I took the time to really listen to her history and her feelings. Benners seven domains include: THE HELPING ROLE THE TEACHING-COACHING FUNCTION THE DIAGNOSTIC AND MONITORING FUNCTION EFFECTIVE MANAGEMENT OF RAPIDLY CHANGING SITUATIONS ADMINISTERING AND MONITORING THERAPEUTIC INTERVENTIONS AND REGIMENS MONITORING AND ENSURING THE QUALITY OF HEALTH CARE PRACTICES ORGANIZATION AND WORK-ROLE COMPETENCIES. Rather, it is the refinement of preconceived notions and theories through encounters with many actual practical situations that add nuances or shades of differences to theory. ( Assessing the patients potential for wellness and for responding to various treatment strategies. She was drinking a lot of water, took two times Mylanta offered by one of her coworkers but the burning doesnt go away. Name_________________________________________ Date_________________________ 2. Comfort care provided by nurses focuses on restoring One organizational nursing recognition award is the nationally recognized Daisy Award which recognizes exceptional nursing care, outstanding clinical skill, and compassion. When needed, this nurse calls in members of the multidisciplinary team to assist in providing individualized patient-directed care. A staff nurse provides direct care at the patient's bedside like administering medication, changing dressings, and inserting intravenous lines. I asked her if she had support, and she told me her sister in law was coming over soon. NUR 347. care. I needed to return to the Dermatology Clinic and to my full schedule of patients, but reassured Mrs. S. that she would be well taken care of and I would return as soon as possible. I had been aware that prior to this incident, the new physicians had not been having positive interactions with the ED. management, finances, and transportation. I took the time to elicit and understand her interpretation of her illness and that having a newborn to care for may cause her to minimize her symptoms. (Taylor, et al., 2019), Culture Culture is a shared system of beliefs, values, and behavioral F j k l s nnY )hm h'k B*CJ$ OJ QJ ^J aJ$ ph %hm h)' B*CJ OJ QJ ^J ph &h= h)' 56CJ OJ QJ ^J aJ #h= h)' 5CJ OJ QJ ^J aJ hm h)' 5OJ QJ ^J h)' j h)' Uj h)' 5CJ U h)' 5OJ QJ (j hfQ 5>*OJ QJ UmH nH u h)' CJ( OJ QJ h)' 5>*OJ QJ g Some salaries range from $16.33 to $36.11 per hour. I had to look twice at the age of this patient. Since I function at this level on a daily basis, my opinions are well respected by all the physicians with whom I work. 5. PROBATIONARY REVIEW 8. The Diagnostic and Monitoring Function: I successfully triaged and assessed J. using my clinical judgment, past experience, and in this case patients who may be minimizing their symptoms. ( Yes ( No Please describe how the applicant identifies, communicates, fulfills patient needs: Please describe how the applicant coordinates and utilizes facility/community resources to meet patient needs: Please describe how the applicant promotes a multi-disciplinary approach to patient care: Please describe how the applicant assumes a teaching/coaching role: 9. I was delighted for making the right decision and happy for Mrs. C. that she got there just on time. When providing comfort measures, this nurse preserves the patients dignity in the face of pain and emotional or physical breakdown. While awaiting a physicians assistance during a crisis, the Staff Nurse III confidently manages the patients care by making decisions and effectively directing others. (Taylor et al., 2019). I reiterated to her that her God would get her through this ordeal as he had all the previous setbacks. 5. 0000029639 00000 n rights & duties in legal matters are better able to protect themselves nonmaterial life force or higher power. I realized Mr. P was unable to express his concerns or fear about his discharge. Attend a Facility Selection Committee meeting for interview, presentation of exemplars, and clarification of portfolio if needed. Disorder (ADHD), Regulatory Agencies (OSHA, Overactive immune cells of the skin are responsible for many skin diseases. (LogOut/ The Staff Nurse III draws upon the patient, family and significant other as resources. The result of my dedication and coordinated interventions are evidenced in the many positive outcomes and were ultimately achieved with T.s peaceful passing. This was a case requiring more time than most and yet proved to be one of the most rewarding. Applicants may request a committee member be replaced by an alternate. quality efforts are ongoing and that quality can always be improved On my way back to the procedure room, I grabbed the EKG machine. churches, and prisons. In the best interest of this patient I was able to adapt when she needed to breastfeed her daughter and put me on speaker phone. Finally, I saw improvement enough to get a referral to PT to start strengthening exercises and all that that entails. The nurse must practice within these prescribed boundaries, as well as Remember that the charge nurse role is about leading a group of highly educated, motivated individuals. Assist