As a nurse, I feel that at many times I am placed in a situation, where I need to use my leadership skills in order to provide efficient care by managing the limited time. According to CNO guideline, leadership is a process of influencing people to achieve common goals. It requires self-awareness and commitment towards profession, ability to delegate, manage time and to communicate effectively within the health care professionals. This piece of scenario was based on my experience in intensive care unit, where I was assigned to two patients with one intern with me. Report received from the previous staff stated that both the patient were post coronary artery bypass grafting on their 3 and 4. In order to maintain the confidentiality of the patient, in the scenario, I would use the …show more content…
I noticed that Mr. X was still on normal saline 0.9% on flow, and his report from this morning showed sodium at the higher end. Since increased sodium post operative would have an impact on his blood pressure and urine output. So, I stopped the flow and informed his doctor about the fluid and discussed if we could switch it with any other fluid. He then, said to keep it in hold, and he would decide when he comes for the round by checking at his total intake output chart and his lab values if to continue or to stop. I followed his order and explained to the patient. Since, it was day 3 (usually in the day, three patients would be mobilized on a chair) so I explained to him that he would be ambulated out of bed today to make him aware of the plan and to give him time to prepare him for the upcoming plan. As first-time mobilization could be stressful for the patient and some needs more time to get themselves ready for it. I explained him that it would be done with the doctor around. As i left the patient, I made sure to keep the nurses call bell near and told him that I would be back to check on
My desire to become a nurse is deeply-rooted in my aspiration to contribute to the well-being and improvement of the less privileged as well as my own personal ethical stance. My decision was made easy by the professional code of ethics of nursing, which correspond with my personal beliefs. One of my personal values that have shaped me into who I am today is honesty. It is important to provide patients with accurate information on procedures, diagnosis, treatment options, and possible outcomes. Although I am fallible, it is imperative to acknowledge and take responsibility of my own mistakes. These personal qualities would help propel me into my professional career.
Whether it is in healthcare or in a corporate office, leadership is about having a vision and making it into a reality (Parker & Hyrask, 2011). In healthcare with all the changes that are constantly happening it is imperative that our leaders in nursing continue to evolve and continue to prioritize in their nursing units. To continue to embrace your career as a nurse leader it is essential to always make sure they have professional development and continue to provide great care for all their patients (Parker & Hyrask, 2011). This all needs to be done while they lead their staff and continue to have fiscal responsibility. To be a leader in the nursing field one must possess certain characteristics such as assertiveness
For the duration of this clinical experiences my intentions are to gain experience in leadership and develop those skills by establishing a partnership with R.K. She is currently teaching a leadership development course which I would like to develop a partnership with her and complete a community project.
The surgery nurse tells the postop nurse about how the patient tolerated the surgery overall. The surgeon comes and look at the patient. The surgeon told the nurse the location, length, and how many stitches were associate with the wound. The nurse applied bactroban to the wound and monitored the wound for any bleeding. If there was bleeding to the wound area, then the nurse would tell the patient try not to talk since the surgery was on the lip. Postoperatively, the patient receives the information verbally about discharge instructions that are ordered by the surgeon, but the discharge papers may be handed to the family members. Since the patient is not fully competent after surgery the family member may be asked to assign the form with discharge instructions that were provided. The family is then given a copy of the discharge instructions, anesthesia paper, and the information about the procedure that was done. The planning that takes place when outpatients have surgery and are discharged home directly from the postop area is educating the patient about not driving within the next 24 hours, monitor the site for drainage, and depending on the surgery depends on the additional teaching that is needed. Also the nurse explains the medications that need to be taken, how long the medication needs to be taken for, and why the medication needs to be taken. The nurse tells the patient that if there are any changes cognitively or physically to call the doctor and if it’s an emergency then call 911. Phase 2 of surgery is known as the second part of recovery before the patient is able to go home. During Phase 2, the patient is closely monitored for any complications that may occur such as difficulty breathing, drainage at incision site and many more. The patient’s vital signs are taken every thirty minutes for an hour and if the
“As one person I cannot change the world, but I can change the world of one person.” I relate to this quote by Paul Shane Spear because it mirrors how I feel about pursuing a career in nursing. I want to be able to help others as much as I can. Arriving to this career choice was not a simple decision for me. What influenced me most in wanting to be a nurse was helping my grandfather during the past several years, and helping him through different illnesses and surgeries. My grandfather, who I call Papa, lives with me and my immediate family. I feel blessed to have the opportunity to help him because he and I are very close and he is my best friend. Through my involvement in helping him heal from his medical challenges, I was able to come
When talking about leadership, one cannot help but wonder how it relates to nursing. If the focus of nursing should be caring for patients who are either well or ill, then why is there a need to tackle leadership? Unlike before, today’s health care environment is complex, rapid and continuously changing. This development prompts an upcoming danger to the nurse’s skills, identity and ability to coordinate with other health care professionals. On the other hand, this also makes nurses challenge their own into taking the lead, developing goals, consolidating a purpose and moving towards an attainable vision. A nurse leader then needs to combine clinical, administrative, financial and operational skills to effectively solve various clinical challenges. These challenges are the rationale behind tackling the need for leadership in nursing.
