Transition to Professional Nursing

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In my studies associated with this course, I have gained a greater appreciation for the history and evolution of our profession. I have come to appreciate that each professional nurse has an obligation to advocate for our professional practice as a means to ensure optimal patient care and outcomes. By sharing our specialized knowledge and understanding of healthcare and patient needs with politicians and legislators, we can shape the direction of legislative change and reform.
I have also learned a great deal regarding nursing jurisprudence. As a young RN, I worked in a critical care setting. I remember accepting many 20 hour shifts and working under horribly huge patient loads. When I worked in the inpatient setting, in the 1970’s and 1980’s, I was never aware of protections like Safe Harbor. I am glad that new GNs must pass an examination regarding nursing jurisprudence. Hopefully this will allow them to make reasonable and responsible decisions regarding their own nursing practice.
I have not practiced in state other than Texas since 1976. I have no other knowledge of Safe Harbor other than in Texas.
Our studies regarding professional boundaries have served to reinforce my own professional understanding of appropriate nurse/patient relations. I have always be cognizant that my relationship with patients exists solely to meet their needs; not my own. That said, I practiced for many years in the home infusion and home health industries. The need to relate to patients and achieve optimal patient outcomes is less structured then in the hospital environment. When bringing a plan of care into the patient’s home setting, I have found that a nurse must address patient needs which are very diverse and holistic. In this context, I have met the patient’s needs in many innovative and sometimes unique ways. I have provided IV therapy to HIV + patients at

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