the Facility Selection Committee in making the best decision possible. At the door, was an elderly, though healthy appearing man who said he had just stopped by to get his BP checked in the Health Ed office. This family needed attention and support which was lovingly provided by me and the team with each visit and phone call. She stated she didnt want to go through that again tonight and though maybe she should have her BP checked. With large black eyes, he gave me a smile and nodded, I now understand that he knew how serious his condition was, because he himself was a Kaiser employee; but I wouldnt find that out for some time yet. Ability to They are the point of contact for nursing staff, physicians, and hospital administration. I asked her if this burning is different than she had before and she said no. I acknowledged her feelings of being overwhelmed and allowed her to express her frustrations. Required Documentation/Checklist (it is recommended that you assemble your portfolio in the following order): Please be sure that your portfolio is complete prior to submission. changes in its internal or external environment that disrupt its 3. I asked her about LMP and she told me that she doesnt have periods for more than 2 years. The Staff Nurse III and IV, HH/H III roles are designed to enable the clinically expert Staff Nurse to find continuing recognition and rewards in the provision of direct care in his/her area of clinical specialty. This time she would undergo another major abdominal explorative surgery resulting in a colostomy. In the best interest of the patient, this nurse is unafraid to question orders and to initiate, direct and redirect care. I explained my thoughts and concerns with Mrs. S. and advised her of the upcoming transfer to the holding room to further evaluate her symptoms. Spiritual health or well-being and nonverbally (Videbeck, 2020). Five (5) years of applicable RN experience within the last five years. The day shift MD, Dr. S, was given report from his night shift colleague, again with discharge plan of home with follow-up with primary as needed. process of nourishment (Taylor et al., 2019). The Staff Nurse III draws on knowledge of the literature and of other expert opinions to recognize when a patients cultural background influences the response to care and to the illness. I got a verbal order to place an NG tube and begin the feedings. This is why I was amazed he was awake and attempting to speak. in which they simultaneously send and receive messages both verbally He/she should use specific examples whenever possible to describe your relationships with patients and peers, your communication skills, and evidence of your clinical leadership. 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 asked her if she had been drinking fluids and eating, she said she was drinking a lot and urinating normally and she just had eaten a sandwich prior to calling. IADLs include those complex skills needed for independent An honest evaluation can help pinpoint the education, information, and training needed to develop stronger skills. I asked her for how long she is having this pain today. She states that she had some complications after delivery. The charge nurse role includes scheduling and assigning Now with Haldol, there is a black box warning which requires cardiac observation due to the prolongation qt interval. University of Massachusetts, Boston. If the appeal is denied, the nurse may appeal that decision to the Regional Appeals Committee, no later than thirty (30) days after denial of the appeal by the FSC. In a professional and competent manner I was able to educate and explain the risk of a brain hemorrhage after delivery and the possibility of this happening now. At that point the surgeon would be ready to begin closing the cavity. The more detailed report that I received on Mr. Y. included. By being sure that a patient does not experience retained foreign object in the body, we were ensuring that the success of the surgery that would lead to fast recovery. I started the preparation in my room. License # _______________________________Expiration Date_____________________ Area of Clinical Specialty: ( Ambulatory Care ( Home Health/Hospice ( Hospital Classification: ( Regular ( Short Hour ( Per Diem 7. This nurse stood back and said Whats wrong? I explained to the nurse that because of the patients facila injury it would be safer to place the NGT orally. as neighborhood clinics, patients homes, long-term care facilities, schools, Show in your exemplar how you used fine discretionary judgment and/or intuitive use of Knowledge. I noted that the BP obtained in Health Ed was slightly elevated, but not in the dangerous range. Worked as Home Health/Hospice nurse with the employer for at least three (3) of the last five years, or two (2) years as Home Health /Hospice nurse with the employer and one (1) year home health experience within a Medicare certified home health agency. Manager _________________________________Cost Center_______________________ ( Manager informed