I felt that a hospital admission was needed. Nursing Philosophy and Concept Curriculum Map, 2/16/2016). The evening charge nurse and I looked at each other and said, gotta be Mr. P. I suspected that Mr. Y. was suffering from a thought disorder such as schizophrenia or schizoaffective disorder rather than a mood disorder such as bipolar. I entered her room one day to see her in rigors; her abdomen was distended and very tender to the touch. Informatics is the use of information technology to improve the quality, I reassured her that she would be in very capable hands and nothing was going to be done without an explanation and her consent. The Staff Nurse III relies on past experiences to identify clinical signs and symptoms that predict a possible life-threatening situation. feelings, or behaviors resulting from maturation, experiences, and The quality and content of the material presented in your portfolio is what will be reviewed. I am a confident and caring professional dedicated to obtain safe patient outcomes. Health Care Systems A health care system is the system a nation uses to deliver and pay for I opened the protocol Urinary Tract/Flank Pain Female. finally, the larger organization. She states that she had some complications after delivery. I reassured her that it was common for new moms to feel this way. I made sure I coordinated with pharmacy to ensure there was never a short supply of medication, arranged dressing changes during a routine weekly visit, communicated changes with after hours and weekend staff so crisis were managed and changes in condition were coordinated smoothly thus minimizing stress for the family. 10. ( Maintaining a caring attitude towards patients even in the absence of close and frequent contact. 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. I assured her these feelings are normal and valid, but she said I was concerned about her HA so I would wait for her to go get her daughter, and told her to take her time. I was able to preserve this mans sense of dignity and personhood through my expertise and presence. I explained to her that we were concerned by her symptoms and we would like her sister in law to driver her to the ER. Those interested in the charge nurse role must hold registered nurse (RN) licensure in the state where they practice and have at least three years of hands-on clinical experience. An effective charge nurse uses critical thinking to quickly assess and decide if immediate action must be taken to protect the patient's health. Mr. P underwent an ERCP with a sphincterotomy and a biliary stent was placed for a small intra-hepatic bile abscess. ( Providing comfort and communication through touch. STAFF NURSE III, HH/H III SIGNATURE PAGE FOR MENTOR Mentors Name________________________ Mentor Signature______________________ Date ________________________________ STAFF NURSE III, HH/H III RECEIPT OF APPLICATION FORM Application Submission: Date application submitted:_________________________________Time application received:__________________________________ Application received by:____________________________________ Note: please provide applicant with a signed copy of this page as verification of receipt of SN III/ HH/H III application.) 8. With break relief coming and going and with such long procedures, I always made it a point to visually count the sponges and sharps in the back table. Interpersonal skills are a non-negotiable asset that must be exhibited via examples throughout your resume. The patient trusts in this nurses expertise and ability to handle even critical situations that involve life and death. I made a difference in Mr. Ps care. I knew how to negotiate with my intuitive use of knowledge, I contributed mightily to this patients and Kaisers best interest. Most important is to give a disclaimer. A charge nurse oversees all of the nurses in the hospital unit and is responsible for other administrative duties. client and the nurse. The Exemplar is written in the first person and describes in detail a particular clinical situation that includes the nurses thoughts, feelings, intentions, actions, critical thinking, and decision-making process. They are the circumstances that eventually become milestones to nurses (Harvey & Tveit, 1994). Charge nurse resume sample Here is the complete sample of a charge nurse resume that would help you to curate your own. I know that I must tell patients that need to go to ED and in many occasions patients get in a state of denial, changing the description of their symptom and asking for an appointment. changes in its internal or external environment that disrupt its I told her I was concerned about her HA especially because of her complications after delivery. A { gd@ ^gd@ ^gd@ ^gdr $ ` a$ & / 0 1 M W X Y | He is medically cleared and waiting for Psychiatric services to see him in the morning. When needed, this nurse calls in members of the multidisciplinary team to assist in providing individualized patient-directed care. and novice nurse 27 y.o. Offer to be a sounding board, ensure the nurse is developing skills for resilience, teach them how to have compassion and empathy for their patients, but also how to have compassion and empathy for themselves and confidence in their abilities. 