This assignment is a reflection of ethical dilemmas in nursing practice as a registered nurse; this paper is based on the group assignment which was completed for NURS3004. This reflection will include an explanation of the role that I portrayed in the group, the preparation that I did for the role, what could have been done differently, how this group assignment has impacted me in terms of working in a team and finally explain how this assignment will assist me in my future clinical practice as a newly registered nurse. The role that I played in the group was a patient who has a mental health disorder and I didn’t want his mother to know about the illness, as a front it seemed as though we had a close relationship. When my mother leaves the room I asked the nurse to keep my illness confidential as she does not really understand it.
The 14 fundamental needs are what guide the nursing process which nursing use to guide their care plan. Virginia Henderson theory separated the nursing care from the medical care because she wanted to focus on the patient as a whole (Blais& Hayes, 2016). The nurse who is caring for a patient with dementia will determine if the patient is capable of doing any of the needs on his or her own, will need the nurse to guide them with these needs or to take full responsibility for the patient to reach all of the 14 fundamental needs. The nurse is coming up with a plan of care for the patient and basing it on what Virginia Henderson believes a nurse’s role for the nurse should be. Which is the nurse will take full responsibility for the patient needs, or offering assistance to the patient while they are no longer able to do independently and working with the patient to promote independence (Ahtisham& Jacoline,
When an adverse incident occurs within healthcare, it is the duty of an investigator and healthcare regulator to investigate the any failings and hold the relevant healthcare professional responsible. Working as an investigator within the Nursing and Midwifery Council, my role is centred around public protection and investigating and holding registered nurses and midwives accountable for their misconduct, competency concerns and failings. A constant theme within investigations is the question of whether any patient harm occurred and the impact the incident had on a patient, although we rarely take into consideration the impact the incident had on the registrant, or how the lengthy fitness to practise proceedings create a period of uncertainty
If a resident need to be restrained there must be a doctor to order that restrain for them to actually be restrained. Hawes, Catherine. “Elder Abuse in Residential Long-Term Care Settings: What is Known and What Information is Needed?” Elder Mistreatment: Abuse, Neglect, and Exploitation in an Aging America., U.S. National Library of Medicine, 1 Jan. 1970, Accessed 26 Feb.
“There is growing recognition that health services must move beyond the responsibility of simply providing clinical and curative services to increasing attention on the benefits of promoting mental health and well-being” (Wand and White, 2007, p. 404). The focus of this
With this in mind, the Registered Nurse is responsible for maintaining their own professional conduct and competencies, allowing them to continually practice as a licensed practitioner (QLD Health GREEN). As a specialty, the same bodies govern Pediatric Nurses, however, to maintain a professional relationship with the families of the patients, this at times can be a challenge due to the wide array of social, economic and cultural differences. However the key component of this position is to maintain a good relationship with anyone that requires treatment. With this in mind APRHA’s code of professional conduct 1:1 states that Registered Nurses are required to maintain and improve there education, task orientation and assertiveness in relation to clinical practice, while developing skills in management and the research setting. Additionally it is anticipated that Evidence Based practice be a fundamental key of the code of professional
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). Physicians and radiologists are diagnostic sonographers’ supervisors.
The data I collect to answer the question, “Is there a relationship to the number of hours a Registered Nurse (RN) works and patient safety?” will be data that contain several variables. Some of these variables will include: The RNs sleep/wake patterns, their mood, their amount of caffeine intake, hours worked, specific time of day, any overtime worked, etc. These variables will be submitted on the days that each RN works. In order to summarize a logical answer that has substance, I will need to use a data analysis technique that will be able to account for the numerous variables associated with the data collected. The linear programing also goes on to say that it aides in decision making about how to best use limited resources.
During my nurse training it has become apparent that the care patients receive in an emergency situation is critical upon time and organised, effective team working. It is essential that in a trauma situation, the trauma team be activated only when necessary (Au and Holdgate, 2010). After researching the trauma team activation criteria, it appears there is some discrepancy as to what criteria is used to activate the team, be it a two or three tiered system, or a different system entirely (Tinkoff and O’Connor, 2002). There is also relevant discussion as to who should make the decision on whether the trauma team is activated or not (Clements and Curtis, 2012). I have chosen to look into the activation process further, as it is of upmost importance
Professional boundary, boundary crossing and boundary violation. Professional boundaries are the spaces between the nurse’s power and the patient’s vulnerability National Council of State Boards of Nursing (NCSBN), (2014). An example of a nurse using professional boundaries would be if the patient offered the nurse a gift, and the nurse responds with thank you, but we are not allowed to accept gifts, it is my job to provide patient care. Then the nurse reports the incident to their supervisor.
The physician assistants need to qualify through a general medical examination. They are not required to complete any residency. The examination they need to clear is known as PANCE. Whereas, the nurse practitioners have to qualify through a more specific examination related to some particular medical field, examples of such fields are geriatrics, paediatrics and so on. Physician assistants can prescribe medicines, but the nurse practitioners need to apply at the state level to obtain the permission for prescribing medications.
Anaesthetic Phase According to the HPC Code of Conduct (2015), all registrants and students must respect service user’s right of confidentiality. Therefore, the author will fictionally refer the patient as Sibert. Before Sibert came to theatre for surgery, a pre-assessment is conducted in the pre-assessment clinic. During this assessment, medical history, general health and family history are checked and assessed.