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The importance of setting goals
Substance abuse in nurses and patient safety bartleby
Goal setting
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Recommended: The importance of setting goals
1. Where do you want to be in 5 years? How can you achieve this goal?
In five years, I hope to be a knowledgeable nurse, where I feel comfortable in the job I have acquired. I hope to be a critical care nurse working in the incentive care unit at a well-known hospital in Atlanta, Georgia. By five years, I will have received a certification in critical care and possibly other certifications. I also may be thinking about going back to school to become a family nurse practitioner within the five years. I can achieve these goals by becoming a dedicated nurse to my patients and continuing with my education throughout the five years.
2. Why is substance misuse among nurses a serious concern? What is the most appropriate way to handle a suspicion that a coworker may be involved in serious substance misuse?
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A nurse under the influence of any substance is violating the rules and regulation of that facility. If a nurse is getting that substance from the hospital from which they work, they are abusing their authority and grossly wasting funds. It is in the nurse’s code of ethics that if inappropriate or questionable practices are of concern, thus attention must be called to the possible detrimental effect on the patient’s welfare. If I was working with this nurse, first I would express concern to that person about the possibly harmful effect their placing on the patients’ well being as well as their own. Then, this problem should be reported to appropriate authorities such as the charge nurse or the nurse manager (Weiss & Tappen, 2015, p.
Substance abuse among health care professionals is an issue that is continually gaining more attention due to the harmful affects it can have individuals as well as the patients. Substance abuse can greatly hinder the ability to provide quality care and if left unchecked could lead to serious implications within the health care facility. There are a significant amount of nurses and health care providers that deal with substance abuse problems. At one point, it was estimated, that 2-3%, of all nurses were addicted to drugs (Trinkoff, & Storr, 1998). To encourage nurses to seek help, the Texas Peer Assistance Program for Nurses was created. This program gives employers, LVNs and RNs the ability to seek help, education, guidance, and support in dealing with substance abuse and mental health illnesses. In this paper, we will examine the ethical perspectives that these programs foster and the ethical responsibilities of the patient, nurse, and coworkers as determined by the Texas Board of Nursing and the Nurse Practice Acts.
...self working in a healthcare facility (hopefully a doctor’s office). In five years I plan to start working on my Bachelor of Science in Health Science Degree. In five years I would’ve gotten the experience and knowledge I need to move forward in the facility.
This assignment will discuss the professional, legal and ethical issues related to the self-use of medication by nurses. It will also explore the importance of reporting this misconduct by both professionals in the scenario and how they might do so. The self-use of medication by nurses is not allowed or justifiable according to the guidance provided to nurses by An Bord Altranais (ABA 2007). It will also be evident throughout this assignment the need for Jack to report Linda’s self-use of the medication or urge Linda to do so regardless of the consequences it may present to both him and Linda as according to Nurses and Midwifery Board of Ireland (NMBI 2013), nurses can now be held responsible for not taking action. This is because delivering the greatest level of care to a patient is an essential role of a nurse and the main focus of the nurse’s work should be on caring for that patient (ABA 2010). There is also an ethical duty upon both nurses to report the misconduct according to the four ethical principles; Beneficence, non-maleficence, justice and autonomy (Edwards 2009).
The nursing profession is guided by the principal of nonmaleficence, or “Do no harm”. Nurses are responsible for maintaining and optimizing a patient’s quality of life. When nurses fail to care for themselves, they also put their patients at risk. The patient has a reasonable expectation to receive safe and competent care. The influence of drugs and alcohol greatly deteriorate the judgment and skills of any good nurse. Increased patient workload, long hours, personal stress, and sleep deprivation put many nurses in a position to self-medicate. It is my position that high-risk specialty employees undergo drug testing in order to be held accountable and help keep their patients and themselves safe from harm.
Nurses are the ones whom trust is placed to care for the sick, but with the growing population of chemically impaired nurses, patient care is in danger. Factors that are contributing to substance abuse among nurses need to be further explored to combat the issue and provide better quality care for patients.
