For my nurse leader observation experience, I was with Tracey who works as a case manager on the observation unit. Her role within this unit was to talk with all inpatient and observation patients and help determine what additional needs they may require once they are discharged from the hospital. She also would offer recommendation to the physician assistant based on her findings if the individual would qualify to be discharges and if so to what living environment setting. Starting our day, Tracy would take report from the floor nurses working to gain insight on the patient and what their status is. She would ask what orders they have, what setting they currently live in, and their reason for being in the hospital. After collecting information …show more content…
Some topics they discus include; if the person is fit to return to their previous environment, does the person need to be referred to an assisted living or long-term care facility, or do they need a referral to other disciplinary staff. One client that they discussed was a man in his 60s who had been brought in from a long-term care facility with complaints of chest pain. All tests had ruled back negative, however he had complications with his oxygen management. He was currently on 5 – 7/L of oxygen and required CPAP and BiPAP at night while in the hospital. He did not know what he usually ran his oxygen at and stated that he was not using his CPAP while in the long-term care facility. His wife and him were requesting that he be discharged back to their family home and that his wife will be his sole caretaker. Tracey and the social worker were hesitant due to his history and current status between oxygen management and being …show more content…
The way that the case manager ensures safety and quality of care is by having an open conversation with their patient. These conversations include asking if they require any assistive aid to ambulate, where they currently live, if they have a ride home, if they receive any home health assistance and if they have any questions or concerns about their care. Another major aspect of the case manager’s role is discussing Medicare/Medicaid payment and options. In order for the patient to have their stay covered by Medicare they are required to have a 3-day inpatient stay. This does not include observational stays, so it is important that all patients are aware of their current status. When they are changed to inpatient status, they are notified and are presented with a sheet which they are required to sign to show they know their status has
Bourgeois notified of the decision to detain client for Grave Disability and was in agreement with client being placed for further psychiatric care. Dr. Bourgeois requested the name and contact information for help in facilitating client being transferred to an LPS designated facility, due to being unable to place him on multiple occasions. This writer contacted Supervisor Robin Boscarelli regarding this issue. It was decided that a member of the Treatment Team will be reaching out to the Hospital Unit Clerk, Gina later this morning. Dr. Bourgeois was in agreement with this plan. Client's Clinic to be notified via email of this Crisis
setting and as the patient returns to their home and community. The goal by all involved is to move the patient towards
When a patient is unable to make care decisions for themselves, it is necessary to involve those closest to them, most often family members. Providing a supporting environment to family members is another way that the best interest of the patient can be maintained. Families and friends can make a huge difference in the life of the patient after discharge. Instructing families in a way that is easy to understand helps eliminate potential barriers to communication. Families should be aware of what things to look for, what would constitute an emergency, and how to safely handle
1.Casida, J., & Parker, J. (2011). Staff nurse perceptions of nurse manager leadership styles and outcomes. Journal Of Nursing Management, 19(4), 478-486. doi:10.1111/j.1365-2834.2011.01252.x
Giltinane (2013) identifies three leadership styles. The first is transactional leadership in which a leader is controlling and functions in a reward and punishment environment. In transactional leadership style, leaders give little room for employees to express ingenuity. Decisions are passed laterally from top down and the form of leadership is to stress obedience rather than loyalty. Transactional leadership is closely related to autocratic style (Giltinane, 2013).
Hospital administrators will charge nurse leaders with ensuring that patient positive outcomes prevail while also controlling overhead. Nurse leaders are specially trained just for this task. Clinical Nurse Leaders are the experts that America’s patients will rely on to keep them safe and healthy in hospital settings.
On May 24, 2016, I performed a physical assessment on patient LW who is a 79 year old, Caucasian, female. She came in to the hospital on April 5, 2016 with a diagnosis of hyperkalemia, LW no longer has hyperkalemia instead over the time of her stay at the hospital she developed respiratory failure which is now her diagnosis. During my time with LW, I performed a full body system physical assessment while also obtaining a thorough medical history from the patient, her primary nurse, and her family members. LW is scheduled to be discharged to home on May 25, 2016, with her two sons wh are also her caregivers.
