Running head: THE NURSING PROCESS
The Nursing Process from Admission to Discharge
Lindy Madden
Mendocino College
THE NURSING PROCESS The Nursing Process
The nursing process consists of five steps which provide an organized framework for patient care and distinguishes it from the practice of medicine. Sommer, Johnson, Roberts, Redding, Churchill, Davila, Henry, Janowski and Knippa (2013) identify five steps of the nursing process which overlap but must be followed sequentially in order to achieve the best outcome. The nursing process affects all aspects of patient care from admission to discharge.
Assessment
Assessment occurs throughout a nurse’s time with her patient. Assessment should happen initially
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Planning, however, is ongoing throughout the patient’s stay. Whenever new data is collected, a nurse must reevaluate whether or not to keep the plan or change it. When a patient is admitted to the hospital, she will also begin the discharge planning. Plans can be based on Maslow’s hierarchy of Needs or a similar framework which is based on prioritizing. Sommer et al. (2013) explains the nursing care plan is the end result of the planning process. Goals are made and outcomes are planned.
Implementation
This is the intervention stage of the nursing process when nurses carry out their plan, performing tasks or delegating them to assistive personnel, and documenting their actions and findings. There are independent and dependent interventions. Wilkinson, Treas, Barnett and Smith (2016) describe an independent intervention as one that nurses are licensed to prescribe, perform, or delegate based on their knowledge and skills and does not require an order. Dependent interventions are prescribed by the providers and carried out by the nurse and are usually orders for diagnostic studies, medication, or IV therapy (Wilkinson et al.,
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A plan should be made as to what time the transfer will happen and records should be copied. The mode of transportation should be confirmed. The patient’s belongings should be labeled and packed. Valuables are accounted for. Any consents for transfer should be signed and the receiving facility should be assisting with the planning of the transfer. After the patient has left for the few facility, a hand off report should be given to the receiving nurse. Special attention should be made to communicate any infectious diseases the patient might have, such as MRSA. Final documentation should be made on the patient’s chart regarding the transfer and any assessments that were performed prior to departure (Wilkinson et al.,
Gulanick, M., & Myers, J. L. (2007). Nursing care plans: Nursing diagnosis and intervention. St. Louis, MO: Mosby.
According to the American Nurses Association, nursing is defined as “the protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities, and populations” (American Nurses Association, 2016). Nurses have many jobs and responsibilities and wear many different hats. Nurses can perform at many different levels depending on their scope of practice which is defined by the board of nursing in one’s state of residence. It is important as nurses to understand and follow
According to the Royal College of Nursing (2015), ‘the nursing process has been a feature of nursing care in the UK, used in combination with a nursing model which facilitates consistent, evidenced based nursing care and imposes accurate and up to date care documentation’. The nursing process consists of four stages each having a role in the process and also co-dependent on each other. The stages of this process are; assess, this is the first assessment the nurse makes of the patient on admission and is usually ongoing throughout the patients stay in the hospital. Plan, which is the second stage of the nursing process of which usually extends from the assessment of the patient and is based on their desires, needs or requirements. The third stage of this process is the implementation which details the care given to and received by the patient.
Lastly, the protocol provides nursing strategies that assist the nurse in evaluating the steps to identify the skills the caregiver will require and the steps to set up an effective plan to move forward with assisting the caregiver in successfully managing in home care provision (Agency for Healthcare Research and Quality,
Rush, S., Fergy, S., Wells, D., 1996. Nursing Process. [pdf] Available at: [Accessed 05 December 2013].
Once upon a time, my best friend, Bryan Martinez, often heard his mother’s medical conversations with friends. One day at school, our teacher confronted Mrs. Martinez and told her that she was able tell that Bryan was a son from a nurse. Apparently there was an incident at school where a little boy was acting out and Bryan told our teacher that the little boy was agitated, and to give him some medication to calm him down. As demonstrated by Bryan, nursing is ongoing profession that promotes the health and well-being of individuals.