When a person chooses to become a nurse they make a moral commitment to care for all patients. This commitment cannot be taken lightly, as stated in the Code of Ethics for Nurses “The nurse respects the worth, dignity, and rights of all human beings irrespective of the nature of the health problem” (American Nurses Association, 2001, 7). Therefore, three ethical considerations that impact the safe practice of nursing will be explored in further details. These ethical considerations include substance use disorder in the workplace, professional boundaries, and the use of social media. Since Florence Nightingale’s era, nurses have been faced with various stresses. The goal is that nurses will be safe practitioners respecting
Nursing has always been a key career in the health care system. Although it is not often focused on in media and stories surrounding health care, nursing is a career of great importance. If any patient was asked about their experience at a hospital or a care center, many will mention the capability and care that they received from the nurses. The health care system could not function efficiently, if at all, if nurses were not present to perform their part. Nurses are more than just physicians support staff. Of interest in this paper is why people choose to study nursing in university or college. From students just graduating high school to mature student who have prior degrees or education, nursing is a popular choice as a path to study
My journey to finally realizing of becoming a student in this RN Executive Program has been a long journey filled with excitement and disappointing periods. I 've started this quest in the Summer of 2015 and here I am, two years later, starting my first class in the program, Nursing 301.
Most people question whether to go into a career in the medical field, but what really drew my attention to the profession of a Registered Nurse is the fact that they help people in more than one place, they are higher up in the medical field, and they put in a lot of time and effort in to tending the needs of their patients. The profession of a registered nurse is one that requires us to care for the health of others.
Drug administration forms a major part of the clinical nurse’s role. Medicines are prescribed by the doctor and dispensed by the pharmacist but responsibility for correct administration rests with the registered nurse (O'Shea 1999). So as a student nurse this has become my duty and something that I need to practice and become competent in carrying it out. Each registered nurse is accountable for his/her practice. This practice includes preparing, checking and administering medications, updating knowledge of medications, monitoring the effectiveness of treatment, reporting adverse drug reactions and teaching patients about the drugs that they receive (NMC 2008). Accountability also goes for students, if at any point I felt I was not competent enough to dispensing a certain drug it would be my responsibility in speaking up and let the registered nurses know, so that I could shadow them and have the opportunity to learn help me in future practice and administration.
My career goal has always been to become an RN because I love helping people in every way possible and making them feel better. Becoming and RN will mean I get to do what I love every day. I know in order to accomplish my goal is to work hard to graduate from high school and go to college. Sometimes I feel like I'm not going to be able to make it but my brother proves me wrong by showing me so many ways I can achieve that
In five years, I see myself entering the physical therapist world. I plan to be applying for my first physical therapist job and gain experience. If I do not get that far, I will still be doing education to further my knowledge in the career field to help me with possibilities for the best job I can
Why I want to be a nurse? I have asked myself this question numerous times, and have come up with a variety of answers. I think that being a nurse just embodies the characteristics that I have innately had and characterizes the person I am now. Nursing is more than a profession to me; it encompasses my life in every aspect. Nursing challenges me, nothing is ever exactly the same each day. There are so many opportunities in nursing and so many ways to challenge myself and learn new things.
An impaired nurse is a health professional that becomes unable to provide safe, appropriate care to their patients. Impaired nurses are still responsible and legally liable for their actions while on the job. Nurses can become impaired in different ways and each has its own risk factors associated with them. It is important that other individuals are able to recognize a nurse’s impairments because it can have a major impact on patients, coworkers, themselves, and agencies. Nurses are ethically and morally obligated to intervene when the safety of others is compromised by an impaired nurse, and we must be prepared to know how to handle that type of situation.
If a nurse is providing care while under the influence they are failing to fulfill this role. There is also a legal and moral responsibility of all nurses to report suspicions of abuse because the number one role of the nurse when dealing with an impaired colleague is to protect the patient (DeClerk, 2008). There may not be many signs or symptoms in the beginning, however as it progresses, it becomes more clear that something may not be right. When a nurse cannot perform the basic essential of their job functions due to chemical dependency, they can be defined as impaired (Talbert, 2009). Because it is such a controversial topic, substance abuse among nurses is a taboo subject, which makes this issue under-reported and under-mentioned in the nursing field (Monroe & Kenaga, 2010). According to the DEA, nurses tend to avoid getting involved with co-workers who they may suspect have a substance issue. There is also a stigma associated with potentially being labeled as a “whistleblower”. When relationships develop in the workplace, nurses may be less likely to report this type of abuse, however it is also the role of the registered nurse to ensure patients are receiving safe care, and in the case of substance abuse this means reporting (Talbert, 2009). There is a very low incidence of self-reporting, because there is a great sense of guilt