Leadership at times can be a complex topic to delve into and may appear to be a simple and graspable concept for a certain few. Leadership skills are not simply acquired through position, seniority, pay scale, or the amount of titles an individual holds but is a characteristic acquired or is an innate trait for the fortunate few who possess it. Leadership can be misconstrued with management; a manager “manages” the daily operations of a company’s work while a leader envisions, influences, and empowers the individuals around them.
A leader is described as a person who guides others and has authority and influence over others. They work to influence others into meeting certain goals. There is no right or wrong definition of a leader and there is no recipe that ensures effective leadership. Successful leaders have a good balance of vision, influence, and power. Leaders gain their authority from their ability to influence others to get the work done; because of this, anyone has the potential to be a leader. (Finkelman. 2012, p15)
During many years the role of school nurse was traditionally viewed as one where the nurse cared for students that were injured, applied bandages and gave out ice bags. Throughout the years the role of the school nurse has evolved into one of leadership and management along with many other duties including traditional roles as mentioned above. The services provided by a school nurse range from assessment and screening to coordinating care for regular students as well as students with special needs. School nursing requires experience and knowledge in school, public, community and emergency health to meet the many needs of school aged children and youth. The school nurse provides many services but the basic services provided include illness and injury assessment and interventions, medication administration, screenings for health factors, disease management, health education, and preparing individual education plans for students.
Leadership is defined by Northouse (2013) as a transactional experience between persons whereby one individual influences a group of individuals who have a mutual goal. Leaders may hold authority attributed to them by the group, substantiated by how they are regarded, whether or not they have positional authority. In contrast to management, where the goal is to provide order through control, leadership is concerned with producing change through transformation and practical adjustments (Northouse, 2013). Because of the nature of nursing, its obligation to promoting health and healing of people, nursing leadership concentrates change efforts based on human needs and concurrently ponders the needs of administrations largely because they understand the interrelatedness of the two influences.
Yesterday, on October 10, 2017, I visited West Des Moines Hillside Elementary School to follow under the school’s nurse, Allison Line, mentorship. She went over all the children files who came in and described what she did in a school day which ranged from taking vitals to giving children prescribed medications. She even clarified my answers on the basics of being a school nurse and then taking that knowledge to reflect and apply it. It can be seen throughout the school ages that kids grow and develop as they age. One would not expect an average preschooler to comprehend algebra, because that involves the Piaget’s cognitive stage of formal operation while the preschooler would be in the stage preoperational.
On my first shift in labor and delivery at Massachusetts General Hospital, the patient to whom my preceptor and I were assigned was a 30-year-old primiparous female from Germany who was in the first stage of labor, though not yet actively laboring. The patient was admitted for induction of labor post-expected date of delivery. She experienced some increases in the frequency and duration of contractions over the first few hours of our shift, but these changes were not clinically significant. After a few hours of gradually increasing the level of Pitocin being administered to our patient, the fellow told my preceptor that she was unsatisfied with the progress of our patient’s labor and desired, instead, to intervene.
In today’s society, leadership is a common yet useful trait used in every aspect of life and how we use this trait depends on our role. What defines leadership is when someone has the capability to lead an organization or a group of people. There are many examples that display a great sense of leadership such being an educator in health, a parent to their child, or even a nurse. In the medical field, leadership is highly used among nurses, doctors, nurse managers, director of nursing, and even the vice president of patient care services. Among the many positions in the nursing field, one who is a nurse manager shows great leadership. The reason why nurse manager plays an important role in patient care is because it is known to be the most difficult position. As a nurse manager, one must deal with many patient care issues, relationships with medical staff, staff concerns, supplies, as well as maintaining work-life balance. Also, a nurse manager represents leadership by being accountable for the many responsibilities he or she holds. Furthermore, this position is a collaborative yet vital role because they provide the connection between nursing staff and higher level superiors, as well as giving direction and organization to accomplish tasks and goals. In addition, nurse managers provide nurse-patient ratios and the amount of workload nursing staff has. It is their responsibility to make sure that nursing staff is productive and well balanced between their work and personal lives.
The leaders will follow staff nurses during report offering advice and providing guidance. (Ferris, 2013) Strong leadership and communication skills are essential in order to create an atmosphere of trust. Those qualities will also initiate change in the attitudes and behaviours of staff in a complex environment. (Evans, 2012) Binders will also be placed at each nursing station to allow the nurses to write down any concerns or feedback management may need to know about the process. Then, weekly management will review the feedback left in the binder and address with the nurses during staff