Jata MacCabe Mrs. Jamieson (4) Sociology 120 October 7 2015 Beverley Allitt: Nightingale Nightmare Do No Harm “I will not do anything evil or malicious and I will not knowingly give any harmful drug or assist in malpractice.” Before a nurse may assume custodial responsibility over any patient, they must first pledge the Nightingale Oath. This vow states that as that as a healthcare professional your first responsibility must be assuring the safety of each patient in your care. In all healthcare facility interactions, a fundamental trust in medical professionals is required to assure timely and effective treatment —a deep-seated faith in healthcare workers assures prescribed medications and rehabilitation regimens are strictly adhered to.
Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients.
Scope of Practice NP’s scope of practice can vary depending on which state they are licensed in. It is extremely important that the NP is aware of the laws and regulations that their state has implemented. Understanding the scope of practice allows you to understand what you can and cannot do as an NP. In Arizona, NP’s are board certified and are now required to take a national certifying exam (Buppert, 2015). NP’s in Arizona have an expanded scope of practice, they can assess, manage, diagnose, and prescribe medications to patients.
Throughout the time I spent in a pharmacy school, the concept of patient-centered care was reinforced constantly. As healthcare is moving towards patient-centered care, healthcare providers are empowering patients to make healthcare decisions for themselves. The third Code of Ethics for Pharmacists states, “A pharmacist respects the autonomy and dignity of each patient”. This statement explains, a pharmacist should recognize individual self-worth and encourage patients to participate in making health decisions. In this semester’s Ambulatory Care IPPE, I am in a perfect setting to see the third Code of Ethics for Pharmacists.
The purpose of this review of literature article was to create a conceptual framework model of practice recommendations and interventions that can be used to acknowledge the benefit of expanding nurse practitioner scope of practice (SOP); develop a uniform nationwide consensus APRN SOP; and reveal evidence that shows that poor patient healthcare outcomes can occur as a result of restricted NP scope of practice due to barriers created by either physician-related, political, and/or organizational opposition. According to Poghosyan, Boyd & Clarke (2015) over a 4-month period articles were used to build the model. Policy papers, research studies, including original research and reviews, and reports focused on nursing workforce in the United
According to the California Board of Registered Nursing (2011), “An Explanation of the Scope of RN Practice including Standardized Procedure” documentation defines the scope of practice for RNs licensing in California also explains the process of determining if a standardized procedure is required. It is RNs’ responsibilities and accountabilities to enforce the Nurse Practice Act (NPA) pertaining to the specific state for nursing practice within the scope of educational level and entitled licensure allowed. In addition, “Code of Ethics for Nurses” (American Nurses Association [ANA], 2015) provides guide indicating how to care patients with ethical obligations. An organized health care system such as health care facility, clinic, home health
An ethical dilemma occurs when it challenges a person's "core values and fundamental obligations" (Tracy & O'Grady, 2019, p. 312). Tracy & O'Grady describe three themes that emerge when ethical issues arise in nursing practice: problems with communication, interprofessional conflict, and multiple commitments and obligation (2019). Inadequate communication presents a moral dilemma when information needs to be more open, transparent, and concise (Tracy & O'Grady, 2019). Interprofessional conflict occurs due to the varied viewpoints of healthcare professionals leading to different perspectives on the management of care (Tracy & O'Grady, 2019). Balancing multiple commitments can bring ethical issues when the APRN's obligations to the patient, family
A clinical example where the nurse would be able to exemplify safe and effective care would be teaching a patient about Patient Controlled Analgesia (PCA) pumps. In this situation the nurse must teach the patient about they are the only ones who are allowed to control the pump based on their level of pain and need for medication. The PCA pump is intended to provide fast acting relief for patients who need consistent pain medication. If the nurse does not stress the importance of the patient being the only person allowed to release the analgesic, family members could feel obligated to help control the medication administration. This could lead to an unnecessary need for pain medication that can decrease the patients respiratory drive if given too much and is also unethical.
After 30 minutes, the RN asked the CNA if she took the patient’s blood pressure. The CNA said no, because the RN did not tell her that she need the blood pressure now, so she can give the 9 am medicine. The five rights of delegation that are the right task, the right circumstances, the right person, the right direction/communication and the right supervision should be used by registered nurse to achieve an optimum care
Delegation is part of healthcare clinicians’ everyday life. It is important for us a nurses to be careful when we chose to delegate to be sure not to compromise our patient’s safety. There are several mechanisms in place to ensure patient safety for example hospital policy and procedure manuals. As nurses when we provide patient care it is imperative that we remain in our scope of practice. Throughout my nursing career, I have learned when delegating one must remain accountable and responsible.
As a result, it is not explicit about specifying all of the services an APRN may perform or provide (Texas Board of Nursing, 2019). In addition to the scope of practice, the nurse must also be aware of the Standards of Nursing Practice and what constitutes unprofessional conduct. Knowledge of the scope of practice and standards of practice ensures that the nurse's practice is prudent and professional and exceeds the minimum standard of practice to provide safe care to patients (Standards of Practice, 2004/2007; Unprofessional Conduct, 2004/2018/2019). The scope of practice is not all-encompassing to address each possible situation an APRN may face (Texas Board of Nursing, 2019). As mentioned previously, there needs to be more clarity regarding the overlapping scope of practice between the APRN roles.
During my clinical rotations I have experience so many right and wrong practices. Nurses justify themselves about doing incorrect patient care skills to save time. In one of my rotations there was a nurse that instead of be crushing one medication at the time she crushed all of patient’s medications at once. She said that the correct way of doing it was doing one pill at a time, but that she will no do that because it was a lost of time. It is true that sometimes it is hard to complete your work by doing all your skills by the correct way, but we have to remember that it is not about us it is all about patient care.
In collaboration with other medical personnel, nurses engage in the development and enactment of patient care plans. Furthermore, they provide education to families and groups on various health issues such as disease prevention, among others. Scope of Practice The nursing scope of practice gives a precise definition of the strict duties of a registered nurse practitioner. It is obligatory for these professionals not to engage in medical activities that go beyond their scope of practice.
ADRIENNE: ADULT CASE STUDY 1 Adrienne is a single 50-year-old female, weight 220, height 5’7 inches tall Adrienne present occupation is Teacher in the NYC public school system and a sign language Teacher in the evening. Adrienne still resides in Harlem New York with her son who is 13 years old. Adrienne Was born in Harlem New York at Harlem Hospital her mother Mary had a normal pregnancy. Adrienne had no childhood Health.
The practice involves the use of clinical decision in the provision of care to enable nurses to improve, maintain or receive health to cope with health problems and to achieve the best possible quality of life .Good nursing practice requires that practical efficacy .The authority for the practice of nursing is based upon a contract that determines professional rights and responsibilities as well as mechanism for patients accountability (Danjuma & Adeleke,2015). Ethical caring is an essential in nursing practice. Nurses are confronted with difficult situations in which they are expected to autonomously make decisions in delivering good care to patients.
