Along with patient care duties, the charge nurse directs staff members and ensures routines and processes are running smoothly. I started my day by first assessing my other patient, and then headed down to Mr. Ps room. Finally, I saw improvement enough to get a referral to PT to start strengthening exercises and all that that entails. The education process began immediately on how to gown and glove to protect him, our staff and his family and friends. another for physical, emotional, or financial support (Taylor et al., The Staff Nurse III involves the patient and family in interpreting the kinds of pain the patient experiences and uses this input to select strategies for pain management and control. If the nurse goes on non-paid status (no sick leave) the leave of absence cannot exceed three (3) months. Acid-base imbalances occur when the pH of the blood falls outside Monitoring, oxygen, and medications are all accessible in that area. Her passion fo Nurse Leadership Careers & Salary Outlook, Best Online MSN in Nursing Leadership Programs, Clinical Nurse Specialist (CNS) Career Guide, Do Not Sell or Share My Personal Information, 2023 NurseJournal.org, a Red Ventures Company. The Staff Nurse III accepts accountability for actions and outcomes and knows when to involve others in a plan of care. Staff Nurse I Staff Nurse II Staff Nurse III Shelanda Baichoo Maureen Carrier Beth Norton Julie Chevalier I started by reviewing my patients record in Health Connect and found out that my patient was a 72 year old male. It takes pressure off of one person and raises morale on the unit when nurses know their ideas are valued. &. Becoming an expert nurse. Telling him not to be scared that it was okay for him to let go was one of the hardest things I ever had to say. I T E M W E I G H T R A T I N G I T E M T O T A L T O T A L S C O R E P e r f o r m a n c e E valuation 15 Letters of Recommendation 10 Continuing Education 15 Exemplars 30 All minimum qualifications & all application Professional Participation 20 requirements must be met for the Interview 10 applicant to advance. endstream endobj 13 0 obj<> endobj 14 0 obj<> endobj 15 0 obj<>/ProcSet[/PDF/Text]/ExtGState<>>> endobj 16 0 obj<> endobj 17 0 obj<> endobj 18 0 obj<> endobj 19 0 obj<> endobj 20 0 obj<> endobj 21 0 obj<> endobj 22 0 obj<> endobj 23 0 obj<> endobj 24 0 obj<>stream + 5 > @ A n x y z { ! Include details so that reviewers can visualize the situation and become engrossed in the story. Achievement standard 91329 study exemplar Pages: 8 (2316 words) Holes - Analytical Essay Exemplar Pages: 3 (882 words) BSN nursing VS RN nursing Pages: 3 (898 words) Nursing Knowledge through the Nursing Process Pages: 4 (961 words) Describe the definition of nursing as put forward by the American Nurses Association. I then called the hospice medical director on that day and requested she call the ED doctor and coordinate the needed doses to get this patient comfortable. Just as we were wrapping up report, the dreaded EMS radio went off. WebA nurse manager has created a culture of empowerment among the nursing staff. The lowest 10 percent earned less than $52,080, and the highest 10 percent earned more than $111,220. We are at your back door; just coming from across the street. That last statement was the key. The next two weeks of T.s life were full of much loving intervention by our whole team and was able to pass peacefully on August 19th. I told her I was sorry she was having these HAs and I would do everything I could to get her help. What skills were necessary to achieve your outcomes? Skilled use of therapeutic communication techniques helps the nurse The physician also asked another nurse in the room to place a Nasogastric Tube to decompress the stomach. These drugs include some ATB, Propranolol, Captopril and H2 blockers. (Taylor et al., 2019). I arranged transfer to the holding room for Mrs. S. and for the on call doctor to see the patient in that location. Anticipating that the current orders would not be sufficient to control his pain and air hunger, I paged the MD in charge of his care and requested an increase of medication, informing the physician that I felt that death was soon to come, but this patient needed more pain control than currently managed. He was able to come home right away and told me she would be at the ER within 1 hour. 0000001195 00000 n Performance evaluations are found on the MyHR website> KP & Me> Performance Management. The night shift informed me that Mr. P ruled out, as both sets of troponins and both EKGs were within his normal limits. I instructed both surgeons to look for it as well as the surgical tech. ADLs are 0000002892 00000 n Being a witness to the comfort this brought her, I offered her the services of our hospital chaplain, and she was very joyful at the thought of a visit from him. We discussed that he may have had this condition for t he month that he had been feeling so weak. The night shift nurses reports that he has not moved much from that spot since the Ativan and has charted the medication treatment effective. Benner believes in the situation-based, interpretive approach to identifying and describing knowledge, which is imbedded in everyday clinical practice. resources. The clerk told me that a patient had been dropped off in the ER waiting room. 0000003340 00000 n She doesnt know what else to do. Minimum Qualifications Staff Nurse III/Home Health/Hospice Nurse III Current license to practice as a Registered Nurse in California. Si@9240wvr~FV At the start of a shift, the charge nurse distributes the workload so that staff resources are used most efficiently. (Norris & Tuan, 2020), Assessment Assessment is the systematic and continuous collection, analysis, I found out that indeed the surgeon had one in his hand but the other sponge was not on the drape. She told me that 6 years ago she used to tae a medication in the morning that made her urinate a lot. Which action by the charge nurse is most Use action verbs in your charge nurse resume descriptions. I informed him of my assessment and that I thought something was going on. Though my patient might need another blood transfusion, I knew that soon he could be with his wife again. Licensure, DHHS, DHSR), Inflammatory Bowel Disorders Create a free website or blog at WordPress.com. A narrative summary must be included highlighting the applicants strengths in clinical practice and/or professional activities. I implored her to be patient and answer a few more questions. 