Week Eight Response to Jurgensen Michael, I chose the Clinical Nurse Leader (CNL) role in the emergency department (ED) for my project as well. However, the CNL facilitating the implementation of care for the ED boarded psychiatric patient is brilliant, and not something I had considered. Likewise, our ED boards psychiatric patients, frequently for numerous days prior obtaining inpatient placement for them. In various facilities a physician assistant (PA) assumes the responsibilities for establishing ED boarded psychiatric patient care, however, the CNL stands as a considerably superior individual to expedite care during the transitional period for the ED psychiatric patient boarding for extended periods (Jayaram, 2006).
The first learning objective that is relevant to this practice experience is “BNUR 4.2 Individualised Client Assessment and Care Decisions”. Hoarding disorder is a relatively new diagnosis in the DSM-5 so assessment protocols and policies may not yet be standardised in hospital settings such as the suicide risk assessment. Assessing the patient’s environment during their hospital stay, and seeking out information about assessment tools will impact care decisions that are employed by the nurse. S.W. showed insight about his hoarding behavior so he would have been a good candidate for referral to a hoarding specific cognitive behavioural therapist or a life skills coach to address the independent living difficulties after parents passed away.
Ivy Tech Community College School of Nursing NRSG 128 Practice Issues for the Practical Nurse Discussion Rubric Name: ___Jasmine Liubakka___________ Date: _________10-27-15_______________ Topic of Discussion: Should the impaired nurse be allowed to return to work? Position on Topic: (1) Points ________________ Yes, I feel that as long as the nurse participates in a program that includes requirements of regular attendance at support group meetings, personal and active involvement with a 12-step sponsor, and close contact with a case manager or monitor of an alternative program, she should be allowed to return to work.
Specific practice setting is an inpatient acute care Mental Health & Behavioral Science (MH/BS). As a registered nurse in this Mental Health setting Ms. Greene provides leadership skills using the problem- solving process, solution-focused and has the ability to inspire staff members. She collaborates for the improvement of veterans’ care outcomes on the mental health behavioral science unit. She serves as a preceptor, mentor, and role model to current healthcare staff members and newly hired staff involved in the care of our veterans on the ward. Ms. Greene demonstrates experience in the following areas: leadership, advocacy, delegation, problem solving, intervention, collorbaration, planning, and priortozing .
Not all heroes wear capes, they wear scrubs too. The career I plan to pursue is a nurse practitioner. A nurse practitioner diagnoses and treats illnesses, independently or as part of a healthcare team, such as hospital. Their focus is disease prevention towards their patients and everyone. Nurse practitioners may order, perform, or interpret diagnostic tests such as lab work and X-rays, they may also prescribe medication.
The Indiana State Board of Nursing (2011) defines advanced practice nursing as a registered nurse who has attained advanced knowledge and skills through an organized program of study. The three categories of study include nurse practitioner, certified nurse mid-wife, or clinical nurse specialist. National certification is not required for nurse practitioners completing an accredited graduate program. However, if the continuing education is part of a certificate program then a national certification is required. Although certification is not required in Indiana, Riley Hospital for Children nurse practitioners are required to certify within one year of employment.
competency. My interviewee described her professional background, credentials, and work experience, which allowed me to understand the nature of her work, as well as gain insight into working at the mental health and substance abuse clinic. I realized how essential it is to collaborate with the doctors and the nurses to ensure the optimal care. Consulting with other professionals allows to create clients’ comprehensive clinical profiles and tailor complete treatment plans that include medication management (A.3.). This assignment also helped me gain knowledge about the emergency management system at the mental health and substance abuse agency, which addresses A.10.
In studying Registered Nursing one will find that they have to be compassionate and want to care for others. Registered Nurses assist physicians with suffering patients of any medical condition. They help to decide the patient’s medicine, treatment, recovery, and educate the them and their families on post-medical treatment. They need to have bedside manner, and be able to prepare patients for surgery. Registered Nursing careers range anywhere from critical care, oncology, mental health, to an everyday school nurse.
Many nurses do not get involved in health care policy even though the nurse should. Most nurses do not know much about health care policies, some view it as “foreign and complex” (Falk, 2014, p. 203). I consider myself one of the nurses that do not know much about health care policy and I am one of the nurses that do not get involved in health care policy. I do not get involved with health care policy because I was never taught about it, so I do not want to get involved in something that I do not know much about. I look forward to learn more about health policies and becoming more involved in health policies.
Week five; the heart takes its first beat. Week sixteen; the lungs take their first breath. Week twenty-three; the first movement is felt. To have the privilege to be part of this life-changing journey and a woman’s story is what inspires me to become a midwife. Pregnancy and birth are natural processes in which I believe all women are designed for and therefore capable of.
The American Association of Colleges of Nursing has identified nine essentials that are incorporated into master’s nursing programs in order to help guide the practice of advance practice nurse (APN). Essential II outlines how an APN can utilize organizational and systems leadership to promote safer and more cost effective care to patients. By incorporating effective leadership skills, APN’s can impact healthcare reform and quality improvements for the patient, institution and the community. According to the American Association of College of Nursing (2011), a effective leader assumes and applies the skills of communication, collaboration, negotiation, delegation, and coordination. APN’s must establish and maintain healthy working relationships
As nurses, we continue to gain knowledge and skills within our area of practice. We use theories to help us build concepts or ideas in gathering information, explaining relationships and demonstrating experiences of development. Theories vary in their level of abstraction and scope. Nursing theories are beneficial in helping us to understand, organize our thoughts and influence practice and research. Nursing theory has three distinct types to describe the level of abstraction:
Triggers, warning signs, and crisis planning are the components of the process, and require interdisciplinary work from the patient, nurse, doctor, counselor and other support staff. As with every human being, stress is a normal part of life. How we cope with those stressors is the difference between mental illness and mental wellness. With patients with substance-abuse issues, their coping mechanism is their substance of choice. So it is important to identify those stressors early on, identify early warning signs, look for inevitable situations where the patient feels like everything is falling apart, and most of all, prevent them from using.
Nursing Theorists and their Theory 1.Florence Nightingale- Nightingale’s theory of the Environment is mainly focused on the environment, she believed that, the environment has a great importance that can be used to improve and encourage healing. With proper ventilation, clean air, lack of noise , proper lighting, and adequate elimination of waste. Are a few factors she believed and can be observed and maintained. 2.Sister Calista Roy- Roy’s Theory is based on, in which the individual views biopsychosocial being, in which a person adapt with the constant change of the environment.