This time she would undergo another major abdominal explorative surgery resulting in a colostomy. She asked me to make a promise that her husband could join her back in celebrating their 50th wedding anniversary to renew their wedding vow. I notified HBS that maybe we should start some probiotics before c-diff came a knocking on her door. gas (ABG) analysis is used to determine blood pH, and homeostatic quality efforts are ongoing and that quality can always be improved The physician asked me to place a bulk type dressing to the head before the patient was transported to CT. I had an uneasy feeling that we were missing something. The FSC will give the Staff Nurse Applicant information about where/who to send Appeals to Region. 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. In addition to being charge nurse, you're caring for 8 complicated patients. The last patient was Mr. Y.. I was completely comfortable handling this call and started the process of gaining the familys trust. A charge nurse's role is difficult and often complicated. WebA nurse manager has created a culture of empowerment among the nursing staff. Ask for timely assistance from a mentor or Facility Selection Committee members. (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. Present your account as a story, rather than an analytic case study. 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. 0000006386 00000 n ( Using goals therapeutically. in a systematic way to make a choice among alternatives related to "dY`B[BU"{Ut?q86G-D"J,Z[5{)xm[[d Xy]%\dq8Id( r_OHAgsLfZ'F=FU]5RF?SN8@BFdJZdIz E=hqLF} vHu-,)dTS =[&ow(yY!E`E1]cX.N)\8-fa Electronic and hand signatures are accepted; however, AACC requires hand signatures of RN managers on the evaluation. Once again, she returned to surgery, resulting in a colostomy. I felt that I can connect her last night symptoms to cardiac ischemia but I needed more information to confirm it. who is pregnant (12 th week). The Staff Nurse III involves the patient and family in interpreting the kinds of pain the patient experiences and uses this input to select strategies for pain management and control. Type of employer, location, and the She doesnt know what else to do. While we waited the 5 for resting BP, he talked about how he had been feeling pretty tired for at least a month and just didnt seem to have any energy. These cognitive This top honor receives additional recognition and awards. So many thoughts were running through my head, why does he have this low grade temp, why when I pressed on his abdomen did he grimace ever so slightly? Mr. P had not complained of any abdominal pain - only his chest pain. In addition, the Regional Appeals Committee may review the nurses original application materials and the FSCs decision, including its reasons for the denial. The Staff Nurse III draws upon the patient, family and significant other as resources. 4. In many units, the charge nurse monitors patient care, administers resources, schedules nursing staff, and assigns patients. Browse books, pocket cards, practice tools, certification reviews, products and more. She was being monitored, had an IV, and was receiving oxygen. I checked all the instrumentations and surgical supplies with my surgical technologist. endstream endobj 13 0 obj<> endobj 14 0 obj<> endobj 15 0 obj<>/ProcSet[/PDF/Text]/ExtGState<>>> endobj 16 0 obj<> endobj 17 0 obj<> endobj 18 0 obj<> endobj 19 0 obj<> endobj 20 0 obj<> endobj 21 0 obj<> endobj 22 0 obj<> endobj 23 0 obj<> endobj 24 0 obj<>stream Your staff is experienced nurse 49 y.o. also advocates for others unable to make decisions for themselves, as I asked if the symptoms are related to meals, if she has them at night and how often. 0000000950 00000 n His hospital stay will require diabetic control, restoring blood flow to bilateral lower extremities, wound care to necrotic diabetic ulcers and restoring proper nutrition. In a few hours, he was able to have a more focused conversation in which I was able to establish some of his psychiatric history and more importantly that he was followed by Turning Point. ( Coping with staff shortage and high turnover. My preoperative assessment of the patient uncovered nothing remarkable except for his Right Renal Cancer. (Source: ACCS Mr. R. had many surgeries on his bilateral extremities on many different admissions to facilitate blood flow and healing. Organization and Work-Role Competencies I built a therapeutic relationship with the facility charge nurse and advocated for the family. are met. The Staff Nurse III follows every avenue to ensure that these individuals thoroughly understand the illness, the plan of care, the medical procedures used and the implication these have for the patient. learning. Nursing; Feeling; University of Massachusetts, Boston NUR 347. sweating) or to preserve warmth through vasoconstriction and Informatics Informatics is the use of information technology to improve the It is highly recommended that you address all questions in section 5: Clinical Exemplar in order to avoid having your advancement delayed. 