I came back to her and thanked her for the patience. The boundaries for It will be in her best interest to let me consult with one of my doctors to see what she/he wants us to do. He told me, I feel like I cant catch my breath, and Im hurting more than yesterday. Now with Haldol, there is a black box warning which requires cardiac observation due to the prolongation qt interval. necessary information so they can make informed decisions. I was so glad 3 oclock finally came and I was giving report to the evening charge nurse. A RN peer familiar with your practice
A supervisor (a nursing supervisor familiar with your practice
Another health team member (MD, PT, Social Worker, etc.) It takes an individual who possesses clinical nursing competencies, compassion, and empathy. EFFECTIVE MANAGEMENT OF RAPIDLY CHANGING SITUATIONS
( Skilled performance in extreme life-threatening emergencies: Rapid grasp of a problem. blood can shift and brain tissue comply. I stopped at the doorway before entering Mr. Y.s room for two reasons. I then consulted the CCMD and after discussing the case with him, we decided I should try speaking to the hospital based doctor, Dr. S. was consulted and when I told him about the case, H recognized the patient and told me that he had talked to the family a few days ago. His overall appearance was clean, including his hair appeared washed and combed, and his nails short and clean. As I pushed the gurney towards the OR, I felt the anxiety that my patient and his wife shared. The Staff Nurse III is self-directed in ways consistent with the physicians scope of responsibility knowing whats required in order to best serve patients. The appeal shall not contain any application information that was not submitted with the original application as a justification for the appeal. He has been sitting on the edge of the gurney since then. Write the exemplar in your own words. ( Assisting patient to integrate the implications of illness and recovery into their lifestyles. Teaching/Coaching Function
I was very consistent in providing my patient and his wife the details of surgery to alleviate their doubts and worries. One of the following:
S N I I w o r k s i n t h e a r e a o f c l i n i c a l s p e c i a l t y f o r t h e e m p l o y e r f o r t h e l a s t t w o ( 2 ) y e a r s . I know that all my patients deserve the best care that I can give them. The nursing staff feels that they have the information, support, and resources to perform their tasks efficiently and effectively, and they also have opportunities for advancement, continued education, and input into nursing policies. 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. Performance evaluations are found on the MyHR website> KP & Me> Performance Management. I have extensive knowledge from years of doing front line clinical work and a sincere passion for my profession. those self-care activities that the patient must accomplish each day to Additional letters of recommendation may be submitted in case one or more letters do not meet requirements. Through an intuitive use of knowledge, fine discretionary judgment, experience and leadership, the Clinical Expert is able to provide the best possible patient care in a safe environment. They were upset and afraid that their mother would not get the pain medicine she may need and asked if one of the family members could spend the night in the patients room to observe and assist her. The charge nurse role requires diligence, patience, and skill. The night shift informed me that Mr. P ruled out, as both sets of troponins and both EKGs were within his normal limits. A narrative summary must be included highlighting the applicants strengths in clinical practice and/or professional activities. By the time he was awake she was just fine. (Marquis & Huston, 2021), Professional behaviors are those that reflect the nurses commitment I knew something was off. body, as well as the impact of human behavior and environment on the After all the trays had been opened, I started counting all the instruments with my surgical technologist. I offered to call a family member of a friend for her, and she requested that I call her daughter. or a large area of rural residents. expectations that provides social structure for daily living. He did deny thoughts of want to hurt himself or others. health care for its inhabitants (Taylor et al., 2019). ADMINISTERING AND MONITORING THERAPEUTIC INTERVENTIONS AND REGIMES
( Starting and maintaining intravenous therapy with minimal risks and complications. Nursing; Feeling; University of Massachusetts, Boston NUR 347. The team of nurses, physicians, physician residents, pharmacy and respiratory responded to the Trauma Bay to prepare for the patients arrival. Yet the Staff Nurse III sees the patient as a whole, unique individual. She was able to trust me and agree to go to the ER. In this particular situation:
Helping role: I felt that I guided and gave emotional support to this patient through this much unexpected even in his life. ii Teaching Activities
Community teaching must be voluntary. influences roles and interactions with others, as well as within families If needed, appeal to the Facility Selection Committee in writing within 30 days of the original decision. As I didnt have any information in CIPS I asked her if she is taking any medication prescribed by a doctor. Applicant Name ______________________________
3. and declines. The Charge Nurse is an exemplar for compassion, acceptance, respect and empathy honoring nursing as a distinct discipline and supporting an environment focused on healing and wellness. To the family, this was a crisis and their most desperate coping mechanisms were emphasized. 2020), Thermoregulation Thermoregulation is regulation of the bodys temperature by cells brain that operate to maintain pressure within the cranial cavity in a After introducing myself to them, I began checking Mr. Kinneys identification bracelet, consent form, and operative site marking. After all I had kept my promise of being his advocate at the time that he couldnt take care of himself. I intuitively knew when to be with this patient and his family and when to leave them alone. Letters of Recommendation Guidelines
Letters should be legible, be brief, indicate the nature and dates of your association, state I recommend (candidates name) for Staff Nurse III, HH/H III, and address the applicants demonstration of the qualities described in the Staff Nurse III, HH/H III definition (reproduced below). Monitoring, oxygen, and medications are all accessible in that area. The Staff Nurse III initiates appropriate teaching and coaching of patients and their families. Clinical judgment: how expert nurses use intuition. endstream
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: an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. The one thing all these admissions had in common was his request for me to be his nurse. I went on to say that I had taken care of Mr. P so many times and I knew him well and he was not himself. I emphasized the need to find a rehab center close by so his wife could continue her daily visits and rituals, something he had grown to look forward to. Five (5) years of applicable RN experience within the last five years. Laws and legislation define the scope of acceptable A less experienced nurse would have not waited while she confirmed care for her daughter. The applicant is free to apply at the next deadline regardless of the status of the regional appeal. Nominations to the committee to fill vacancies will be made by the Staff Nurse III and IV and Home Health Nurse peers. Effective management of rapidly changing situation
I was able to anticipate every need that was required to run the operating room when the case experienced instability. She had been discharged from 4W and after returning home for a brief period of time, returned with major abdominal pain. 66eJFPnC'b{ h5_]h!":S
%c8(K-N'KLD>>/=BcVPM(A**{&hX^Y(97kXv5Y[y&\\swR8iih,G6+f^*_ $JI=SM0V;$E)@z;;_zX6Juq(hx\n5. 8. This time, I got a BP that was indeed elevated but the pulse was 30. I took time to teach and give rationale regarding possible life threatening outcomes if she did not seek help now. The organization recognizes and values the impact of nursing care on patient outcomes. Ask your manager or your C.N.A. (New Applicants for Staff Nurse III/IV, HH/H III)
The staffing/payroll office will assist in this calculation if needed. NAME AND LOCATION OF FACILITY 4. SIGNATURE (PAYROLL)_____________________________________________________
SIGNATURE OF MANAGER___________________________________________________
DATE______________________________________
Letter of Recommendation Form
The Staff Nurse III and HH/H III functions in the clinical setting as an exemplary care giver to patients, a model of proficiency for co-workers, and a colleague to physicians. The American Nurses Association identifies the Five Rights of Delegation as: Leadership encompasses a variety of unique qualities, and a mindful charge nurse recognizes the difference between leading and managing. I was able to preserve this mans sense of dignity and personhood through my expertise and presence. I asked how much she weighs and she said that she doesnt know but she is not so heavy. Social Security Number 3. 3. 3 0 obj
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to external or internal stimuli that can have behavioral, emotional, ventilation, respiration, and perfusion (Taylor et al., 2019). I quickly looked through her history and CIPS and began to triage her through the Postpartum protocol. 2. and novice nurse 27 y.o. I}K|m6&@{7W51:~m2zo=^$wE:Z
