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CHAPTER 2 OF crisis management review of related literature
Aspects of crisis management
Aspects of crisis management
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Before agreeing to accept the assignment, these are questions Patricia needs to ask. What is the assignment? Patricia should ensure that she understand what the assignment entails and if there is anything she is unsure about, she should get clarification and avoid making assumptions. What are the characteristics of the patients being assigned? Patricia should be aware of the types of patients she will be working with, their acuity, resources that are available and the team that she will be working with in addition to discharges and readmissions. Patricia also need to know what expertise are required to provide quality care for these patients and does she have the required experience. What is the geography of the assignment and if there are difficulties, are there available resources to manage the situation? Furthermore, Patricia needs to ask about how long she will be required to work on this unit. Is this a temporary assignment? Is this a crisis or an ongoing staffing pattern? Can she take the assignment in good faith? Does she feel …show more content…
When floating staff is necessary, nurses should be assigned to comparable clinical areas” (American Nurses Association, 2009). Plans that could make floating assignments more acceptable include using nurses who have expressed a preference to float to similar units, or units in which they have demonstrated competence. In addition, create several specialty float pool were nurses are trained to work on these specialty units and nursing leaders can dip into this pool when no staff nurses agree to leave their home units. To help retain float nurses certain perks such as potentially being on call, but not scheduled, to work on holidays and nurse recognition programs should be offer (Good & Bishop,
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
This article is a comprehensive look at staffing on hospital units. It used a survey to look at characteristics of how the units were staffed – not just ratio, but the experience and education level of the nurses. It evaluated several different categories of hospital facilities – public versus private, academic medical centers versus HMO-affiliated medical centers, and city versus rural. It is a good source because it shows what some of the staffing levels were before the status quo of the ratio legislation passed in California. It’s main limitation as a source is that it doesn’t supply any information about patient outcomes.
Nursing is both a profession and discipline. The terms profession and discipline are interchangeable in Nursing and education today. Profession comes from Latin meaning, “Public declaration ("utc.edu," 2014, p. 4). This is the drive for nurses to have the commitment of caring for patients. Discipline, also a Latin word means both teaching and knowledge. Thus, providing nurses the need for knowledge to care and teach patients. There are many different frameworks which nurses go and learn by. Otterbein’s tapestry of caring contains six components that are intermixed into the education that we pride ourselves as nursing students on. The mission, values and purpose of the education given to students, prepare them for their nursing profession can be based on the following: caring, commitment, compassion, conscience, confidence, competence and conduct.
The nursing profession is at the forefront of healthcare, and is gaining more influence and opportunities because of the professional organizations and passage of the Patient Protection and Affordable Care Act. However, not all practice areas of nursing are seeing benefits in the terms of growth when it comes to staffing issue, such as renal nursing. It is in
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.
At Penrose Hospital in Colorado Springs, Colorado, the staffing is determined by the patient census. Ideally, on the Surgical/ Trauma unit, Registered Nurses will have approximately 4-5 patients, with a post-operative nurse that comes in at 10am to assume care of the post-operative patients that discharge from PACU to the floor. The post-operative nurse typically receives up to five patients per shift. The CNA’s on the unit will have anywhere between 7-13 patients depending on the staffing on the floor, with the help of a unit secretary that rovers the unit, and offers help as needed. In 2014 the unit grid for the 9th floor was re-vamped by the assistance of the unit practice counsel. After discussion with a nurse leader on the 9th floor, the clinical manager sat down with the unit practice counsel, and the unit practice counsel chair to discuss budget, and staffing. It was noted after slight changes, the increase in employee satisfaction. The staff members felt their voice was heard, thus they were able to make slight changes that the entire unit was able to agree upon, with staying within budget. Furthermore, with the ability for the unit practice council members to be able to visualize what goes into maintaining a budget, and getting budgets approved, there was a greater appreciation for decisions that were made. Finally, with the new changes, and tweaks there was a decrease in unapproved
Thousands of nurses throughout the nation are exhausted and overwhelmed due to their heavy workload. The administrators do not staff the units properly; therefore, they give each nurse more patients to care for to compensate for the lack of staff. There are several reasons to why
In spite of the shortage among nurses, there are number of options and recommendations that can better help to maintain an adequate staff level and provide greater strategies needed to increase nursing. The choices open to cover for insufficient staff range from reallocating and postponing work, relocating staff within unit or from other units, to employing temporary additional nurses according to Buchan and Seccombe (1995). In health care, some of these options may not be available because ...
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.
Nursing is a complex field to put oneself in and it requires a lot from a person. There are all kinds of complications to deal with, such as mental, physical, and emotional. Stress is an ongoing occurrence when dealing with patients, with co-workers, and even with the procedures themselves. Proper communication skills are a necessity when working in the health care field. This keeps people connected and open with each other. Being a nurse is not only intricate, but it is very rewarding. A nurse gets to see a patient grow and become healthier, which is quite rewarding to know that they helped make that possible; to put all of one’s effort and hard work and have it pay off in the end. Being a nurse is a complicated but a rewarding occupation that requires amazing communication skills.
Nursing is a very important job in the medical field and is projected to grow in certain aspects over the next few years. There are multiple sub-careers to go into and some are more general than others. The options go from children to elderly people and dealing with all different types of diseases. There are even specialties for different organs in the body of one’s geared more towards female’s or male’s. I am undecided on which specialty to choose however, I know that I would like to pick one that concerns children due to the fact that ever since I myself was a young adult I have always loved children and taking care of them. Nursing has multiple specialties to choose from that involve children such as, a Midwife nurse, neonatal nurse, and a pediatric nurse.
Nursing is a balance of professional qualities like caring, ethics and competencies. Science and technology are weaved in to provide safe practices for now and in the future. In the following paragraphs; I define what a professional is in my opinion along with how I came to find myself in the nursing program, how research is important and the past and the future of nursing.
Contemplating on the big responsibility that nurses will have to fulfill in the future, I see myself in a good position. I said that because I love the field and want to do it until I retired God’s willing. It is not impossible to achieve the recommendations on increasing the proportion of nurses with a BSN by 2020. The field of nursing is very fulfilling and anyone who loves people and wants to serve can be a great nurse. I know now I can help a lot to continue their education by being the example of someone who had many obstacles to overcome. Now a month away from receiving her BSN. I had a love in my heart to do more after I became PCA and worked at a nursing home. I took the necessary steps from being a PCA to a BSN. However from the beginning the ride was not easy. I remember like yesterday, when I first got to San Antonio, Texas looking for a better life for my family. I could barely speak English and I had 4 young children. We only had one car so I had to wait for my husband so I could go to school at night to get my GED after I finish taking care of the kids, cleaning and cooking. With this degree I
The nursing profession has changed drastically over time. The roles and responsibilities that nurses take on have increased and become far more complicated. Nurses are managers, leaders, supervisors and have become experts in many areas of care. Every day nurses are faced with the task of improving and strengthening professional leadership within their work environment. Managing good quality and eliminating risk is the major challenge in health care. All members of the team must work together to accomplish outstanding patient care. Budget cuts and nursing shortage in all areas of health care leads to less licensed staff, where use of unlicensed personnel have been used widely, where delegation is not an option, but a necessity. Nurses must be aware of delegation guidelines, what tasks to delegate,when to delegate for the safety of patients, liability of nurses and the facility.
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.