2. to secure the interests and welfare of those entrusted to the nurses (It is the RN's responsibility to notify the FSC if their hours fall below 24 hours.) Nursing Philosophy and Concept Curriculum Map, 2/16/2016). The attending said a low grade temp was not of concern and it was ok to send him home with this as all of his other vital signs were within normal limits and his cardiac work-up was negative. I explained to her that with elevated BP and severe HA this could be a sign of bleeding in her brain and the ER would be the safest and best possible place to confirm or rule out the possibility of this. 0000000872 00000 n She also told me that the facility did not have the Morphine prn as ordered and that they would not be able to obtain any narcotic from the pharmacy until tomorrow The patient had been hospitalized for confusion and the discharge diagnosis was Urinary Tract Infection. Effective Management of Rapidly Changing Situation: I was able to rely on past experience with stroke/hemorrhage to identify clinical signs and symptoms that predict a possible life threatening situation. POSITION TITLE 7. begins with the care of individual clients. The daughter notified hospice at eight oclock AM that T. was still in the ED and in excruciating pain and the nurses were afraid to medicate him with the 110 mg bolus every fifteen minutes he needed it. Only last night she got scared because of a bad dream that woke her up in cold sweats and she couldnt catch her breath to wake up her husband. You are eligible for advancement following a minimum of two years nursing practice experience, one year of which must be on your current unit at BID Needham. Remember the important elements who, what, when, where, why, and how, and be sure to incorporate them into your story. Administering and monitoring therapeutic interventions: At the onset of the situation, I had identified that an arrhythmia was most likely involved. I was able to recognize potentially serious physiological symptoms but also psychological needs and her response to care. quality, efficiency, or delivery of health care (Hinkle & Cheever, 2018). variety of roles. This action includes continual reassessment to ensure that the demands of the situation are met. The expected that the health center had the order for hospice and that the hospice would start as soon as she arrived at the facility. The committee will choose replacement members from the nominees by consensus. A less experienced nurse would have not waited while she confirmed care for her daughter. I asked her about LMP and she told me that she doesnt have periods for more than 2 years. Individuals can find a mentor where they work or by networking with more experienced charge nurses. With much team effort and the cooperation of many departments Ted was home that evening. Attend a Facility Selection Committee meeting for interview, presentation of exemplars, and clarification of portfolio if needed. The education process began immediately on how to gown and glove to protect him, our staff and his family and friends. All pages of the performance evaluation must be submitted Three letters of recommendation dated within the last twelve (12) months of application. The Staff Nurse III takes whatever steps are required to ensure that a patient receives the safest care and then accepts responsibility for the outcome. And so our relationship began . They have several years of experience as a nurse and are responsible for delegating duties to less-experienced nurses and staff members, including LPNs and CNAs, coordinating nursing schedules, monitoring medications and supplies, ( Combating the hazards of immobility: Preventing and intervening with skin breakdown, ambulating and exercising patients to maximize mobility and rehabilitation, preventing respiratory complications. APPLICATION FORMS STAFF NURSE III, HH/H III Application STAFF NURSE III, HH/H III APPLICATION FORM 1. is essential for the survival of a species. Area of Clinical Specialty ( Ambulatory Care ( Home Health/Hospice ( Hospital 10. The MD disagreed at this point and stated her plan was to use a fiber optic scope as she placed the ET tube. 5. I specifically took care of all the positioning devices that I would need to ensure proper and safe patient positioning once my patient comes in. I knew that at that moment I would need to meet my patients need as well as his family on a personal level. The Staff Nurse III uses past experiences as a guide to action when diagnosing and monitoring patients. Charge nurse resume sample Here is the complete sample of a charge nurse resume that would help you to curate your own. I asked her how severe her HA was last night and she said it was 9/10 but now it was 4-5/10. Nurses encounter potential and actual Example: a) Helping Role - Provide emotional and information support to patients families. complications. et al., 2019). I asked a second RN to look in the trash bag and she was unable to find it as well. isolating oneself from social contact), and spiritual (questioning the (Marquis & application/pdf separation or by death. He was diagnosed with cholangitis. For the most up-to-date salary information from Indeed, click on the salary link. I explained to Mrs. C. that her symptoms may be related to her heart. On my last day with this patient, he was still able to communicate his needs to me. Teaching & Learning Teaching is a planned method or series of methods used to help of homeostasis of fluid volume and electrolytes by a number of I met Mr. Kinney, a real gentleman. Three members and one (1) alternate shall be selected by the employer from nurse manager representatives from different existing FSCs who are currently serving on a FSC or have previously served on a FSC. 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. %PDF-1.4 % The Staff Nurse III or HH/H Nurse III will apply for renewal at the end of the three (3) year classification. Interested in presenting at NTI? influences roles and interactions with others, as well as within families Method Tool Design. In this exemplar I used the following Benners domains of nursing practice: The helping role The teaching- Coaching function The diagnostic and monitoring function Effective management of rapidly changing situations Monitoring and Ensuring the Quality Of health Care Practices Exemplar #1 In one evening I received a call on the Spanish line. Give specific examples to reinforce your statements. 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