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Honesty and integrity in nursing
Honesty and integrity in nursing
Importance of partnership working with other health professionals
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The role of the AD nurse encompasses many areas and requires multiple skills. The AD nurse incorporates many techniques in order to provide holistic care for the patient and that of the patient’s family. As an AD nurse you are at the front line of patient care and must demonstrate patience, skill, knowledge, compassion, and respect in all that you do. To be a good nurse you must continue to actively learn in order to provide the most current treatments for your patients. This includes continuing education, evidence based research, and knowledge gained from other health care professionals. The role of the AD nurse is one of great responsibility and must be taken seriously. It is a challenging role that requires sacrifice and hard work, but can also be extremely rewarding. The role of an AD nurse is as follows: Provider of care, Manager of care, and a member of the interdisciplinary health care team.
As a provider of care an AD nurse uses a systematic approach in all areas. Using the process of assessment, analysis, implementation, and evaluation the nurse is able to be consistent and efficient when providing care. As a provider of care the AD nurse must assess a patient’s health status, gather medical history, plan, coordinate, and implement care. The nurse will use continual assessment and evaluation in order to ensure the best outcome for the patient. The AD nurse must develop a therapeutic relationship with the patient in order to effectively treat and provide advocacy. During my clinical rotation I was able to implement many of these steps. I provided daily physical assessments, took vital signs, implemented hygiene care, fed patients, re-positioned patients and changed bed linens. During each shift I was respons...
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...cannot attend to it alone. The nurse must be able to understand and organize a multi-dimensional approach to care. During my clinical experience I was able to work with CNA’s, LPN’s and RN’s. This allowed me to learn from their experience and to deliver better care as a result. I also worked with members of my own team and we each learned from each other’s strengths and weakness.
Nursing is a challenging profession. The AD nurse must show commitment to the profession and to the patients. The nurse must be an advocate, an educator, a scholar, and a team member. The AD nurse must practice ethically; using integrity, responsibility, and accountability in both professional and personal arenas. The AD nurse is devoted to providing the patient with the best care available at all times. AD Nursing is not just a job that you do, but is a large part of who you are.
Nurses have a considerable amount of responsibility in any facility. They are responsible for administering medicines and treatments to there patient’s. While caring for there patients, nurses will make observations on patient’s health and then record there findings. As well as consulting with doctors and other healthcare professionals to plan proper individual patient care. They teach their patients how to manage their illnesses and explain to both the patient and the patients family how to continue treatment when returning home (Bureau of Labor Statistics, 2014-15). They also record p...
At the multidisciplinary meeting, the nurse will collect and assess the information provided by the other disciplines and family members stating that the patient is not at her prior level of functioning and then analyze the information to develop a diagnosis of deconditioning. Next, the nurse identifies outcomes for the patient to get stronger, achieve prior level of function, have activities of daily living (ADL’s) met in a safe environment by planning for home health, equipment, and 24/7 supervision through family or placement in a facility. This will be implemented by coordinating delivery of a walker and a 3 in 1 chair prior to discharge to daughter’s home with the home health agency nurse, physical therapist, and aide scheduled to start that day. In a week, the nurse evaluates that outcomes are being met by following up with patient, daughter, and home health agency evaluating that the patient is getting stronger, ADL’s are being met, and will soon be able to return to living independently. To achieve these standards of practice, every nurse should be aware of her own nurse practice act to ensure to be functioning with in the laws of the nurse’s state and to ensure the best outcomes and safety of the patients. In closing, it is every nurses duty to be the best nurse they are capable of being by looking at the scope of nursing practice which gives us the framework to achieve
The primary duties of an LPN are limited relative to those of an RN. When implementing plan of care the RN has the power to delegate task to the LPN, said by Harrington & Terry (2013,p. 257). The RN drafts the patient’s plan of care, and then delegates the task to the LPN who now implements that plan of care. Since the RN is able to exercise judgment, design and implement plans of care, they can engage in various functions i...
The nurse needs to recognize the limitations of each staff member and learn what assignments are within the scope of their practice and what are tasks that need delegation. Delegation is defined as a complex process that requires clinical judgment and final accountability for patients’ care (Weydt, 2010). An assignment is defined as “giving someone else a task within his/her own practice and is base on job descriptions and policies” (NCSBN, 2005, p. 1). The Board of Registered Nursing (BRN) and the Board of Vocational nursing & Psychiatric Technicians (BVNPT) website, lists what duties the RN and the LVN can legally do and is within their scope of practice, this is called the ‘nurse practice act’. A nurse assistant personnel (NAP) or Unlicensed Assistive personnel (UAP) may perform different tasks depending on the state that they reside in, but most include tasks that are considered activities of daily living (ambulating, hygiene, grooming)(NCSBN, 2005). The LVN can perform tasks that the nursing assistant can do, as well as other tasks which include: medication administration (oral, subcutaneous, intramuscular), simple dressing changes, wound care, suctioning, catheter insertion, drawing blood from a patient, and starting an IV and intravenous fluids. IV and blood draws are dependent on the LVNs certification, competence, and
The first step to understand your role as a CNA is to know the difference between a hospital setting and a nursing center. Hospitals provide emergency care, surgeries, and laboratory testing. They care for people of all types of ages and all scenarios. Hospital patients have three types of illness: acute, chronic, or terminal. Acute illness is a sudden illness from which someone is likely to recover. Chronic illness is an on-going illness which there is no known cure. Terminal illness is an illness or injury from which a patient is expected to expire. On the other hand, long term care centers are designed to meet the needs of people who no longer can care for themselves but do not need hospital care. These people are called residents upon their entrance. Care centers provide residents with the right medical, nursing, rehabilitative, recreational, and social services. Nursing centers meet the needs of all kinds of residents from alert, oriented, confused, short term, life long, mentally ill, terminally ill, to persons needing complete care. Besides the differences hospitals and nursing centers have similar standards. They must protect and promote patients or residents rights. Both require high quality care, and a clean and safe setting. The Omnibus Budget Reconciliation Act ...
