T. and his family agreed this was a logical step in providing relief and increasing the quality of his remaining days. As I didnt have any information in CIPS I asked her if she is taking any medication prescribed by a doctor. Discover potential problems that may arise if the rule is approved. In contrast to community health and I was able to discuss with him the process of dying, answering questions as he would process the information. It was my job to ensure my patients safety at all times. piloerection (goose bumps). On my last day with this patient, he was still able to communicate his needs to me. The right thing to do was to help Mr. Y. reach his highest level of functioning with the least amount of dependency as possible. Provides safe environment. Nursing staff, patients, and management are more likely to engage with and take advice from a respectful charge nurse. Health Care Systems A health care system is the system a nation uses to deliver and pay for He was given one dose of PO Ativan that he took without incident. He looked worried and replied, I have no feeling in my feet. I explained to him that soon his pain would be over and he would once again have the ability to walk on both legs again. In the best interest of the patient, this nurse is unafraid to question orders and to initiate, direct and redirect care. separation or by death. She developed a severe HA and elevated BP and was put on IV Mag sulfate which alleviated her HA and brought down her BP. All my laboratory requisitions were ready in case anesthesia personnel needed it. Charge nurses undergo additional training to gain deeper 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. A narrative summary must be included highlighting the applicants strengths in clinical practice and/or professional activities. Use these 15 tips for nurses to help get control of your finances and meet your financial. I found this plan of action totally unacceptable. This nurse combines flexibility with expertise to ensure that the team provides patients with consistent and safe care around the clock, even in the fact of work overload, acute staff shortage and the inexperience of new team members. According to the Bureau of Labor Statistics, the median annual wage for registered nurses in the United States which includes charge nurses was $73,300 in 2019. Blood pressure was also within normal limits. This nurses confidence imparts trust to the patient and the patients family, who recognize that the Staff Nurse III is a competent advocate. The questions and concerns were many and the information I reiterated time and time again, explaining the antibiotics, the troughs that would need to be drawn and what each of those meant. 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. By this time, the doctor who had been thrust into this situation, (because he hadnt left the clinic for lunch), returned to tell me that the ED physician had requested that he call the cardiologist on call who in turn requested that he make an appointment for the patient in a few days. I explained to him that I would gather some supplies and would return to begin his wound care and asked him at that time did he want me to pre-medicate him for the pain he might ensure during the procedure. By also drawing on the help of her sister-in law and husband I was able to formulate a plan of care that she was comfortable with. Cross). Electronic and hand signatures are accepted; however, AACC requires hand signatures of RN managers on the evaluation. Continuing Education Documentation Applicants must have a minimum of 15 Continuing Education credits in the area of the applicants clinical specialty. 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. Use action verbs in your charge nurse resume descriptions. Promotes a multi-disciplinary approach to patient care. generate new tissue, and facilitate healing (Norris & Tuan, 2020). It also became evident that the psychological impacts of these changes were adding to his feeling of anxiety, thus increasing his shortness of breath. 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, I couldnt advise patients to take any of these drugs without having her past history. I will develop an information sheet for caring for patients with chest tubes within three months. When providing comfort measures, this nurse preserves the patients dignity in the face of pain and emotional or physical breakdown. Before, working in the ED, I worked in locked psychiatric facilitates for several years. I was almost finished with the dressing when the nurse began to place the NGT in the right nare. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Welcome to Tracys ProfessionalPortfolio. Mentors must sign the final application.to validate that all required application elements are complete. You can structure the narrative of your self-evaluation in whatever way is most meaningful to you. This helped to ensure the therapeutic required to help this patient. UMHS Professioonal Develoopment Framework Websitte In the beginning of this call I acted as a cultural mediator to make the patient comfortable by speaking her language and I have made many attempts to clarify her symptoms through the invaluable help of a translator. The following Benners Domains will be addressed: The Helping Role Monitoring and Ensuring the Quality of Health Care Practices Organization and Work-Play Competencies Exemplar #7 My patient was discharged from the hospital at 7 pm, forty minutes before I got the call from her family. Mr. R. ended up having his left foot amputated after he received a diagnosis of MRSA. As I checked the blood loss in the suction canister and observed the vital signs monitor in the anesthesia screen, I knew that the anesthesiologist would need to monitor hemoglobin and hematocrit level at some point. validation, and communication of patient data, or information. I was always a step ahead helping everyone in the team. List of concepts and examples. 