2010-12-08T15:15:14-05:00 Teaching activities are not necessarily ongoing in nature. mechanisms that facilitate fluid and electrolyte movement within Responsible for communicating feedback regarding employee performance as issues arise. A strong charge nurse is flexible in distributing resources as the unit's patient population changes. ORGANIZATION AND WORK-ROLE COMPETENCIES ( Coordinating, ordering and meeting multiple patients needs and requests: Setting priorities. The simple task of scheduling a PIC line placement now became a serious nursing challenge. My knowledge and expertise in the area of IVs and family dynamics, paved the way for a trusting relationship in the difficult situations encountered in the course of T.s care. Antacids can interact with a number of drugs in the intestines by reducing their absorption. All of the ancillary staff had already left for lunch. Writing Exemplars word doc.doc - Microsoft Word I had to look twice at the age of this patient. WebOne ethical issue stands out above the rest. Later the patient went to CT, returned and was transferred to a trauma center. 12 0 obj <> endobj She stated that she would have tried to perform a tracheotomy if the intubation was not successful after one attempt. I was aware that lateral positioning opted the most possible injury to the patient if not properly taken care of. The Local Facility Selection Committee will maintain current listing of Mentors. The urgency in her voice, the last night bad dream that gave her cold sweats and shortness of breath, an achy arm since morning, all could be very well signs of cardiac ischemia. What was the situation and how did you intervene? Zr|P%R(oW)GSZnKex&Eg"%,S@C)t^AMg~)*v)&Xft{::.M';LwdRj/w0d[y#xs[N8>YiOav`xd5vaAaf,{/r2q/%Iyr22L;v,0sv+\~a-|nav&f~_\ >7fs0i-u; PhX4US > va>!1)>9\`a}fP5T0X@,>Y6GU&aZ7-}=c n'4WgR-q,B++'.cwvbo~TbP 4ux$plUzZ90G,;4r.V'R.2x]ibe/lx`Rp|Kt; Featured or trusted partner programs and all school search, finder, or match results are for schools that compensate us. They are experienced in clinical encounters and often act as a resource for decision-making for the nurses unit. The night shift informed me that Mr. P ruled out, as both sets of troponins and both EKGs were within his normal limits. F After much coordination, we scheduled for self care learning, which is normally an ambulatory setting, to insert the line and connect the pump and then the radiology department agreed to monitor the patient until his transportation home arrived. His hospital stay will require diabetic control, restoring blood flow to bilateral lower extremities, wound care to necrotic diabetic ulcers and restoring proper nutrition. Charge nurses can expect to earn between $50,400 and $90,523 annually, with the median salary landing at $68,863 per year. I directed the physician to call the ED for the physician to physician report prior to transport by ambulance. She did not drink or smoke. be aware of what constitutes malpractice or professional negligence. Knowing that rapid blood loss could occur during kidney procedures, I prepared all my homeostasis agents. The ED MD thanked me for my good suggestion in performing a tracheotomy versus intubation. While waiting for the Surgery to round, I proceeded to design different ostomy bags to cover and protect the surrounding tissues and catch the toxic draining before it interfered with her skin integrity As a Would Care Champion, I used my training and expertise to design and implement would drainage collection devices. GRASP Special Projects/Presentation Standardized Care Plan/Clinical Pathway Health Related Community Organization/Service (community service must be voluntary) Mentor one new graduate RN for up to eighteen (18) months within the last thirty-six (36) months, in accordance with contractual provisions in Section X Other Examples of written standards of nursing care are: the actual writing of a standard or involvement in the annual review of the same; the writing of a policy or procedure. WebYou're the charge nurse during evening shift. I stopped at the doorway before entering Mr. Y.s room for two reasons. Describe clinical situations, which you believe positively impacted by your practice. In general, charge nurses must have at least three years of experience as a staff nurse. ( Interpreting kinds of pain and selecting appropriate strategies for pain management and care. Nursing; Feeling; University of Massachusetts, Boston NUR 347. brain that operate to maintain pressure within the cranial cavity in a The Facility Selection Committee is comprised of: Nurse Executive, Director of Nursing Practice (DONP) or designee 2 RN managers (appointed by the Nurse Executive/DONP or designee) 1 Staff Nurse III (minimum) 1 Staff Nurse actively involved in a professional committee 2 Staff Nurse IVs or HH II or III Alternates: a substitute in the same category to be used as needed. My experience led me to become a Certified Emergency Nurse. I immediately intervened by speaking with his nurse and educating her regarding the needs in this case. Her history included Parkinsons disease, CKD, COPD, and HTN and elevated K. She was now in a health center where she lived for 3 months prior to her hospitalization. Normally