1984 0 obj <>stream I asked how much she weighs and she said that she doesnt know but she is not so heavy. All applicants that meet minimum qualifications are interviewed unless the applicant withdraws their application Interview Date _____________ Application Form: All sections of application form are filled out completely and accurately. (Taylor et al., 2019). He has been placed on a medical hold for his manic behavior and chasing cars. I was able to keep the patient calm and earn her trust while explaining the rationale and need to go to the ER. I realized Mr. P was unable to express his concerns or fear about his discharge. I asked her if she checked her BP recently, if anyone in her family has high blood pressure, heart problems or died from a heart attack. (LogOut/ Upon entering his room his breathing was labored and from report, he was unresponsive. Once you have written your exemplar, have several people (both clinical and nonclinical) review it. in a systematic way to make a choice among alternatives related to 2. As the paramedics were getting ready to transport the patient, he called me over the gurney he took my hand and thanked me for being there for him and that he was so grateful that I had answered his knock on the door. Who will benefit from your achievements? Why was this incident significant to you? When he arrived in the procedure room, he did a quick assessment of the patient, called the ED and advised that the patient would be coming over ASAP. professional organizations and by individual and group lobbying of Knowing the treatment protocols, I was able to place an appropriate sized IV line, perform the EKG, and monitor the patients condition until his transfer to a higher level of care. I went through the process of hooking up the tube feedings; knowing all too well that her recovery would be slow and the probability of her going home on tube feedings was very real. I knew that the surgeons were still dissecting the surrounding tissues of the renal vein and renal artery. separation or by death. He was unable to communicate verbally at times during his hospital stays, but I would place my face close to his and he once said your eyes are so big and dark they are like orca eyes. I knew how to negotiate with my intuitive use of knowledge, I contributed mightily to this patients and Kaisers best interest. competence (Taylor et al., 2019). Acrobat PDFWriter 5.0 for Windows NT It also became evident that the psychological impacts of these changes were adding to his feeling of anxiety, thus increasing his shortness of breath. You will be contacted by a member of the committee shortly after the monthly meeting in which your portfolio was reviewed. Understand When and How to Delegate Tasks. This infusion, as with any, required much long range planning before the infusion could be started. A less experienced nurse would have not waited while she confirmed care for her daughter. After making her comfortable, I took her vital signs, and further questioned her about her symptoms. The following Benners Domains will be addressed: The Helping Role The Teaching-Coaching Function The Diagnostic and Monitoring Function Effective Management of Rapidly Changing Situations Monitoring and Ensuring the Quality of Health Care Practices Exemplar #4 I received a call last May via the GYN line from a 27 yr women named J.. She was requesting advice or a message be sent to her doctor. As I heard the alarm in anesthesia cart. His primary concern now was his break though pain which was so intense he could not get the Methadone or the Dilaudid increased at a rate that could provide relief. I knew that before I could do anything, I needed to provide emotional and informational support to the family and then to include them in decision. Teaching activities are not necessarily ongoing in nature. Grief & Loss Grief is an internal emotional reaction to loss, such as caused by I feel my patients care was positively impacted because I was able to give this man a good death, something a newer nurse would not have been able to do. (Marquis & Huston, 2021), Legal Issues Legal issues involve legislation and laws that are in place to protect the Ted was started on thirty mg/hr and was receiving tremendous relief. Webthe nurse-patient assignment process. (Videbeck, 2020). Why did you select the goal? I prepared the laboratory request with notations of life threatening to ensure that results would be fast and directed to our extension number in OR. @ 9240wvr~FV at the start of a shift, the charge nurse is most Use action verbs your! No sick leave ) the leave of absence can not exceed three ( )... What else to do be contacted by a member of the blood falls Monitoring. Ideas are valued one person and raises morale on the MyHR website KP... 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