• When retrieving information from a nurse to update the patient 's file, never share that information to another nurse even if a question is asked. It is against HIPAA, and if a fellow employee overhears, it could cause possibly termination. • When asking a patient to update his demographic information on paper, be sure do it when other patients are not around. Scan the sheet immediately into the computer and dispose of if correctly in a shred-bin located in either zone of the emergency department. • When a family member of a patient comes in to the emergency looking for that patient, be sure the family member can verify the date of birth and first and last name of the patient they wish
They may have a lack of confidence in their ability to adapt to new technologies, or may perceive the change as a threat. Some nurses have adopted a short cut process of administering medication to save time, which is pre-pouring medications. Workaround is another big barrier which occurs when nurses pass the medication without scanning the medication and the patient’s identification (ID) band, to save time and scan them later. Which is dangerous, and a high risk for making an error. The change agent or the nurse leader will need to use the driving forces that will help the project to be successful.
It is true that Lucy is able to delegate tasks to people who don’t have their Certificate of Clinical Competence (CCC), but because she delegated these tasks as she was leaving to go to her new job. Lucy violated this rule because she didn’t supervise the SLP-As or receptionists while they made arrangements for clients with another SLPs. She didn’t make sure that they had the necessary skills and information to make those
Nurse stafﬁng is a significant region of worry because it can place a strain on patient safety as well as quality of patient care. With cost effectiveness in mind, hospital administrations have elected to reduce nursing stafﬁng ratios and substitute licensed nurses using cheaper unlicensed personnel. This increases uneasiness as the quality of care in hospitals might be undesirably reduced. The necessity to evaluate nurse stafﬁng is essential.
For instance, the team leader/RN could not delegate most of the tasks to the UAP since he/ she feared that the UAP could underperform or deliver poor results. In the case study, it is indicated that the UAP had just been hired recently and hence he/she lacked the full understanding on how to provide nursing care to the patients. This led to the team leader performing most of the tasks. It is indicated that the UAP was constantly asking the RN questions yet the RN may have been busy attending to other patients.
Nursing is a highly respected profession and patients will seek advice from nurses. Therefore, nurses should learn how to react to situations that may not align completely with their own personal moral or ethical beliefs. Abandonment in the practice of nursing is not only detrimental to the health of patients involved, but to the nurse responsible for their care. If a nurse abandons his or her patients he or she has now been placed in a situation open to possible litigation, board discipline of classes or fines, and loss of licensure. As stated by the Oklahoma Board of Nursing, “abandonment may occur when a licensed nurse fails to provide adequate patient care until
I realized that the previous nurse was not able to see what was happening because she barely assessed the patient during her shift. In addition, she failed to take into consideration the opinion of the caregiver. Once I start practicing, I plan to incorporate best practice guidelines to the care of my patients. Also, this experience gave me the opportunity to practice my skills and to test my ability to think critically in emergency situations. The most demanding aspect of this experience for me was to carry the interventions on my own.
According to the website RNCentral.com there is an article, “Do You Understand Informed Consent,” and they believe since the nurse does not perform the surgery or procedure, getting the patient or parent’s signature is not part of their jurisdiction. If there is a miscommunication and the guardian does not fully understand how the procedure works, the nurse is supposed to notify the doctor or nursing supervisor. Therefore, their thoughts are that the nurse’s role should only be to make sure the one giving informed consent comprehends what is going on. Sometimes the child and their family does not pay attention due to the shock of the diagnoses, or they might feel dumb asking the physician questions. Also, according the article “Nurses’ Roles
This suggestion may be quite useful in busy clinics. However, opponents to this suggestion claim that patients seldom take the time to read preprinted text. Moreover, it is crucial that the informed consent for the anesthesia is done by the anesthesiologist and not the surgeon, because anesthesia is not within the scope of the surgeon’s medical and legal domain. Some anesthesia associations recommend separate forms of informed consent for anesthesia and the actual surgical procedure. This recommendation is made on the observation that combining these two distinct branches of medical procedures (i.e. anesthesia and surgery) on one consent form, significantly deemphasizes the role of anesthesia.
Experienced pediatric nurses have knowledge deficits of current dosing guidelines if they do not engage in continuing education. Nurses report gaining the knowledge and skills necessary to treat ADEs from peers as important, but this is not openly communicated (Star, Nordin, Pöder, & Edwards,
Nurses are constantly in a position where they are challenged by encounters with people from different backgrounds. Within this reflection, explanations will be provided on the reasons for picking the papers and the content that has stimulated an emotional response. Furthermore, how it will enhance my nursing practice such as incorporating respect, reflection and awareness of self and the community when caring for Aboriginal and Torres Strait Islander people will be discussed.
Documentation in nursing practice is very important as it forms the sixth rights of administering rights in the caring to a patient. Documentation in the healthcare certain facilitates the data entering and charting them in the proper format that other care team would understand while assessing information necessary for strategic planning for a patient, Christensen (2011). Decimations has transformed from the conventional physical papers and files to healthcare information technological documentaries.
There are many boundaries we must face in life. Most of them are in our field of work, called professional boundaries. “Having professional boundaries, or limitations, means always treating a patient as a client and not becoming involved in issues of his or her private life that do not directly relate to healthcare” (Booth, Whicker, Terri p.33). “Throughout the course of their professional lives, nurses interact with a variety of people in a variety of contexts, and for a variety of reasons. During these social interactions they need to be able to effectively communicate with and relate to other people” (Jane Stein-Parbury p.3).
Although the idea of autonomy dictates the capacity that one has to, “have the say-so about your own well-being” (Purtilo & Doherty, 2011) where that one can “the capacity to act on own decisions freely and independently” (Purtilo & Doherty, 2011) . When it comes to the care of patients in the healthcare setting, there is a gray area an area left for individuals interpretation depending on the situation at hand. I have never worked as a psych nurse, but I years of experience working as an emergency department nurse and substantial numbers of patients are there for a mental issue and have a psychiatric diagnosis.