/tSsM#ZQw8X)1m -f{px_5`'j`/?CfgSlHm#[ @%^__`@z-wd? UVB therapy decreases the immune cell response. Selection committee vacancies are to be publicized by Nursing Administration and the PPC. As a profession we must speak up and communicate our assessments effectively, including changes in our patients condition and evaluation of our patients needs. Skilled, experienced practitioner
Demonstrates leadership. Along with patient care duties, the charge nurse directs staff members and ensures routines and processes are running smoothly. Her daughter was sitting at her bedside. Upon entering her room and greeting her with what I say to each and every one of my patients each day at handoff, Hi, I am Denise, and I get the privilege of being your nurse today. WebThe median annual salary of a charge nurse is $68,911, according to PayScale. 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. WebA) The client is very old and has multiple health problems. Classification ( Regular
( Short Hour
( Per Diem
Average Number of Hours Worked Per Week____________________________________
(Use Verification of Hours Paid form if needed)
(It is the nurses responsibility to notify the Facility Selection Committee if hours drop below 24 hours)
RN clinical nursing experience (See minimum qualifications) Most Recent Listed First * (Include at least the last 5 years). Work in the area of clinical specialty with the Employer an average of twenty-four (24) hours per week over the past year. I will develop an information sheet for caring for patients with chest tubes within three months. 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. I directed the physician to call the ED for the physician to physician report prior to transport by ambulance. Perfusion Perfusion refers to the passage of oxygenated capillary blood WebCharge Nurse Resume Examples. A staff nurse provides direct care at the patient's bedside like administering medication, changing dressings, and inserting intravenous lines. Coordinates and utilizes facility and community resources to meet patient
needs. WebA nurse leader has exceptional clinical experience and knowledge. Removing all of the sterile gauze revealing her peri-skin already red and angry, just short of excoriation, I assessed immediately that the plan of care for her dressings would require more than simple sterile gauze. She thanked me for my concern and called him on her cell phone. Blood loss brings about disturbance in fluid and electrolyte imbalance that could rapidly alter cardiovascular, neurologic and neuromuscular functions. If there had yet been an appropriate time to step out of my shell and attempt to be a leader, it certainly did not seem to be in the midst of almost constant crisis and occasional chaos. He did seem more relaxed, but I was becoming uneasy as he still was clammy. Brief description of relationship to applicant:
4. Charge nurses can expect to earn between $50,400 and $90,523 annually, with the median salary landing at $68,863 per year. 12 0 obj <>
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At 0700 the next morning, Mr. P was still on the dash. (Taylor et al., 2019), Spirituality is anything that pertains to a persons relationship with a ( Using goals therapeutically. Charge nurses must be able to multitask and stay calm under pressure. I suspected that the end was nearing, and sat with this patient to talk to him about his plan for the day. A mentor can be either a member of the Facility Selection Committee or a Staff Nurse III/IV, Home Health III who can offer suggestions to improve the application portfolio of staff prior to submission. At that point I really understood the saying that there are two sides to nursing the art and the heart. By integrating my experience, my computer skills and ability to provide a calming environment, I successfully gained her confidence and trust. Health care disparities are differences in health outcomes between Concepts Of Maternal-Child Nursing And Families (NUR 4130), Medical Surgical 1 (MURS_3144_01_UG_MAIN_MEDICAL-SURGICALNURSING1), Web Programming 1 (proctored course) (CS 2205), Principles of Marketing (proctored course) (BUS 2201), United States History, 1550 - 1877 (HIST 117), PHIL ethics and social responsibility (PHIL 1404), Maternity and Pediatric Nursing (NUR 204), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), BSC 2085-Study Guide - Dr. Alfonso Pino - Online course, Lesson 8 Faults, Plate Boundaries, and Earthquakes, Request for Approval to Conduct Research rev2017 Final c626 t2, Scavanger Hunt - Human anatomy scavenger hunt, Lessons from Antiquity Activities US Government, Mark Klimek Nclexgold - Lecture notes 1-12.