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. The Nurse of the Year will be revealed on May 13, 2015 in the Deaconess Legacy Conference Room at Some salaries range from $16.33 to $36.11 per hour. Acid-base imbalances occur when the pH of the blood falls outside "hL3 h)' 5>*CJ OJ QJ aJ hL3 h[Q} >*CJ OJ QJ aJ h)' CJ OJ QJ aJ h[Q} CJ OJ QJ aJ hY CJ OJ QJ aJ hL3 CJ OJ QJ aJ h@ CJ OJ QJ aJ hL3 h)' CJ OJ QJ aJ hL3 h)' >*CJ OJ QJ aJ 3 Maintains a flexible role to resource constraints. a drug, despite the harm that it causes (Taylor et al., 2019). The Staff Nurse III commands the respect of colleagues on the medical staff. An important and influential member of the therapeutic team, the Staff Nurse III possesses a positive attitude that is infectious. 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). I asked a second RN to look in the trash bag and she was unable to find it as well. (LogOut/ He has a long history of PAD with severe lower extremity necrosis. ( Providing emotional and information support to patients families. I knew something was off. 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. 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. She stopped taking it after losing her insurance. Loss occurs when a valued person, object, or Continuing Education must be within the 12 months before the application deadline. She could take up to 10 at once with no relief. The last patient was Mr. Y.. Here's an example of a charge nurse resume you can use as a reference when writing your own: John Delaney Pasadena, California | 626-555-0928 | johndelaneyrn@email.com Summary Dedicated Registered Nurse with 10 years of experience in neonatal and emergency care units in hospital settings. These drugs include some ATB, Propranolol, Captopril and H2 blockers. - Shows how applicant used fine discretionary judgment and/or intuitive use of knowledge Professional Participation: Two within the last 12 months Quality Activities: Teaching Activities: Leadership Activities: PPC Formal Inservice/Presentation Hold a Charge Nurse position Safety Informal Inservice/Presentation Relief in Higher Class Peer Group Community Teaching Committee or Task Force, e.g., GRASP Committee Health care related research Special Projects/Presentation RNQL Development/presentation of pt ed programs Standardized Care pla This creates more work for the nurse (me), more observation from the team, and more of an inconvenience for the patient. Report did not prepare me for what I would see when I unwrapped his feet. Her faith got her through the news, after her anesthesia wore off. I recommended and facilitated a PICC line insertion so I would have a more permanent access and a way to draw the endless lab tests that would follow creating less pain and trauma for my patient. public health nursing, which are population-based and focus on the health See calculation below. I typed up the whole procedure in laymans terms with bullet points that were easy for them to follow, they were so appreciative. You are encouraged to submit your portfolio electronically online to Heidi Alpert. At 0700 the next morning, Mr. P was still on the dash. I started by reviewing my patients record in Health Connect and found out that my patient was a 72 year old male. I gave her the order for the Ativan and again verified that t he patient was currently pain free. The upper and lower jaw was loose and appeared to be floating. + 5 > @ A n x y z { ! A charge nurse's role is difficult and often complicated. actions. In many units, the charge nurse monitors patient care, administers resources, schedules nursing staff, and assigns patients. 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. I drew upon the patients husband as a resource to watch his daughter while her sister-in-law drover her to the ER. Letters that support community service and volunteering require dates and detail of service. Huston, 2021). I also needed to teach the family how to operate this pump at a pace which would provide them with the knowledge they needed to become independent, without causing anxiety in a situation growing in intensity. Evaluate your practice since your date-of-hire or last evaluation. (Letters of recommendation written for charge nurses should address clinical skills and not Charge Nurse Duties.) 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. T.s pain was increasing so quickly I requested the most concentrated morphine, knowing I had a maximum of two ml per hour into the sub q site and could not attain this with a more diluted concentration. Below are some guidelines to assist in writing a recommendation. K T ^ _ ` g q r { "hL3 h)' 5>*CJ OJ QJ aJ hL3 hv CJ OJ QJ aJ h[Q} CJ OJ QJ aJ hdW CJ OJ QJ aJ hL3 h)' >*CJ OJ QJ aJ hL3 CJ OJ QJ aJ hL3 h)' CJ OJ QJ aJ 8 ! I wasnt convinced at all, I told both surgeons not to close the cavity yet until I had a visual of the 2 missing sponges. The purpose of the exemplar is to communicate the chapters contributions and accomplishments that exemplify AACNs mission, vision, values and ethics of care based on the criteria for each category of Chapter awards. Mr. P does have some short term memory loss but he never forgets his index cards! Mr. R. had