My capstone experience was hosted by the Fargo VA on the medical/surgical unit. The unit is a twenty-five-bed inpatient unit. I have had a wide variety of patients with all different disease processes. The VA’s mission statement is a quote directly from President Abraham Lincoln, “To care for him who shall have borne the battle, and for his widow, and his orphan.” (VA Web Solutions Office, 2015) I am very gracious to the staff of the Fargo VA. They have facilitated my learning with open arms and open minds. The patient population in the facility is one I have never experienced. There is honor and respect roaming the halls of the hospital. I found myself in awe with the life experiences the patients were willing to share. I honestly
(Become a Nurse Leader. n.d.). A nurse leader is someone who leads by example and helps their team meet goals by empowerment and healthy work environments. Continuing my education and working on my Bachelor of Science degree will help me attain my goal later in life, of being a nurse leader. Being a nurse leader involves lifelong learning and advancement. I believe treating others how you want to be treated is a good way to be successful in leadership. Everyone makes mistakes and it is how we learn from them that makes us a better person. I will be a nurse leader that is honest and encouraging. I will use personal experiences to relate to my team. I will adopt characteristics from various leadership styles to form my own. If the situation calls for a more autocratic role such as during an emergency or code, that is the style I will use. If the democratic or transformational approach is more appropriate, then that is the style I will lean towards.
The problems I encountered today were working in a new setting and providing care to a patient who was not cooperative. I was nervous about clinical today because it was my first day of clinical in the cardiac unit and I have never worked in a critical care setting before. In addition, I did not know who I would be shadowing today. In my previous clinical, some of the nurses that I had shadowed were not too fond of having students working with them. Therefore, I was concerned about what kind of nurse I would be working with. With a busy setting like H4000, I did not think the nurses would be too appreciative of the students. However, today was different like I had thought. The nurse that I was with was friendly and helpful. She allowed us to
I started my Nursing career in India and then I came to the United States and became an RN. I entered Nursing with the thinking that Nursing is a profession that will always allow me to have a job and all my patients will get better. However, from my experiences I understood that Nursing is more than just giving medications, and it requires clinical competence, cultural sensitivity, ethics, caring for others, and life-long learning about others and the evolving field of medicine. Florence Nightingale once said:
Many of the women in my family are nurses of some sort, so nursing is not some unfamiliar thing to me. Not only that, but I also get hurt often, considering the number of sports that I have played that put stress on my body. I have had to have countless MRIs, x-rays, and surgeries due to injuries or sickness. Throughout all these experiences, there were nurses that helped the procedure to go much more smoothly. I have been on the receiving side of a nurse’s care; I know how good it feels to have someone that put all their effort into caring for you and making sure that you are healthy. After experiencing this, I have decided that I want to be on the giving side of the care of a nurse. I know that already this project has impacted my life by helping me to learn how hard nurses have worked to get nursing to where it is now and how hard nurses have to work every day to fulfill the many duties required of them. While doing my final project, I believe that I will also be greatly affected because I will be able to actually serve other people; kind of like a
I interviewed Paige, who is an APRN in the state of Kentucky. Like Paige, I too would like to work as a nurse practitioner in the surgical department. Luckily, he obliged to sit down with me and answer my questions.
I am the first one in my family to go to college, I have been living my life showing respect to others with one basic principle to “always do my best no matter what it takes to be fair, honest and be responsive to everyone’s needs”. I learned through my career to be dependable, self-confident, humble, and honest and show respect and a positive attitude at all time. People that I interact with always told me that I have the ability to inspire others and the makeup of a leader. Being humble, caring, and compassionate are among my personal values. I know that my greatest strengths rely in the way I treat my patients, showing empathy, sympathy, patience and professionalism. I learned that developing a trustworthy patient/nurses relationship is very important in the management of patients care. I personally believe that a nurse needs to have high integrity and to continue to strive to stay up-to-date and knowledgeable to be able to provide utmost quality care to the patients.
I was born and raised by a single parent in the Manila, Philippines. Back in the Philippines, my community was full of poverty and lacked good healthcare. The health care in the Philippines was a privilege only the rich could afford. I did not understand this until one day when my mother was diagnosed with colon cancer in the Philippines. With the situation of healthcare in the Philippines, my family was certain that we were not going to take the fate of losing my mom. She was the only one my sisters and I had left. We knew we would not be able to afford to pay for all the medical expenses. Her earnings were just enough to feed her 3 daughters daily. It was then when my family in the United States decided to bring our family here in America to provide for my mother's medical needs.
Today in Sim we had a post-op patient, LH, who was experiencing some post-anesthesia confusion. In the past we have greeted out patient by their name, but the previous nurse reported that LH was a bit confused, so we made sure to introduce ourselves and then verify the patient to assess her orientation. The patient had removed both her NG suction tube and her Foley catheter, and was rather agitated. At one point she even threatened to become combative, as she wanted to go home, and didn’t want the tubes reinserted. We called the doctor to inform her that the patient had removed these, that she was agitated, and that her BP was elevated. The doctor ordered her a new NG tube, and lorazepam to help calm her for the NG tube placement. As a person,