skills to keep the organization during the nursing process. Additionally, nurses need to use their evidence-based research, analyze and diagnose exactly. To be good nurses need to develop highly developed thinking skills that lead us to deliver higher quality health care.