This is the reason it is very important for all nurses to make sure that they are practicing safely and follow not only their facility policies, but the scope of practice set out by the state. I had the opportunity to do clinical rotations in our local hospital. I had many opportunities to work with nurses that had lots of experience. On one occasion, I was assigned to work with an experienced licensed practical nurse that was working on the medical-surgical floor. The licensed practical nurse had several patients, that had IV medications that were running such as maintenance fluids and antibiotics.
Professional practice reflects autonomy when the nurse respects patient’s rights to make decisions about their health care” (Taylor, 1997). At the nursing home, I witnessed many of the nurses discuss with the residents what they wanted to do about certain situations. Autonomy honors the fact that it is the patient and the families right to make certain decisions about health care. Nurses also are constantly making sure that they can provide their patients with the best information to help them make a more successful choice about their health care (Taylor
Consent is one of the key principles that guides health care professionals in the NHS constitution, this reflect the needs and preference of patients, their families and carers where right decision will be made and will be informed on all decision of their care and treatment, (DH ,2012), however healthcare professionals need to share information with the family and carer with the patient consent, and ensure a confidentiality policy is in place and followed by all staff (DH, 2003). It was important to explain to Mary-Jane of her need to be in the chair as it was a part of her ongoing treatment which was put in by the physio-therapist, as it was Mary-Jane right to accept or refuse this part of her treatment, (DH ,2012). In keeping with (NMC, 2013) code the student nurse gaining consent before taking Mary-Jane out the bed had to fully respect her right to decline or to accept as long as she fully understand what was said to her (Mental Capacity Act, 2005) as this shows that the patient decision was been respected. This indicates that the client is being protected
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). Physicians and radiologists are diagnostic sonographers’ supervisors. A sonographer never steps out of their scope of practice and diagnoses a patient, that is the job of physicians. Physicians need sonographers to see into the body and the sonographers need the physicians
Beneficence is the core principle that refers to the act of ‘doing good’ and advocating for the patient. All nurses should take positive actions to help their patients and to have the desire to do good. On the other hand, nonmaleficence is the core of the nursing ethics and it revolves around the idea that nurses have to remain competent in their field as to avoid causing injury or harm to patients. Nonmaleficence also requires all health care professionals to report any suspected abuse. The last ethical principle is justice.
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.
To maintain quality in patient care it is very important to avoid errors. To achieve this, all staff in charge, especially if they are from different teams must maintain a correct communication between them when changing each shift. In order to facilitate such communication without losing important and particular details in the care of each patient, communication processes have been created. Such is the case of SBAR (Situation-Background-Assessment-Recommendation) process.1 The components of this process that the outgoing nurse must communicate to the nurse who is receiving the case are: S-Situation: Hello, My name is Taymi, RN caring for Mrs.Skelt. She has right side hemiplegia and is here for rehabilitation.
Pharmacy technicians are also capable of identifying any potential or actual errors and report it before the medication is distributed. Since patient safety is universal among all other healthcare practitioners is it important for them to advocate a safe and healing environment for patient
I will summarize each outcome for the Nursing Informatics specialty. For the intent of this paper I will use outcome and competency interchangeably. The first outcome means the ability to gather healthcare information across the continuum of care; combine and utilize the information gathered to develop a process. Finally execution of that process to evaluate its ability to improve the quality of the healthcare environment. Healthcare managers are constantly assessing patients and collecting information.
The problem ended up being bestowed upon the patient in so far that they were indirectly considered as a last priority. To resolve all these issues at hand, Nurse Witte should first emphatically resolve any and all communication hindrances between the physicians and the rest of the health care staff. This could be done in a collaborative effort amongst all colleagues through means of a work-group meeting, or even a facility driven in-service. This method of communication should be done in a peer to peer methodology as that would ensure a common knowledge base of what’s going on in general. In Nurse Witte’s case, the overall message should be concisely presented as a break-down and intentional neglect
Establishing system-wide continuous improvement By developing a Care Transitions Dashboard with a multidisciplinary team devoted to improving quality of care is essential to any ACO to be successful. All health care providers need to be on the same page to ensure the correct diagnose is establish upfront, so that the correct test can be done without continuous repeated test. This progress can only be accomplish by staying up to date on the patient’s care. In conclusion Each health care provider must have a deep understanding of each relationship with health care providers. An ACO supports the doctors by making sure that the doctors have the most recent patient’s health care information.
Health care organizations and policy makers will need to embrace new norms and make substantial changes in their culture, processes, and structure (Barry & Edgman-Levitan, 2012). This can only be done through support from senior management and nursing leaders (Carman et al., 2012). In turn, nurses would be able to cater care to their patients. Nurses play an essential role to nurture patient’s motivation for participation. Nurses need to encourage confidence for patients to become more involved in their care, especially during medical rounds, updates and allow them not to be coerced into their treatment by giving holistic information to make an informed decisions.
Reviewing the standards and practices employed by primary care the practices, training is the very important when it comes to risk management, and achieving accreditation with a self-governing organization such, as The Joint Commission on the Accreditation of Healthcare Organization. This organization performs intermittently on site reviews of procedure and compliance. This will help to promote awareness and compliance (Reising, 2012). Nurse Practitioner needs to protect themselves by: (1) Caring, establishing a good connection with patients and maintaining confidentiality. (2) Communicating with client by following up with all laboratory results and follow up with referrals as this will show competence.
(30 points My organization will maintain an official personal file for the community health educator. I will try to maintain employee file for thought, concerns, and items needing follow-up that may be inappropriate for the formal personal file. I will put the complaints in the community health educators personnel file only if I conclude that that the complaint or series of complaints has/have merit. The personal file and all information in them will always be treated with complete confidentiality. To avoid possible legal consequences I will maintain all the paper works in file.
Most patients do not know what advance directs are, so we should clarify the information and make sure they are satisficed with their decisions. If the patient in the last minutes of surgery wants to change anything in the advance directs, we should give them a chance to change it. Even in preoperative phase, we want to teach the patient what will happen after surgery and things they should do like ambulation. As the nurse you should explain what the purpose of ambulation is to the patient. You should always teach and educate the patient about their well being.