many surgeries on his bilateral extremities on many different admissions to facilitate blood flow and healing. Mr. Ps post procedure hospitalization was uneventful and he was discharged home 3 days later. Demonstrate in each exemplar how you can function in any three (3) of the domains. Managing acid-base balance is an important role of the nurse, The more detailed report that I received on Mr. Y. included. POSITION TITLE 7. Licensure, DHHS, DHSR), Inflammatory Bowel Disorders Psychosis Psychosis refers to a cluster of symptoms including delusions, I am aware that the consequences of pain in the elderly can be depression, poor socialization, sleep disturbance and impaired ambulation. Expand your skills with Care of the Acutely Ill Pediatric Patient Respiratory Bundle. (Karch, 2020). In a way, trapping the schizophrenic and preventing the patient from using their coping mechanisms in dealing with their symptoms. the nurse and the client during which the nurse focuses on the clients I asked her if she could please give me 3-5 minutes and I would be back after talking with the CCMD. I asked if she has other symptoms and she said no, just the burning. Gayle Morris, BSN, MSN has over two decades of nursing practice with a clinical focus in rehabilitation medicine. The team also encouraged his daughter to take a more active role in his care which she was willing to do. 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. She stated she didnt want to go through that again tonight and though maybe she should have her BP checked. Please be sure all information is typed or written legibly. ( Eliciting and understanding the patients interpretation of his or her illness. I instructed both surgeons to look for it as well as the surgical tech. I immediately intervened by speaking with his nurse and educating her regarding the needs in this case. Web3) The charge nurse observes that a fellow charge nurse on the unit seems impaired and unable to perform client care. Charge nurses also offer feedback when needed or provide more support as necessary. This research investigated charge nurse decision making during the nurse-patient assignment process as an exemplar of the larger 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.) Her vitals were 7-/32, Heart rate 142, Temperature 103.8 and her respiratory rate was so fast they were hard to count. (Taylor et al., 2019), Functional Ability Functional ability is a persons ability to perform activities of daily Leadership Activities Hold a Charge Nurse, Chief Nurse Rep, Nurse Rep or other CNA leadership position Receive Relief in Higher Classification for Charge Nurse or Supervisor Committee or Task Force, e.g. range. A registered nurse who assumes the role of charge nurse also assumes the responsibility inherent to the role. While working I heard someone yell for help and it sounded as if it were coming from A side. Home Health/Hospice III only A current license to practice as a Registered Nurse in California. those self-care activities that the patient must accomplish each day to Laws and legislation define the scope of acceptable In an effort to calm her fears, I introduced Mrs. S. to the RN who would be taking over her care and also to the on-call physician. Because of my experience identifying clinical signs and symptoms, I was able to take the essentials steps to ensure my patients well-being. The FSC will give the Staff Nurse Applicant information about where/who to send Appeals to Region. Descriptions of additional professional contributions may be submitted in case one or more do not meet requirements. Many coping behaviors are learned, based on ones family, Transfers to another area of clinical specialty require application for Staff Nurse III or HH/H Nurse III in the new area (see minimum qualifications). Write a brief statement, approximately two paragraphs, introducing yourself to the Review Committee. Coping behaviors may be positive or negative in terms of how they 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 sat at his bedside, holding his hand. and Diseases, Multiple Organ Dysfunction Syndrome (MODS), Acute Respiratory Distress Syndrome (ARDS), Chronic Obstructive Pulmonary Mr. R. was eventually sent to a rehab facility to learn to use his prosthetic leg. They announced that the counts were correct including the instrument counts. I answered and Needham Fire came on line. During the week T. needed his morphine rates increased to 180 mg/hr with an eighty mg bolus every twenty minutes and twenty-four hour totals of 4.350 mg morphine IV was needed for good pain control. She has a background in pediatric emergency room, labor and delivery, and primary care medicine. A professional resume describes what you have achieved and how you have prepared yourself for the role you are seeking. Applicants will be notified of the Committees decision within ten (10) business days of the interview. I took the steps to ensure that this patient would receive appropriate triage and treatment and in a timely fashion. He is a nonmember, and has never been to Kaiser. 2010-12-08T15:15:14-05:00 There are a group of H2 blockers that block acid production in the stomach and they are also OTC: Pepcid AC (Famotidine), Cimetidine (Tagamet HB) Ranitidine (Zantag 75). I gave her the appropriate disclaimer in case things worsened. Together with other members of the health care team, the patient and the family, the Staff Nurse III initiates the plan of care. The first few minutes of the surgery went smooth as the case was stable. 4. 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