The scope of practice is an RN’s job description including nursing assessment of health status, development of plan of nursing care, administration of medication, delegation of interventions to implement the plan of care, maintenance of safe and effective nursing care, being a patient advocate, evaluating responses to interventions and the effectiveness, etc. A lot of these pieces of the RN scope of practice are the steps of the nursing process. As a nurse, it must be remembered that if you do anything outside of the scope of practice and your job description, it will haunt you and there will be
Proper Delegation: The Nurse’s Responsibility Every field of occupation requires each position to operate under a variety of different tasks and responsibilities. Depending on the work that is to be completed, sometimes, delegating certain tasks to those who are well-trained and competent to finish it plays a major role ensuring what needs to get done is completed. In the nursing field, registered nurses are tasked with many responsibilities that need to be finished in order to guarantee that patients are getting the quality care they need and are healing effectively. Part of the responsibilities of a nurse is to delegate tasks to unlicensed assistive personnel (UAPs) and licensed practical nurses (LPNs). In order to properly delegate tasks to these workers, the registered nurse needs to follow the five rights of delegation provided by the National Council of State Boards of Nursing (NCSBN) (n.d.): (a) right task, (b) right circumstance, (c) right person, (d)
State-mandated nurse-to-patient ratios remains a controversial topic in healthcare. Sufficient nurse staffing is key to ensure adequate patient care, while scarce staffing effects patients’ safety and puts nurses at risk for burnout. Determining nurse-to-patient ratios in nursing facilities remains a challenge for the nursing profession. There are many factors to consider when determining staffing methods, such as cost, nurses’ satisfaction, patient outcomes and safety. Mandating ratios is one attempt at ensuring nurses’ workloads do not exceed what is needed for adequate patient care and safety.
The NMC code states that ‘all nurses must work within the limits of their competence’. (NMC, 2015) This means that actions such as the aseptic procedure, should not be carried out unless the individual feels they have the confidence and competence to carry out the task, without increasing the risk of introducing infection through limited knowledge. (NMC, 2015) However, there are care activities that must be carried out as part of the nursing role which all nurses must show competence, including handwashing (Dougherty and Lister, 2011). As stated in the health and safety at work act etc. (1974), all healthcare staff are legally required to take reasonable and practical safety measures to protect themselves, other staff, and anyone else who may be at risk within the workplace.
Nurses should consult the doctor first to take any action regarding Mark’s health such order like do not resuscitate (DNR) should not attempt to resuscitate the person. Doctor need to inform nurses about the consent for medical treatment and care (Gabrielle Koutoukidis,
When passing patient information and responsibility between emergency department nurses and ward nurses, there are times when it can become inefficient due to inadequate communication (Drach-Zahavy, Goldblatt & Maizel 2015). Clinical handover is a universal procedure used by all nurses from all around the world in the hopes of promoting consistency of care. (Johnson, Jefferies & Nicholls 2012). As patients with continual care need multiple assessments, nurses take notes during all procedures accomplished and pass them down to incoming nurses at the end of their shift. If nurses are unable to perform certain tasks, it is essential that nurses from incoming shifts be able to perform them.
It should be deemed as their own personal space and provide privacy. The last and final philosophy is nursing. The role of a nurse is to be a leader, listener, teacher, advocate, care- taker, believer, decision-maker, protector, and much more. Nurses have to be able to handle chaotic situations and quickly make new plans for when things don’t go as anticipated. Nurses must prioritize and make decisions based on clinical judgment to provide the best outcomes.
In Conclusion, based on literature within the above analysis it is evident that gaining consent from a patient before any procedure, investigation or care task is a legal, ethical requirement. Similarly, it is essential to understand the reasons of why communication is significant in nursing. Also, there are many formats of communication to use with patients, and it is vital to determine which form is correct. Dignity and respect also play a fundamental part of nursing, and the absence of this permits patients to feel devalued and
First impressions are made and these judgements can greatly affect how a client perceives a nurse (Patrick, 2013). Through this initial assessment, the nurse can obtain information that is crucial in providing the client with effective holistic care. Nursing assessment framework tools are used to help the nurse obtain accurate information about the patient’s wants and needs. This initial assessment based on subjective and objective data, helps to determine the patient’s actual problems and potential problems (Weber & Kelley, 2013). An assessment is carried out to obtain objective data and a physical baseline of the patient on admission.