we do not see the outcomes of ER visits, but a few weeks after this call I received a letter from QA. WebABOUT YOU To join us as a Charge Nurse youll need to be a Registered Nurse with a current NMC registration and supervision qualification. I asked her about LMP and she told me that she doesnt have periods for more than 2 years. Junior Sister/ Charge Nurse - Harptree Ward Accepting applications until: 13-Mar-2023 23:59 Vacancy status: Open On my last day with this patient, he was still able to communicate his needs to me. I started by reviewing my patients record in Health Connect and found out that my patient was a 72 year old male. There isnt a day that I walk past room 417 that he doesnt come to my mind. I knew I could not let Mr. P be discharged. ABOUT THE FACILITY SELECTION COMMITTEE The Committee shall be co-chaired by Nurse Executive/DONP or designee and a Staff Nurse III/IV or HH III. Each and every patient visit must be treated uniquely. Mr. R. was eventually sent to a rehab facility to learn to use his prosthetic leg. 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. The patient was awake, alert, oriented with warm and dry skin. Colleague to physicians. ( Gaining social support from other nurses. Mr. P stated that he awoke this a.m. with chest pain and it just had not gone away. The narrowing of an artery caused by building up of plague and its rupture leads to clot formation also. I checked all the instrumentations and surgical supplies with my surgical technologist. A newer nurse would have been less effective in this role simply from discomfort with death, and the inexperience would leave this patient with a sense of loneliness and isolation. populations that are closely associated with a social, economic, or I asked how much she weighs and she said that she doesnt know but she is not so heavy. care (Taylor et al., 2019). (Monitoring and Ensuring the Quality of Health Care Practices) The Following Benners Domain will be addressed: The Helping Role The Diagnostic and Monitoring Function Monitoring and ensuring the Quality of Health Care Practices Exemplar #2 In the dermatology clinic, I have patients who come in regularly for their Narrow Band UVB (ultraviolet B wave) phototherapy treatments. This time, I got a BP that was indeed elevated but the pulse was 30. After assessing the patient and not really coming to a clear outcome I felt uncomfortable with giving her an appointment or a message. Doing what I thought was the impossible he had opened up to me about many things. Acrobat PDFWriter 5.0 for Windows NT 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. grooming, feeding, and toileting. 0000001195 00000 n Organization and Work-Role Competencies I built a therapeutic relationship with the facility charge nurse and advocated for the family. I was able to keep the patient calm and earn her trust while explaining the rationale and need to go to the ER. I gather all my data and in my SBAR presentation I described her symptoms and I emphasized that women at her age and menopausal, can have atypical chest pain. Five (5) years of clinical experience as a Registered Nurse. An exemplar is a story, not a case study or a report. I instructed both surgeons to look for it as well as the surgical tech. I got a verbal order to place an NG tube and begin the feedings. Multitasking is a quality that I possessed as an OR nurse. My IV skills are excellent, but over the course of his admissions multiple IV sticks became more difficult. These drugs include some ATB, Propranolol, Captopril and H2 blockers. Report did not prepare me for what I would see when I unwrapped his feet. 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. 0000002081 00000 n She couldnt remember the name of it. Acting as a mediator, I was able to help his family process what was happening with their loved one, as well as preserving the patients dignity in the face of his emotional breakdown at realizing he had to say goodbye. I made my rounds with my other patients, and noticed Mr. Y. has not moved since that last time I observed him. Whether the patient is not responding to a particular therapy, this nurse has an inquisitive need to search continually for the reasons. Critical thinking is an approach to thinking that is systematic, Ability to disabilities, sexual orientation, health insurance, and access to health care The boundaries for I intuitively knew when to be with this patient and his family and when to leave them alone. nonmaterial life force or higher power. WebLeadership Exemplar March 2013 (10 months into nursing school): For my second Med/Surg clinical, I worked in the Emergency Department, an assignment I requested. They soon realized I understood their concerns and was there to help. A leader helps people work toward a goal through: Using these traits, a charge nurse unites staff members striving for successful patient outcomes. They address problems that arise in their unit while juggling administrative tasks like scheduling, staffing, and monitoring patient care. the three intracranial compartments such that small increases in the Their concerns and was there to help sets of troponins and both EKGs were his... 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