that applicant is applying for SN III or HH/H III. The right thing to do was to help Mr. Y. reach his highest level of functioning with the least amount of dependency as possible. Clinical decision making is purposeful, goal-directed effort applied I immediately paged the surgeon on call, notified HBS, who recommended I do what I could to protect the surrounding skin, made a referral for the Would Care RN and then got the would care/ostomy cart. I quickly prioritized my patient load so as I would not be interrupted in the middle of Mr. R.s would care. I did the right things and gave Mr. Y. the Haldol. b) Teaching Coaching Function- Assisting patient to integrate the implications of illness into their life styleThe teaching needed for a family to manage this acuity at home is tremendous. Instructions: Please complete this form and return it to the applicant before __________ (date). In planning for the admission of critically ill clients from the emergency department, to which nurses will the charge nurse assign the new clients when admitted to the unit? needs for meaning and purpose, love and belonging, and forgiveness Licensure, DHHS, DHSR), Inflammatory Bowel Disorders Performance appraisal of the candidate by the nursing director must be completed within six months preceding application or updated to reflect an accurate evaluation of the applicants current nursing practice. 8. The one thing all these admissions had in common was his request for me to be his nurse. She explained to me that she had just delivered a baby girl 3 days ago, and she had awakened in the middle of the night last night with a moderate to severe HA. Active participation in quality activities which must be of an ongoing nature with participation occurring over at least six (6) months of the past year, e.g., PPC, Safety Committee, organizationally sanctioned peer group or committee, RNQL. It had become evident that the family was becoming overwhelmed with his care and the MSW worked with the family to get care giving for four to six hours per day. I needed to be his voice. 2006-06-08T10:38:27Z After introducing myself to them, I began checking Mr. Kinneys identification bracelet, consent form, and operative site marking. ORGANIZATION AND WORK-ROLE COMPETENCIES ( Coordinating, ordering and meeting multiple patients needs and requests: Setting priorities. These signatures certify that calculations are correct as of the specified date. The night shift informed me that Mr. P ruled out, as both sets of troponins and both EKGs were within his normal limits. For any Registered Nurse hired into a position of less than twenty-four (24) hours, the following calculations apply: Paid time is calculated by determining total paid hours for the year minus the number of vacation hours taken in week blocks. As a confident and caring professional, dedicated to my patients independence, I was able to guide this patient as he started his final journey. I asked that one family member be allowed to stay tonight and she agreed. In her case many years of untreated HBP combined with possible diabetes (she felt, thirsty and urinated a lot) can cause damage to the blood vessels and increases the risk of developing blood clots. That man stood so tall in person and in spirit. Interested in presenting at NTI? Normal expressions of grief may be physical 659 5. Not sure where he has been receiving his medical or psychiatric care. In no time we were able to position the patient taking into consideration that he was well supported and padded. License Number________________________________________________________ 8. How to check the stoma, prepare the peri-skin and how to change the appliance. WebCharge Nurse Resume Examples. ( Identifying and managing a patient crisis until physician assistance is available. ( Contingency management: Rapid matching of demands and resources in emergency situations. Disease (COPD), Disseminated Intravascular Coagulation (DIC), Quality Improvement Cycle: Plan- As a leader, the charge nurse must demonstrate humility as they collaborate with healthcare teams. ( Assessing the appropriateness of orders*. the activities involved in managing the work environment and, In turn, this physician was reluctant to countermand what he was being advised by the ED staff. the volume of one or both of the other two components, as CSF and Charge nurses must be able to multitask and stay calm under pressure. For example, if a patient's behavior suddenly changes, it's important to determine if they are reacting to something in their personal life, dealing with a fluid imbalance, having a medication interaction, or suffering from an infection. 3 0 obj <> endobj 36 0 obj <>stream I reassured him that as long as he told me or his doctor what his wishes were, we would do our best to carry out whatever his wishes may be. WebOne ethical issue stands out above the rest. If the nurse goes on non-paid status (no sick leave) the leave of absence cannot exceed three (3) months. (Hinkle & Cheever, 2018). 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