Nursing is a knowledge-based profession within the health care sector that focuses on the overall care of individuals. According to The American College of Nurse Practitioners (ACNP), “defines nurse practitioners as registered nursed who have received graduate-leveling nursing education and clinical training, which enables them to provide a wide range of preventative and acute health care services to individuals of all ages. They deliver high-quality, cost effective care, often performing physical examinations, ordering tests, making diagnoses, and prescribing and managing medication and therapies”. Nurse Practitioners are able to specialize in a particular area, such as family and adult practice, pediatrics, and women’s health; and refer patients to other specialist when necessary. Some Nurse practitioners work under the supervision of a physician; while others run their own practices.
To begin with, the NE and NP roles involves direct patient care. Hence, they must possess competence in the nurse - patient relationship by attending to the patient’s responses to changes in health status and care. Just like the NE, the NP creates a climate of mutual
Skills that a nurse may need to ensure that individuals are treated fairly and the care that they need is specific to them include; a good listener, this makes sure that the patient applies trust in you as a nurse and trusts you to help them in their time of need. Reliable, this helps the patient to have trust within you and this may help them with day to day lifestyle choices and could boost self-esteem. Good communication skills, this will ensure that the patient gets a say in the care that they receive and they have the right to refuse treatment, although this is not the case in some cases.
As an NP K.W. often needs to collaborate with other disciplines and thus this competency holds a major role in the care of patients to drive high-quality and cost-effective care (National Organization of Nurse Practitioner Faculties, 2012).
Nurse practitioners do more than you’d actually think. They diagnose and treat acute, episodic, or chronic illness, independently or as part of a health care team. They may focus on health promotion and disease prevention. May order, perform, or interpret diagnostics tests such as lab work and x-rays and provide services such as health and wellness counseling, screening and referrals, and physical exams. They also may prescribe medication dosages, routes, and frequencies based on patient characteristics such as age and gender. They analyze and interpret patients, histories, symptoms, physical findings, or diagnostics information to develop appropriate diagnoses. As well as provide primary and some acute care and are qualified to meet the majority of patient’s health care needs.
In Nursing, there will always be instances where the patient's nurse needs to advocate for their patient. There are numerous reasons why a nurse would advocate for their patient ranging from getting the doctor to change the patient’s orders, helping the patient’s treatment team understand what it is the patient is requiring for the day, to expressing the patient’s last wishes before death. In every situation, the nurse should do what is in the patient’s best interest. Tomajan (2012), “Advocacy skills are the ability to successfully support a cause or interest on one’s own behalf or that of another. Advocacy requires a set of skills that include problem solving, communication, influence, and collaboration”(p. 2). With those skills, the nursing staff will be able to work together to advocate for their patients. Along with those skills, nurses need to keep in mind the three core attributes that are: safeguarding patients’ autonomy; acting on behalf of patients; and championing social justice in the provision of health care. (Bu & Jezewski, 2006)
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
What is the central component of advanced practice nurses (APNs) direct clinical practice and patient/families?
The nursing process is based upon five steps. The first step is the assessment phase; this can range from body system specific to head-to-toe assessment. These assessments are both subjective and objective and must be properly documented, organized and validated (Taylor et al, 2011). The second phase of the nursing process is formulating a diagnosis. The nurse identifies the patient’s needs and strengths from reviewing the previous assessments and determines what the nursing diagnosis should be. Then comes the planning phase where the nurse organizes the interventions by priority based upon the assessments and creates a plan for the patient to work on ...
Defining what a nurse is varies from person to person. Some have described a nurse as a person who shows care to their patients while others say that nurses assist to regain the ill’s health back. There is no wrong answer in defining what a nurse is. Moreover, I believe that a nurse is one who treats their patients with the dignity and respect that they deserve, and assists them in promoting and preventing their health illness and lastly, enhancing their health to optimal status. Nursing is viewed as a human science because nurse must display a connection with each patient. One must view the patients as a person, who has feelings, who behaves a certain way and who deserve to be well cared for. In addition, nursing is not a profession that treats