Nursing care is provided to every patient under the direction of a Registered Nurse which has the responsibility and accountability for the assessment, nursing interventions, delegations to PCA’s (Patient Care Assistant). For instance, nurses can delegate to PCA’s or unlicensed staff to take vital signs, to draw blood, to bathe patients, patient ambulation, etc. The manager has the responsibilities to maintain qualified staff to perform all the tasks, also is responsible for the overall budget, performance improvement, staff retention, etc. The delegation from charge nurse is going to depend on the floors where they work. Some floors allow the charge nurse to take up to two patients, and others, charge nurses only supervise and help other nurses as necessary.
In many areas the APNs can not work individually and they supervised by anesthetist. Autonomy is the freedom to make discretionary and binding decisions consistent with one’s scope of practice (Lewis,2006). Other challenge an APN is gaining trust and building rapport in health care team. Multi cultural language and culture difference affect to the effective communication with patients and their families. Role of Identity can not maintain because of lack of knowledge by staff and department managers on the role of an
Commander and Board Certified Clinical Nurse Specialist of an Inpatient Operations Squadron that included: Intensive Care Unit, Multi-Surgical Unit, Labor & Delivery, Post-Partum, Anti-partum and Behavioral Health Unit. The squadron was a combination of military, civilian and VA employees. I incorporated the use of evidence-based research and treatment plans/protocols in all departments to improve the efficiency of nursing practice. I directly advised the Group Commander, Chief of Medical Services, Chief Nurse Executive, Patient Safety, and Quality Services daily. I daily enforced Unit Effectiveness Inspection standards and The Joint Commission Standards.
There was an immediate communication barrier in that the doctor sat at one side of the desk opposite the patient. Piled on his desk were numerous books which partly obscured him, so eye contact would be difficult. No effort was made to establish a friendly rapport, with the doctor adopting a direct, closed questioning approach, which did not allow the patient to expand or express themselves. The doctor appeared to ignore patient responses and at times spoke over the top of him Other than focusing on the physical issue, there was no attempt made by the doctor to explore any other factors that may have a detrimental impact on the patient. The Doctor also displayed evidence of diagnostic overshadowing, a phrase coined by Reiss, Leyton and Szyszko in 1982.
They are there to help you talk about it. Especially if you have questions about your infant. Neonatal Nurses take care of infants that are born with any kind of complications or if they are premature. Nurses and Doctors are there to help you get through the tough times, and to inform you about your child or children. Coming into the nursing career you will face anywhere from eight to twelve hour shifts each day.
For this paper, there are 2 interviews required that are related to the nursing careers. The two interviews that were conducted were from a Charge Nurse, and from a Head Nurse. Each of the interviews are discussed in detail below, separately. The charge nurse is a person who has the duty of a specific department in a healthcare institution for their assigned shift. It should be noted that a charge nurse is a vital job because the person holding this job has to interact not only with the patient and his families, but also has to interact with doctors, nurses, and other staff members in order to update them about the patients that the charge nurse is looking after.
Nurses also work closely with ultrasound technicians and patients. Nurses act as the messengers between patients and doctors. They also act as messengers for physicians when they can not be present. The nurses are the ones caring for patients, and taking all that information to the doctor, then if the doctor orders an ultrasound, the nurse then takes that information to the patient. After consulting the patient, the nurse would put in the order and ensure that the ultrasound was scheduled (and took place if within a hospital).
As an operating room nurse, I utilize critical thinking on a daily basis. Several surgeons were discussing that they had seen
Listening to these physicians talk about how people of color are not in positions such as surgeon, specialist, engineers and etc., so they do not treat these diseases that affect their minority groups. With a lack of underrepresented groups in the medical field many patients in that group do not receive the best health care, for example heart related issues in many African Americans are not addressed till these issues are serious,
However, there are many critics among the scientific community on the quality of some approaches. The lack of research on the best assessment approach, and the data collection method are some of the problems related to the assessment. A lack of research on the best practices to conduct a community health needs assessment remains one of the issues in public health (Becker, 2015). As a result, the health needs assessment approach differs from one nonprofit hospital to another.