Licensed practical nurses (LPN 's) fill an important role in modern health care practices. Their primary job duty is to provide routine care, observe patients’ health, assist doctors and registered nurses, and communicate instructions to patients regarding medication, home-based care, and preventative lifestyle changes (Hill). A Licensed Practical Nurse has various of roles that they have to manage on a day to day basis, such as being an advocate for their patients, an educator, being a counselor, a consultant, researcher, collaborator, and even a manager depending on what kind of work exactly that you do and where. It is the nursing process and critical thinking that separate the LPN from the unlicensed assistive personnel. Judgments are based
When I am older I would love to be a Nurse Practitioner, I enjoy helping people when they are sick and taking care of them. Another reason I want to be a Nurse Practitioner is because my sister is also a Nurse Practitioner.
Also, includes examples of nursing hands off that will be implemented, such as including the patient at the bedside. Having small trainings to provide information that will be needed to implement this, being sure all the important parts are cover, such as vitals, assessment, labs, and medication. Using online aids to help assist, providing additional information to those who need it.
The nursing process is one of the most fundamental yet crucial aspects of the nursing profession. It guides patient care in a manner that creates an effective, safe, and health promoting process. The purpose and focus of this assessment paper is to detail the core aspects of the nursing process and creating nursing diagnoses for patients in a formal paper. The nursing process allows nurses to identify a patient’s health status, their current health problems, and also identify any potential health risks the patient may have. The nursing process is a broad assessment tool that can be applied to every patient but results in an individualized care plan tailored to the most important needs of the patient. The nurse can then implement this outcome oriented care plan and then evaluate and modify it to fit the patient’s progress (Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P., 2011). The nursing process prioritizes care, creates safety checks so that essential assessments are not missing, and creates an organized routine, allowing nurses to be both efficient and responsible.
What is the central component of advanced practice nurses (APNs) direct clinical practice and patient/families?
Saying that you are a registered nurse is a broad statement. Registered nursing is a job that has many aspects. Registered nurses work in many different settings and they carry out many different routines. As a registered nurse you could be exposed to many different opportunities. My goal is to be a registered nurse but, I need to learn a lot. Becoming a being a registered nurse requires a lot of hard work and effort but, if I focus on my goal I will be able to achieve it.
It is an essential part of the nursing care plan. The Deliberative Nursing Process consists of five stages: assessment, diagnosis, planning, implementation, and evaluation. These stages focus on creating patient improvement or positive outcomes for patients (Wayne, 2014). The entire process is cyclical, individualized, and flexible, as you can determine whether to continue or modify the plan of care, or terminate the plan of care if the goals were achieved. All five steps are interrelated and depend on the accuracy of each of the preceding steps. The stages are collaborative as well. The nurse is required to communicate with the patient, their family, and other members of the healthcare team to provide quality, patient-centered care. In addition, the nurse uses critical thinking skills throughout the process. Research by Butts and Rich (2015) support Orlando’s theory is considered a middle
The career i chose is a branch of the medical field. I chose a career in nursing, more specifically the career path of a registered nurse. This career consists of providing care for people of all ages and helping them with managing their conditions. I chose this career because my mother is an rn and my family has a strong presence in the medical field. It is important to understand the education or training requirements, skills, or talents needed, salary, benefits offered, and the duties for a particular career when making this decision.
In the healthcare setting, a systematic process to ensure maximum care and maximum recovery in patients is needed, which is called the nursing process. This process consists of four steps: assessment, diagnosis, planning, implementation, and evaluation (Walton, 2016). The nursing process is important to ensure quality care and to get the preferred outcome. In the nursing process, critical thinking is used to recognize the issue and come up with a logical solution to solving it. One important aspect of the nursing process is that the plan is not set in stone; it is meant to be manipulated in order to better suit the patient. Nurses must be able to think critically in order to recognize the issue, develop a way to correct it, and be able to communicate the issue to others. Throughout the nursing process, critical thinking is used to determine the best plan of care for a patient based on their diagnosis.