When nurses reach this level they understand how medications affect the body and why they are used and if they are seeing the expected outcome. This leads to the top of the domain which is create, nurses at this level are active participants within the health care team devising a plan of care for their individual patients. The affective domain or the feelings domain is made up of five subclasses. The first of these classes is receiving, at this level nurses are ready to learn and receive whatever is necessary for them to be successful. As learning progresses nurses start to respond to and value information, organize what is learned and finally internalize.
The role of the nurse in the GI lab is performing a thorough head-to-toe assessment, along with obtaining prior medical history, and making sure consent and all documentation is completed before the patient goes in for their procedure. The nurses’ role intra-procedure is documenting, assisting the physician, initiating the time-outs, and giving report to the next nurse of what occurred, post diagnosis, and any new orders to the next nurse. Post procedure, the nurses’ role is to assess the patient, perform vital sign every 10 minutes until stabilized, give discharge instructions and do patient teaching. Nursing care is different in the GI lab than on a med/surg floor because you’re with the patient for an hour before they go for their procedure, and then discharging them usually after 45 minutes post procedure. While a med/surg nurse is with their patient for 12 hours.
Delegation in Nursing & Health-Care Practice Nursing and health-care have experienced significant changes in the last decade. With an increasing demand for nursing staff, in combination with cost reductions, “if you want to get the job done, you have to do it yourself” cliché is slowly being weaned out. The “ability to delegate work, responsibility and authority [has become] essential for a productive staff development” as well as ensuring optimal patient care (Jones, 1996). According to the College of Nurses of Ontario (CNO) (2013), “delegation is a formal process through which a regulated health professional (delegator) who has the authority and competence to perform a procedure under one of the controlled acts delegates the performance of that procedure to another individual (delegate)” (p. 6). In nursing, it allows a nurse to instruct a competent co-worker or health-care member to perform specific duties in his or her place.
Lastly, a reflection of findings will be discussed as to how nurses could contribute the information from the two interviews into their own professional growth and development. The first interview question pertained to the interviewee’s role in their current position and their educational preparation. The CRNA interviewed had an extensive emergency and critical care background, which applies greatly to his position today as he works in several areas, including the ICU, of the hospital where he is employed. The nurse educator was previously a nurse practitioner in a family practice office where she learned the patient teaching aspect that transitioned into her educational role today. Each interview participant explained the unique contributions they each made as nurses and brought to their interdisciplinary team.
A1. Role of Preceptor Anytime that a new nurse is hired into an organization, the new nurse is first paired with an experienced, trained, seasoned nurse, or preceptor, for a certain amount of time. This time frame is called the orientation period. The orientation period is how the preceptor introduces the new nurse to the organization’s policies, procedures, and environment of the particular unit and hospital setting. The preceptor has a job to ensure the new nurse is competent with skills to provided adequate, safe nursing care to patients.
HLTEN401B- Work in the Nursing Profession Q1: Discuss how the enrolled nurse scope of practice has changed over the last two decades. The diversity of the roles of the Enrolled Nurse’s has increased; we are now able to provide a larger range of care to patients. Enrolled Nurses were previously unable to give medication to patients unless they were an Endorsed Enrolled Nurse, this has now changed and EN’s are now able to provide patients with certain medications. Enrolled Nurses used to be trained to become a nurse by hospital based training but then quality measures were put in place and the study of nursing got moved to tertiary education. (Cooper, S. 2011, www.abs.gov.au/statistics) Q2: Describe the different roles of the Enrolled Nurse in a variety of health care settings.
Jennifer Renee’ Long Week 2 – Nursing Theory Assignment Chamberlain College of Nursing NR501 – Theoretical Basis for Advanced Nursing Practice Professor Kadriyya Clark Fall Semester 2013 Nurses need knowledge in order to practice. In 1978, Carper described the four distinct patterns of nursing knowledge in the areas of art, personal-knowing, science, and ethics. This knowledge is organized into nursing theories and general laws in order to describe, explain, and/or predict the phenomena of interest to nursing (Bredow & Peterson, 2009). Theory is fundamental to nursing and is an essential component to the profession. Nursing theory applies conceptual frameworks to guide practice through predicting and describing specific behavior.
Nurses should get effective workforce planning to get more data and information. 4. Nurses should practice and get higher level of education and training. The nursing education primary goal is patient safety. “Two consensus reports from the Institute of Medicine (IOM) which calls for greater interprofessional education of physicians, nurses, and other health professionals, as well as new methods of improving and demonstrating competency throughout one’s career (IOM, 2003b, 2009)” The Robert Wood Johnson Foundation of nursing research network is estimate costs of nursing education for different degree levels.
Nursing Knowledge Through Nursing Process Jeremy, Gina, Krystal, Pearl, Renee NUR/403 January 25, 2015 University of Phoenix Belen Malayang The nursing process is a system of exploration, evaluation and planning aimed at delivering individualized patient care. The goal is to identify the existing or potential health needs of the patient and the best way of providing care to overcome problems and promote wellness. The nursing process has five steps, assessment, diagnosis, planning, implementation, and evaluation. Today we will discuss the nursing process and how it applies to John’s case study on page 379. We will further consider the nursing skills needed by the nurse (RN) and the scientific basis in each part of the nursing process.
Nursing Documentation and Malpractice Law HCS/545 Health Law and Ethics May 31, 2010 Mary Nell Cummings Nursing Documentation and Malpractice Lawsuits Proper medical documentation can prevent liability issues and malpractice lawsuits. The focus on my paper will concentrate on nursing documentation and malpractice lawsuits. I presently work for a home health care agency. The entire staff throughout the company was recently informed of increased Medicare denials and possible lawsuits as results of inadequate documentations. A series of education training of documentation was implemented to help reduce episodes of Medicare payment denials and self-protection through adequate documentation.